HomeMy WebLinkAboutPermit Building 2000-5-25
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I Job# 00-00804-01 I
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Page 1 of 2
TRANS#:Ol-0001898
DATE:MAY 25 2000
AMT RECD:2 $ 62.16
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00,00804,01
225 North Fifth Street
Springfield, OR 97477
Office: 726,3759
Inspection Line: 726-3769
Location Of Propo~ed Site: 550 Lochhaven Ave Spr
Assessors Map#: 17032713
Lot: Block: Addition:
Tax Lot #: 01500
Subdivision:
Owner:
Laurie Couwenhaven
Phone Number: 541,747,2926
Address:
550 Lochhaven
City/State/Zip:
Alteration
Springfield, OR 97477
Value: $5,100
Scope Of Work: Miscellaneous
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Contractor 9,f:-<<; 9,<;;.'R~9~tiation # Expiration Date
Two Feathers Contracting ",<;;.i" ,\0-'? f:>O';;;''<)
2350 North Terry s~~ 37U;l;a~~~, &~.::;:
97402 _-<..,G _0.$ .<)\j~v<;>-f:>'f- ~
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,- r_' ~'''Offiee.l'I~e
,\0- y..\)' ~v' '?~
&andiese~ # Of Buildings:
'f- ".". "v
~oninlfCode: Occupancy Group:
B""tooms: _' '':::'''.' ,<-, Heat Source:
~ ~ ' l'
Range:, . ,,0.0 r. ~fij nJ:Sq. Footage:
,~_( " (.,.;,(.0 _c..
)i~....~ ',,:' "Lt'" 1..\).... \:'.0
To request an inspection call the 24 hour recording at 726-3769, ~1I'inspections-req[jested before 7:00
a,m. will be made the same working day, inspections request~~;~~~r;:7:00 <I,m: Wili<~~?'made the following
working day. . i:p<;J \. ,,,\o,Y "0'-' ",,'::,
c..~ ~";"',..,\\J~ cP',. .~'. 1'-
Requiredlnspectiori~', oC :;~ ,
,~ .' ~. '\.... :5 .
I .~o~ BuildinR " .J,c-"
, When all required inspections have been 'approved and the building is complete.
Wheelchair ramp
Contractor Type
General Contr
Phone
541-461,5733
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Final Building
,~
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#
BuildinR
OS/25/2000 1898
Value/Quantity
I
Fee Amount
Building Permit
5,100
$56,50
.
Job# 00-00804-01
.
Page 2 of 2
Value/Quantity Fee Amount
I
.
-Fee
Paid On Receipt#
Building
OS/25/2000 1898
OS/25/2000 1898
$3,96
$1,70
$62,16
$62,16
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 thi project. I further agree to ensure that all required inspections are
requ e the proper time, It. the project address is readable from the street, that the permit card
is I ated l~~ti~ont of thf\~.). . rty, and the approved set of plans will remain on the site at all times /;Ie
du Ing co~n'l _ \{ I (L nc:;-/ z; 00
Sig.1lrttJfe\.- ~ - Date/
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