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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