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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 'J .r ,; ... j ~ " ') "f ... ~, . , , C' 3/8/2006 RECEIPT #: GPAINGFIIELD " Wit'~""'" ........ . , . ;--_.~ : .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