HomeMy WebLinkAboutPermit Building 2001-2-5
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225 North Fifth Street
Springfield, OR 97477
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I Job# 00-01818-01 I
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TRANS#:01-0004378
DATE:FEB 05 2001
AMT RECD:2 $ 287.23
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01818-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3333 Franklin Blvd Eug
Assessors Map#: 00000000
Lot: Block: Addition:
Tax Lot #: 00000
, Subdivision:
Owner:
Address:
William M Rogers
4016 63rd Street
Phone Number: 541-7264757
City/StateIZip: Springfield, OR 97478
New Value: $18,000
Scope Of Work: Modular
Fast Trax Espresso
Rp.p. .Jnh # 00-01 R1 11-01 fnr p.1p.r.lrir...1 np.rmil.
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Williams Construction 541-9374215
PO Box 1135, Fall Creek, OR 97438
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Arc Electric Inc 115113
85783 Hwy 99 South, Eugene, OR 97478
7/10/2000
541-741-0494
Office Use
Land Use: # Of Buildings:
Zoning Code: NOTICE: Occupancy Group:
Bedrooms: SHALLEl\I,ei!'~,l?u.r.ce:WORK
Range: THIS PERMIT S~, Footage: IS NOT
_ __'-7r-r"'\IIl\lnt:Q l"'IISr-~rll..11
f\U I nVI 11....__ - R
T .. Ilh 24h d' '7263769 ---.~~\,,^c,wnONI:iEDF07
o request an Inspection ca t e our recor Ing at - . ,!\~!![IJ:lspectlons requested efore :00
a.m. will be made the same working day, inspections requested' aftero7:0,!M:T.r-Y.'JJt.be made the following
working day. ANY ltl u
Modular Set Up
Final Modular Set Up
Required Inspections
I Permits w/o SrchR
- To verify method of tie-down.
-After all required inspections have been allllroved and projecUs complete"'Oll to
AT (EN11\Jl':'''''~!;': '"",' V'.~"--' .,
follow rula~ adopteci :Jy the Oregon Utl~lty
Notification Ceotal. Tnose ru~eos ~~e:;i_~61~
in OAR 952-001-0010throug
0090. You may obtain copie~ of the rules by
# Of Stories: callin!;!eight:(feet)!Nota:.(oetele.~ho~e
. '. ..,,,- Q..,...."" Utility NotificatIOn
Current Units: nUlllb(!?roposed Units:
. 1 8GO n<'? "344)
Census Code: Does not apply Centens - ,-"v_ -~ .
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. r _ , I)
Main: Accessory:
Total:
.~
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Job# 00-01818-01
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Page 2 of2
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Fee
Paid On Receipt#
Plan Check
02/05/2001 4375
Value/Quantity
I
Fee Amount
Hourly Plan Review
Total Plan Check
1
$40.00
$40.00
SDC Administrative Fee
Miscellaneous Transportation
Total System Development
System Development
02/05/2001 4375
02/05/2001 4375
197
$9.87
$197.36
$207.23
Modular
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchll
02/05/2001 4375
18,000
$40.00
$40.00
$287.23
Checked By
Date Completed
Comment
Planning-C/I/P
Structural-C/I/P
Fire Marshal-C/I/P
Ruth Klein
12/20/2000
12/29/2000
12/29/2000
Lome Pleger
AI Gerard
By signature, I state and agree, that J 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 each
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.
i J-d/iu JA.A... /;1..-, g~' :?-~ -0 (
Signature Ll Date
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CITY OF SPRINGfIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
( 541)726-3753
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WELCOME 10 OEVELOPMENT
SERVICES AND PUBLIC WORKS
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REG-RECEIPT:Ol-000437B C:FEB 05 2001
CASHIER 10:061 2:34 pm A:FEB 05 2001
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,
1042 MODULAR UNIT
JOB#:00-01B1B-01
1060 PLAN CHECK/COMM
JOB#:OO-01818-01
. 1072 SDC/TRANSP'
JOB#:00-01B1BcOl
1073 SDC/ADMIN
JOBh:00-01B18-01 \
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TOTAL DUE $2B7.23
RECEIVED FROM: .
FAST TRAX ESPRESSO
$40.00
$40.00
$197.36
$9.87
,
,
CHECK:
$287.23
.'
TOTAL TENOERED
$2B7.23
CHi,N~E DUE $0.00
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;Pay Name :FAST TRAX ESPRESSO
.Mail Addr :416 N 63RO STREET
,Ciy/Sl/Z :SPRINGFIELD OR 97478
*Site Add, :3333 FRANKLIN BLVD
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THANK VOU!!!!!!
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