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HomeMy WebLinkAboutPermit Miscellaneous 2000-8-14 -- .. ,.,- 'i} . SPRINGPIELD ~. I Job# 00-01247-01 I . Page 1 of2 TRANS#:01-0002899 DATE:AUG 14 2000 AMT RECD:2 $ 34.66 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01247-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 2094 Inland Way Spr Assessors Map#: 18031122 lot: Block: Addition: Tax lot #: 02700 Subdivision: . Owner: Evert Southworth 2094 Island Way Phone Number: 541-746-0277 City/State/Zip: Springfield, OR 97477 New Value: $1,875 Address: Scope Of Work: Miscellaneous Removable wheelcahir ramp Contractor Type General Contr Contractor Consulting and Personal Servic 2250 Churchhill, Eugene, OR 97405 Registration # Expiration Date Phone 541-343-3262 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. Required Inspections Building Framing Final Building - Prior to cover. - When all required inspections have been approved and the building is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . <" I -- Job# 00-01247-01 . Page 2 of2 Value/Quantity Fee Amount Fee Paid On Receipt# Building 08/14/2000 2899 08/14/2000 2899 08/14/2000 2899 1,875 $31.50 $2.21 $.95 $34.66 $34.66 Buiiding Permit 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 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 constrUlf.on.,. . .~ Signature ---,,_, c;--<::: Date f1t ~ /00