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HomeMy WebLinkAboutPermit Building 2000-8-25 -.. I Job# 00-01302-01 I . Page1of2 TRANS#:01-0003029 DATE:AUG 25 2000 AMT RECD:2 $ 26.40 CHANGE: CASHIER: 059 \, "'RINGFIELD ~ 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 .\)\)' 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: . Job# 00-01302-01 . 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 ~\.;, , . ~.s......-..:- i?--2S-00 Signature Date