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HomeMy WebLinkAboutPermit Building 1999-3-1 SPRINGFIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 990019 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line, 726-3769 Location of Proposed Work: 765 A ST Assessors Map #: 17033542 Tax Lot #, 04600 Owner: WILLAMALANE Address, 765 A STREET Phone #, 736-4048 City/State/Zip, SPRINGFIELD, OREGON 97477 Description Of Work, REMODEL & REROOF REMODEL Value: 0.00 Name Address Phone Architect: ROBERTSON 132 EAST BROADWAY, EUGENE 342-8077 Const. Contractor Contractor # Expires Phone General: VANDERKLEY 0022375 10/14/98 747-4062 609 SUMMITT BLVD SPRINGFIELD OR 974 QUAD AREA, 2CNWD -- OFFICE USE -- LAND USE, 5300 Item INTERIOR REMODEL Square Feet x $/Square Feet Value 13,594.00 TOTAL VALUE OF PROJECT 13,594.00 SUBTOTAL PERMITS ,\'Ie IJ'JO?\<. ~O\\C~:. S\'It>.\.\. e'f..'(I?'E. ~?\'!II' IS \,\0"( "(f\\S '(e?\'!II' \.l\,\oel'- ,\'lIS '( o\'\eO 1'01'- , \"(\'IO?I1.eO a IS t>.'Of>..\'\O . t>.'v C€.\) 0<> CO\./I\'!Ie~ ,/ '(e?lotl. . .,,\/,\ 0.t>:, t>.\-l'{ I','" 104,50 8.37 0.00 0.00 0.00 0.00 67.93 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin PLAN REVIEW FEE 180.80 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 180,80 Job Number, 990019 Page 2 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 tI*!t 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 ot any construction work to ensure compliance with the Building, City or Development Code. FRAMING - Prior to cover. DRYWALL - Prior to taping. 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 --- Plans Reviewed By, LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date, 02/05/99 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 I02ated a the front ,Of the property, and the approved set of plans will rem n on he s'te at all times during construction. , ~<-I- 7'1' Signatur~.,1(./tlMb~(cy -'-- Ce Date --- VALIDATION Date Paid: ,1 3"~ 2- 3///5'1 /%t0~ S'-O ~ ~ l Receipt Number: Amount Received: Received By: