HomeMy WebLinkAboutPermit Building 2000-08-09Job# 00-01225-01
COMMERCIAL PERM!T
City Of Springfield
Community Services Division
Building Safety
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SPIIINGFIELD
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 216 00042nd St Spr
AssessorsMap#: 17023232
Lot: Block: Addition:
Job Number: 00-01 225-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 00600
Subdivision:
crrY oF SPR7NGFIELD, OREGOTV
Owner: John Eisel
Address: 216 42nd St
Scope Of Work: Miscellaneous
BYOP - Roof Structure
Phone Number:
City/State/Zip:
Alteration
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
S Footage
To request an inspection call the 24 hour
a.m. will be made the same working day,
working day
Framing
FinalBuilding
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
- Prior to cover.
-When all required inspections have been approved and the building is complete.
WOBK
lsNOl'
;l'i t i\ I;Ui1..-,;so{,
,oflow rute8 adopted
# Of Stories:
Current Units:
"1090.
oAR952{01
of the rules bvCensus Code:Does not agg|llingthe CEmer.(Note the telephone
Total:
numberforthe Oregon Utility NotificationCentprie r -aOO-lae',3fi4l
Fee Paid On Receipt# Value/Quantity Fee Amount
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Tota! Building
0B/09/2000
0B/09/2000
0B/09/2000
2861
2861
2861
$44.50
$3.t2
$1.34
$48.96
4,000
541-747-4461
Springfield, OR 97478
Value: $4,000
a.m.
Required lnspections
COM[4ENCED
THIS
Building t
sODAYPER,OD.
Job# 00-01225-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
BWOP's
BWOP - Building
Tota! BWOP's
08/09/2000 2861 4,000 $44.50
$44.s0
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 allwork
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
is located
at the prope r time, that the project address is readable from the street, that the permit card
the front of , and the approved set of plans will remain on the site at all times
du
natu Date
$93.46
o8 -o1- aat