HomeMy WebLinkAboutPermit Building 2000-04-28SPRINGFIELD
Job# 00-00621-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
spr
Addition
Page 1 of2
TRflNES:01-00013?l
I}ATE: AF,R TB TOOO
AilT REID:I $ 20.00
CHRNEE:$ O.TO
IAEHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 132 S 0001sth St
AssessorsMap#: 17033632
Lot: Block:
Job Number: 00-00621 -01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 05600
Subdivision:
ctTY oF sPRtNcFtEL4 OREaON
Owner: Joe Balaty
Address: 33398 Howe Lane
Scope Of Work: Foundation Only
Phone Number:
City/State/Zip:
Repair
541 -895-5073
Creswell, OR 97426
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:
9q.Footage:
To request an inspection call the 24 hour
a.m. will be made the same workin g day,
working day
Footing
Foundation
Fina! Building
-After trenches are excavated
# Of Stories:
Current Units:
Census
Accessory:Total:
Paid On
ng
-After forms are erected but prior to concrete placement.
-when all required inspections have been approved and the building is complete.
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:
Fee
HOJ
slrltNUSd SIHI
:SclIoN
04t28/2000
04t28t2000
Receipt# Vatue/euan
1393
1393
tity Fee Amount
$1S.00
$1.26
Foundation Only
State Surcharge For Building permit 1,000
auI
isldol 00'e96
recording at 7:00
SOln] ttlt i'
r0nci nL00-t
o0ldope -l I
'oolHSdAvo 08t ANv
Job# 00-00621-01 Page 2 of 2
Fee Paid On Receipt# Vatue/Quantity Fee Amount
Build
Building Administrative Fee
Total Building
0412812000 1393 $.54
$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 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 constru
Date
$19.80
?- 26-oa