HomeMy WebLinkAboutPermit Building 2000-03-29ctTY oF SPRfiNGFfiELq OREGON
SPRINGFIELD
Location Of Proposed
Assessors Map#: 1
Lot:
Owner:Dorla
Address:1155 Pa
Scope Of Work: Mi
Contractor Type
GeneralContr
Job# 00-00481-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
00021st St Spr
Addition:
Page 1 of2
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225
Spri
Fifth
OR
North
ngfield
Job Number: 00-00481 -01
Office: 726-3759
lnspection Line: 726-3769
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a Tax Lot #:
Subdivision
541-7
Lebanon
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74
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Phone Number:
Gity/State/Zip:
Alteration
Contractor
H&HRemodeling&Repair
5335 Daisy Sp 149, Springfield, OR
97478
Registration #
117232
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Phone
541-746-B0B'1
ob.
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 at726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followingworking day.
Framing
Final Building
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Bui
- Prior to cover
-when all required inspections have been approved and the building is complete
Main:
(Sq. Feet)
Accessory:Total:
Street
97477
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ua
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911
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Job# 00-00481-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildin
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
03t29t2000
03t2912000
03t29t2000
1074
1074
1074
752 $15.00
$1.05
$.45
$16.50
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 construction
Signature Date
$16.50
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