HomeMy WebLinkAboutPermit Building 2001-8-14
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I Job# 01-00892-01 I
Page 1 of2
TRANS#:01-0006463
DATE:AUG 17 2001
AMT RECD:2 $ 166.40
CHANGE:
CASHIER:06l
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00892-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 680 Fern Way Spr
Assessors Map#: 18020512
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 03300
Subdivision:
Thomas Hans
680 Fern Way
Phone Number: 541-726-8955
City/State/Zip: Springfield, OR 97478
Remodel Value: $0
Scope Of Work: Bathroom
Bathroom remodel
Bathroom remodel
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Moir Construction Company Inc
87984 Running Springs Rd, Springfield,
OR 97478-9539
Eastside Electric Inc 117770 10/4/2001 541-741-1499
38253 Boscage Ln, Springfield, OR 97478
Chapman Plumbing Inc Ni3?~'E: 10/9/2000 541-484-5222
242 W 6Th Ave, Eugene, OR 97401-269~HIS PERMIT SHALL EXPIRE IF THE WORK
Office Use ^'_'Tl-l/"\liIZED U~LJcn I nlS i"t:HMII Iv ,"U I
Land Use: COMMENCED OR IS P#~8~I~g~Wi~g~R
Zoning Code: ANY 180 DAY PERIO['Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
Registration #
41570
Expiration Date
2/14/2005
Phone
541-343-4396
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,
Rough Electrical
Final Electrical
Rough Plumbing
Final Plumbing
Rough Mechanical
Final Mechanical
Required Inspections
Electrical
I ATTENTION:Oregon law requires you to
follow rules ado,Jted by the Oregon Utility
~otification Center, Those rulas are set forth
In OAR 952-001-0010 through OAR 952-001-
4'u~0. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
I Center is 1-800-332-2344).
- Prior to cover.
-When all electrical work is complete,
Plumbinll
- Prior to cover,
-When all plumbing work is complete.
Mechanical
- Prior to cover.
- When all mechanical work is complete.
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Fee
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Tolal Plumbing
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Tolal Mechanical
Grand Tolal
I Job# 01-00892-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Tolal:
Paid On Receipt#
Electrical
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
Plumbinll
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
Mechanical
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
08/17/2001 6463
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Height (feet):
Proposed Units:
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Page 2 of2
Value/Quantity
I
Fee Amount
2
$,00
$46,00
$3,22
$3.68
$52.90
3
$3.00
$42.00
$3.15
$3.60
$51.75
1
$39.00
$3.60
$6.00
$10.00
$3,15
$61.75
$166.40
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 at the fron !,~e property, the approved set of plans will remain on the site at all times, I
during c ructi - .. ill 7 /~ (
Dafe (