HomeMy WebLinkAboutPermit Building 2004-2-4
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.- CITY OF SPRINGFIELD
Building/Combination Permit
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Status
Issued
PERMIT NO: cOM2004-00147
ISSUED: 02/04/2004
APPLIED: 02/04/2004
EXPIRES: 08/0412004
VALUE: $ 500.00 .
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4197 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344300100
Eugene
TYPE OF WORK: Gas Station
TYPE OF USE:
PROJECT DESCRIPTION: Light pole foundation approved by Liz Miller.
Alteration
Commercial
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Owner: CASCADE ENERGY LLC
Address: 25115 SW PARKWAY WILSONVILLE OR 97070-0607
I CONTRACTOR INFORMATION I
Contractor Type
Engineer
Mechanical
Contractor
HAL PFEIFER
SITEWORK CONSTRUCTION INC.
License
119652
Expiration Date Phone
541-683-4257
01/1212005 541-744-9204
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
R~~ Type: Sq Ft Garage/Carport
~n~y Path: ~,,::\ ~q Ft Other: .
,"'~<<:'" ~"Q;- _ 4,0~,--?~ ,~~ervious Surface Area:
~: ~.~ ~ t.-- ~.. ~ ,-
,<lWJWEC0PMENT INFORMA TION I~ 0 OJ rn'l; '>-..t$-' 0
,~ h !,,\1 ,0! 0'- ~ ~Oj ,.::i 0'" ,~QUlRED PARKING
..... A.~ ~ ~ 0'" ~ :t::;-0 ~ 'if
.-;;r <>..'" <>..~ Overlay Dist: ,'b- ~0 ,::5' O~" '>-..0'<,~V Total:
.'>.r 0' ~ ~., ...:t::;- 0 0 .~
q.'~ ~ '-~. # Street Trees Rqd:o '<S" 1<>0 ,:)e$ I<> 0" ~o ~Handicapped:
L.'...$:::- '5 r--..'<:-"" -Ji.> Paved Drive Rqd;"0C!i 00,,<:-0.A,.0 ~0 .-s'.,::\ $ Compact:
~'V~-~ '-' ~ 0 {f " ~..O 0"~ 1-J
,s:. ~<<;~ 67 ~~ % ofLotCov~g~O <to. ~~V~Cf -S'rf]I
~'V ~ ~ ~ ~ ~ 'l> If <:)1::) ~ I;:, 0'" ":>
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~~~ .....v I PUBLIC IMpjd)1Ek~1f;,\ V0""00' ,,'P
'-'~ l - IfJJ, 0:C:".f
~ ,ct .:ii;:-v ~ .J...O" -s' o<.'SiMwalk Type:
CfO~ , ,~Oj ~ {'
:s '" ~ ~ ~<to cDownspoutsmrains:
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Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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. \...11 f OF SPKll'lul'l1!,LU
Building/Combination Permit
PERMIT NO: cOM2004-00147
ISSUED: 02/0412004
APPLIED: 02/0412004
EXPIRES: 08/04/2004
VALUE: $ 500.00
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Descriotion I
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
500.00
Value
Date Calculated
Total Value of Project
$500.00
$500.00
02/04/2004
Fee~ P,aid .
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommllndlPublic
Amount Paid
Date Paid
$4.50
$3.15
$45.00
$29.25
2/4/04
2/4104
214/04
2/4/04
Receipt Number
2200400000000000094
2200400000000000094
2200400000000000094
2200400000000000094
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Total Amount Paid
$81.90
I Plan Reviews I
Structural Review
02/04/2004
02/0412004
APP JMP
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.
~ouired Tnsne~tion~ I
1 Foundation: After forms are erected but prior to concrete placement.
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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
rZ-:"'"0f;i3v -Jd? >I ~l7d
Owner or Con.Qactors Signature Date (
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