HomeMy WebLinkAboutPermit Building 1998-8-25
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 981024
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office, 726'3759
Inspection Line, 726'3769
Location of Proposed Work: 206 MAIN'ST
Assessors Map #: 17033532
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Tax Lot #, 04700
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Owner: RICKY PIPKIN
Address: 3959 N, CLAREY
Phone #, 747,3678
City/State/Zip, EUGENE OR,97402
Description Of Work, BOILER ROOM
NEW
Value,
0.00
Name
Architect, CAROLYN KRANZLE
Address
Phone
Contractor
Canst.
Contractor #
Expires
Phone
General:
RICKY PIPKIN
13313 NE 20TH AVE
DENNIS PETERSON
151 FRONT STREET
0118360
VANCOUVER WA 9868
0084500
WOODBURN OR 970710
04/04/98
574,0135
Mechanical:
07/22/98
981'4032
'" PLUMBING --,
NO,
Fee
Charge
10,00
NEW MAKE,UP TANK
TOTAL PERMIT
15.00
'" MECHANICAL -"
NO.
QUAD AREA: 1CNW
" OFFICE USE "
LAND USE, 5300
Fee Charge
2.00
4,50
10,00 I<-
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GAS LINE
BOILER FLUE & VENTS
Permit Issuance
TOTAL PERMIT
Item
INTERIOR BOILER RM,
LOUVERS IN EXT.WALL
Square Feet
x
$/Square Feet
Value
800,00
300,00
TOTAL VALUE OF PROJECT 1,100,00
Plan Check Fee, 9.75 Rec #, 31099
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SPRINOFIELD
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Job Number: 981024
Page 2
Date: 08/14/98
Rec By:
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
19.00
1. 52
25.00
1. 20
15,00
1. 20
SUBTOTAL PERMITS
62.92
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
62.92
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 II * II 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 of any construction work to ensure compliance with
the Building, City or Development Code.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL, Prior to cover.
ROUGH ELECTRICAL, Prior to cover,
FRAMING - Prior to cover.
FIREWALL, Located and constructed according to plans,
FINAL PLUMBING, When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL' When all electrical work is complete.
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 '"
A PERMIT FOR BOILER INSTALLATION SHALL BE OBTAINED FROM THE STATE OF OREGON
SEPARATE ELECTRICAL PERMIT IS REQUIRED.
Plans Reviewed By:
Building Site Reviewed By: BOB BARNHART
Date:
/ /25
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SPRINGFIELD
Job Number, 981024
Page 3
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 located at the front of the property, and the approved set
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Signat~ ~
x
Date
--- VALIDATION
Receipt Number:
1/;//91
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Date Paid,
Amount Received:
Received By,