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HomeMy WebLinkAboutPermit Building 2000-5-23 ,. Ie . . I Job# 97-01451-01 I Page 1 of 3 TRANS#:01-0001853 DATE:MAY 23 2000 AMT RECD:2 $ 336.94 CHANGE: CASHIER:059 225 North Fifth Street .., ... Springfield, OR 97477" _ '.'". 0 thE> Orl:lqof' Uti"" tallOVI' fule~ a~?Pte(i, ~~ 'lJ\l;t> -'It-; ~l;t \0 Location Of Proposed Siti:tl~625(2' J~i~~~ ~~~)UISp'i)Ah ,)tl2,-UO.' OAti \:l:J - ", '''' 'Ie>> otttlb fU as ... Assessors Map#: 170327.!l2 '(01) may obtain "op t lul~"\lone '4V,",V' NOt'::'\. l H:: ~.....I"" Lot: Blockallir.g tile cente', \ ,':Additiori:icatiol '. _.~.... nrpnon l.JU"'; . .-- n1j:lluo,;.., ........- . . ,''''''' ,:~"..'Y~.~:U'. Maria Santos r. -",. , " ", Phone Number: Owner: Address: CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 97-01451-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: Subdivision: 02300 541-836-2329 635 Jack Creek Rd, City/State/Zip: Drain, OR 97435 Repair Value: $188 Scope Of Work: Garage $9,699 Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: ContraMtQTICE: FTHR~@!5itr~tion # , n<::OMIJ SHALL EXPIRE I t:: nl Baront, ~/fSmlClIOn S PERMIT IS NOT xx, xx, x.l0THORIZED UNDERTHI , .___ ~n '" ^o^MnnNFDFOR LUIVIlVI[;.!'lVl.-.... ""'\ ..- AN'( 180 DAY t't::MI6@ce Use Land Use: Zoning Code: Bedrooms: Range: Expiration Date Phone # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day, Required Inspections I Transfered Records - Prior to filling the trench. - Prior to cover. - Prior to cover. - Prior to cover. - Prior to cover. - Prior to Cover - Prior to taping, Underground Plumbing Rough Electrical Rough Mechanical Rough Plumbing Framing Wall Insulation Drywall . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Fee Plan Check Fee Plan Check Fee Plan Check Fee Building Permit Building Permit Building Permit Electrical Permit Electrical Permit Electrical Permit Plumbing Permit Plumbing Permit Plumbing Permit Mechanical Permit Mechanical Permit SDC-Sanitary Sewer SDC-Administrative Fee Mechanical Issuance Mechanical Issuance Total Transfered Records State Surcharge For Building Permit Renew Permit- Building Building Administrative Fee Total Building Renew Permit - Electrical State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Renew Permit - Plumbing Plumbing Administrative Fee Total Plumbing Minimum Mechanical Permit Mechanical Administrative Fee Renew Permit - Mechanical Mechanical Issuance I Job# 97-01451-01 I # Of Stories: Current Units: Census Code: Does not apply Total: . Height (feet): Proposed Units: Paid On Receipt# Transfered Records 11/03/1997 12/08/1997 12/08/1997 10/02/1997 10/20/1997 12/08/1997 10/02/1997 10/20/1997 12/08/1997 10/02/1997 10/20/1997 12/08/1997 10/20/1997 12/08/1997 12/08/1997 12/08/1997 10/20/1997 12/08/1997 27885 28205 28205 27577 27767 28205 27577 27767 28205 27577 27767 28205 27767 28205 28205 28205 27767 28205 Building OS/23/2000 1853 OS/23/2000 1853 OS/23/2000 1853 Electrical OS/23/2000 1853 OS/23/2000 1853 05/23/2000 1853 Plumbing OS/23/2000 1853 OS/23/2000 1853 05/23/2000 1853 05/23/2000 1853 Mechanical 05/23/2000 1853 OS/23/2000 1853 05/23/2000 1853 OS/23/2000 1853 . Page 2 of 3 Value/Quantity 117 344 150 148 16 66 37 17 53 16 16 42 16 16 328 16 10 10 188 53 37 16 Fee Amount $116,68 $344.47 $150.00 $147,53 $15,75 $65,63 $36,75 $16,80 $52.50 $15.75 $15,75 $42,00 $15,75 $15,75 $328,02 $16.40 $10.00 $10.00 $1,415.53 $,00 $188.41 $,00 $188.41 $53,03 $,00 $,00 $53.03 $15.00 $1.05 $36.75 $.45 $53.25 $15,00 $,45 $15,75 $10,00 . Job# 97-01451-01 . Page 3 of 3 Fee Paid On Receipt# Mechanical OS/23/2000 1853 Value/Quantity I Fee Amount State Surcharge For Mechanical Permit Total Mechanical 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 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. ~L~ ~311"1I}-Y2.aoo $1.05 $42.25 $1,752.47 Signature Date