HomeMy WebLinkAboutPermit Building 2001-4-12
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SPRINQFIELD
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225 North Fifth Street
Springfield, OR 97477
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Page 1 of 2
TRANS#:01-0004932
DATE:APR 12 2001
AMT RECD:2 $ 15.00
CHANGE:
CASHIER:061
I Job# 99-00846-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-00846-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 5751 Ridge Ct Spr
Assessors Map#: 18020411
lot: Block: Addition:
Owner:
Address:
Tax lot #: 04700
Subdivision:
Vern Benson
940 Highway 99 North
Eugene, OR 97402
Value: $0
Phone Number: 541-688-8897
City/State/Zip:
New
Scope Of Work: Manufactured Home on Private lot
$56,135
b\:J'f~~,:: # Of Buildings:HEWOR:<
'SPER"IITSH^llEArlrot-.. .
Thl ~_ '8.~fu~~~g~eA?v~~\SNOT
AUTHORILi::DUIHea'rSource: IEDFOR
'f' a 'J fll',ll:.r "'1-
CJ";,,i<]>::;ED OSq~Footage:'
0,'>:Y "ltIO DAY l~i::;-\IUU,
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,
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
Curbcut
MH Set Up
Footing
Sidewalk
Foundation
MH Electrical
Rough Electrical
Slab
Electrical Service
Water Line
Sanitary Sewer Line
Shear Wall Nailing
Storm Sewer Line
Special
Contractor Registration #
Sandy Excavating Inc 82824
44434 Se Coalman Rd, Sandy, OR 97055
Freeman Electric 61648
Po Box 90216, Portland, OR 97290
Expiration Date
7/20/2001
Phone
503-688-8905
9/28/1999
503-997-3651
Office Use '
land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
I Transfered Records I
-After forms are ereceted but prior to placement of concrete,
" .' "-')1' ~'~'i':lY
-When all blocking is complete. f<.lIr , '. ,"_ ". ,:It:'~':'1
-After trenches are excavated. 1\1 cll.,.t. ...." -' .' . ' , . . '-~ "0'
hlUr\l I .i.,....Il\II.'1I t II' I'"~ 11;rlll \ )f\rl ~);') .-v ,--
-After forms are erected but prior to concrete',placement> 'if .n" ,j 'r~'l (11115 by
- When blocking, setup, and plumbing Tnsp'ections have, been approved 'a.'\ilihEN{ome is connect
-Prior to cover. n~,-;:':-,. ' , 'ltilication
- To be made after all inslab building service eqyip-ment, conduit piping,: ana other equipment iter
-Must be approved to obtain permanent power.
- Prior to filling trench.
- Prior to filling trench.
- Before covering sheathing with finish materials.
- Prior to filling trench.
-See Plan Review and/or Inspectors Notes,
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I Job# 99-00846-01 I
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Page 2 of 2
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Final Building
Final Electrical
Required Inspections
[ Transfered Records I
- When all required inspections have been approved and the building is complete,
-When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity Fee Amount
I Transfered Records
08/02/1999 35073 64 $64,03
08/05/1999 35125 96 $96,00
08/02/1999 35073 90 $90,00
08/02/1999 35073 587 $586.80
08/02/1999 35073 943 $942,80
08/02/1999 35073 480 $480.07
08/02/1999 35073 313 $312.64
08/02/1999 35073 116 $116.12
08/02/1999 35073 1,000 $1,000,00
08/02/1999 35073 105 $105,00
08/02/1999 35073 60 $60,00
08/02/1999 35073 60 $60,00
08/02/1999 35073 30 $30.00
04/13/2001 4932 15 $15,00
08/02/1999 35073 99 $98,50
$4,056.96
$4,056.96
Plan Check Fee
Electrical Permit
Plumbing Permit
SDC-Storm Sewer
SDC-Sanitary Sewer
SDC-Transportation
SDC-MWMC
SDC-Administrative Fee
SDC-Willamalane
Manufactured Home
Sidewalk
Curbcut
MH State Issuance
Reinspection Fee
Garage/Carport
Total Transfered Records
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.
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
~ve;! set of plans will remain on the site at all times during construction.
,&A:/ ~~ "1-/3-6/
Signature ------ Date