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HomeMy WebLinkAboutPermit Building 2000-1-25 . ,... . . .' I Job# 99-01462-01 I Page 1 of2 TRANS#:01-0000356 DATE:JAN 25 2000 AMT RECD:2 $ 450,00 CHANGE: CASHIER: 001 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01462-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 586 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Tax LoU: 01900 Subdivision: Owner: Address: Cozy Homes P,O, Box 237 Phone Number: 541-747-8704 City/StatelZip: Springfield, OR 97477 New Value: $0 Scope Of Work: Single Family Residence Contractor Type General Contr Contractor Cozy Homes P,O, Box 237, Springfield, OR 97477 Registration # Expiration Date Phone 541-747-8704 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 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, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee r Paid On Receipt# Permits wlo Srchg 01/25/2000 Value/Quantity 1 Fee Amount QuickStart Fee - Residential Total Permits w/o Srchg Grand Total 1 $150,00 $150,00 $150,00 . .- . . . I Job# 99-01462-01 I Page 2 of 2 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 pertaininll 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, Signature Date , ~ 225 North Fifth Street Springfield, OR 97477 . . Page 1 of 2 I Job# 99-01462-01 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01462-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 586 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Owner: Tax Lot #: 01900 Subdivision: Cozy Homes P,O. Box 237 Phone Number: 541-747-8704 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Single Family Residence Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Cozy Homes P,O, Box 237. Springfield, OR 97477 Registration # Expiration Date Phone 541-747-8704 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 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, Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Temporary Power Underfloor Plumbing Underfloor Drain Water Line Sanitary Sewer Line Storm Sewer Line Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation -After trenches are excavated, - After forms are erected but prior to concrete placement. - Prior to floor insulation or decking, - Prior to decking, I Electrical I -Approval required prior to SUB energizing pole, I Plumbing - Prior to insulation or decking, - Prior to cover or placement of concrete, - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, . . Page 2 of 2 I Job# 99-01462-01 I Required Inspections I Mechanical Underfloor Mechanical - Prior to insulation or decking, Construction Types Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Permits w/o Srchg 01125/2000 1 I Value/Quantity 'I QuickStart Fee - Residential Total Permits w/o Srchg 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, Signature Date Fee Amount $150,00 $150,00 $150.00 Job# 99-01462-01 I Required Inspections I Mechanical Underfloor Mechanical - Prior to insulation or decking. . . Page 2 of 2 Construction Types Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Recelpt# Permits w/o Srchg 01/25/2000 Value/Quantity Fee Amount QuickStart Fee - Residential Total Permits w/o Srchg 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 SeNices 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 rea~able f the street, that the permit card is located at the front of the property, and the approved se p. ns will remain on the site at all times during construction, 1- 1-& - oeJ 1 $150,00 $150,00 $150,00 Signature Date