HomeMy WebLinkAboutPermit Building 2008-2-26
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00277
ISSUED: 02/26/2008
APPLIED: 02/26/2008
EXPIRES: 08/26/2008
VALUE: $ 500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2355 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703244402200
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION: New window room 8 Briggs Middle School
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
OWNER
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION'
ATTENTION: Oregon la,v requires you to
follow rules addbftfdltsy'Me Oregon Utility
Notitteation CentM~ighbae~Ol!Staf\9 set forth
In OAR 952-o01-~~OAR 952-001-
OO9'f:)p You may oMfamrcipllls of the rules by
calling the C8n1Jtwt~N~tthe telephone
number for the @l(emNlIUtifllty Notiftoatioft
Center~ii~ No
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Sto,'m Sewer Available:
Special Instruction:
N B~JC IMPROVEMENTS
l~THORIZED U ALL EXPIRE IF~ Type:
COMMENCED O~~~~~HIS PERMIT IlbNQlouts/Drains:
ANY 180 DAY PERIOD. ANDONED FOA
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00277
ISSUED: 02/26/2008
APPLIED: 02/26/2008
EXPIRES: 08/26/2008
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
500.00
$500.00
$500.00
02/26/2008
Total Value of Project
l Fees Paid I
Total Amount Paid
Amount Paid Date Paid Receipt Number
$5.00 2/26/08 1200800000000000182
$6.00 2/26/08 1200800000000000182
$2.50 2/26/08 1200800000000000182
$50.00 2/26/08 1200800000000000182
$63.50
I Plan Reviews I
02/26/2008 02/26/2008 APP DJB engr'd window placement
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Structural Review
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insoections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete,
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 duc coostcu tiOU~ /1MfM ^ ) ?/U /h PJ
--- DatJ'. { .
,
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200800000000000182
Date: 02/26/2008
Job/Journal Number Description
COM2008-00277 BUilding Permit
COM2008-00277 + 5% Technology Fee
COM2008-00277 + 12% State Surcharge
COM2008-00277 + 10% Administrative Fee
Item Total:
Payments: Check Number AuthOrizatIOn
Type of Payment Paid By Received By Batch Number Number How Received
Cash GARY NEWMAN dJb In Person
Change GARY NEWMAN dJb In Person
Payment Total:
Job/Journal Number DeSCriptIOn
COM2008-00277 Building Permit
COM2008-00277 + 5% Technology Fee
COM2008-00277 + 12% State Surcharge
COM2008-00277 + 10% AdminIstratIve Fee
Item Total:
Payments: Check Number AuthOrizatIOn
Type of Payment Paid By Received By Batch Number Number How Received
Cash GARY NEWMAN dJb In Person
Change GARY NEWMAN dJb In Person
Payment Total:
cRecelOll
Page 1 of 1
2:07:59PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$65 00
($1 50)
$63.50
Amount Due
5000
250
600
500
$63.50
Amount Paid
$65 00
($1 50)
$63.50
2/26/2008