HomeMy WebLinkAboutPermit Building 2002-3-7 (2)
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I Job# 02-00230-01 I
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 765 A St Spr
Assessors Map#: 17033542
Lot: Block: Addition:
Owner:
Address:
Willamalane Park and Recreation
200 South Mill Street
Phone Number: 541-726-4335
City/State/Zip: Springfield, OR 97477
Alteration Value: $2,000
Scope Of Work: Interior
Bathroom remodel - OK'd per BB
Contractor Type
General Contr
Job Number: 02-00230-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 04600
Subdivision:
Registration # Expiration Date
Contractor
Willamalane Park and Recreation
200 South MiII.Street, Springfield, OR
97477
Willamalane Park and Recreation
200 South Mill Street, Springfield, OR
97477
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use .
Land Use:
Zoning Code:
Bedrooms:
Range:
Phone
541-726-4335
541-726-4335
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# Of Buildings:
Occupancy Group:
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.
Required Inspections
Building
Framing
Drywall
Final Building
- Prior to cover.
-Prior to taping.
-When all required inspections have been approved and the building is comiJlete.
, Plumbinq
Rough Plumbing -Prior to cover.
Final Plumbi'WOTICE: .:When all plumbing work is complete.
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED DR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ArfEoNTIUN:uregon law requires you. ~o
follow rules adopted by the Oregon Uti lily
Notification Center. Those rules are sel forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: .t~e tele.~ho~e
'number for the Oregon Utility Notification
Center is 1-800-3~2-2344).
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. r d)
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
I Job# 02-00230-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Building
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
Plumbing
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
03/07/2002 8244
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Height (feet):
Proposed Units:
Page 2 of 2
Value/Quantity
Fee Amount
2,000
$45.00
$3.15
$3.60
$51.75
2
$17.00
$28.00
$3.15
$3.60
$51.75
$103.50
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 Ihat 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 streel, 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
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Date