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HomeMy WebLinkAboutPermit Building 2000-07-19SPTIINGFIELD Job# 00-01 108-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3760 Oregon St Spr AssessorsMap#: 17023142 Lot: Block: Addition Job Number: 00-01 1 0B-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 07902 Subdivision: ctTY oF SPRfiNGFfiELq OREGON Owner: Claudia Vaughn Address: 3760 Oregon Street Scope Of Work: Foundation Only Phone Number: City/State/Zip: Repair 541-741-7810 Springfield, OR 97478 Value: $10,000 Contractor Type GeneralContr Contractor Noti Construction 88083 Rustab Lane, Veneta, OR 97487 Registration # Expiration Date Phone 541-935-4006 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. Afl 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 lnspections Building Footing Foundation Post and Beam Floor lnsulation FinalBuilding -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -When all required inspections have been approved and the building is complete. PI CE: THIS PERMIT SHALL EXPIRE IF THE WORK ATJTHORIZED UNDER THIS PERIUIT IS NOT COMMENCED OR IS ABANDONED FOR ANY lSODAYPERIOD. FinalPlumbing -When allplumbing work is complete i Gonstruction Types(VN) Wood Frame Occu pancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory: Job# 00-0'1108-01 # Of Stories: Current Units:1 Census Gode: Does not apply Page 2 ot 2 Height (feet): Proposed Units Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 07t19t2000 2617Residential Plan Check Total Plan Check 10,000 $52.33 $52.33 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildins 07t19t2000 07t19t2000 07t19t2000 2617 2617 2617 10,000 $80.50 $5.64 $2.42 $88.s6 Plumbing Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Miscellaneous Plumbing Plumbing Administrative Fee Total Plumbing 0711912000 0711912000 07t19t2000 07t1912000 2617 2617 2617 2617 $14.00 $1.05 $1.00 $.+s $16.50 Grand Total Plan Check Type Structural-Res Ghecked By Date Completed Comment Don Moore 0711712000 $1s7.39 ?-/7- ae 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 con Signature Date 1