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