HomeMy WebLinkAboutPermit Building 2002-8-16
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I Job# 02-00956-01 I
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TRANS#:01-0010324
DATE:AUG 16 2002
AMT RECD:2 $ 123.12
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00956-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 870 Kelly Blvd Spr
Assessors Map#: 17033414
Lot: Block: Addition:
Tax Lot #: 00200
Subdivision:
Owner:
Address:
Jeremy Bach
870 Kelly Blvd
Scope Of Work: Single Family Residence
Phone Number: 541-746-2536
City/State/Zip: Springfield, OR 97477
Alteration Value: $4.300
Extend roof eaves, and frame roof over existing bay window.
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Registration # Expi?atio~ Date
David Geitgey 123010 '" \e~~8jIi2OQ;\.'~~~ 541-687-4862
831 w 11th Ave, Eugene. OR 97402"e~o~~\~~,~eS_~~~'1~~fO'
.r-.~'~ _,,\fir OS" ",I(\v ~",. 0\\-
Office Use,,- ~Q-' ~~ ,o~'" 0\ ~e~'(' 'i..\0~
~~'t:' eS '!o.e\' '\}'Si' '~0s 'C/I.q~
Land Use: ~ N'l\~ (je~ f;J'\}'\. co~ .~:Of\~!lildings: 1
Zoning Cod~:\o. c~\\o~?;''\}'\}'\' 0'Q\z,)~ ~O\~Rci:M~a'ncy Group: Dwelling
Bedrooms:~o\~\..~S\~ ~~~'l e~\e\'0~o~ Hfat'Source:
Range: \~ ~OI'\}'~~(\ \1(\0 ~1(\0 C::\_'O()'\}'Sq. Footage:
\J..... ']).\\,. :( 'v. ~e\'-
To request an inspection call the 24 hour recording at 726-dlI9;\\'tii ins~~ctions requested before 7:00
a.m. will be made the same working day, inspections request~d after 7:00 a.m. will be made the following
working day.
Contractor Type
General Contr
Contractor
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
(VN) Wood Frame
Phone
Required Inspections ...\Cl\l-~
Buildin!! I '\~'t. 'I' ~Cl'\
- Prior to cover. o,J'X\\l-'t. \Y ~~ \cz,
- ~\. ~I' ~~t.\l\,(.\\ yCl\l-
-When all required inspections ~\~~IJ.~,\Pil~~'ll~K\~l(jffig is complete.
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# Of Stories: 1 \'.~ Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Framing
180 Day Extension
Final Building
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Total:
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Job# 02-00956-01
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Page 2 of 2
Value/Quantity Fee Amount
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Fee
Paid On Receipt#
Plan Check
08/16/2002 10324
4,300 $44.46
. $44.46
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Grand Total
Buildinq
08/1612002 10324
08/16/2002 10324
08/16/2002 10324
4,300
$68.40
$4.79
$5.47
$78.66
$123.12
Plan Check Type
Checked By
Date Completed
Comment
Structural-Res
Don Moore
08/16/2002
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 pro r time, th~the ~oject address is readable from the street, that the permit card
is located at the fr t.of the pr / "and the approved set of plans will remain on the site at all times
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