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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: