HomeMy WebLinkAboutPermit Building 2000-02-17Job# fi)-0006&01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Paoe 1 of2- TRANS*:01-00006i6
DAIE:FEEI 1? 2000
Al{T RE[D:2 $ 23.10
IHANGI:
IASHiER:05?
SPRINOFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 675 S 00037th St Spr
AssessorsMap#: 17023143
Lot: Block: Addition:
Job Number: 00-00068-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot#: 04606
Subdivision:
ctTY oF SPR7NGFIELD, OREGON
Owner: Jack and Patty Shields
Address: 675 S 37th St
Scope Of Work: lnterior
lnterior load bearing wall removal
Phone Number:
City/StateZip:
Alteration
513-647-6
Springfield, OR 97478
Value: $1,150
Contractor Type
GeneralContr
Contractor
Brian Cartledge
835 Laurelhurst, Eugene, OR
Registration # Expiration Date Phone
541-513-6476
Quad Area:
# Ol 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 24 hour recording a1726-3769. 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 lnspections
Building
Framing
Drywall
FinalBuilding
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
- Prior to taping.
-When all required inspections have been approved and the building is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main
(sc.
Accessory:Total:
Job# 00-00068-01 Page2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
01/18/2000 1 ,150 $13.33
$13.33
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
02,1712000
o211712000
02117/2000
636
636
636
1,150 $21.00
$1.47
$.63
$23.10
Grand Total
Plan Check Type Checked By Date Completed
Structural-Res Don Moore O1l25l2OOO
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
du
Signature
$36.43
Date