HomeMy WebLinkAboutPermit Building 1995-10-3
SPRINGFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 951653
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 437 N A ST
Assessors Map #: 17033531
Tax Lot #, 05200
Owner: Cli!l>""-- ..._......: """''''..k'''''''2.Il8~~J: Phone #: 485-5611
Address: .1lj.......r.:..;-<l'J4LllIlJ~ City/State/Zip: 1llffiENE-; OREGON -9-74.(H,
RO,-.".,: iOfI'O ~I"'r.-*U q7~5"<;;'
Description Of Work: OCCY INSP/REMODEL REMODEL Value: 0.00
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
Plumbing: OWNER (
'&'Llors 5~r P?~ /D"7ll'/cD
Mechanical, ~rI':~" S~>E&T MET 0090545
PO Box 639 Springfield OR 974770000
Electrical, PATRICK & SON 0077055
316 S 52nd St Springfield OR 974780
~/3.$"n7
04/20/97 726-9194
10/10/96 747-2088
--- PLUMBING ---
NO.
2
Fee
Charge
20.00
Single Fixture
TOTAL PERMIT
20.00
- - - MECHANICAL
NO.
Fee
Charge
4.50
10.00
Mechanical exhaust hood and duct
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: lRNW
-- OFFICE USE --
LAND USE: 5300
Item
REMODEL LEASE SPACE
Square Feet
x
$/Square Feet
Value
10,000.00
TOTAL VALUE OF PROJECT
10,000.00
Plan Check Fee:
52.33 Rec #: 19380 Date: 10/24/95 Rec By: DON MOORE
BUILDING
5% Surcharge/Admin
MECHANICAL
80.50
6.45
25.00
Job Number: 951653
Page 1
5\ Surcharge/Admin
PLUMBING
8\ Surcharge/Admin
1.20
20.00
1. 60
SUBTOTAL PERMITS
134 .75
72>TA L
134.75
1112.. 'II
3/?/~
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
~&?'- 1V"tE'?
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 1I*1l 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 Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS
P
SEE OCCUPANCY INSPECTION REPORT DATED 10-30-95
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 11/03/95
SPRINGFIELD .
I'
Job Number: 951653
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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.
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Date /
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Date Paid:
--- VALIDATION
/ '1 Sef
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Receipt Number:
Amount Received:
Received By: