HomeMy WebLinkAboutPermit Building 2000-9-27
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I Job# 00-01454-01 I
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Page 1 of 2
TRANS#:01-0003311
DATE: SEP 27 2000
AMT RECD:2 $ 171.06
CHANGE:
CASHIER: 061
SPRINQPIELD
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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,
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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:
.;~~... ~.
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Job# 00-01454-01
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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