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HomeMy WebLinkAboutPermit Building 2000-9-19 .~~~ ...,. Job# 00-01367-01 Page 1 of'mANS#: 01-0003259 DATE:8EP 19 2000 AMT RECD:2 $ 44.00 2 $ 0.56 CHANGE: CASHIER: 061 ., SPRINGFIELD ~., RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01367-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 1012 Centennial Blvd Spr ' Assessors Map#: 17032644 lot: Block: Addition: Tax lot #: 10000 Subdivision: Owner: JimPerpinan 1012 Centennial Blvd Phone Number: 541-746-8025 Address: City/State/Zip: Remodel Springfield, OR 97478 Value: $1,500 Scope Of Work: Bathroom Contractor Type General Contr Contractor David Johnson 1033 Waverley, Eugene, OR 97401 Registration # Expiration Date Phone 541-484-4016 Quad Area: 2RNW # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use . land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling Heat Source: Sq. Footage: , . . NCi'R. NCE: , ' To request an inspection call the 24 hour recording at 726-376~h/Ml ffiSp.~!t.tlons requested before 7:00 a.m. will be made the same working day, inspections requested aftgri9mV!3Tns.IVAIL1bfr~~'\1€r~~$~ working day. AUTHORIZED UNDER THIS K . COMME ,PERMITIS NOT Zoning: LDR Overlay District: NCEDORISA~~a~le family Dwelling FloodPlain? D Wetlands? D # of Street Trees: ANY 180 DAY PERIOD. Pave Driveway? D Journal numbers 1: 2: 3: Comments: Planner: Ruth Klein Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood Area? D Addi~~lijfftYM:ments: ReqftMft5WH1JlfsW~~t9:on law requires yOU to scNeta~ C op ed by the Oregon Utility M~Q~R 952-0g~~J1~~~~~r9u~~A~esetfortr 0090. You may 'obtain co ' , 952-001 caijjnn tho. " pIes ot the rules b~, FICW,ci\'h)\~~n: VOOter. (Noteathete/eOhonp. ~rt le O"'~u,, uIII/ry Not't' . . Ct. I Icatlon en er IS 1-800-332-2344). i I Job# 00-01367-01 1. Page 2 of 2 .. Cons"truction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plan Check 09/08/2000 3158 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 4,250 $32.83 $32.83 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 09/19/2000 3259 09/19/2000 3259 09/19/2000 3259 1,500 $25.50 $1.79 $.77 $28.06 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Grand Total Plumbing 09/19/2000 3259 09/19/2000 3259 09/19/2000 3259 09/19/2000 3259 1 $5.00 $10,00 $1,05 $.45 $16.50 $77.39 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Ruth Klein Wendy Stanley 09/11/2000 09/14/2000 09/14/2000 Planning-Res Structural-Res Engineering-C/I/P Steve Templin 09/14/2000 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 locat t the front of the property, and the approved set of plans will remain on the site at all times d:i 0 structi~ J.&' /8.;?ooo Si~ ---r' J