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HomeMy WebLinkAboutPermit Building 2002-4-8 = o 225 nmiSTREET . SrRINGnELD, OR 97477 . rH:(541)726-3753 . fAX: (541)~:-~6~9 ll~ ~ ~ ~ ll~ Description ofWorkllocation on premises/special conditions ~ I 0' ProperryO",,,er- _ ' ~)' Nam- 'k>~)LI;V)r ~/r/i</f/'--- J M ,Mailing Address 8791 ~A1u,<rf725>./ Jf' f(\, Citv r; /'r'c/) _ State",:--J'(" Zip ~ Phone 71"7-8'19 ( Fa>' < o Applicant ~ Name ~c;/-0~/c. ll~~ g 0 A<d"',,""""WE"""~ ~ Nam-' .~ ~=es" ~ Contact Persnn ~, = ll~ ~ ~ ,,~ = Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under provisions of ORS 70 I and may be Requires LDAP Yes 0 ~ required to be licensed in the jurisdiction where work is beinq oerformed. II PLAN CHECK FEF ...4;~ .0-'1 ' RCPTfi CITY OF 81- .tliNGFIELD, OREGON \j City Job Number 0;)- tJ 0 39"l- 0 I~ ~'!, ' 8 I & 2 Family Dwelling or Accessory New Constructio~ Multi- Family Addition! Alteration/Replacement o CommerciallIndustrial Tenant Improvement Job AddrjS_' G 7 f ~ ~ LN.?:' " 'Bldg Nn LOL ~ '. Block ~ubdivision ~/ LAn).l#t!i Z~ MaplTax Lot-.4!1)9, Project Name TRANS#:01~0008547 r-DATE:APR-08 2002 , -AMT RECD: 2 $ 688.09 r. . CHANGE: c CASHIER:032 o Demolition o Other ,.;;1// k:t~ ~~ I I , I SQFtX $/SQFt = VALUE NewDwellingArea ~~ 1#>8/3- Garage/Carport Area ~ ~ i~7G Other Structure Are~ ):>..-(1/ ~ Total Value I>"c' ~) 1 & 2 Familv Dwelli"p Owner Representative Phone Fa>' CommerciaVIlldustriaVMulti-Familv SQ Ft. X $/SQ. Ft VALUE Mailing Address <;:ity Phonp Statp Zip Existing Bldg. Area New Bldg. Area Total Value Exist. New State Zi:- Occupancy Group(s) Const. TypeCs) Number of Stories Phone I 0 Colltractor(s)' Contractor's Name General 'VE~,/f/./J ~~J'<- Plumbing 7~b.>V &U-.J/( Mechanical .J-/o .--.. ~ 0.c. _ . ,ro~-r- Electrical C:"T,,{EL/F #,A t./c..,A( I,OCominercia1l!ndustr.ialP;lJ;ects Has site review application been submitted? o Yes ONo 0 NIA Fav CCB# t 2-.(. S-- z.. Expiratioll Date / z. - 20 -0 ~ I Pholle #' ____ ;; '7'7 -,B't"ls ".,1 o Residential Projects Journal Number Heat Source: Primary Secondary Water Heater D<;I'lgp J;nergy Path Do you require any of the following for this project? Overwidth or Second Driveway 0 Yes 0 No Do you need temporary power? OYes ONo If so, Name of Planner No 0 Applied for? Yes ONo 0 1. Date: 'I BY C?}J. J Planne" nATE 4- ~ -0'2- Shamt Drive(T:YBuilding FormslBuilding Pennit Applicationl-02.doc