HomeMy WebLinkAboutPermit Building 2002-3-7
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Job# 02-00230-01
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Page 1 of 2
TRANSlI ~ 01"0008244
DA TE ; MAR 07 2002
AMT RECD:2 $ 103.50
CHAN'3E:
CASHIER:061
SPRINGFIELD I
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00230-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 765 A St Spr
Assessors Map#: 17033542
Lot: Block: Addition:
Tax Lot #: 04600
Subdivision:
Owner:
Address:
Willamalane
200 South Mill Street
Phone Number: 541-736-4044
City/State/Zip: Springfield, OR 97477
Alteration Value: $2,000
Scope Of Work: Interior
Bathroom remodel - OK'd per BB
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Plumbing Contr
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Contractor . ,.'..Re~i~traii'6'~,#.:sEiJ?i;atioi1\Date
Willamalane Park and Recreatior(';,>;; 'o.el~~,~;\n~S,\~~;n::>~~,~~u\e;:~
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200 South Mill Street, Springfield,. OR"',' C\l1 ,'J\) , . _ ,;'J\;V''''e ',e\e9. ~1\O{'l
97477 '.J'" o' ,,0"':'- . "I ol')\'<>";\,\o\e'.I\' \,\C\\\'(,<'
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Willamalane Park and Recreatiol}C\.'lv \1\0 ce{'lOI~~Oi' ",,~.'l:r-' .
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200 South Mill Street, Springfield,tOR eliO\' .is ~-I>'"..
97477 ,\ulfl'O eel'\(;'
Phone
541-726-4335
Contractor Type
General Contr
541-726-4335
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat sourlflr\\:.\NO?'v-
Range: \...~._ S"'fI~ge:,,,,,\SNOi
.P~ '.""',,'\'"E'f' _~al",\I
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To request an inspection call the 24 hour recording at 726-376~~IJ;Ii\~\iQl;l~~~tE;d-~tr~ho
a.m. will be made the same working day, inspections requested a~<9B\l'r1r. ~~ ~~'the following
working day. .ll>S\\:'\'\C\:'\) 0\0\)'
Caw' nll.'{ ?\:.r.
~~uired Inspecti~A~ ,;.C
I" Buildin~ I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Framing
Drywall
Final Building
- Prior to cover,
- Prior to taping,
- When all required inspections have been approved and the building is complete.
Plumbing -'-1
Rough Plumbing
Final Plumbing
- Prior to cover.
-When all plumbing work is complete.
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Job# 02-00230-01
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee
Paid On Receipt#
I Building
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Manufactured Home Conneclion
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
Plumbing
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
lli 0 O~i1-
U
.
Height (feet):
Proposed Units:
Page 2 of 2
Value/Quantity
Fee Amount
2,000
$45.00
$3.15
$3,60
$51.75
By signature. I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is Irue 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 contraclors 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,
P~Ol'(~~)
Signature
2
$17.00
$28,00
$3,15
$.00
$3,60
$51.75
$103.50
3/7/0 I
Date