HomeMy WebLinkAboutPermit Building 1988-08-19/urZ
Bu'i l di ng Di vi s ionPl ann i ng & Deve I opment crrY oF sPR'r\TGFrEr'D
OFFICE OF COMMUNITY AND ECONOMIC DEVELOPMENT
Job. no. 99OV// 225 North 5th street
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CALL FOR REINSPECTION I NSPECIOR lr:nz rr,aacfrl I**** CALL FOR. INSPECTIOII 72 53 ****
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OFFICE OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street Date
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Building DivisionPl anni ng & Devel opment
Job. No . €tAn
JOB ADDRESS 753? 'T), d4
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**** CALL FOR' --- INSPECTI0N 726-3769 ---- INF0RMATI0N: 726-3753 ****
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STATE OF OREGON
STATE FrRE MAB.SHAL
INSPECTION N ICE
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LOCATION - - l' ,;' ,",,i, :=====: , ,. ti;V COUNTY-
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THE FOLLOWING FIRE SAFETY DEFICIENCIES ARE TO BE CORRECTED:
FAILUF.E TO CORRECT THE ABOVE CONOITIONS WITI+}I'-OAY€ WILL MAKE YOU LIABLE TO PROSECUTION. SHOULD FIFrE
RESULT FROMSUCH Co)NE)ITIG)NS YOU MAY BE LIABLE FOR DAMAGES TO PERSONS OR PROPERTY UNDER PRO\/ISIONS OF ORs 479.T90.
BY
OE"UTY FIFE MARSH L2No NorrcE
Frnrl Nortce
STATE FIRE MARSHAL
3OOO MARKET ST. N.E.
SALEM. OREGON 973IO
41444-1R44
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ing & Development
Job. No. -o 7i I
JOB ADDRESS / -:...
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OFFICE OF COMMUNITY AND ECONOMIC DEVELOPM
225 North 5th Streetrs €t
Building Divisjon
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CALL FOR REINSPECTION ./"I NSPECTOR
**** CALL FOR. .-. INSPECTION 726.3 726_3753 ****9 ---- IN N:
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OFFICE OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street
Building Div'ision
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CALL FOR REINSPECTION X INSPECTOR
**** CALL FOR' --- INSPECTI0N 726-3769 ---- INFORMATI0N: 726'3753 ****
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ADDRESS
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TN( LOT
ACCOUNT NIN{BER IF AVAILABLE
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The above parcel is zoned Z, &-
The definition of this zoning is as follows:
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I ailt)r.t,....At,f t,r frr | )t\//t,(,pl lr: vy1.1116'; 95p,t 125 EAS] Bn1 AVENTJE / EUGETIE, OREGON 97401 / (503)687.406!
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-'r*-bne county, i i'\' INFORMATION SHEET
I.ORMS WILL BE REJECI:D !
PROPERTY OI^JNER
MAILING ADDRESS
ZIP CODE C ITY STATE 7]P_EODE
LEPHONE #HOME TELEPHONE #
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(RE UIRED
RTY ADDRESS
TTFERENT FRoM I'lAlllNri Al
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p_ARCEL NUMTTEFI
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(from tax maps 'in Department of Assessment and Taxationor from tax statement
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RANGE
7SIIIP
77 .?ZN
TOTAL CONTIGUOUS I,Ii(II,I Ii I Y IN SAME OWNERSHIP:
4 SUBDIVISION (if appl it,1lr 11,)
5 REQUEST (state exact tvlr,r I Vo11 plan to do)
I rtl'tN SETTMN
ItIIIUSiIIP FENGE SECTMN ffi
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LOT
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P ZON I NG
ZONING
ZON I NG
ACRES
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(i D I RECT IONS TO S ITE
{* FOR STAFF USE ONLY **
IIY: C,t,tc DATE:171) ,,,,(,
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NUMBER
DATE
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LAND MANAG[.MEN I l)t ,/ t,, t()1 / 125 E. Bth AVF ^ illGFNF- 0R q740r /
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ZOIIE/LAND USE i
CITY OF SPRINGFIELD
Department of Planning and Development
Building Safety Divis ,1
225 North 5th StreetSpringfie'ld, 0regon 97477
726-3753 (Bus.) 726-3769 (lnsp.)
OCCUPANCY IIJSPEC -'1N
APPLICATION
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SPRINGFIELD
DATE sd
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JOB ADDRN S
OWNER:
OI,INERS ADDPGSS , &5 3 5 c*t r-l4 t*,
APPLICANT:
APPLICANTS ADDRESS So'n"<
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEP}IONE NI]MBER, 7db _ 5 ?3 /
PROPOSED USE
A $ 35.00 INSPECTIoN FEE IS REQUIRED AT TTE TIME-,/ OF APPLICATION?\
THIS APPLICATION FORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO
BE INSPECTED.
q-Z-u,--
SIGNATUPG OF PROPERTY OifNEB,
FOR OFFICE USE ONLY
DATE OF I}ISPECTION RECETPT NUMBER , t Lt O
DATE OF REPORT:DATE PAID' 8.IZ_8A
DATE OF CERTIFICATE OF CO},IPLIANCE
COMMENTS:
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:;I537 N 5TH ST
IlH$CIi: Uf;CUP/iii{[Y
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T}{ilHA$ I,IAHX.J537 H. 5TH ST
SPELIT , 0R 97 477
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sEn.RECIU IEETI PERI,I ITS_-**-.EEE*--SURCHARGE-NATE-RECE IPT---PERt.i IT*.-----UALUE-*-
001-035*CIccuPANCY INSp A 35.00 0.00 880s1? 13100
SEN-H IN II,tU},t INSPECT IONS + RETIU IREI"IENTS -*"-EXP NATE.-.ACT T'ATE-
001.-061-0ccuPANCY 890303
- INFil*
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1111
00 1-0(i 1- ftfi CU PANC Y
00'l-06 i -i-it][uPANcY
OO3*06 1 *OCf,UPANCY
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OO5-O& 1-I]Cf,UFANC Y
O06-061 *fif,tlUPANCY
0
Sli0*- INSPEIT I0N5-------[0Hi.tENT$----* ---['ATE----RESULT-- INSP---
8808 1 I
8808 I I
8808 1 I
890 I 09
990?0?
8903 I 3
NOTCII{ ?8
I0 35
N0T0t( 35
I0 350l( 3:i
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CiTY OF SPRINGFIELD
Jr-part.nent of Pl anni ng and
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nt OCCUPANCY INSPEC
APPLICATICN
NBui'l ding S
225 Nort
Springfield
726-3753 (Bus.
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SPRINGFIELD
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DATE
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ADDRE S:
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OWNER:
*OI,INERS ADDRESS , &5 3 4 tJv'1
APPLICANT:
APPLICANTS ADDRESS:Sq-g
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
_* J'// - 7*z 7
7ac -5 ?3 /
PROPOSED USE:
A $ 35.00 INSPECTIoN FEE IS REQUIRED AT T}E TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OI.INER OF THE PROPERTY TO
BE INSPECTED.
I
SIGNATURE OF PROPERTY Otr^INER.
FOR OFFICE USE ONLY
DATE OF I}ISPECTION:REcETPT I{uMBER, tLtcC
DATE OF REPORT:DATE PAID' 8 _IZ.EE,
DATE OF CERTIFICATE OF CO}{PLIANCE
COMMENTS:
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