HomeMy WebLinkAboutPermit Building 2000-8-31
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I Job# 00-01326-01 I
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TRANS#:01-0003085
DATE:AUG 31 2000
AMT RECD:2 $ 162,00
CHANGE:
CASHIER:003
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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
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Job# 00-01326-01
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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. . / /
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Date'