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HomeMy WebLinkAboutPermit Building 2000-9-27 ....- -. .' . I Job# 00-01454-01 I . Page 1 of 2 TRANS#:01-0003311 DATE: SEP 27 2000 AMT RECD:2 $ 171.06 CHANGE: CASHIER: 061 SPRINQPIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01454-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 1034 A St Spr Assessors Map#: 17033541 lot: Block: Addition: Tax lot #: 02000 Subdivision: Owner: Address: Cory Churchhill 1034 A St Phone Number: 541-741-1337 City/State/Zip: Springfield, OR 97477 Repair Value: $20,000 Scope Of Work: Fire Damage fire damage Contractor Type General Contr Contractor Williams Construction PO Box 1135, Fall Creek, OR 97438 Registration # Expiration Date Phone 541-937-4215 Office Use land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: Range: Sq. Footage: . ^TTCf\\Tlnf\l.nrof"lnn l~lAt r.onlllrt:\ic:. vnll to To request an inspection call the 24 hour recording at 726-3769, AII1~YP.W6f,'\)\f~~g~~gdlJJrdrp,!Q?f>riUtilitY a,m. will be made the same working day, inspections requested aft~jlillQtjRflWi1lr!fgma\lQftRelfb~~~Rr~d')5e2t-ofOort1h working day. in OAR 952-001-0010througnuA'1 B . 0090, You may obtain copies of the rules by Required Inspections Call1llY UI~""~lllOI. \~~U~'Ci. ~;l'" ~~vt-':........:. Buildinq nl~rnberfortheOregon Utility Notification C t:'v ~. , ,:,!r,,' ')'1')-?'i44). en._, ,. - -- ..' -, Quad Area: # Of Units: Constr. Type: Water Heater: Wall Insulation Drywall - Prior to Cover - Prior to taping, ",-'I --~.. Plumbing Rough Plumbing Final Plumbing - Prior to cover. -When all plumbing work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT # Of Stories: COrlil(lighW~e,m IS ABANDONED FOR Current Units: ANyP.I3!P9,S.'1~)!:!!1!~.:J. Census Code: Does not apply Total: .;~~... ~. . Job# 00-01454-01 . Page 2 of 2 Fee Paid On Receipt# I Buildinll 09/27/2000 3311 09/27/2000 3311 09/27/2000 3311 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 20,000 $140.50 $9.84 $4,22 $154.56 Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 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 r time'fEh e project address is readable fram the street, that the permit card is located at t rant f the ~ r rt " and the approved set of plans will remain on the site at all times during const . '~ q r 27-a) Plumbinll 09/27/2000 3311 09/27/2000 3311 09/27/2000 3311 1 $15,00 $1.05 $.45 $16.50 $171.06 Signature -......-.-- Date