HomeMy WebLinkAboutPermit Building 2001-11-26
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Job# 01-01294-01
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
mANS#: 01--0007317
DATE.NOV 26 2001
AMT RECD:2 $ 114,54
CHANGE.
CASHIEF~ : 061
Job Number: 01-01294-01
225 North Fifth Street
Springfield,OR97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4235 Camellia St Spr
Assessors Map#: ~ 7023233
Lot: Block: Addition:
Tax Lot #: 01000
Subdivision:
Owner:
Don Brenamen
4235 Cameilia. St
Phone Number:
.. City/State/Zip: Springfield, OR 97478
Repair Value: $8,950
Address:
Scope Of Work: Dry Rot
, Dry ro,t repair
Contractor Type Contractor Registration #., ExpirationjD'aje Phone
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General Contr Freds termite and structural repair 15849 '.J?j;:I;2'f~~92. e~ 'O~\'(\ p 541-726-3870
489 S 71st Street, Springfield, OR 97478 eO;O(\,\'O- \l(\eO\,0-'(e15 'f::I't:\:F}\ "I
_ ,.n~ . ... n'>l. ..\\e .".., q ~ 'd'l .
. . ___.,;,.;\I.)\~' 0'Q\'a~ 01510' - 01"" '(US"'-
Office Use~ '{.,,\' sc:,.(J :<."'\'0 '(ou,Q;'(\ ~ \'(\e '^-o(\e ,
j>..\ \ ~u,W (\\e 0\'('\ . ..0,50 ,....\~'Q\~ ^~',o(\
Quad Area: Land Use: 'o\~O\!'-! ..'0.... Ce 4 pOO\ '.... C'#;Of~,Bulf('hngs{'~~
. .\". ,~~ ,\' C \. ~\, ,:",'. ~\', . NO\.\
# Of Units: Zonmg Code: ...\'oi\.\'\C~ nt6'C'\:J "I 0'O\~~ t~QccuP'cmc.Y..\Group:.
\'" j>..'P ~ '((\~l ~e'......... \)\.' '31.\'-'" I
Constr. Type: Bedrooms: \f.\ 0 ,<o\} e ce(\ O'(eQ.f.i~?J2,$8urce:
Water Heater: Range: 0090'~\\(\Q; \~ '(\'(\e.r.: VCCSq. Footage:
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To request an inspection call the 24 hour recording at 726-3769.(\~1I ins~ctions requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day. . ,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Required Inspections
I Building _
- Prior to floor insulation or decking. " O~"/..
- Prior to decking. ,,",€.\f\J ~
-Prior to cover. r.~.. g~~'~~'~at\l\,\'5~O
- When all required inspections have bee~~~e~~&.~~~$P~~~e>~
, , , \~'5 ~'C.~~1.~O \J~Oe ~'O~~OO~
~OP ~OO-r. ,5
CO~~'C.~G ~ ~€.f\\OO.
~'{ "\CO()O~
~Height (feet):
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Post and Beam
Floor Insulation
Framing
Final Building
Accessory:
Total:
.-
,I>
Fee
Job# 01-01294~01
Paid On Receipt#
I" Building
11/26/2001 7317
11/26/2001 7317
11/26/2001 7317
Page-2 of 2
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee .
Total Building
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
during construction.
or4 ~ f/---~d-O l
8,950
$99.60
$6.97
$7.97
$114.54
$114.54
Signature
'-
Date