HomeMy WebLinkAboutPermit Building 2000-10-23
Job# 00-01330-02
J
Page 1 of 2
TRANS#:Ol-0003570
DATE:OCi 23 2000
AMT RECD:l $ 121.25
CHANGE:$ 0.04
CASHIER: 05~)
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01330-02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: '868 Beltline Rd Spr
Assessors Map#: 17031500
lot: Block: Addition:
Tax lot #: 02400
Subdivision:
Owner:
Address:
Sycan B Corp
3405 Baldy View Ln
Phone Number: 541-746-8444
City/State/Zip: Springfield, OR 97477-9401
Alteration Value: $0
Scope Of Work: Lease Space
LA Nail
add sink to existing permit
. r'\ J '} Lj'\i.f . .
Office Useo ., _'C'.' "::J
. --" Vv r I -- '~.'Jc'-or,.
i\I' u.e.... a " al,~, -. ,
land Use:.Ottficatior, C~ aomea by .,., #~(sWB.uil~~';lgs:
"'OAD I enr "/6 "'" .",
Zoning Code: "952.001 el, rnOS€ _ Occt[pancYiGrouP:
u090 -00 I VfCl<;: _ v ."11 \.,
Bedrooms: ' YOU may. 70throlJgHea,tlSo,urce:
Cal/' Obta. f/()/J'C. -, Iv::'
Water Heater: Range: n mg the cent In COPiAsS9. Fo'Ot~ge:" '
I1Tn"'~, . At 1ft, , ." 0, th~ ...IJ' .
'-...r 'UT the 0 ," ~V(e.' t/1" 'U/es b
To req~est an inspection call the .24 hour ~ecorqi~g at 726-3769~hAlliP~Gt9.f.i6ris!,~~gy~~!~~befQre'\7:0~
a.m. will be made the same working day, inspections requested after 7:00 a.m:'v~ltll)g71 mai:leH.Q.~1followlng
working day. ,Mi.
Quad Area:
# Of Units:
Constr. Type:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Required Inspections
I ' Plumbing
- Prior to insulation or qEf~ilj,1gi"\
P. t g h.,~.
- nor 0 cover. TI-! 1;;, .
- When all plumbing wOrKQsC><ilitml "'llete.
A' ' . It{ I (iH,
. ,( JI,J..(ORIZE:D 'ALL E:XPIRE: /F
' L )ft/1A1ENc UNDE:R 7iHIS THE: WOD.(
. I' -,E:O OR PE:RA A II'
/"\. -.; ~ i 80 D . IS ABAND IVIIT /S NO'"
. . A Y PERIOD. JONE:O FOR I
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Accessory:
Total:
Fee
Paid On Receipt#
Plumbing
10/23/2000 3570
10/23/2000 3570
10/23/2000 3570
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge Forplumbing Permit
$5.00
. $10.00
$1.05
'"
Fee
Job# 00-01330-02 I
Paid On Receipt#
Plumbing
10/23/2000 3570
Page 2 of 2
'"
Value/Quantity
Fee Amount
Plumbing Administrative Fee
Total Plumbing
$.45
$16.50
Elderly Housing - Detached - Tran
Sanitary Sewer ,
SDC Administrative Fee
Total System Development
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 addr is adable from the street, that the permit card
is located at the front of the property, a pro set of plans will remain on the site at all times
~in:;:~:.. ~ A:f1 ~At1
~ ~,J r, ./ ./
Signature ~. _ Date ./
---------
System Development
10/23/2000 3570
10/23/2000 3570
10/23/2000 3570
2
$.00
$99.72
$4.99
$104.71
$121.21