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HomeMy WebLinkAboutPermit Building 2000-4-3 " . · I Job# 00.00488.01 I . Page 1 of 2 TRANSU:Ol-0001123 DATE:APR 03 2000 AMT RECD:2 $ 48.96 CHANGE: CASHIER: 059 'v~ 225 North Fifth Street Springfield. OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00488.01 Office: 726.3759 Inspection Line: 726-3769 . Juniper St Spr Location Of Proposed Site: 1505 Assessors Map#: 1703,2732 Lot: Block: Owner: Address: Tax Lot #: 02100 Subdivision: Addition: Stephen Richardson 1505 Juniper Street Phone Number: City/State/Zip: Springfield. OR 97477 Repair Value: $4,000 Scope Of Work: Fire Damage # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: NC,iCr:: To request an inspection call the 24 hour recording at 726-3769, All in~m reg't,ested before 7:00 a,m. will be made the same working day, inspections requested after 7Am-a.m. Will befMlde'3li~~Llq)llliJ1gE WORK working day. HOR/ZEDUNDERTHISPER ' R . dl ,COMMENr.f:n(,\o'C"~'t.__ MlTlSNOT eqUlre nspecbonsA~Y -- ,-, .. '''V''I:U r-UH B 'Id' 180 DAY PERIOD ' UI mil . Contractor Type General Contr Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Ceiling Insulation Drywall Final Building Rough Electrical Final Electrical Contractor Ehlers Construction Inc 20661/2 Roosevelt Blvd, Eugene, OR 97402.2536 Crow Valley Electric Inc Po Box 22201, Eugene. OR 97402 I I ~;~, l\.ol'~' .' '. R,egj~tretm,ra~~~~xJilfatio",li)ate" Y0u (Phone .1~~f3~ation Center) ~/rl&~8r~,~~egon 4lij~l689.6177 1 OAR 952-001-0010 th are settort; ,J090. You may obt' rough OAR 952-001. callin th am copIes of the rules b,. rRR\\W~ fo~t:~eMJ)~e:. t~e telepho~1.729.51 08 ,...,,~.~_,_ ;~?"o~nYY"t}'Notification ' " . .':1~""AA\ 5RNW Office Use Land Use:. Duplex or 2.Family Hs Zoning Code: LDR Bedrooms: Range: - Prior to cover. - Prior to taping, - When all required inspections have been approved and the building is complete. Electrical - Prior to cover. . When all electrical work is complete. . . I Job# 00.00488-01 Overlay District: # of Street Trees: . Page 2 of2 Land Use: Duplex or 2-Family Hs Pave Driveway? D \ ,- ,Zoning: LDR 'I' FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: 3: Planner: Urban Growth Boundary?0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: GlenwoodArea? D Required Attachments: Source Locn: Material: Flood Plain FEMA: 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 Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 04/03/2000 1123 04/03/2000 1123 04/03/2000 1123 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 4.000 $44,50 $3,12 $1,34 $48.96 Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 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, Electrical 03/30/2000 00000 03/30/2000 00000 03/30/2000 00000 1 $35,00 $2.45 $1,05 $38.50 $87.46 Signature Date