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HomeMy WebLinkAboutPermit Building 2001-7-17 e I Job# 01-00745-01 I e. Page 1 of 2 TRANS#:01-0006172 DATE: JUL 17 2001 AMT RECD:2 $ 16.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00745-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1889 Olympic St Spr Assessors Map#: 17032531 Lot: Block: Addition: Tax Lot #: 02700 Subdivision: Owner: Address: KFC Lariot Corp 1889 Olympic Street Phone Number: 541-726-7725 City/State/Zip: Springfield, OR 97477 Repair Value: $1 Scope Of Work: Miscellaneous Repair storefront damage from vehicle accident Contractor Type General Contr Contractor Restoration And Building Services Lie Po Box 1213, Medford, OR 97501 Registration # 53055 Expiration Date 7/24/02 Phone 541-773-4069 Office Use ~'1' # Of Buildings: c(/rtCf: Occupancy Group: TI-I/:; ;C[;;1:,ilT QHALHejlt Source: A '" 1'1.!:""- ,-- UTHOntZEn I 'Mnr-~q:~ootage:HE WORK CO.1At' :-:,1(';-", ~_ - -., """ ~t:RM/r Ie: N To request an inspection call the 24 hour recording at 726-376~;^f..)I}~SpeCtions'requ~~\~,C!)P~J2~ 1;.,0,0 OT a,m, will be made the same working day, inspections requested aftep7:00!arm::.will.be made'tIle'folloWing "' , l..-nlUU working day, ' Quad Area: # Of Units: COnstr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Range: Required Inspections Building Framing Final Building - Prior to cover. -When all required inspections have been approved and the building is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) Main: Accessory: r~._ .", ;~"ITI:J ,'........ '~I '..~., -"l I . ...J..../ ~ ;I~eo . ~' : '.. -~, j.~f'r ~.. r.., t.-- '1;;,.., t..) -, . . - j,,;"'Ir: I/O'J' "~1','C'~;" " ~'.[ ,'1:, l" j "0 . ,""". .'" ,~,.'1. ~,"i. ' - L. ICSiC.1l: :1'/ mL,,'~[::..,;'. 'j" ," j,rO.s-.: rv' ''C', ,,111 ODeD, '0'0 H~i~'h~-lf~etW:.[ ,', l~~i~' :';i :'0, ~;, cr. r;: ,," ...... 1;..,'1. :--- . 11",\~ . . u.;2-;)")1. Current Units: .. ,1,: Proposed UnitS: _u ('(; '1" rlll nUj.,jb~;-" ~.' .".' I"v. .: ...~':, t....r - CS by Census Code: Does not apPIy-C'O. ina Or:1"' , '.. ':'- ",2,~hon3 '...., U "." i\1 ;;:n.....;-jJ 1-Z"UIl_~ "~'"v lotitjCE.tion v u......!. ':34-;J). # Of Stories: Total: . . Job# 01-00745-01 I Paid On Receipt# BuildinR 07/17/2001 6172 07/17/2001 6172 07/17/2001 6172 . Page 2 of 2 Fee Value/Quantity 1 Fee Amount 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 constructionn . () _l\~ ~ (" 1'~,-nJ,..~c>, ~lte 1 $15,00 $1,05 $.45 $16,50 $16,50