HomeMy WebLinkAboutPermit Building 2000-6-22
;,
I Job# 00-00992-01 I
Page 1 of 2
TRANS#:01-0002284
DATE:JUN 22 2000
AMT RECD:2 $ 904.48
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00992-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1315
Assessors Map#: 17032734
lot: Block:
Aspen St
Spr
Tax lot #: 02901
Addition: Subdivision:
. .IV'" :."
Phone Number:..~".54"1'~ Z. 44~6375
,~"." '~~eOP",::'p:~\O~I.\'
City/State/Zip::"\e OSpringfieldr,\GR 97477
" .. - 'O'l ,. \e' . C-' ~ 'C v -
. ,,';.- ~eO {V -.80::> \...
Scope Of Work: Reroof , ,,-,\He-isaJrj.O~.. -,;~rs~ Q;\\O~'Vel~~S $272,624
. .' ~\}.\e, :0\E,. , . -"";II.)\)." 0\ \\' 1<\0,\\6
Centennial Elementary Re-Roof \o\\o'J'l ~~\O~ C~". ~r:iS\ ~ ~~. r,Ov\'~S...D tC\S~~~~\\o(\
. C'\~':\"V- "t..~v~ :at(),., i\.0. ,.. ....\0\\"-
,.",\ ~r''2i''.) a,\lo \~~o .~wn'ol
'; 0 .,!00~"\r. ce\\~~:~(\o\"\ U~,:,h~.!\.a". .
:\r::p.lJ \\'\:(',0 \\'Reg!strat,lprl# "Expiration Date
co.\\ ... '\o~ \.', ,',- '. '
Anderson Roofing Co., I,nc ...,\>:,,\,ue'l r ;.,:,,',:c.- -
1860 Highway Avenue NE, Salem, OR
97303
')
Owner:
Springfield School District
525 Mill Street
Address:
Contractor Type
General Contr
Contractor
503-378-0183
Phone
Office Use
land Use: # Of Buil~~~
Zoning Code: ..Q~~ljP1~C~~Ofup:
Bedrooms: ~\C~. fI..\..\..~~?\'H~~~~e~
Range: ~O _ ~~W\\\ S~ \\\t:.~\~D~~@i~
\W;;,? 'J...t:.V $ fI..'6~ ~
To request an inspection call the 24 hour recording at 726-4?~<A~\~t5rt~ r,e,quested before 7:00
a.m. will be made the sar:ne working day, inspections requeSf~8~q;~~~~'WlH'be made the following
working day. G ,\~()Dp.:
fI..~'{
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
- Height (feet):
Proposed Units:
Accessory:
Total:
Fee
Paid On Receipt#
Building
06/22/2000 2284
06/22/2000 2284
06/22/2000 2284
Value/Quantity
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Grand Total
272,624
Fee Amount
$822.25
$57.56
$24.67
$904.48
$904.48
I Job# 00-00992-01 I Page 2 of 2
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 construction.
~y
Signature
dk'~r
./
6/22/00
. I
Date