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HomeMy WebLinkAboutPermit Building 2001-2-5 ~- .... I, ... ~ 225 North Fifth Street Springfield, OR 97477 . I Job# 00-01818-01 I .c "~ ~~Page 1" of 2 -_... " 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: .~ . Job# 00-01818-01 . Page 2 of2 -'.-" .~ .' " 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 ...t _ _-.I- T' ~. !. , ,- ========~=============================== (, I CITY OF SPRINGfIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 ( 541)726-3753 ---------------------------------------- ----------- ---- -- ---------------- -- --.--- WELCOME 10 OEVELOPMENT SERVICES AND PUBLIC WORKS -- -- - --- - --------------- -- --------------- ---------------------------------------- REG-RECEIPT:Ol-000437B C:FEB 05 2001 CASHIER 10:061 2:34 pm A:FEB 05 2001 =============~~========================= , 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 \ -.-.----"\-----.- 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 -------- -----------------. ---.. ----------- ...-- ------ ----- --------------------- ------ ;Pay Name :FAST TRAX ESPRESSO .Mail Addr :416 N 63RO STREET ,Ciy/Sl/Z :SPRINGFIELD OR 97478 *Site Add, :3333 FRANKLIN BLVD -- -----_.- -- --------- -- - --- ------ - - -..---- -- -- ---- ------ - -- ----- ..---- - ------ ------ ----- .-.._---- ---- - -.--------.----------- --- ------- -- - -- ----------- ------ - ---- ---- --- THANK VOU!!!!!! ---------------------------------------- --- ----------- -- --.------------ ----- ------