HomeMy WebLinkAboutPermit Building 2001-4-12
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Job# 01-00278-01
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Page 1 of2
TRANS#:01-0004914
DATE: APR 12 2001
AMT RECD:2 $ 59.50
CHANGE:
CASHIER:061
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00278-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6997 Glacier Dr Spr
Assessors Map#: 18020223
Lot: Block: Addition:
Tax Lot #: 04400
Subdivision:
Owner:
Lavauele Hodges
6997 Glacier Drive
Phone Number:
City/State/Zip: Springfield, OR 97478
Repair Value: $1
Address:
Scope Of Work: Fire Damage
Contractor Type
General Contr
Contractor
MckenzielTaylor
5729 Main St, Springfield, OR 97478
Registration # Expiration Date
109867 10/1/2002
Phone
541-747-5413
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 7261'396'9\Cttj 'inspections requested~efore~,:OO
a.m. will be made the same working day, inspections requ,E!~!~d'afterii7.:00Jiilmrwiii'b'Ef.rf1aiJe 'ih'e"foIlOWing
working day. AUTHORIZED UNDER THIS PERMIT IS NOT
R 'dl 't'..,__~~n'''^o^''n()r-.II::nFOR
equlre !:!l?P.e,c lons:~ -....
Buildinq'lBO DA" PERIOD.
Ceiling Insulation
Wall Insulation
Drywall
Final Building
- Prior to cover.
- Prior to Cover
- Prior to taping,
- When all required inspections have been approved and the building is complete,
Rough Plumbing
Final Plumbing
, ......_....l....."....,.......~,.."~uto
-Prior to cover. felll . ' " ,'pon '.'!!:ity
-When all plumbing work is complete;[;l:(.'.~\"j, _, ", ": ,.'i'4~ ,>I~ ~3t ::l"::1
MechanicalU1-\1-i ,,!,%-UlJi-llU IV ",raugn OAN :J52-001-
-Prior to cover, UU>lU, Y3U 113~' .,h'~in '!J;li?<- >)fthe rules by
-When all mechanical work is complete111inQ .ik .;"n(~,. ,,'J01.:.: :n3talephone
nUll1bt:!r ,Ji ;...; u(..;~o" ,,::lit~' I'!otification
Cent.3r is 1-8CJ-::J32-2344).
Plumbinq . '
Rough Mechanical
Final Mechanical
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq, Feet)
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
0(;'
signature
I Job# 01-00278-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Building
04/12/2001 4914
04/12/2001 4914
04/12/2001 4914
Plumbing
04/12/2001 4914
04/12/2001 4914
04/12/2001 4914
Mechanical
04/12/2001 4914
04/12/2001 4914
04/12/2001 4914
04/12/2001 4914
04/12/2001 4914
.
Height (feetl:
Proposed Units:
Value/Quantity
Page 2 of2
Fee Amount
1
$15.00
$1.05
$.45
$16,50
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
during construction.
~/'~
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1
$15,00
$1,05
$.45
$16,50
1
$9,00
$.45
$6.00
$10,00
$1,05
$26,50
$59.50
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Date