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HomeMy WebLinkAboutPermit Building 2002-3-29 Job# 02-00357-01 Page 1 of 2 SPRINGFIELD ~. TRAN8U:Ol-0008459. . DATE: i1AR 29 2002 AMT RECD:2 $ 51,75 CHANGE; C~!SHIEF~: 061 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 225 Fifth Street Springfield, OR 97477 location Of Proposed Site: 488, W Centennial Blvd Spr Assessors Map#: 17032744 Lot: Block: Addition: Owner: Address: John Koelling 1968 W 34th Ave Job Number: 02-00357-01 Office: 726-3759 Inspection Line: 726-3769 Tax lot #: 03800 Subdivision: Phone Number: 541-484-5288 City/State/Zip: Eugene, OR 97405 Value: $1,800 Scope Of Work: Apartment Repair Stair replacement Stair replacement OK'd per TM. Owner to perform work Contractor Type General Contr Contractor John Koelling 1968 W 34th Ave, Eugene, OR 97405 Todd Arral 139 Bampton Ct, Eugene, OR 97401 General Contr Registration # Expiration Date Phone 541-484-5288 541-689-9138 NU,\eE~ p\RE \F1HE\NORK 1\-\\S PERM\1 SHALL i~\~*h'Ws'S NOl AU1\-\OR\ZED UNDE'Occ\!.m~E~: MMENCED OR \S~\~olirce: CO D^" PER\c:s.q. Footage: oN"! ~R() /",\1 1""\ \ \ - . 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, Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: 'Bedrooms: Range: R . d I t' '-;-~ '11"\1\ to eqUlre nspec Ions ,...w re4U"~- J '\'t ON'Qregc.o .... on Uti I If I Building AliSN" d pted '0,/ the Creg set forth - Prior to cover. fO\\OWru\eS a n~er.1hose ru\es ~~ 952-001- - When all required inspections have ~"\a~>>m1~~-f.fijb~'b~q~ffirfB\~ebY \n OAR 95; mav, obtain COPI~~~ te\ep\10~e , OO~\:g the center. (~~~\\\\tY Notification , numb61'1orthe\Of1~OO_332-2344). center s Height (feet): Proposed Units: Framing Final Building Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: ' Handicap Access? D -Area (Sq. Feet) Main: # Of Stories: Current Units: Census Code: Does not apply Accessory: Total: , Job# 02-00357-01 Fee Paid On Receipt# , Building 03/29/2002 8459 03/29/2002 8459 03/29/2002 8459 Page 2 of 2 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 ~ompliance 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. \~9-"~~ 3-;;LCf-Gd-.-, Signature U 0 Date 1,800 $45,00 $3,15 $3,60 $51.75 $51.75