HomeMy WebLinkAboutPermit Building 2002-5-24
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Job# 02-00612-01
Page 1 of 2
TRANS#=01-0009226
DATE=/'lAY 24 2002
AMT RECD:2 $ 51.75
CHANGE:
CASHIER: 003
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00612-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 298 S St Spr
Assessors Map#: 17032624
Lot: Block:
Addition:
Tax Lot #: 00403
Subdivision:
Owner:
Address:
Larry Mann
2247 10th Street
Phone Number: 541-746-0262
City/State/Zip: Springfield, OR 97477
Repair Value: $800
Scope Of Work: Bathroom
Repair dryrot in bathroom floor & studs.
Contractor Type
General Contr
Contractor Registration # Expiration Date
Larry Mann
2247 10th Street, Springfield, OR 97477
Phone
541-746-0262
Office Use
Post and Beam
Framing
Final Building
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: Sq. Footage:
as 'IOU to
To req~est an inspection call the ~4 hour ~ecordi~g at 726-3769. All inspections ~equ.~~~~~..btt&5~.;7a~Q,~~ requlf n Uti\iW
a.m. Will be made the same working day, Inspections requested after 7:00 a.mA'<"I}IE..Qerma(j'e\.thn~al'8ftngl oregoe set iorth
working day. io\\OW rules adop "Those rules ar 952-001-
R . d I" "I~+ifi~ation cent~~1 n throUgh o~~ _ ~"IC\~ b\f
eqUlre nspectlons ..- - a 952.-UU I"'V ': ieS OIl"" .-
. . in o~" obtaIn cop telephone
I BUlldmg 0090. You may t r. ~Note: ~~e 'fcation
- Prior to floor insulation or decking. calling the cen ~regon Utl\1W N~~ I
-Prior to cover. :lumberior:he.~ 1_800-332-234 .
- When all required inspections have been approved and the 6'6fiOffM'is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
NotiCE:" EXPlRE If THE WORK
lH\S'PERM'T ~~~i~ TH\S PERM\T is NOT
=:= OR is ABANDONEO fOR
Current Units: A'kf~@AMii~R\OO.
Census Code: Does not apply
# Of Stories:
Total:
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Job# 02-00612-01
Paid On Receipt#
Building
05/24/2002 9226
05/24/2002 9226 '
05/24/2002 9226
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Page 2 of 2
Fee
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
8% 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 at the front of the property, and the approved set of plans will remain on the site at all times
dUri~ctr~ ~C<.; '7rfO'2..
I
Signature Date
800
$45.00
$3,15
$3,60
$51.75
$51.75