HomeMy WebLinkAboutPermit Building 1999-3-30
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990092A
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 983 KINTZLEY AVE
Assessors Map #, 18020624
Lot: 171 Block:
Tax Lot #, 06000
Subdivision, HAYDEN GARDENS 2
-~
Owner: HAYDEN ENTERPRISES
Address, 3258 PINYON STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work, ADDITIONAL SQ FT
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General:
07/29/99
923-6607
HAYDEN ENTER 0092208
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2622 SW GLACIER PL #110. REDMONn" OR
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Building Permit Fee
Surcharge/Admin
ZONING CODE, LDR
Item
Main
Total
$/Square Feet
69.64
Value
1,045.00
1/045.00
Value
19.00
1. 52
TOTAL FEE
(A)
20.52
(Excluding Electrical)
unless otherwise noted
0~1I.
TOTAL AMOUNT DUE --- X'i~~'fl .:~1
l' ~t:.B, C, D~)..'\l\'a~ c~fJ1ed)
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--- BUILDING VALUE;=PLAN.CHECK AND BUILDING PERMIT
, . -,'4 . I'~?\O\ \
This permit is granted on the~x~6~~~condition that the said construction
shall, in all respects, confo~'to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
20.52
--- ADDITIONAL COMMENTS ---
SEE ORIGINAL PLANS AND PERMIT FOR REQUIRED INSPECTIONS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
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 pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
Job Number: 990092A
Page 2
I further agree to ensure that all required inspections are requested at the
proper time, that each 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 tlmes durl~ ~truction.
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Signature U Y Date
--- VALIDATION
Date Paid:
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3/30/17'
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Receipt Number:
Amount Received:
Received By: