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Home My WebLink AboutPermit Building 2002-06-24d SPRIiIGFIELD Job# 02-00692-01 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 02-00692-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03002 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2350 Yolanda Ave Spr AssessorsMap#: 17032441 Lot: Block: Addition: crTY oF SPRiNGF7ELD, OREGOI' Owner: Springfield School District Address: 525 MillStreet Scope Of Work: Kitchen Yolanda Elementary kitchen addition Kitchen addition Phone Number: City/State/Zip: Addition 541-744-6375 Springfield, OR97477 Value: $1,500 Contractor Type GeneralContr Electrical Contr MechanicalContr Plumbing Contr Contractor Springfield School District 525 Mill Street, Springfield, OR 97477 Springfield School District 525 Mill Street, Springfield, OR 97477 Springfield School District 525 Mill Street, Springfield, OR97477 Springfi eld School District 525 Mill Street, Springfield, OR97477 Registration # Expiratiop Date Phone 541-744-6375 541-744-6375 541-744-6375 541-744-6375 Quad Area: # Of Units: Constr. Type: Water Heater: 2PNC (VN) Wood Frame To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. witt be made the same wort<ing day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Build Foundation -After forms are erected but prior to concrete placement Zoning: PLOS FloodPlain? ! Wetlands? ! Journa! numbers 1: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Overlay District: # of Street Trees: 3 Additional Requirements tl Glenwood Area? ! Required Attachments: Source Locn: Material: Flood Plain FEMA: Job# 02-00692-01 Page 2 of 3 Land Use: Elementary School Pave Driveway? E 2 Area (Sq. Main: 160 Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total:160 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Gheck Public Plan Review Fire & Life Safety Plan Review Total Plan Check 0611212002 0612412002 9526 9710 ,0006 6,000 $49.53 $30.48 $80.01 Foundation Only State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 06t2412002 06t2412002 06t24t2002 9710 9710 9710 1,500 $45.00 $3.1s $3.60 $51.75 Devel nt lmpervious Surface Area - Storm MWMC Administrative Fee SDC Administrative Fee Elementary School- MWMC Total System Development 0612412002 06t24t2002 06t2412002 0612412002 9710 9710 9710 9710 234 1 $63.92 $10.00 $4.58 $17.76 $96.26 DeposiUCopies/Mis 06t2412002 9710 2Photocopy Fees Total DeposiUCopies/Mis $1.25 $1.25 Grand Total Plan Check Type lnitial Review-C/l/P Engineering-C/l/P Checked By Lisa Hopper Pam Ownby Date Completed 0611312002 0611812002 $229.27 Gomment No Plumbing is shown. lf they come in for a Plumbing Permit, lwill need to charge SDC fees. Planning-C/l/P Liz Miller 0611812002 Gonstruction Types(VN) Wood Frame Occupancy Groups: School 50+ # Of Buildings: # Of Bedrooms: Handicap Access? [ Job#Plan Check lype Structural-C/l/p Structural-C/t/p Fire Marshat-ClVp Fire Marshal-ClUp SUB - Comm/lnd SUB - Comm/lnd Checked By Don Moore Don Moore AlGerard AlGerard Jack Foster Jack Foster Page 3 of 3Date Completed Gomment 0612412002 Foundation onty 06t24/2002 SUB - Comm/lnd Jack Foster suB - comm/lnd Jack Foster o6t24t2oo2 Foundation onty By signature, I state and agree, that I have carefully examined the completed application and dohereby certify that all information hereon is true and correct, and I furthir certify inrianv and all workperformed shall be done in accordance with the Ordinances of the City of SpringfielO ariO tne Laws ofthe State of Oregon pertaining to the work described herein, and that irtO ObCrjpANCy 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 70i.055 iill be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is the street, that the permit card is located at the front of the property, and the approved set in on the site at alltimes during construction Signature Foundation only Faxed Energy Forms Request to John Sarceno at Springfield School District 6113tO2 _ th RECEIVED ENERGY FORMS FROM JOHN SARACINO, catted Jack Foster for pick-up from SUB box at front counter. An4rcZ Am 7't Ir