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