HomeMy WebLinkAboutPermit Building 2000-11-15
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I Job# 00-01678-01 I
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Page 1 of 2
TRANS#:01-Q003799
DATE:NOV 15 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
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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: ":;"
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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'
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!
-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:
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--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
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Signature ,,/ , ' Date
$1,05
$26.50
$26.50