HomeMy WebLinkAboutPermit Building 2001-1-3
.
~4:
'.
I Job# 01-00010-02 I
.'
Page 1 of 2
TRANS#:01-0004165
DATE:JAN 03 2001
AMT RECD:2 $ 434.10
CHANGE:
CASHIER: 004
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00010-02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3404 Falcon Dr Spr
Assessors Map#: 17021943
Lot: Block: Addition:
Tax Lot #: 08300
Subdivision:
Owner:
Greg Larkin
Po Box 2041
Phone Number: 541-726-0330
Address:
City/State/Zip:
Corvallis, OR
Value: $0
Scope Of Work: Single Family Residence New
Land & Drainage Alteration Permit
This is a copy with a new Sequence Number
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
[Area (Sq. Feet)
Main: Accessory:
--------
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
LDAP/Gradin~
01/03/2001 0004165
01/03/2001 0004165
Value/Quantity
Fee Amount
Plan Review-LDAP/Gr: 51 to 100 cu yds
LDAP/Grad Prml: 100 cubic yards or le~
Total LDAP/Grading
Grand Total
1
1
$70.00
$30,00
$100.00
$100.00
.
.{ . I Job# 01.00010-02 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 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 wiil be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address i,Y dable from the s , that the permit card is located at the front of the property, and the
approv~~ t of plans will re' the' e at all times during construction,
~- ,r /-3-cJ/
Date
.
" I
..
.
~
Job:
Address: 3404 Falcon Dr
Owner: Greg Larkin
Fees
Plan Check
Subtotal
Building Plan Check Fees
Residential Plan Check
.
01-00010-01
Received: 1/3/2001
Unit: BLDG:
FEE DETAILS
Value/Quantity
135,178,00
SubTotal
Total for Plan Check
Grand Total:
Page 1 of 1
FLR:
Amount Due
TRANS#:01-0004165
DATE:JAN 03 2001
AMT RECD:2 $ 434.10
CHANGE:
CASHIER:004
Amount Paid
0.00
0,00
0.00
334.10
334.10
334.10
334.10