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HomeMy WebLinkAboutPermit Building 2001-4-18 .... - " ~.... . Job# 01-00184-01 .. Page 1 of2 SPRINQFIELD ~~ , INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00184-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1291 S A St Spr Assessors Map#: 17033500 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: Owner: Address: R-H McKenzie PO Box 2280 Phone Number: 541-689-7113 City/State/Zip: Eugene, OR 97402 Repair Value: $4,999 Scope Of Work: Industrial Repair damaged Bowstring truss Contractor Type Contractor General Contr Essex Construction X,X,X Registration # Expiration Date Phone 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, inspectjons requested after 7:00 a.m. will be made the following working day. Required Inspections Building Framing Final Building - Prior to cover. - When all required inspections have been approved and the building is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: ......,-.., '... '. Job# 01-00184.01 Paid On Receipt# Building 04/18/2001 4973 04/18/2001 4973 04/18/2001 4973 . Page 2 of 2 Fee Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit 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 oniy contractors and employees who are jn 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 during construction. /# A/~ Lj-jB"-O/ Signature / Date 4,999 $50.50 $3.54 $1.52 $55,56 $55.56 '\