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HomeMy WebLinkAboutPermit Building 2001-11-16 ~ / ~ 225 North Fifth Street Springfield, OR 97477 . . 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: ~~~ . ((~~,<{O ", (f.,~ ~'A'\<?> "o{(l _<-<?l n Y"" ~1" S' ~Y.-v 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 <;;:,<)~" d">'<:-I.'~ ~ 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 ...o'V.,.~,\ Required Inspections ,:",:<- ~ ~": \V .~. '001. ~o '0' !:)' 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. 'r' >II '': 1;\ v ,N ~'8>"._,0': \W'" '!1* ' ~o ~o ()\l 0'0 . ~~ v n.'r- "'0 .~,c'O' ,<>~'I: ",,'1>-'\ f;:o\0" ~o~ !O'5" ~o~ ~ ,:, ". c'o O~'o !:)W o~ ~o 'S'e K\(:' ,.'8 \~()(),<>(), ~,~~ ~...0~"1 ~e~'''' c'O' ~'o (,e<e' ~\>~ 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: . . Job# 01-01271-01 . Page 2 of 2 , ... . 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