HomeMy WebLinkAboutPermit Building 2000-6-29
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I Job# 00-01030-01 I
Page 1 of 2
TRANS~ 01-000~3q2
DATE:JUN ~q ~OOO
A~T RECD:~ ~ 88.56
CHANGE.
CASHIER 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Commumty Services DIvIsion
Building Safety
Job Number 00-01030-01
225 North Fifth Street
Springfield, OR 97477
Office 726-3759
Inspection Line 726-3769
Location Of Proposed Site 3719 Cherokee Dr Spr
Assessors Map# 18020612
Lot Block Addition
Tax Lot # 03600
SubdivIsion
Owner
ArdiS Smith
5090 Forsythia Dr
Phone Number 541-726-5347
Address
City/State/ZIp
Repair
Springfield, OR 97478
Value $10,000
Scope Of Work Fire Damage
fire damage repair
Contractor Type
General Contr
Contractor
Ehlers Construction Inc
2066 1/2 Roosevelt Blvd, Eugene, OR
97402-2536
Registration #
4231
Expiration Date
11/19/2000
Phone
541-689-6177
Quad Area
# Of Umts
Constr Type
Water Heater
Office Use
Land Use
Zoning Code
Bedrooms
Range
# Of BUildings
Occupancy Group
Heat Source
Sq Footage
To request an Inspection call the 24 hour recording at 726-3769 AlllnspectI3~iZ~,qu~i;~cj~~eiore); OOJ-?~egonQUtlr,'
a m Will be made the same working day, Inspections requested after 7 00 a,m,I~~"~~IQ1,!deJheWllowlng;";r(';~; or.
working day OAR 9~2-liOi-Olllu ,'1'vuCj"OA,'i v5,,-OO I
,',..,,,, Vr.,' mel\! obtalf' cop leE of tne rules b
ReqUired Inspections
BUlldln!!
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. callmo :hb camer (,.Ole "'''''' v/-'..v. -
mber ior the Oregon Ut,lity ~,onl1catlon
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Ceiling Insulation
Wall Insulation
Drywall
Fire Damage
- Prior to cover
- Prror to Cover
- Prior to taping
Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
rArea (Sq Feet)
_ Main Accessory
NOTICE:
# Of Stories Helgif~e'ifRMITSHALLEXPIRE IFTHEWORK
Current Umts Propfll;'9diOmt!f;D UNDER THIS PERMIT IS NOT
Census Code Does not apply COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Total
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Job# 00-01030-01
Page 2 of2
Fee
Paid On Recelpt# Value/Quantity
I BUlldln!! 1
06/29/2000 2392 10,000
06/29/2000 2392
06/29/2000 2392
Fee Amount
BUilding Permit
State Surcharge For BUilding Permit
BUilding Administrative Fee
Total BUilding
Grand Total
$80 50
$564
$242
$88 56
$88 56
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 located at the front of the property, and the approved set of plans Will remain on the site at all times
dUring construction
p. t/ -:1. -f. ~ _ is - 2-'1-Cb
Signature
Date