HomeMy WebLinkAboutPermit Building 2000-9-19
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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
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