HomeMy WebLinkAboutBuilding Building 2000-12-28SPEINGFIELD
Job# 00-01809-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 202 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition:
Job Number: 00-01 809-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot #: 00500
Subdivision:
ctrY oF SPRTNGFTELD, OREGOI'
Owner: Springfield Utility Board
Address: 202 South lBth Street
Scope Of Work: Paving
Phone Number:
City/State/Zip:
New
541-726-2396
Springfield, OR97477
Value: $1 1 ,100
This is a copy with a new Application Number
Contractor Type
GeneralContr
Contractor
M & W Building Supply Co
Po Box 220,Canby, OR 97013
Registration #
79450
Expiration Date
1t24t2004
Phone
503-263-9000
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 call the 24 hour 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
Building I
Footing
Framing
Final Fire
FinalBuilding
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:
-After trenches are excavated.
- Prior to cover.
-When all Fire Department requirements have been met.
-when all required inspections have been approved and the building is complete
# Of Stories: ' Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total
OR ISABAhIDONEDFOR
180 DAY PERiCD
IAH 952-00"1,
f the rules by
telephone
Ittotification
t441.
Job# 00-01809-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
12t28t2000 4129Public Plan Review
Total Plan Check
1 1 ,100 $60.13
$60.13
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
12t28t2000
1212812000
1212812000
4129
4129
4129
11,100 $92.50
$6.47
$2.78
$101.75
Grand Total
Plan Check Type
Engineering-C/l/P
Signature
Checked By
Pam Ownby
&
Date Completed
12128t2000
$161.88
Comment
No SDC due since area already paved, and
use of space is unchanged.
Planning-C/l/P Ruth Klein 1212812000 MDS review approved
Structural-C/l/P Lorne Pleger 1212812000
Fire Marshal-ClllP AlGerard 1212812000
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 the property, and the approved set of plans will remain on the site at all times
during
l)-
Date