HomeMy WebLinkAboutPermit Building 1999-3-30
ATTENTION:Oreaon law reqUIreS you to
f II les adopt~d bv the Oregon Utility
o ow~u RESIDENTIAL ,PERMIT APPLICATION
Notification Center, 1I1u~" 'u'o~ u,." W' ,_....
, 'R 952-001-001 0 throa:J.'f~,t,qf9@EltIJ~GFIELD
In OA . COMMtmIToY ,SERV,ICES DIVISION
0090 You may obtam ';UiJoB';5'u, ,,1~ ,-,---,
. N ' t,BUILDINGnSAFETY
calling the center. ( ote. IT" 'U'U,","U .-
n,\~'T1her for the Oregon Utility Notification
225 North Fnt:1'1 ~~'iiftr~s 1-800,332-2344).
Springfield, OR 97477
Page 1
Job Number: 990091A
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 992 KINTZLEY AVE
Assessors Map #: 18020624
Lot: 173 Block:
Tax Lot #: 06200
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
Canst.
Contractor #
Expires
Phone
General:
HAYDEN ENT 0092208
2622 SW GLACIER PL #110 REDMOND OR
07/29/99
923-6607
QUAD AREA: 3RSC
OFFICE USE
LAND USE: 1111
ZONING CODE: LDR
Item
Main
Total Value
--- BUILDING PERMIT ---
Square Feet x
~"'1:ICE: 15
'rgMIT SHALL EXPIRE IFTHE WORK
" -r-n '.'~'nE": THIS PERMIT IS NOT
~Aii;:;ONED FOR
f\1~Y l80DA, "'ERIOa,
a/Square Feet
69,64
Value
1,045,00
1,045,00
Building Permit Fee
Surcharge/Admin
19.00
1. 52
TOTAL FEE
(A)
20,52
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
20.52
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform 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.
--- ADDITIONAL COMMENTS ---
SEE ORIGINAL PLAN 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,
. ~-SPR"'OFIELD
Job Number: 990091A
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 times during construction,
Signature
(f'r\
o ./) ^
VJJU'
Date
- -- VALIDATION
Date Paid:
(j'B > 2.. I
5h.h 1
)0.)2
JI.}"J
Receipt Number:
Amount Received:
Received By: