HomeMy WebLinkAboutPermit Building 2000-10-19 (2)
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Job# 00-01522-01
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Page 1 of 2
TRANS#:01-0003525
DATE:OCT 19 2000
AMT RECD:2 $ 206.00
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Phone Number: 541-741-8107
City/State/Zip: Springfield. OR 97478
New Value: $45,000
225 North Fifth Street
Springfield, OR 97477
location Of Proposed Site: 5335 Daisy St Spr
Assessors Map#: 17023300
lot: Block: Addition:
Owner:
Address:
Greg and Lori Huffman
267 S 40th #4
Scope Of Work: Manufactured Home in Park
Placement of M.H. in park
Contractor Type
General Contr
Contractor
Gooden-Harrison Construction
1441 hwy 99n, Eugene, OR 97402
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
Job Number: 00-01522-01
Office: 726-3759
Inspection line: 726-3769
Tax lot #: 01300
Subdivision:
Registration # Expiration Date
Phone
541-689-7762
541-729-1500
# Of Buildings:
A I 11::.1\1 i 1UI\l:UI9f.c.~Pjl"1)9Yc,QnQ.l!~'OU to
follow rules ador.H~~t~Q~!:c)regon Utility
Notification CenteSq.tRo..Q.tag'e;s are set forth
ill vMn ;32.i)i) ;-i)i);\j l; IIvl.Iyl, OAn 5:i,2-(jJ.-
To request an inspection call the 24 hour recording at 726-3769. C'A1BiasrtettionsYreqmistea'll1l;ef0f.€!~~'Qrules by
a.m. will be made the same working day, inspections requested aftetc7~:(j)m;:a'.Irn: \w.iIIrl:>e'.rDaae3ttle'fdIl0~irif@ne
working day. numberfor the Oregon Utility Notification
Centor j~- '1 -~nn-~22-2344).
Required Inspections
Electrical I
MH Service
I Plumbing I
-After home has been connected to water and sewer.
I ~0T~~J.I1E:
Manufactured HpOle__
_ When all blocking is complete. I nl-::l r-t:.RMIT SHALL EXPIRE IFTHE WORK
Aft II . d' t' 0.' IT', 'Q\r->'"?I-'"' I "~.....r-n if.lrt'" D'd"'. fl"T' I~ ..lC:l...~
- er a require Inspec Ions are aplJr.ovea'anU:~orCI'les'lSI\I Ing,ll: ec~s, v:er.JlIllg, house numbel
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
MH Plumbing
MH Set Up
MH Final
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I Job# 00-01522-01 I
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Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
10/19/2000 3525
10/19/2000 3525
10/19/2000 3525
Value/Quantity
Fee Amount
Manufactured Home Service\Feeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
1
$40.00
$2.80
$1.20
$44.00
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Manufactured Home Connection
Plumbing Administrative Fee
Total Plumbing
Plumbing
10/19/2000 3525
10/19/2000 3525
10/19/2000 3525
10/19/2000 3525
1
$.00
$1.05
$15.00
$.45
$16.50
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Homl
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
10/19/2000 3525
10/19/2000 3525
10/19/2000 3525
10/19/2000 3525
45,000
1
$105.00
$30.00
$7.35
$3.15
$145.50
$206.00
I further agree to ensure that all required inspections are requested at the proper time, that each
address is rea abl1/r. the street, that the pennit card is located at the front of the property, and the
approvJ(!;.t f~. sc~n the site at all times during construction. L M9 /00
/ I '
Signature Date
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The following project as submitted h~.S the following
, and does not. require specific land use
zoning, ,
approval., L i) IL
Zoning (J7)
225 FIFTH STREET fb -" (q., \
SPRINGFIELD ,OREGON 97 ~,ty , f<u.-/
INSPECTION REQUEST,: 7~lli3m Signature
OFFICE: 726-3759,
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor ~~ ~
Address /tJr2- ~ ~ ,
City ~~
?
Supervisor License Number
1.
LOCATION OF INSTALLATION
53 J )' '"D.4-( .5,,/
/'
LEGAL DESCRIPTION
/70830--0
C::> f :t 0-'0 .
JOB DESCRIPTION ~
J/V1 H- PL~6tL7 /I'Aetc.
Permits are non-transferable ~d expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Phone 7.;2 9 - / ~OO
~f5-.s
/1-( o{
Constr Contr. Number b ~/3>7 iQ;... __
2-L/J!/C;Y
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Signature 0 Supervisin~ Electrician
-. ~ .~
Owners Name G-R-.f:::(S- I-lcA ~ ~
.> C-t 0 I<--- ..d C(
Phone 7'((;- <6JO 7
Expiration Date
Expiration Date
,
Address
Zb7
SP;:ZJ
Ci ty
O\1NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
/0 ( 70-0
'35'2- 5'
~f?
--
'ELECTRICAL PERMIT APPLICATION
ci ty Job Numberoo .-o/5~2. - 0 1
3. COMPLETE FEE SCHEDULE BELOV
, A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Su
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular.'Owelling
Service or Feeder
$ 85.00
$ 15.00
I ,$ 40.00 .!:a)
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Ov~r 1000 amps/volts
Reconnect. Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$' 2.00
E.
Miscellaneous (Service/feeder not includec
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. ~YBTOTAL OF ABOVE
7 fI. State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ ~.oo
$~
$~~
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acn. Otrl
0-. rr1 a 0 I'.)
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DEVELOPMfNTSfRWCESDEPARTMENT
22S FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
J
. Manufadured Home Placement
Permit Application
City Job Number:
Placement Location: .'" (;;ro..l"c:.._4C}. F.1 +~+(. s'. ,,?33S h~~ ~ey , =*.1 O~
AS!le&!lors Map Number: Tax. Lot Number:..
Lot:__",
Rlock:
Subdivi.!lioo:
..'
Partition Number:
Parcel Number:
Has Partition Reen ^rprovcd?:
-oWNRR--
I
Name: G.....~-'l -t:" kr; H"" .ff~,,1'\
Phone NumbLT: 7'1/-8167
Mailing Address:
("
..l1y:_, ,
Slate:
,.._. ZiJl:
-CONTRACfORS-
Installer:
CCll#:
.' Exp:
Phone;
Plumbing: ,~f"'" - ~~~r: \&:;4, (~t).rr
CC'B//: Zo-.2~ t::xp: .
CCB/j: (., > J2.1 F.xJ1:
CCBt/: Uc.'i 41 Exp:
,,,__ Phonc: be? -77101-
PhOllC:,~'-'(,QO
Phun~:~1-77fo,~
F.lectrical: \\t..r;.\-"4t E,\e,ctr; c..
General Contractor: C.x:tJdt'O'\. - l-\c..rr: ~n
(if applicable)
McchtlI1ical Controctor:
(if applicable)
.
ccu#: Ex. :
-----" ". ,.,- p
Phone:
--LENDING JNSTITIJTE-
Fhl!linesll Name:
!'hone Numher:
Mailing Addrcs:i:
Attention: .
Citv:
...-..
Stnte:
7..ip: .. ___
I
-PERMIT INFORMA 1'ION-
Value orHome:
'-t~oc;o
Value (If l"ooting/FoUJIdation:
NQ.N.C
Sq Foouge ofHomc:l~o
Sq Footlsgc ofGnmgetc=:'llmorj)
. Type ofHc'dI;.J;leCc_ .
. Heat Pump Inst""Il1ation7:.u
-'-'
.rz..
x
2."
.~
S \ 2.. ScJ.f-+
Application Received B)':_.
Date:
PIM Cbe<:k Fee:
Receillt Number:
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