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HomeMy WebLinkAboutPermit Miscellaneous 2002-4-22 -''-e i I Job# 02-00473-01 I . Page 1 of 2 I RAhSil Ol-OC0869? JP.TE' IjJf, ;CL ;:01;', AI'~T ~::CD :;. ) l'JC I__~: CH^N[ C . -(' '.' ,-.1 J'_, II j 1_..,.1 CASH.i:="\:Ot I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00473-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 413 W Olympic St Spr Assessors Map#: 17032741 Lot: Block: Addition: Tax Lot #: 02800 Subdivision: Owner: Phone Number: 541 o-'>~~ ~ , , ~.,,~ ,,~~~ ~~ City/State/Zip: ,)-SPe.l)gfle!~ O~ 97477 \0~ 0<:$ .,,0 s:p . Repair '1>~ 00~ 'i>~~@1U'e:0.,,'$3,500 .....cf:' ,\~ ,s.0 't-((." \~ 0 O\'?l" o'Q' 0~ ~O "S'0 ~o~, :(\ -<,O~:^O~\~ -<''(;\~~\O-.)~C>$ 0: ,0\0~~,#0 r.,- "'- ~~. \v' QY ,'1)'- _W' ~v ,s.0 r.0~ ~<:l .>(\v l..0' ".!'- ,,-. Contractor ~ O~ \ '0'<- R~-!liSt!:S$iot\1!J J.xPjr!!lion Date o~ ~ ,,5:J ,0 ~.~:(\ .f).1; Steven Tofflemoyer "I ~,v r>.~';;66~:45",<-\0 0~0 ,,5/,1'5/2002 . ," 't-r II> ' c,~ 0\ ~" PO Box 197, Springfield, OR 974?70 -{o "S'0 "S'0. ,,'8 ,,<- "CI. ,~o. .., .,." f\V- n..\" ~ ,- ~'CJ. Office Use~'O' :(\;.C>i v'}~ (\~ Quad Area: land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Water Heater: Range: Sq. ~tage: -*. To request an inspection call the 24 hour recording at 726-3769. All inspections!.eqb~sted before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.~'i.wUl be mad~he following working day. ~i? .> ..) ,"<v ~'- -< \~., Required Insp8ctioilll c.-- ..." "tJ .\:'..... r-.. ,1 ~ I Buil\}ing.... ( ,~."", - ..... <) , -Steel location, bond beam~grouti~ or ve.rlicals ~cordance with use 2415. -Prior to facing meterials anctframihg inspecJiC(ft;~V'"- -When all required inspection~~ave be~proved and the building is complete. ()> >:\'~ ~ Cindy Weber Address: 413 W Olympic St Scope Of Work: Single Family Residence Repair wind damaged chimney Contractor Type General Contr Phone 541-726-6752 Masonry Fireplace Final Building Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . . " Fee Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Grand Total Job# 02-00473-01 Paid On Receipt# Building 04/22/2002 8692 04/22/2002 8692 04/22/2002 8692 . Page 2 of 2 Value/Quantity 3,500 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 us n this project. I further agree to ensure that all required inspections are requ t t e prop I l.lhe project address is readable from the street, that the permit card is 10 te t e fr th property, and the approved set of plans will remain on the site at all times during ucti Fee Amount $60.60 $4.24 $4.85 $69.69 $69.69 1;"2210'- Date