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