HomeMy WebLinkAboutPermit Building 2002-5-7
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"Ob# 02-00523-01 I
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Page 1 of 2
TRANS#:01-0008895
DATE:MAY 07 2002
AMT RECD:2 $ 113.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00523-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726.3769
Location Of Proposed Site: 1147 Main SI Spr
Assessors Map#: 17033541
Lot: Block: Addition:
Tax Lot #: 07300
Subdivision:
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Phone Number: 0" ,~
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City/StatelZip: "Sj:lringfield, f>~'97477
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Scope Of Work: Tenant Infill AlterationJ'~""-6'O'l \'(1 \}\e"value::2:'$500
,_ , ,~. '60~\e o"e ~ \'I Of'~ ~;\}\e" \J)
. ,~':, ,\e'" ~ ,p.\ ,\\'1 ~o\}g 0\ \\'Ie \'Io{\e
Inlerior revisions approved per Tom,M\lrX q~Q?02~!?~,()\():'(IrO?\e~~,,\e\e~'r9-\\0{\
.~\vV'- n..\JV ~\o.\' :\.e. ~- MU"'"
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Contractor ' Of'P"o,~egistration t!,(I \Expiration Date
'.{\ '\ Y' Ct:i"- e~\.I fl.';..'#....
Bernie Hyattf)~() '~~\(lg, \\'Ie~ \\'Ie?\ .9-<1(1'''-
1147 Main St, Springfield. OR 97477 ell' -"'\'Qe\\Qe""",e
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Mechanical Contr Bernie Hyatt
1147 Main St, Springfield, OR 97477
Owner:
Bernie Hyatt
Add ress:
1147 Main St
Contractor Type
General Contr
Phone
Office Use - ~~~'f..
~~ ~~ ~
# Of Units: Zoning Code: r~
Constr. Type: Bedrooms: ~ *'~\.\. ~CS ~p
Water Heater: Range: \)~,,\~(.~~~ ~\~~~ ~ ~~ age:
'l\\~ \ - ~l-~ ~'" ,\w n.
To request an inspection call1he 24 hour recording at 726.376~~tt,~~~ ~red before 7:00
a,m, will be made Ihe same working day, inspections requested a~~~~~lii~';;;'ade the following
working day, \l "" \ ~
R . dl . ~~
eqUlre nspectlons
Buildinll I
Framing
Drywall
Final Building
- Prior to cover.
- Prior to taping,
- When all required inspeclions have been approved and the building is complete,
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover,
-When all mechanical work is complele,
/ .
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
8% Building Administralive Fee
Total Building
Minimum Mechanical Permil
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
"Ob# 02-00523-01 I
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Page 2 of 2
Value/Quantity
Fee Amount
500
$45,00
$3,15
$3,60
$51,75
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
1
$39,00
$3,60
$6,00
$10,00
$3,15
$61.75
$113,50
Total:
Paid On Receipt#
r Building
05/07/2002 8895
05/07/2002 8895
05/07/2002 8895
Mechanical
05/07/2002 8895
05/07/2002 8895
05/07/2002 8895
05/07/2002 8895
05/07/2002 8895
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 Ihe Laws of
the State of Oregon, I further state Ihat 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. thaI the projecl address is readable from the street. that the penn it card
is located at the front of the property. and the approved sel of plans will remain on the site at all times
during construglion;---
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Signature
)'/-;'/02.---
Date