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HomeMy WebLinkAboutPermit Building 2001-7-13 (2) ~ ;'i h ~. I Job# 01-00690-01 I . Page 1 of2 TRANS~:01-0006134 DATE:JUL 13 2001 AMT RECD:2 $ 88.39 CHANGE: CASHIER: 003 SPRINQFIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00690-01 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3998 Franklin Blvd Spr Assessors Map#: 17033442 Lot: Block: Addition: Tax Lot #: 02400 Subdivision: Owner: Barbara Land PO Box 7284 Phone Number: 541-988-1035 City/State/Zip: Eugene, OR 97401 New Value: $4,620 Address: Scope Of Work: Carport Single car carport for mobile home. Contractor Type General Contr Contractor R E Van Wormer PO Box 70062, Eugene, OR 97401 Registration # Expiration Date Phone 541-984-1492 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Private Garage/CI 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. Footing Framing Final Building Required Inspections I Building I -After trenches are excavated. - Prior to cover. - When all required inspections have been approved and the building is complete. Construction Types:(VN) Wood Frame Occupancy Groups:Private Garage/Carp/Stor # Of Buildings: # Of Stories: # Of Bedrooms: Current Units: Handicap Access? 0 Census Code: Does not apply ,Area (Sq. Feet) I Main: Accessory208 Total:308 Height (feet): Proposed Units: .W' .... . .. . Job# 01-00690-01 . Page 2 of 2 Value/Quantity Fee Amount I Fee Paid On Receipt# Plan Check 07/13/2001 6134 4,620 $32.83 $32.83 Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Grand Total Building 07/13/2001 6134 07/13/2001 6134 07/13/2001 6134 4,620 $50.50 $3.54 $1.52 $55.56 $88.39 Plan Check Type Checked By Date Completed Comment Initial Review-Res Don Moore 07/10/2001 07/12/2001 carport too close to adj. M.H. Initial Review-Res Don Moore Structural-Res Don Moore 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 front of the property. and the approved set of plans will remain on the site at all times dUlconstruction. ~~~~A/U~/ 7-/3-t?/ /signature ;/' , . Date