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HomeMy WebLinkAboutPermit Building 2000-2-4 .". ~ . I Job# 99-00907-01 . CITY OF SPRINGFIELD, OREGON Page 1 of 3 TRANS#:01-0000466 DATE:FEB 04 2000 AHT RECD:2 $ 26.50 CHANGE: CASHIER: 003 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-00907-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4006 Franklin Blvd Spr Assessors Map#: 17033042 Lot: Block: Addition: Tax Lot#: 01600 Subdivision: Owner: Dollar Tree 1991 Olympic Street Phone Number: City/State/Zip: Springfield, OR 97477 Remodel Value: Address: Scope Of Work: Restaurant 30,000,00 Remodel COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-00907-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4006 Franklin Blvd Spr Assessors Map#: 17033042 Lot: Block: Addition: Tax Lot#: 01600 Subdivision: Owner: Stephen Roth Phone Number: Address: x Scope Of Work: Restaurant 30,000,00 Remodel City/State/Zip: x, X Remodel Value: $0 Contractor Type General Contr Electrical Contr Contractor All Oregon Construction Co 4420 Fox Hollow Rd, Eugene. OR 97405-4577 Stepleton Electric X, X, X Registration # 65548 Expiration Date 4/5/1999 Phone 541-687-5826 Quad Area: 5CSW # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: ~ " Quad Area: 5CSW # Of Units: Constr. Type: Water Heater: . . Job# 99-00907-01 Office Use Land Use: Zoning Code: Bedrooms: Range: Page 2 of 3 # 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, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: Underground Plumbing Rough Electrical Rough Mechanical Rough Plumbing Slab Framing Wall Insulation Ceiling Grid SUB - Exterior Lighting Final Electrical Rough Gas Gas Service Fee Plan Check Fee Plan Check Fee Plumbing Permit Mechanical Permit SDC-Transportation SDC-Administrative Fee Mechanical Issuance Total Transfered Records One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Mechanical Issuance Required Inspections I TranSferea ~ecords - Prior to filling the trench, - Prior to cover, - Prior to cover, - Prior to cover, - To be made after all inslab building service equipment, conduit piping, and other equipment ite - Prior to cover, - Prior to Cover -When all electrical work is complete, I Mechanical I -After line is installed and capped if not attached to an appliance, -After line is installed and line has been connected to a minimum of one appliance, Pressure les # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Value/Quantity Fee Amount TransTerea Kecoras 06/30/1999 08/25/1999 08/25/1999 08/25/1999 08/25/1999 08/25/1999 08/25/1999 34685 35319 35319 35319 35319 35319 35319 125 193 90 53 490 25 10 $125.45 $193,00 $90,00 $53,00 $490,39 $24,52 $10,00 $986.36 Mechanical 02104/2000 466 02104/2000 466 02/04/2000 466 02/04/2000 466 1 $2,00 $13,00 $.45 $10,00 '- '; - . . Fee Job# 99-00907-01 I Paid On Receipt# Mechanical 02/04/2000 466 Page 3 of 3 Value/Quantity Fee Amount I State Surcharge For Mechanical Permit Total Mechanical Grand Total 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 Spnngfield and the Laws of the State of Oregon, I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agre to ensure that all required inspections are requested at the proper time, that the project address i r adable from the street, that the permit card is located at the front of the property. a pprov i}Jt plans will remain on the site at all times during constructi~ / I 2. _ t./- ZkJOcJ -../) L/,-'lA/1.. / / )~ Signature ~ Date $1,05 $26.50 $1,012.86