Loading...
HomeMy WebLinkAboutPermit Building 2000-8-31 '. . I Job# 00-01326-01 I . Page 1 of 2 TRANS#:01-0003085 DATE:AUG 31 2000 AMT RECD:2 $ 162,00 CHANGE: CASHIER:003 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01326-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1263 Assessors Map#: 17033541 Lot: Block: main St Spr Addition: Tax Lot #: 08700 Subdivision: 1< Owner: Don Jinks Phone Number: 707-525-0275 City/State/Zip: Springfield, OR 97477 New Value: $15,000 Address: P.O. Box 6787 Scope Of Work: Manufactured Home in Park new M.H. to replace travel trailer - larger unit encompases 1-112 spaces on the original park IRVOIJt. Contractor Type Electrical Contr Contractor Able Electric 5511 Main Street, Springfield, OR 97478 Ernie & Sons 29276 Airport Road, Eugene, OR 97402 Registration # 92506 Expiration Date 7/16/2003 Phone 541-726-6701 Manuf Home Install 541-689-9225 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D [Ar~a (Sq. Feet) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plumbing 08/31/2000 3085 08/31/2000 3085 08/31/2000 3085 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Manufactured Home Connection 1 $.00 $1.05 $15.00 . . Job# 00-01326-01 . Page 2 of 2 Value/Quantity Fee Amount Fee Paid On Receipt# Plumbinll 08/31/2000 3085 $.45 $16.50 Plumbing Administrative Fee Total Plumbing Manufactured Home Setup Fee Manufactured Home Slate Issuance State Surcharge For Manufactured Horn, Manufactured Home Administrative Fee Total Manufactured Home Grand Total By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. Manufactured Home 08/31/2000 3085 08/31/2000 3085 08/31/2000 3085 08/31/2000 3085 15,000 1 $105.00 $30.00 $7.35 $3.15 $145.50 $162.00 I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the str t, that the p. rmit card is located at the front of lhe property, and the appr ved set f planlJiII rem I on the llLte t II times during conslruction. . / / rl: L /aM..MH. J xJ l? / /00 Date'