HomeMy WebLinkAboutPermit Building 2000-9-11
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Job# 00-01372-01 I'
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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
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:oJOO'tH- N'lV
Phone Number: - . QO\'d3d )\ tNINOC>
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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
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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
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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'
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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
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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