HomeMy WebLinkAboutPermit Miscellaneous 2000-4-17
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I Job# 00-00579-01 I
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Page 1 of2
TRANS#:01-0001272
DATE:APR 17 2000
AMT RECD:2 $ 68.76
CHANGE:
CASHIER: 059
CITY OF SPRINGFIEL~ OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00579-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3436 Olympic St Spr
Assessors Map#: 17023000
Lot: Block: Addition:
Tax Lot #: 01926
Subdivision:
Owner:
Pacific Detroit Diesel
Phone Number:
City/State/Zip: Springfield, OR
Address:
3436 Olympic
Scope Of Work: Miscellaneous Repair, '-' ,~.,.~~~I~~~,It;~~,99Q
. ul;~;r~'I~s adopted by the Oregon Utilitl .
Repair of CMU wall where truck ran into i.t^t,Ii~"lInn CentAI, Those rules a!:.e_s_e~ ~o!~ I
AR 952-001-001 u mruuy" vr" ,~~- ~" '
Office us,e090 You may obtain copies ot the rules b~
U 0 (N '''' ..,^ up.1fmhone
Land Use: callino the center. o#'OrB IIdillJos:or
. - 0 egon I It.1I1'; I\lolil :tIu
Zonmg Code: ~lImber tor the r Occupancy Group:
,... . ..., ~/"r\ '.";" '..,1 _r......'
Bedrooms: -- ". " Heat Source:
Range: Sq. Footage:
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
To request an inspection call1he 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.
Structural Masonry
Final Building
Required InslNer9~E.
r' . - uBuildin!1'I,uC:P"'~ITSHALLEXPIREIFTHEWORK
- To be done during construction b\Ajll~-lli't!tif'\l}R~p.~~HIfr~nl~tOviCie results to City B
-When all required inspections hav~~~~nf:'I\\I~gjj'5I:ftgcA~~~i!l1i.1ID~'I9!l{TlPlete,
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Buildin!1
04/17/2000 1272
04/17/2000 1272
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
7,000
$62.50
$4.38
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Job# 00-00579-01
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Page 2 of 2
Fee
Paid On Receipt#
Buildin!!
04/17/2000 1272
Value/Quantity
I
Fee Amount
Building Administrative Fee
Total Building
Grand Total
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 slreet, 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 construction,
p. t/-::7. -r. ?? If - r7 - 00
Signature Date
$1.88
$68.76
$68.76