HomeMy WebLinkAboutPermit Building 2001-03-22SPRINGFIELD
01-00270-01
PUBLIC PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 01-00270-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00500
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 201 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition:
GITY OF SPRiNGFiELD, OREGOI'
Owner: CITY OF SPRINGFIELD Phone Number: 541-726-3668
Address: 225 FIFTH ST City/State/Zip: SPFLD, OR97477
Scope Of Work: Miscellaneous Remodel Value: $4'800
City Shops-Exercise Room
lnstalling windows in existing exterior walls (wood and masonry)
Contractor Type
GeneralContr
Contractor
Eldon Froelich
28416 Briggs Hill Road, Eugene, OR
97405
Registration #
4s1 95
Expiration Date
5t1t2002
Phone
541-344-1942
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a1726-3769. 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 lnspections
Buildi nq I
Framing
Drywall
Final Building
Gonstruction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
- Prior to taping.
-When all required inspections have been approved and the building is complete.
# Of Stories: Height (feet):
Gurrent Units: Proposed Units
Gensus Gode: Does not aPPIY :n]s
trf,4*(]
(}
Ctff{}.*_lJ;\
Ef:r)-{rrlArea (Sq
Main:
r't "{ r..3:tr l'..ff], ;Rzmr'Jfi s'l (3m tr3 r;1
f?T}
m
:TJ
{fc)
Accessory:Total:
Job#
Job# 01-00270-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Public Plan Review
TotalPlan Gheck
0312212001 4741 4,800 $32.83
$32.83
I euiloing I
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
03t22t2001
03t22t2001
03t22t2001
4741
4741
4741
4,800 $50.50
$3.54
$1.52
$55.56
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 Date
$88.39
7 2 0Lfi--*