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HomeMy WebLinkAboutPermit Building 2000-11-15 "': . ... I Job# 00-01678-01 I J"d_-' Page 1 of 2 TRANS#:01-Q003799 DATE:NOV 15 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 _"f"j.lh'r~ill=llJJ:l./~ RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01678-01 225 North Fifth Street Springfield, OR ~7477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 3911 Cherokee Dr Spr Assessors Map#: 18020613 lot: Block: Addition: Tax lot #: 01900 Subdivision:Jasper Park Owner: Address: William Larington 3911 Cherokee Dr Phone Number: 541-747-7454 City/State/Zip: Springfield, OR 97478 Alteration Value: $1,200 Scope Of Work: Mechanical Woodstove Office Use Quad Area: land Use: # Of Buildings: # Of Units: 1 Zoning Code: Occupancy Group: Dwelling Constr. Type: (VN) Wood Frame Bedrooms: He.at Source: Water Heater: Range: t ~~! Footage: ":;" OtJrH/1' ..-..J _ . - ~~....~ \: ,;,J. . IVotifir~M;;'o~. dOOPtSrf by th ~'-1""'l;.,';- /l/, . To request an inspection call the 24 hour recording at 726-3769. All inspection~,~eq'ue'ste(lrbef0.r:~.s7r:q0t1 . € Oregon Uti'i'; a,m, will be made the same working day, inspections requested after 7:00 a,m. }Y8~b1t"m~e"tlil~'J9~9'tJIn~SE: rLiles are set! t:, working day, . ,U. .You may ob . rr'(O~9hOAR9 Tor.. . . , ... ~al!m9 the cent~~'~ ~oPles of thA y?~:~~-I - ReqUired Inspections """'''Vt:HTOrth ,. ,. VULt:, metel ....i:; U3' "" e DregOr U' . , ephone Mechanical (,'::>';7('., :':i 'J.' ,. ) Mlty Not/'ll'cat' '. . ". (l. )~r:'",!) /, IOn ' ""~'')~d4). ! -After installation. ~'.. Wood Stove Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: , # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: Accessory Structure # Of Stories: Height tf~~tr'CE: Current Units: Proposed.<units:11IT _ -. '-"IV, S .~ Census Code: Does not apply AUTHORIZ HALL EXPIRE IFTi (^'" ED UNDER T' HE WOR'( ,,;,JMMENCED 0 " HIS PERMIT IS ~ h!\!Y 1Rn /"'lA', __ R fSABANDOfl/c=n ,..__ NO~ Total: ....,... ~ I r-r-'-'.r,.,.... --I \...1""'1 Fee Paid On Receipt# Mechanical 11/15/2000 3799 11/15/2000 3799 11/15/2000 3799 11/15/2000 3799 ~, ""u Value/Quantity' Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Wood stove Mechanical Issuance $.00 $.45 1,200 $15,00 $10,00 .. Fee Job# 00-01678-01 , Paid On Receipt# Mechanical 11/15/2000 3799- Page 2 of 2 Value/Quantity Fee Amount State Surcharge For Mechanical Permit Total Mechanical 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 r,~qU,e~ted at the proper time a~~e project address is readable from the street !~ /{j~fo- ~7l.. -- ,1/- /5-~ eu Signature ,,/ , ' Date $1,05 $26.50 $26.50