HomeMy WebLinkAboutPermit Building 1997-11-24
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number 971572
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Flfth Street
Sprlngfleld, OR 97477
Offlce
Inspectlon Llne
726-3759
726-3769
Locat1on of Proposed Work 5005 MAIN ST
Assessors Map # 17023332
Tax Lot # 04500
Owner CHILDRENS CHOICE MON
Address 5005 MAIN STREET
Phone #
Clty/State/Zlp SPRINGFIELD, OREGON 97478
Descrlptlon Of Work DECK COVER
ADDITION Value
o 00
Contractor
Canst
Contractor #
Exp1res
Phone
General
CM FRENCH 0085617
2226 Blackburn Eugene OR 974050000
07/01/99
461-5094
PLUMBING
No
Fee
Charge
25 00
Storm Sewer
50
ft
TOTAL PERMIT
25 00
QUAD AREA 3CSC
-- OFFICE USE --
LAND USE 5300
ZONING CODE CC
Item
DECK ROOF
Square Feet
590
x
$/Square Feet
Value
3,900 00
TOTAL VALUE OF PROJECT
3,900 00
Plan Check Fee
28 93 Rec # 27893 Date 11/03/97 Rec By LORNE PLEGER
BUILDING 44 50
Surcharge/Admln 3 57
MECHANICAL 0 00
Surcharge/Admln 0 00
PLUMBING 25 00
SurchargejAdmln 2 00
SUBTOTAL PERMITS 75 07
TOTAL PERMIT FEES EXCLUDING ELECTRICAL 75 07
SPRINGFIELD
~~
Job Number 971572
Page 2
REQUIRED INSPECTIONS
It lS the responslblllty of the permlt holder to see that all lnspectlons are
made at the proper t1me To request an 1nspectlon, call 726-3769
(recorder), state your C1ty deslgnated Job number, Job address, type of
lnspect10n requested and when you wlll be ready for lnspectlon Requests
recelved before 7 00 a m w1II be made the same work1ng day, requests made after
7 00 a m wlll be made the followlng work day
Spec1al Inspect10ns In accordance wlth
a speclal lnspector shall be employed by
construct1on of any followlng lI*n work
shall be furn1shed to BU1ld1ng Safety
Sect10n 306 of the State Spec1alty Code
the Owner/Contractor dur1ng
A copy of the spec1al test1ng reports
In addlt10n to the lnspectlons spec1f1ed, the BUlldlng Off1c1al may make or
requ1re other lnspectlons of any construct1on work to ensure compllance wlth
the BU1ld1ng, Clty or Development Code
FRAMING - Prlor to cover
STORM SEWER LINE - Pr10r to f1ll1ng trench
FINAL MECHANICAL - When all mechan1cal work 1S complete
FINAL BUILDING - When all requlred ln8pect1ons have been approved and
the bUlldlng lS complete
--- ADDITIONAL COMMENTS ---
BU1ld1ng Slte
Plans
Revlewed By
ReVlewed By
LISA HOPPER
LORNE PLEGER
Date
11/22/97
By slgnature, I state and agree, that I have carefully examlned the completed
appllcatlon and do hereby cert1fy that all lnformat1on hereon lS true and
correct, and I further certlfy that any and all work performed shall be done
In accordance w1th the Ordlnances of the Clty of Bprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descr1bed here1n, and that
NO OCCUPANCY wlll be made of any structure wlthout perm18s1on of the
Commun1ty BerV1ces D1vlslon, BUlldlng Safety I further certlfy that only
contractors and employees who are In compllance w1th ORB 701 OSS w1lI be
used on thlS proJect
I further agree to ensure that all requlred 1nspect1ons are requested at the
proper t1me, that proJect address 18 readable from the street, that the
perm1t card 18 located at the front of the property, and the approved set
of plans wlll rema1n on the slte at all tlmes durlng constructlon
r:~ YJ- Q-~
, ---
Slgnature
/1- -:14- J7
Date
--- VALIDATION
Recelpt Number
7S::S/t:?7
Date Pa1d
1/--::2 0/' ""57
Recelved By
7"7. ~"7
/2/~
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Amount Recelved