HomeMy WebLinkAboutPermit Building 2000-5-11
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I Job# 00-00692-01 I
Page 1 of 2
TRANS#:01-0001676
DATE:MAY 11 2000
AMT RECD:l $ 20.00
CHANGE:$ 3.50
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
location Of Proposed Site: 3888 Cherokee Dr Spr
Assessors Map#: 18020613
lot: . Block: Addition:
Owner: '
Address:
Michael Johnsgard
3888 Cherokee Dr
Phone Number: 541-736-3777
City/State/Zip: Springfield, OR 97478
Alteration Value: $600
Scope Of Work: Miscellaneous
Installing/replacing three windows
Contractor Type
General Contr
Contractor
Dan Able
xx, Coos Bay, OR 97420
Job Number: 00-00692-01
Office: 726-3759
Inspection Line: 726-3769
Tax lot #: 09900
Subdivision:
Registration # Expiration Date
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
Phone'
541-269-0588
# 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,
Required Inspections
Building
Framing
Wall Insulation
Final Building
- Prior to cover.
- Prior to Cover
, - When all required inspections have been approved and the building is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet) ,
Main: Accessory:
# Of Stories:
Current Units: '
Census Code: Does not apply
Total:
Height (feet):
Proposed Units:
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Job#,OO-00692-01
Page 2 of 2
Fee
Paid On Receipt#
Building
05/11/2000 1676
05/11/2000 1676
05/11/2000 1676
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee '
Total Building
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 .~t the ff,0h:aOf th , opert. y, and the approved set of plans will remain on the site at all times
durin~str%,~ign. @, "
, .. Y~7' y ~/7?/ .. . '--';' It/, / (7)
SignatU(' ,,/ / Date
/1/
600
$15.00
$1.05
$.45
$16.50
$16.50
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