HomeMy WebLinkAboutPermit Building 2000-3-16
~
'.
I Job# 00-00413-01 I
.
Page 1 of2
TRANS#:01-0000962
DATE:MAR 16 2000
AMT RECD:2 $ 416.50
CHANGE:
CASHIER: 004
".
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00413-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2005 OLYMPIC St Spr
Assessors Map#: 17032542
Lot: Block: Addition:
Tax Lot #: 00506
Subdivision:
Owner:
Address:
LARRY POLEN
2197 OLYMPIC STREET
Phone Number:
City/State/Zip:
Remodel
541-746-6965
SPRINGFIELD, OR 97477
Value: $40,000
Scope Of Work: Commercial
LEVEL CONCRETE SLAB FLOOR FOR FUTURE LEASE TENANTS.
Contractor Type Contractor Registration # Expiration Date
General Contr Ordell Construction Co 63030 1/2/2000
360 Shelley St, Springfield, OR
97477-1963
Phone
541-747-8734
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 at 726-3769. 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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
~ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
03/16/2000 0000962
Value/Quantity
Fee Amount
Commercial Plan Check
Total Plan Check
40,000
$154.70
$154.70
Building Permit
State Surcharge For Building Permit
Buildin!l
03/16/2000 0000962
03/16/2000 0000962
40,000
$238.00
$16.66
~
.
Fee
Building Administrative Fee
Total Building
Grand Total
.
Job# 00-00413-01
Paid On Receipt#
r Buildin!l
03/1612000 0000962
.
Page 2 of 2
Value/Quantity Fee Amount
1
$7.14
$261.80
$416.50
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
dur~ construction. /6 '3 _ /6 _ 2at?
\1,(U_ _ r". /' --,A __
Sign~re 0
Date