HomeMy WebLinkAboutPermit Building 2001-7-17
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I Job# 01-00745-01 I
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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
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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