HomeMy WebLinkAboutPermit Building 2001-5-16
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TRANS#:01-0005394
DATE:MAY 16 2001
AMT RECD:2 $ 346.89
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00199-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2203 Henderson Ave A Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Tax Lot #: 00000
Subdivision:
Owner:
Skill.ern Investments
PO Box 714
Phone Number: 541-746-8601
Address:
Scope Of Work: Lease Space
City/State/Zip:
Remodel
Springfield, OR 97477
Value: $9,641
Converted downstairs undeveloped area to offices (without proper permits)
H::I$; AxiRtinn rARirtAnr.A AhnVA thi!=; FUAR.
Office Use
Land Use: # Of Buildings: 1
Zoning Code: LMI Occupancy Group: Office/Profession~
Bedrooms: Heat Source:
Range: ~jo!!Ce: Sq. Footage:
THiS PEH~~IT !-1HALk fIXPIRE IF T~S WORK
To request an inspection call the 24 hour recording at 726-3769. All inspections requestea liefore 7:00
a.m. will. be made the same working day, inspections requeste8~aft~~7:00J~.'m"! Wiil!~e'ITra'd~!therf6I1owing
working day. CONIMeNCEO OR IS ABANDONED FOR
Zoning: LMI Overlay DistrictNY 1110 DAY PERIOD. Land Use:
FloodPlain? 0 Wetlands? 0 # of Street Trees: Pave Driveway? 0
Journal numbers
1:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
51SWG
(VN) Wood Frame
2:
3:
Comments:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Glenwood Area? 0
Additional A~~f'll~nlrlt~:,egon IEW fOi:jujr<lS you to
. 101l0,v rUles aaopted by the Oregon Utility
ReqUired Attachments:
:''''',"vauv" ",,,nter. Those rules are set forth
Source t:.ocn:R 952-001-0010 through OAR 952-001-
Material9090. You may obtain copies of the rules by
calling the center. (Note: the telephone
Flood PlaiWF'€Mh!pr the Oregon Utility Notification
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Construction Types:(VN) Wood Frame
Occupancy Groups:Office/Professional/Rest
# Of Buildings: 1 # Of Stories: 2
# Of Bedrooms: Current Units:
Handicap Access? 0 Census Code: Does not apply
[Ar~a (Sq. Feet)
_ MaIO: Accessory: Total:
Height (feet):
Proposed Units:
...~ ..,
.
Fee
Industrial Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
BWOP - Building
BWOP - Plumbing
BWOP - Mechanical
Total BWOP's
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-C/I/P
Don Moore
Pam Ownby
03/19/2001
04/19/2001
See permit # 01-00309-01 for sanitary sewer
permit and related SDC fees.
Engineering-C/I/P
Planning-C/I/P
Structural-C/I/P
Kay Bork
Don Moore
05/15/2001
04/17/2001
Office use only, for lower level. Approved with
comments regarding requirements for office
use.
Fire Marshal-C/IIP AI Gerard 04/15/2001 Provide extinguisher.
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 Springfield 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 agree to ensure that all required inspections are
requested at the proper time, that the project 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
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Signature Date