HomeMy WebLinkAboutPermit Building 2001-11-16
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-01271-01 I
Page 1 of 2
TRANS#:01-0007271
DATE:NOV 16 2001
AMT RECD:2 $ 51.75
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01271-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 4433 Kalmia Ln Spr
Assessors Map#: 18020524
lot: Block: Addition:
Tax lot #: 05100
Subdivision:
Address:
4433 Kalmia
Mr. & Mrs. Robinson
Phone Number: 541-744-8783
Owner:
Scope Of Work: Reroof
Reroof
Contractor Type
General Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
City/State/Zip: Springfield~9-R ~~7
Repair Value: ~~~
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Contractor Reg2Jrati~~ ~~1~ Date
Belfor Usa Group Inc ~f.M~<;..ca -0~<)~~005
3826 Woodland Park Ave N, Seattle, ~O ~~<?l ~<) O<?>" ,p'
98103 ~~-<v-O<?l.~v~<),Q~~
Office Use ~ .~~v <;;:,<)~"
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Phone
206-632-0800
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. 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. . '1.0
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Required Inspections ,:",:<- ~ ~": \V .~.
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I BuildinQ I \'I>-~ ~ O~'o '11-'0 'i> b'l:f:J '0'\
-Prior to installing any roof covering. ~o~ 'O,\'S'e~.s.e"'o'r<?-~ ~.s.e~e
-Prior to cover. ",,~:J0 ~eO 0"''0 ,:,~vc. o...'S'e fVvc.O ~o~
-Before covering sheathing with fi!lis~0materffiL.:<-~'S'~O 6\0'" e'l.~e 'i~\C'O'
-When all required inspections.hav~beETh.apWroyea,ana the'~huil1ij'j,g.is complete.
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~\>~ Height (feet):
Proposed Units:
Roofing
Framing
Roof Sheating/Nailing
Final Building
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
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Job# 01-01271-01
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Page 2 of 2
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Fee
Paid On Receipt#
Buildinll
11/16/2001 7271
11/16/2001 7271
11/16/2001 7271
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
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
reques d at the proper time, that the project address is readable from the street, that the permit card
is 10 t e frontCthe property, and the approved set of plans will remain on the site at all times
dur" g I nstru tion. .I
A =--_ I !{nu / ((, 7 '--'0 j
Signature' Ii Date '
1,500
$45.00
$3.15
$3.60
$51.75
$51,75