Loading...
HomeMy WebLinkAboutPermit Building 2002-8-12 -- - .. I Job# 02-00973-01 I e' ~ Page 1 of2 '. TRANSlt:01-0010269 DATE:AUG 12 2002 AMT RECD:2 $ 51.75 CHANGE: CASHIER: 003 , 'I' CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00973-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2085 Inland Way Spr Assessors Map#: 18031122 Lot: Block: Addition: Tax Lot #: 01100 Subdivision: Owner: Gerald Bruley Address: 2085 Inland Way Scope Of Work: . Manufactured Home on Private Lot Phone Number: 541-747-1369 City/StatelZip: Springfield, OR 97477 Alteration Value: $1,900 Replacing skirting on existing M,H, with masonry block Contractor Type General Contr Contractor Registration # Expiration Date Gerald Bruley 2085 Inland Way, Springfield, OR 97477 Phone 541-747-1369 Office Use # Of Buildings: Occupancy Group: Heat Source: .A1Sq;iF.oi:ltage:regon law reqUlreb you, IUIIUVV I UICi:J ClUVlJlCU uy LIlt:: ull:':yurl VIIII!\ To request an inspection call the 24 hour recording at 726-3769, All inspections:re'quested.tlefore?7:0010Se rules are set fo, a,m, will be made the same working day, inspections requested after 7:00 a,m, ;wiU:becllla,d.e\!lle fQI!oVLir:!9'ough OAR 952-00 working day, 0090, You may obtain copies of the rules to j ~~lIinn tho. l"cntcr 11\1"....., th.... +....1 ""'...h............. Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Range: Footing Final Building Required Inspections I Building -After trenches are excavated, - When all required inspections have been approved and the buildin9 is complete, numbe-rforthe Oregon Utility Notiiication Cenleris 1-800-332-2344), Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~MG~D OR IS ABANDONED FOR NO~ddlllIlM1YtifRIOD. Total: r' . '. Fee Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Grand Total ..t1e-V ~ Signature Job# 02-00973-01 I Paid On Receipt# [' Building 08/12/2002 10269 08/12/2002 10269 08/12/2002 10269 e Page 2 of 2 Value/Quantity Fee Amount I 1,900 $45,00 $3,15 $3,60 $51.75 $51.75 ~ /-z-2.Go2.- Date ' .' = o 22511IT1'I ~'TREET . SFRlNGFIELD,OR 97477 . FH:(541)726-375:{ . FAX: (541)726-3689 'I~~ ~ ~ ij 'I~~ ' ~ [-O-properryO"'/~e~--".. - - ~~---- -------.1' ~) Name (.:",t{ A-(~ 13 ft'<.I"'-i- ~i Mailing Address j..o J--;j -:LrvuL A "t;}. W L':> Y '01 City S:-~o' .,- ,t...,"lcI State <YZ... Ziny7Y77 ~i Phone 7 ''17 - ~ 1i. '9 Fe" < o Applicant ~ Name 54",.a.- '1" Mailing Address a City Phon'" o Architect/DesignerlEngineer .~ Name ~,\ Ad~~<< WI) Ci~' ~~ '~ = 'I~ ~ ~ 'I~~ = ~ -L I \ . CITY OF SPRINGFIELD, OREGON \.j CityJobNumber 1)2 -~~" ~ 8 I & 2 Family DwelIing or Accessory ~ New Construction M ulti- Family Addition! AlterationlReplacement o CommerciaIlIndustrial Tenant Improvement ~~ ~j /tAw-- I o Demolition o Other Job Address Lot Block Subdivisior Bldg No Tax Maprrax Lot /fltt'> ]I! 2- 2.. Suite Nn /:>//1') () Project Name Description ofWork/location on premises/special conditions ll&2FamilvD;.:eI/i;'~'~_====--- I SQFtX $/SQFt = VALUE New DwelIing Area Garage/Carport Area Other Structure Area Owner Representative Phone Fax Total Value CommerciaVlndustriaVMulti-Familv SQ Ft, X $/SQ, Ft = VALUE State Zip Existing Bldg, Area New Bldg, Area Total Value Exist. New <;tate_ Zip Occupancy Group( s) Const. Type(s) Number of Stories Contact Persop Phone I 0 Contractor(s) Contractor's Name FOY CCB# Expiration Date Phone # General Plumbing Mechanical Electrical LQ Commerciall/lldustrial Pro;ects Has site review application been submitted? o Yes ONo 0 NIA Ifso, Name of PI ann'" o Residential Projects Journal Number Heat Source: Primary Secondary Water Heater "mge Energy Path Do you require any of the following for this project? Overwidth or Second Driveway 0 Yes 0 No Do you need temporary power? OYes ONo Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under provisions of ORS 70 I and may be required to be licensed in the jurisdiction where work is beinl! nerformed. If PLAN CHECK FEF Requires LDAP Planner' Yes 0 No 0 Applied for? Yes ONo 0 Date: RCPT# 1)AT" BY J Shared Drive(T:)lBuilding FonnsIBuilding Permit Applicationl~2.doc