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HomeMy WebLinkAboutPermit Building 2002-1-3 I'-~ \,."".. , . I Job# 01-01271-01 I . Page 1 of2 ~ CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01271-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Addition: Tax lot #: 05100 Subdivision: * location Of Proposed Site: 4433 Assessors Map#: 18020524 lot: Block: Kalmia Ln Spr Owner: Mr. & Mrs. Robinson 4433 Kalmia Phone Number: 541-744-8783 City/State/Zip: Springfield, OR 97477 Repair Value: $1,500 Address: Scope Of Work: Reroof Reroof Contractor Type General Contr Registration # 146973 Expiration Date 2/16/05 Phone 206-632-0800 Contractor Belfor Usa Group Inc 3826 Woodland Park Ave N, Seattle, WA 98103 Mechanical Contr Home Comfort Heating & Air Conditioning 84164 Po Box 24205, Eugene, OR 97402 6/25/03 541-345-2838 Quad Area: # Of Units: 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. 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. Roofing Framing Roof Sheating/Nailing Final Building Required Inspections I Building t - Prior to installing any roof covering. - Prior to cover. -Before covering sheathing with finish material. - When all required inspections have been approved and the building is complete. Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. .-' i..r. . I Job# 01-01271-01 I . Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: I Paid On Receipt# Building 11/16/2001 7271 11/16/2001 7271 11/16/2001 7271 Value/Quantity Fee Amount Fee Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1,500 $45.00 $3.15 $3.60 $51,75 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total Mechanical 01/03/2002 7670 01/03/2002 7670 01/03/2002 7670 01/03/2002 7670 01/03/2002 7670 1 $33.00 $3.60 $12.00 $10.00 $3.15 $61.75 $113.50 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 d~~uction. '/<<~ -~/A;J / - :~ -O~ Sfgnatu7 I ( Date