HomeMy WebLinkAboutPermit Building 2006-3-8 (2)
.
. CITY OF SPRIl'iuNJ'..LD
Building/Combination Permit
PERMIT NO: COM2006-00167
ISSUED: 03/08/2006
APPLIED: 02/09/2006
EXPIRES: 09/08/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 145 A ST APT 1
ASSESSOR'S PARCEL NO,: 1703353203200
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
- PROJECT DESCRIPTION: Apartment #1. Temporary Plug (Fire job)
Commercial
Owner: LAUREL HILL CENTER INC
Address: 2145 CENTENNIAL PLAZA
EUGENE OR 97401
NU IIl;t: Pbone Number: 541-485-6340
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
~~;vHy~[I~~~E :f. 1: t\~~\;\:v:~=: Fur:
I CONTRAGlJORlINFORMtAmIONJ'1
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541~747-2724
BLJLu",,'G INFORMA nON I
. Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: S9..Ft Basement:
Range Ty~el:ENTION: Oregon law reC'S~'F(G~~aWe/Carport
Energy Patil:\' rules adopted by the CSq1fi'Oltil~r:Y
'1.- ~ ,..... f'...... ("'enter Th~se rulD~ ~ro c:ot forth.
SprinkIed.Building:~ . Inla 'Occul!ant ~oa/l:
;.... lt,n. \.....I;'.JJ~()1_()n1n thrnllnh nAR ~ll:i?-()()1~
I DEVELOPMENT.lNFORMATION' 10Pies of the rules by
:/. ",,,, "I~ ''''"'''1. \"ote: the telephREQUlRED PARKING
n. . . . , r:J' tie Oregon Utility NotificAtion.
Overlay Dlst:. Total:
# Street Trees R;id,lt€IIS 1-800-332-2344), Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
- Secondary Construction Type:
# of Bedrooms:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00167
ISSUED: 03/08/2006
APPLIED: 02/09/2006
EXPIRES: 09/08/2006
VALUE:
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F..... P~id I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Temp Power 200 amps or less
Amount Paid
Date Paid
$5.00
$4,00
$50.00
3/8/06
3/8/06
3/8/06
Receipt Number
2200600000000000279
2200600000000000279
2200600000000000279
Total Amount Paid
$59.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work
-day.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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 pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. ;
I further agree to ensure that all required inspections are requested at the proper time, that each 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.
Owner or Contractors Signature
Date
Paee 2 012
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00I67
COM2006-00I67
COM2006-00I67
P'yments:
T:ipe of Payment
CreditCard
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3/8/2006
RECEIPT #:
GPAINGFIIELD "
Wit'~""'" ........ .
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.JIi.ty of Springfield Official Receipt
WVelopment Services Department
Public Works Department
2200600000000000279
Description
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JOSHUA BURRELL
Date: 03/08/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 02136B In Person
Payment Total:
Page I of I
8:33:28AM
Amount Due
50.00
4.00
5.00
$59.00
Amount Paid
$59,00
$59.00