HomeMy WebLinkAboutPermit Building 2001-06-07SPRI]{GFIELD
Job# 01-00577-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 647 00006th St Spr
AssessorsMap#: 17033524
Lot: Block: Addition:
Job Number: 01-00577-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00500
Subdivision:
ctTY oF SPR7NGFIELD, OREGON
Owner: George Fort
Address: 647 N 6th St
Scope Of Work: Dry Rot
Phone Number:
City/State/Zip:
Repair
541-747-5876
Springfield, OR97477
Value: $100
Replaced corner post and rim of porch deck
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
a.m. will be made the same working day, inspections requested after
working day
Required lnspections
Buildin
res by
Ine
tionFraming
FinalBuilding
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
Fee
Building Permit
State Surcharge For Building Permit
- Prior to cover.
-When all required inspections have been approved and the bu ilding is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
Paid On
Height (feet):
Proposed Units:
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rHIS PEHMITSHALL EXP'BE,F
0610712001
06t07t2001
nt
$15.00
$1.05
Buildin
5713
5713
y pFBl0D.
1oo
It
h
Total:
Fee
Job#01
Page 2 of 2Paid On Receipt#Valueleua Fee Amount
$.45
$16.50
$16.50
ntity
Butlding Administrative Fee
TotalBuilding
Grand Total
06t07t2001 5713
By signature, I state and agree that I have carefully examined the completed application and dohereby certify that all information herein is true and correct, and I further
"ertrv thri ,n-y ano all workperformed shall be done in accordance with the Ordinances of the City of SpringfielJ
"'nO
tf," Laws oftlg-SBIq of Oregon. I further state that only-contractors and emptoyees wnb ari in iompriance withoRS 701'055 will be used on this project. ifurthercjr"rio *.,lr"inat a1 required inipections arerequested at the propellir", that the project address is readable from the street, that the permit cardis located at the front of the property, and the approved set of plans will remain on the site at all timesduring construction.
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Signature J Date