HomeMy WebLinkAboutPermit Building 2001-09-19SPRINGFIELD
Job# 01-01026-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 'l of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 24BT Pheasant Blvd Spr
Assessors Map#: 17032712
Lot: Block: Addition:
Job Number: 01-01 026-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00600
Subdivision:
ctTY oF sPRtntGFtELq OREGON
Owner:
Address:
Scope Of Work: Fire Damage
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone Number:
City/State/Zip:
Repair Value: $2,000
Repair exterior walls (total 10 ft.), interior gypsum ceiling, and exterior light fixt. damaged by
liohtnino.
Office Use
-
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
Framing
Drywall
Final Building
To request an inspection callthe 24hour recording at726-3769. 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.
Required Inspections
-Prior to cover.
Building I
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildin
Building Permit
State Surcharge For Building Permit
09t19t2001
09t1912001
$45.00
$3.1 5
6745
6745
2,000
Job# 01-01026-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Administrative Fee
Total Building
Buildins
0911912001 6745 $3.60
$s1.7s
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 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
during construction
Signature
$s1.7s
2