HomeMy WebLinkAboutPermit Building 2000-8-25
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I Job# 00-01302-01 I
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Page1of2
TRANS#:01-0003029
DATE:AUG 25 2000
AMT RECD:2 $ 26.40
CHANGE:
CASHIER: 059
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"'RINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
. Job Number: 00-01302-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3505
Assessors Map#: 17023142
Lot: Block:
MainSt
Spr
Addition:
Tax Lot #: 05001
Subdivision:
~
i~H\\
Owner:
Debralee Gerdes
4566 Camellia
Phone Number: 541-726-5212
City/State/Zip: Springfield, OR 97478
Repair Value: $1,391
Address:
Scope Of Work: Miscellaneous
Stair replacement at apartments
Contractor Type
General Contr
Contractor
Kim Gordon Construction
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Registration # E.XP'ifil!iorilDi\\Jlili\) Phone
c" '(j.' 'Otegon ."
_\ON.ull:lg o'O'J\ne a.lese\ ,o5~1-543-6626
I",\t::.\-.\\ sa.OO?\e oselllles P,952..ou"
, 'r'MIllle _ __<<.t.1n ...",,01>1 _ ".\I"S '0,
Office US~J:t.\~<>\9i~~:OQ~-00~\lI~'~~?ies Oe\~i;\lnon.e rt
\ 0jl>.~;J" o'O,a ~~',\n , '~ir,a.\\O"
Land Use: in O.'{oultla6et\\e,.~w.'I:Il)~!!J!~f~S:
Zoning Code: 0()~<>\~it\9\"e ,"eOteg)'8<;l,1P3tlcytGroup:
"",\ \ot ,,, (1,;,0- '
Bedrooms: oultlb9t !'\('.,;~. - Meat Source:
Range: ce Sq. Footage:
X,X, OR
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour recording at 726;~769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Required Inspections. Irl\"lt:. ~ :~QI< _
I BuildinQ ~\t) \ ,CE.. S\-II'LLc)lI"I\"-C c?-WlIIIS~Ol
- To be made after all inslab building service~eguiprr1~N~ conduit\PiPi'.r\~,l"and.other.reqUiPment iter
\ \ \1"-'" _....C\' \\~l"''''' ,r'\nNt:.'-" .
-When all required inspections have been armroved.'ar:ld.the buiidingJis.complete,
P.UH'v' 00\'1\::>'---
COWlt-J\c~C~'1I"E.?-IOO.
p-~'1 ~ 80 Of>;
Slab
Final Building
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-01302-01
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Page 2 of 2
\,
fee
Paid On Receipt#
Building
08/25/2000 3209
08/25/2000 3209
08/25/2000 3209
Value/Quantity
Fee Amount
"
I
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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, I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project 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,
1,391
$24,00
$1,68
$,72
$26.40
$26.40
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i?--2S-00
Signature
Date