HomeMy WebLinkAboutPermit Building 2002-8-2
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I Job# 02-00935.01 I
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-00935-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 735 Scotts Glen Dr Spr
Assessors Map#: 17032724
Lot: Block: Addition:
Tax Lot #: 02900
Subdivision:
Owner:
Address:
Laurene Bates
Phone Number: 541-710-2028
7346 Thurston Rd
City/State/Zip:
New
Springfield, OR 97478
Value: $25,000
Scope Of Work: Manufactured Home on Private Lot
Replace existing MH
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Harrison Jacobson Inc 66447 5/7/2004 541-689-7762
1441 HWY 99N, Eugene, OR 97402
Electrical Contr Heritage Electric of Eugene 63137 2/15/2004 541-729-1500
1042 Horn Lane, Eugene, OR 97404
Manuf Home Install Harrison Jacobson Inc 66447 517/2004 541-689-7762
1441 HWY 99N, Eugene, OR 97402
Plumbing Contr
Harrison Jacobson Inc 66447 517/2004 Q'r-Vo.
1441 HWY 99N, Eugene, OR 97402 "f" \i ,,,to ~ ~IQ\
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Offj~t18~'. 7J.~\.\. \~\S ?'c)\, ;.. iQ'r-
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Quad Area: Land Use~,,\S r 'r-\1t.\) \II' \S to.~to.\, '1J Of Buildings:
# Of Units: Zoning CO\l-{l"i"a x.\,\Ct.\) a~ ~\a\). Occupancy Group:
Constr, Type: Bedrooms: CO\J\WI 'O() \)to.i ?t: Heat Source:
Water Heater: Range: l>-\,\i .. Sq. Footage:
e..\lOU\.....
To request an inspection call the 24 hour recording at 726-3769, All inspections requested befor1?7:00JI)liW
a,m, will be made the same working day, inspections requested after 7:00 a,m,cyiI!bel"'rTra"de.th'e f61i6\Ning~o1\\'
working day, ~~~\\O\'\~~?\ao '0'1 \~71l\es ~la ~;:'2'00~'
, ~ <illeS a .~< ,''os ,~hOP.? _"IClS '0'1
ReqUired InspectionsN , "1.1"'" 'OIl\IU-J \ III'" ' a
'u r.lJ,IIO" "00 \ ias 0 \"Ion
I Electrical Noll",:!, 952-00 I- blain co? '1\'I3Iala?, alion
'n 01-''' (1\a'l 0 ,~ola, ~oll\IC
I 0 '(oil cante!' \ ,,\.Ililil'! . ,\\
~', g\\'Ie Olago" n?',3_I'
I Plumbinll - c:kllln \Oll\'la oO.QO-',3'3"'--
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-After home has been connected to water,anCllsewer.nlal I
- Prior to filling trench, VU
- Prior to filling trench,
- Prior to filling trench,
541-689-7762
MH Service
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
I Job# 02-00935-01 I
Required Inspections
I Manufactured Home I
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
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,
MH Set Up
MH Final
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq, Feet)
I Main: Accessory:
Fee
Minimum Electrical Permit Fee
Manufactured Home ServicelFeeder
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Manufactured Home Connection
8% Administrative Fee - Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Horn.
Manufactured Home Administrative Fee
Total Manufactured Home
Grand Total
.
Page 2 of 2
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Electrical
08/02/2002 1 0153
08/02/2002 1 0153
08/02/2002 1 0153
08/02/2002 1 0153
Value/Quantity
Fee Amount
1
$,00
$50,00
$3,50
$4,00
$57,50
Plumbin!l
08/02/2002 10153
08/02/2002 10153
08/02/2002 10153
08/02/2002 10153
1
$.00
$3,15
$45,00
$3,60
$51.75
Manufactured Home
08/02/2002 1 0153
08/02/2002 1 0153
08/02/2002 1 0153
08/02/2002 1 0153
25,000
1
$160,00
$30,00
$11,20
$12,80
$214.00
$323.25
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.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the propery, and the
appro ed set of plans will remain on the site at all times during construction,
Signature
8-z-07.....
Date
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