HomeMy WebLinkAboutPermit Building 1999-10-11
., -" ":t ~ ~&-.) fr:t ti'.)A~1
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD' Job Number: 991095
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 204 30TH STRE
Assessors Map #: 17023100
Tax Lot #: 00700
Owner:'GOODWILL INDUSTRIES
Address: 855 SENECA
Phone #: 345~1801
City/State/Zip: EUGENE, OREGON 97402
Description Of Work:,
NEW
Value:
95,000.00
HANDICAP ACCESS: Y
-- OFFICE USE --
FLOOD PLAIN: N
Item
FOUNDATION ONLY
Square Feet
x
$/Square Feet
Value
95,000.00
TOTAL VALUE, OF PROJECT
95,000.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
418.00
41.8'0
0.00
0.00
0.00
0.00
SUBTOTAL PERMITS
459,80
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
459.80
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request 'an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*',' work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
-.
In addition to the inspections specified, the Builiiing Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
GRADING/EXCAVATING/FILLING - To be done during constr by Special'ptate
Certified Inspector. Provide reports/tests to City Building Inspector
FOOTING - After trenches are excavated.
Job Number: 9~1095
Page 2
FOUNDATION - After forms are erected but prior to concrete placement.
--- ADDITIONAL COMMENTS ---
SITE REVIEW JOURNAL #99-03-090, JIM DONOVAN, PLANNER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By:
Date: 09/27/99
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon 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, and that
NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify 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 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.
;J~ L'~.~~ -:/0& c;~Jd~
Signature ~ tI
/(J III Jq~
ria te ' !-
--- VALIDATION
Date Paid:
~9fC5'_~
/p.-.//~9~
4~.#e>
'~~?'
Receipt Number:
Amount Received:
Received By:
/'