HomeMy WebLinkAboutPermit Building 2000-6-22
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I Job# OO.00996-ll1 I
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Page 1 of2
TRANSB:01-0002287
DATE:JUN 22 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 807
Assessors Map#: 17032343
Lot: Block:
Owner:
Future B Inc
Po Box 7425
Address:
Scope Of Work: Single Family Residence
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00996..01
Office: 726-3759
Inspection Line: 726-3769
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McKenzie Crest Dr Spr
Addition:3rd
Tax Lot #: 02000
Subdivision: River Glen
Phone Number: 541-485-3176
City/State/Zip: Eugene, OR 97401-0017
New Value: $0
This is a copy with a new Application Number
Contractor Type
Electrical Contr
Contractor
Diversified Electric
Po Box 40548, EUgene, OR 97440
Phone
541-484-9078
Land Use: # Of Buildings:
Zoning Code: Occupancy Group: Dwelling
Bedrooms: Heat Source:
Range: Sq, Footage:
," 'r.j~.,.. 'o. -,,,;W.I~. jV4
To request an inspection call the 24 hour recording at 726-3769. All insp..~R\i&,~~"te.<lH~~,\~!tE~9~e.r7,00:r:on Ut'lii '
a.m. will be made the same working day, inspections requested after 7:00'a.m, wilrbe,madethe following" ~"l
. :~l'T"''''''l.I,' . It-oll'...., ..... ~ , '"\
working day. .' " _'._ '..lilJl~.."" .".,\;,",',.,J~-l;lJ-
,Ol-\r. ;;..:-. ..1\.) I . ,,-. ~ ,. v lJl"S b
R . d I t' -...... u._ --...." n""t~ln .....OL,I..!-=- 11 . I '.
eqUlre nspec Ions ~v__' . -. . f"' ._ 'h' ..., 'P6
cai'~r.t 'ne. :;'3n:~"'. "J.:.... "' .- ~ ,. 1-- I...,..
I n ~ber ;orth3 0:290n Ul':il', "to:ilicatior
u ,............11.~~ ="" -I -~r:!)-",'1.~ .'Yl.-:i~'.
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
1
(VN) Wood Frame
Low Voltage
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, r, ,1)
I Main: Accessory:
Fee
Limited Energy - Residential
Registration #
98145
Expiration Date
4/1/2000
Office Use
Electrical
Accessory Structure
# Of Stories: Height (feet):
Current Units: p.roppsec;l:Units:1'
I~VII""_.
Census Code: New SF - detachf~IS PERMIT SHALL EXPIRE IF THE WORK
Total: I ~~:~~~lt~:.~~~~~:~~~:~~~~:~:OT
Paid On Receiptf#.jy 180Vahie/eu3hlity
r Electrical I
06/22/2000 2287 1
Fee Amount
$20.00
.
.
Job# 00.00996.01
Paid On Receipt#
Electrical
06/22/2000 2287
06/22/2000 2287
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Page 2 of2
Value/Quantity Fee Amount
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify 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 each
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.
$1.40
$.60
$22,00
$22,00
Signature
Date