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HomeMy WebLinkAboutPermit Building 2001-4-4 (2) r . ~ Page 1 of 2 I Job# 99-00847-01 I 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99,00847,Ol Office: 726,3759 Inspection Line: 726,3769 Location Of Proposed Site: 5728 Ridge Ct Spr Assessors Map#: 18020411 Lot: Block: Addition: Owner: Address: Tax Lot #: 04700 Subdivision: Bill Martirell 940 Highway 99 Phone Number: 541,688,8897 City/State/Zip: Eugene, OR Value: $4,000 Scope Of Work: Manufactured Home on Private Lot New Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr, Type: Water Heater: Please refer to building archive program for information on permits purchased and previous immp.r.tion hi!=Otnrv, Contractor Tom Wins Enterprises Inc Po Eiox'237, Springfield, OR 97477 Darryl Bodhaine 89608 Hill Road, Springfield, OR 97478 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 Registration # 32947 Expiration Date 6/28/2000 Phone 541,747,8704 21351 4/28/2000 541,988-3204 103570 1/1/2001 541,895,3758 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, Final Building Rough Electrical Final Electrical Storm Sewer Line MH Final Required Inspections I Building I - When all required inspections have been approved and the building is complete, Electrical - Prior to cover. -When all electrical work is complete, I Plumbing -Prior to filling trench, I Manufactured Home I -After all required inspections are approved and porches, skirting, decks, venting, house numbel , . I Job# 99-00847 -01 I ~ Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq, Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 04/04/2001 0004849 04/04/2001 0004849 04/04/2001 0004849 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 4,000 $44,50 $3,12 $1,34 $48.96 Branch Circuits W/O Feeder or Service Miscellaneous Electrical State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Grand Total Electrical 04/04/2001 0004849 04/04/2001 0004849 04/04/2001 0004849 04/04/2001 0004849 1 15 $35,00 $15,00 $3,50 $1,50 $55.00 $103.96 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 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the propery, and the ~vey...?z ~~_, on the site at all times during construction, ...yh~ / , / Signature Date