HomeMy WebLinkAboutPermit Building 2001-1-22
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Job# 01-00057-01 I
Page 1 of 2
TRANS#:Ol-0004288
DATE:JAN 22 2G01
AMT RECD:2 $ 121.66
CHANGE:
CASHIER:059
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00057-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1545 S Brooklyn St Spr
Assessors Map#: 17033444
lot: Block: Addition:
j,
'"Tax lot #: 02800
Subdivision:
Owner:
Lane Shelter Care
Phone Number: 686-126-2
Address: 1790 W 11th City/State/Zip: Eugene', OR
Scope Of Work: Commercial Alteration Value: $11,000
2 interior walls and 1 .e~~f[6'ri~o6r.,lf6rrOffice 12W :"G:-:~::r3S ~/QU to
WI/fiil:' <i';""::irvnurm .o1l%nE Urooon Utmt~i
r ,;,:;t(1:L;elHin 'A'f,i.!i i'hO$(-> rules are setfolth
Contractor Type Contractor \1' l O/-\F', f1bi=lJOl =001 iJ ihrO~$'gi~~~~~i9Ji11#JO ~xpiration' Date Phone
Architect .. Fred Tepfer U090. Vr)l) rfla\llJbtalfl copies otthe rules by 541-343-1318
'1380 Bailey Ave, ErJ?iMh1~:,'bR:971l0~' ~i\ji)t$:.t~a tel~~ho~e
nUIl1D"H :..:\~ ~i1.::' (,..'(~oon Utlhtv I\'ntdl~;:ttlrm
CSoiff6% b~~r-~'?2-2~44).
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
,I
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
.q"
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Framing
Drywall
Final Building
It\JnTRf'\RlI:'0 . d I . t"
,'-Ii 'eqUlre nspec Ions
T~/S rcnlVllT ~U1icfj1f:g(PIRE IF tHE WORK
- Prior to co~rTHOR/ZED UNDER THIS PERMIT IS NOT
- Prior to ta~QtMMENCED OR ISABANDONI= ~
- When all ~ft~irr~~~.;fJ~ib'lrve Deen a'P~r~~d and the building is complete.
I Mechanical I
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
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I Job# 01-00057-01 I
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building
01/22/2001 4288
01/22/2001 4288
01/22/2001 4288
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
11,000
$86.50
$6.06
$2.60
$95.16
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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 construction.
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Signature Date
Mechanical
01/22/2001 4288
01/22/2001 4288
01/22/2001 4288
01/22/2001 4288
$15.00
$.45
$10.00
$1.05
$26.50
$121.66