HomeMy WebLinkAboutPermit Miscellaneous 1996-8-2
SPRINQFIELD
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 960828A
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4205 MAIN ST
Assessors Map #: 17023232
Tax Lot #: 01900
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OWner: MCKENZIE WEST LTD
Address: 1600 VALLEY RIVER DR
Phone #:
City/State/Zip: EUGENE, OR 97401
Description Of Work: BLOCK WALL
ADDITION Value:
2,300.00
QUAD AREA: 3CSC
-- OFFICE USE --
LAND USE: 5300
Item
BLOCK WALL FOR SIGN
Square Feet
x
$/Square Feet
=
Value
2,000.00
TOTAL VALUE OF PROJECT
2,000.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
PLAN REVIEW FEE
32.50
2.61
0.00
0.00
0.00
0.00
21.13
SUBTOTAL PERMITS
56.24
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
56.24
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following n*n work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or'
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
FOOTING - After trenches are excavated.
MASONRY - Steel location, bond beams grouting or verticals in
accordance with UBC 2415.
SPRINGFIELD
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Job Number: 960S2SA
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FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS ---
Plans Reviewed By: LORNE PLEGER
Building Site.Reviewed By: LISA HOPPER
Date: OS/02/96
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon 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 pertaining to the work described herein, and that
NO OCCUPANCY will be made of any structure without permission of 'the
Community Services Division, Building Safety. I further certify 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 project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
0' ,,~ '1~;0 = ''''' .". .. on H~. 'odo, ooo..m;:l _ 9h
Signature~ Date
-- - VALIDATION
Receipt Number: "'22 1'4' "3
Date Paid: fi?~2-~
Amount Received: &:;'6 o"2~
Received By: r ~~_~_~ ~ 0,
.