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HomeMy WebLinkAboutPermit Building 2001-5-16 p ! -. I Job# 01-00199-01 I . Page 1 of2 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 . "'.............. ~ n^^ ,.....,.. ........".. --- --- --, ." 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 durin~:~r~c~~n. \\ \) \(""" ,,\~ s ~ 1 b -0 I Signature Date