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HomeMy WebLinkAboutPermit Building 2002-9-3 ."--, .. . I Job# 02-01052-01 I . st/ ~ Page 1 of 2 TRANS#:01-0010497 DATE: SEF' 03 2002 AMT RECD:2 $ 60.72 CHANGE: CASHIER,061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-01052-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 405 A St Spr Assessors Map#: 17033531 Lot: Block: Addition: Tax Lot #: 05600 Subdivision: Owner: Address: Barbara McKie 106 E Hilliard Ln Phone Number: City/State/Zip: Eugene, OR 97404 Remodel Value: $2,800 Scope Of Work: Commercial Install drop ceiling and lower existing lighting Contractor Type General Contr Contractor Oregon Custom Homes Inc 1863 Pioneer Parkway #338, Springfield, OR 97477 Expiration Date 11/5/2002 Phone 541-988-4954 Registration # 96875 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning lM2lJICEo Occupancy Group: Constr. Type: Sedrooiff$;S PERoMIT Heat Source: Water Heater: Range~UTHORIZFn ~~AtL EXPIRE IF fntFv.,otage: VUIV/M. ~D[:t T",~' PE 0,11\ To request an inspection call the 24 hour recordiAllf~1 - .O~I.!S~Bllt' 1M1ls1~'Pre 7:00 a,m, will be made the same working day, inspections r'El _a~O a,. /ii;li(i}Rle the following working day. 0 Required Inspections A r Building\J'Or"a"~ law reqUires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone # Of slgWt;rforthe. Oregon i-i~iglii'ifeijt)!ltion C t U 't Center IS 1-800{)p~?- ?~AAd' U .ts urren m s: ropose ' m : Census Code: Does not apply Ceiling Grid Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Total: Fee Paid On Receipt# BuildinQ 09/03/2002 10497 2,800 Value/Quantity Building Permit Fee Amount $52,80 . . Job# 02-01052-01 . Page 2 of2 Value/Quantity Fee Amount Fee Paid On Receipt# Buildinll 09/03/2002 10497 09/03/2002 10497 State Surcharge For Building Permit 8% Building Administrative Fee Total Building Grand Total $3.70 $4,22 $60.72 $60.72 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 locate)l:at the Jront-of ttie- propertY. and ti'nroved set of plans will remain on the site at all times ~~~_~ '_~I// S,C2 ~ S;;tiatu;e Date ../"