HomeMy WebLinkAboutPermit Building 2000-12-01SPRINGFIELD
Job# 00-01745-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 759 Mill St Spr
AssessorsMap#: 17033522
Lot: Block:
Job Number: 00-01 745-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 05900
Subdivision:
ctTY oF SPRTNGFIELD, OREGON
Owner: Tom Novak
Address: 34210 Thundercloud Dr
Scope Of Work: lnterior
replace existing bearing wallwith glulam
Phone Number:
City/State/Zip:
Alteration
541-345-1324
Eugene, OR 97405
Value: $1,000
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 callthe 24hour recording a|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 iv
Buildi nq
)Afr.952-0r)1-
f tho rules by
tolephone
itJotilication
Framing
Drywal!
Glu-Lam Beams
Final Building
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
-Prior to cover.
- Prior to taping.
uarilris.r
nUrtlbrir i(
- lnspection Certificate by an approved agency to be provided to City Building lnspector prior to p
-When all required inspections have been approved and the building is complete.
# Of Stories:
Current Units:
Census Code: Does EIFTHEWORK
Area (Sq.
Main:
Fee
PERMITISNOT
Accessory Total:MMENCED OR IS ABANDONED FOH
Paid On Receipt# Value/Quantity Fee Amount
Buildi
Building Permit
State Surcharge For Building Permit
12t01t2000
12t0112000
3937
3937
$18.00
$1.26
1,000
follc
- Required lnspections
NOTIC (feet):
c
Job# 00-01745-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Administrative Fee
Total Building
Building
12101t2000 3937 $.s+
$19.80
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
$19.80
lZ- )-'oo
is located at the front of the perty,
address is readable from the street, that the permit card
approved set of plans will remain on the site at all times
Date
during construclion. 7"^/4
Signature