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HomeMy WebLinkAboutPermit Building 2000-9-11 .:-- ~ " Job# 00-01372-01 I' ~ Page 1 of 2 TRANS#:Ol-0003172 DATE:SEF' 11 2000 AMT RECD:2 $ 19.80 CHANGE: CASHIER=059 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01372-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 215 Q St Spr Assessors Map#: 17032631 lot: Block: Addition: Tax lot #: 02103 Subdivision: Owner: Address: Q Street Investments 215 Q Street . '\' :oJOO'tH- N'lV Phone Number: - . QO\'d3d )\ tNINOC> . . C.l \.!C\ o:=\C>N3 C Ity/State/Zin:'00i~tbfllelgnela~ ORZ1'dO\-unv BO::1 U:i\\l , ;:\(\Nn Q3 . DemolisA S\ 1\\NB3d S\I-\l \Vi'Cilue:S 1W~'d3d 51\-\1 '~~nl\l\ 3\-\1::1\ 3B\dX311\:f\-\ :-.:t~\lON ,.- Scope Of Work: Miscellaneous interior demolition Contractor Type General Contr Contractor Atez Inc. PO Box 126, Harrisburg, OR 97446 Registration # Expiration Date Phone 541-995-6008 . "e~Yuu Office Use ,,,uc: o'J\ ~~u ~ n U\\\\t~ Quad Area: land Use: .' ; ";"'. 'v:~~;teObY#t(}~~J:~je~fon # Of Units: Zoning Code: to\lovv fU\ecentet,'\1~gfiOO~~f~, Constr. Type: Bedrooms: . ~ot\tiC8~~~_001_001~tW~~~tiji:{u\e e ~ Water Heater: Range:' \ OA~vou m8V Obt8'\I( 6a.Ef:~a~~~~O~on .(\00,1 __",.or ~U~ \ ~Jn~,tlr.~l' ,-- 'ngt{\~"O'lt- nUt\l ty ,,,I.h To request an inspection call the 24 hour recording at 726-3769~~bkpf@'dti\~'f~~~~,8~.$te.Cl..ijefb1-~'7:00 a.m. will be made the same working day, inspections requested'a'tter 7:;~W(c:t.:m.\:Will be made the following working day. Required Inspections Building Demolition Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 09/11/2000 3172 Value/Quantity Fee Amount Demolition $18.00 J,. Job# 00-01372-01 Paid On Receipt# Building 09/11/2000 3172 09/11/2000 3172 ~., Page 2 of 2 Fee Value/Quantity Fee Amount State Surcharge For Building Permit Building Administrative Fee Total Building $1.26 $.54 $19.80 Grand Total $19.80 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 pertaining to the work described herein. I also agree to call for the required inspections as noted above (726-3769) at the appropriate times. I also state that I was provided with Lane Regional Air Pollutions phone num r and asbestos removal information. I further agree that the project add res will be readable fro e street, and the permit card is located at the front of the property durin t demOliti:::cesso ~. 7"- / ~od Signature Date