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Home My WebLink AboutPermit Building 2004-9-8 , \ . '. ~~ " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00870 ISSUED: 09/08/2004 APPLIED: 09/09/2003 EXPIRES: 03/08/2005 VALUE: $ 250.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1068 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264410500 Springfield TYPE OF Foundation PROJECT DESCRIPTION: Foundation for Light Poles TYPE OF USE: Addition Commercial Total: I;O~ Handicapped: IfJ ICf'. Compact: IllS A . 4{J1!t. '(RMII CO~".fPRI?/:^ SI/AI, -</NY"~ ~1.:."1Vc. "UIVO ~... t,rp ~80 "EO OR cR lit, 'IRE IF sidewl/.dJr~ IS 484 'IS PO~ 11/[ ~ .' .DownspoutslDlklJls NOONE:I/ /S M'ORI( FOil 'Or Owner: CALVARY OPEN BIBLE Address: 1116 CENTENNIAL BL VD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Contractor A K STICKLER License 99489 _ ~DING INFORMATION I . {6\\v\(e;, \,)\\\\ # of Buildings:., . ~O\,.:i:!:,.j\i' Ote<;}01' e\ ~tories: Primary Occupan,~~~o.iiP'? eO. '0'1 \'ne ~eS ~te S ~nt of Secondary, ~f[6i~mic~ ~do9\ ,'nOSe tU O~~ 95 ~'tJf Heat: . Yrimary ~~~t"\mc~t-et. ()\'ntOU<;}'n 0\ \'ne t ~(fr Type: SecondaJ ~~~~,\~()()'\. co9\eS e\e\e9~it(\~Type: # of Bedr~ =p...~ 9'62 a'1 O'O\a\~NO\e', \~ No\\\~ergy Path: \1' () ,,<oU {(\ ce1'\et., l' \,)\\\\\'1 ~AA~. 1)(\9 '.. _ the grpQO j:..r)~?. - C~\\\~~t\ot\t\~\S\.~()U~ ~i DEVELOPMENT INFORMATION. SET.IA~S ce1'\e Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 250.00 Type of Construction Foundation Only Use Bid Amount Total Value of Project 1 of 2 Expiration Date 06/0112004 Phone 541-741-0132 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Value Date Calculated $250.00 $250.00 09/09/2003 ~~~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00870 ISSUED: 09/0812004 Ar.r LIED: 09/09/2003 EXPIRES: 03/08/2005 VALUE: $ 250.00 LFees paidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 9/8/03 9/8/03 9/8/03 1200200000000002078 1200200000000002078 1200200000000002078 Total Amount $52.65 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. I Reauired Insoections I 1 Foundation: After forms are erected but prior to concrete placement. 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. ~i~ku\~-.. U\r*,ro\l~o..&(\\)~__- ~\-,1Q-{')~~ti Owne~or Contractors Signature duJL 40 ~ ~O~~ Date i'~W\jJ~OJ'}- ~l~ct DI\ LO~Ct--Adc:>jL\ (A~J 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number ~1174-01 o l-Ot~-O 1 G)h 01-01114--~ (101?q;:> cl'~.J <-...>0- Receipt #: 1200200000000002078 Description Building Permit + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By AARON STICKLER Received By dim [neCK i~ umber Batch Number Authorization Number 000162 062953 City of Springfield Official Receipt ., Development Services Department Public Works Department Date: 09/osi2003 11:46:00AM Amount Paid Item Total: 45.00 3.15 4.50 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65 Status Expired 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: 01-01174-01 ISSUED: 11/30/2001 APPLIED: 10/24/2001 EXPIRES: VALUE: $ 250.00 SITE ADDRESS: 1068 Centennial Blvd ASSESSOR'S PARCEL NO.: 1703264410500 Spr TYPE OF WORK: Paving TYPE OF USE: PROJECT DESCRIPTION: Parking lot improvements at 1068 Centennial Blvd New Commercial Owner: Calvary Church Address: 1116 Centennial Blvd Springfield OR 97477 Phone Number: (541) 747-7125 I CONTRACTOR INFORMATION. Contractor Type General Electrical Engineer Plumbing Contractor A K Stickler Construction Co - Antone Electric Branch Engineering Morse Bros Inc License Expiration Date Phone (541) 741-0132 (541) 688-4444 (541) 746-0637 (541) 451-5141 BUILDING INFORMATION. # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pae:e 1 of 3 Status Expired 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01174-01 ISSUED: 11/30/2001 APPLIED: 10/24/2001 EXPIRES: VALUE: $ 250.00 I Valuation Descriotion , Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 250.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $250.00 $250.00 09/08/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Commercial Plan Check $199.10 10/24/01 7072 8% Admin Fee - Electrical $3.60 11/30/01 7392 8% Administrative Fee - Plumbi $4.72 11/30/01 7392 Branch Circuits W 10 Feeder or $43.00 11/30/01 7392 Final Site Plan Insp for Occy $100.00 11/30/01 7392 Impervious Surface Area - Stor $1,849.30 11/30/01 7392 Minimum Electrical Permit Fee $2.00 11/30/01 7392 Paving $306.30 11/30/01 7392 SDC Administrative Fee $92.46 11/30/01 7392 State Surcharge - Electrical $3.15 11/30/01 7392 State Surcharge - Plumbing $4.13 11/30/01 7392 Storm Sewer Footage $59.00 11/30/01 7392 + 10% Administrative Fee $4.50 9/8/03 1200200000000002078 + 7% State Surcharge $3.15 9/8/03 1200200000000002078 Building Permit $45.00 9/8/03 1200200000000002078 Total Amount Paid $2,719.41 I Plan Reviews I Eneineerine-C/I/P 11/13/2001 Appr ST no cutting centennial blvd permitted. see revised plan for connection to existing catch basin @ 11 th street Eneineerine-C/I/P Info DM Returned plans to Steve T. for revisions required by Engineering.11/14/01 dIm; Returned to me same date. Initial Review-C/I/P 10/25/2001 Appr LH Plannine-C/I/P 11/05/2001 Aoor LM Colin Stephens Planner - Add Wheel Stops protecting tree as shown on plans. - Final Site inspection required. Structural-C/I/P 10/29/2001 Aoor TM Paee 2 of3 CIl~ OF SPRINGFIELD' Building/Combination Permit Status Expired 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: 01-01174-01 ISSUED: 11/30/2001 APPLIED: 10/24/2001 EXPIRES: VALUE: $ 250.00 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. ~ Reouired Insnections , 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 umcs~/L ~ or Contractors Signah;;e ,~/()J Date Pa2e 3 of 3