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HomeMy WebLinkAboutPermit Building 2000-06-15gTliINGFIELD Job# 00-00562-01 PUBLIC PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 TRANS$:01-0002156 DATE:JUN 15 TOOO AHT RECD:! S 102.15 IHANEE: CASHIER:05? 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 425 0001Oth St Spr AssessorsMap#: 17033514 Lot: Block: Addition: Job Number: 00-00562-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 11200 Subdivision: ctTY oF SPRfiNGFfiELq OREGOTV Owner: Springfield SchoolDist Address: 525 Mill Street Scope Of Work: Bathroom Brattain Elementary School Phone Number: City/State/Zip: Remodel 541-726-3200 Springfield, OR97477 Value: $1,600 Contractor Type GeneralContr Contractor Springfield School Dist Registration # Expiration Date s25 MillStreet, tot"onA*tf$,nror, _...^-, Phone 541-726-3200 ["-;;; Quad Area: 2PNW dgrn{rldeED uEqfi]el'l{ilflt[nqton # of Buildings: # Of Units: AqnftIE$OEBORlSAuAtruv''-- ' Occupancy Group: constr. Type: RiCrmfnmv PERiOD Heat source: Water Heater: Riniea 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 !nspections FinalBuilding Underfloor Plumbing Rough Plumbing FinalPlumbing Build -When all required inspections have been approved and the building is complete. Plumb otificatior /,l\ - Prior to insulation or decking. -Prior to cover. -When all plumbing work is complete. Zoning: FloodPlain?Wetlands? [ Overlay District: # of Street Trees: Job# 00-00562-01 Page 2 of 2 Land Use: Elementary School Pave Driveway? E Journal numbers 1: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: 2: Additional Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: 3: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply (Sq. Feet) Main:Accessory:Total: Paid On Receipt# Value/Quantity Fee Amount Plan Check 06/15/2000 2156Public Plan Review Total Plan Check 1,600 $17.55 $17.55 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Tota! Building 06/1 5/2000 06/1 5/2000 06/1 5/2000 2156 2156 2156 1,600 $27.00 $1.89 $.at $29.70 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 06/1 5/2000 06/1 5/2000 06/1 5/2000 06/15/2000 2156 2156 2156 2156 5 $.00 $50.00 $3.50 $1.50 $55.00 Grand Total Plan Check Type lnitial Review-C/l/P Structural-C/l/P Checked By Lisa Hopper Tom Max Date Completed 04112t2000 06/1 3/2000 $102.25 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 nafr l.)afa Fee