HomeMy WebLinkAboutPermit Building 2004-3-11
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
*
. CITY OF SPRINlJNli.LU
Building/Combination Permit
PERMIT NO: COM2004-00165
ISSUED: 03/1112004
APPLIED: 02/1112004
EXPIRES: 09/11/2004
VALUE: $ 62,475.00
Status
Issued
SITE ADDRESS: 3766 Kathryn Ave
ASSESSOR'S PARCEL NO.: CHARLES MOORE SU
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New Industrial
PROJECT DESCRIPTION: Construct site utilities & paving for 4-parcel subdivision. This permit includes the
SDC. plan review, encroachment permit, planning fees for 3766, 3780 (c4-00250),
3804 (C4-00251) and 3838 (c4-00251) Kathryn
Owner: MOORE CHARLES L & LISA D
Address: PO BOX 508 PLEASANT HILL OR 97455
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
SUNRISE 2 SUNSET LLC
License
130243
Expiration Date
07/28/2004
Phone
541-741-4513
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otherr.\) \0
1 .~\J S ...... A
mp'er;vtous u...ace rea:
. ...e'-\V _nt'\ v'" ._"t\'
I DEVELOPMENT INFORMATlONcIIOt' \~'\"eU\;;'te s:~:.oO'
~~\U"'o09\eO 'Q S0 t\)\0 ~QUIRED\PARKING
Overlay DiSf:~~ tu\eS;e~et.~~~"tOU~s l't,m,':~~~t'0 "
# Street Tre~siRqili;.\\Ot' 00,\-00 . t' co9\ . \,,8a~mc!\I!I)~d1
Paved Drive~Wi~fQ c?/,:,'l.' ,,0'0\'0'\ ,~o\a. \X\C;:o~~';;ct:
O!l-P tt'';\:' \at. , U\\' ~AA).
% of Lot cover~.!le:.'lOu ."e cet'ote~Ot' n'l,?"'l
OO~v n ,,, e ('\('\--"
ce.\X\~-:1 ,ot \~_. '.~ ~.9-
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
r'O
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrain~\\'C. '-NGI"-r.
'/..,?II"'C. \r \'i \'2> ~G"\
l\O'\C~~WI\"\ '2>\\r>.\.~I"\\\\'2> '?t.~~O rGI"
"\\\\'2> '? oll'C.G \l~O\C r>.'Or>.~GG
\J"\\\GD G GI" ;)
t\ WlWI'C.~C't:. '?t.I"IGO. .
CG" ,\'O\)Or>.'l .'
r>.\'\'
Notes:
Page I of3
. \.-11 t VI' ~rK.lNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00165
ISSUED: 03/1112004
APPLIED: 02/1112004
EXPIRES: 09/1112004
VALUE: $ 62,475.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuatinn Descriotinn I
Description
Pavinl!
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
62,475.00
Tvpe of Construction
Use Bid Amount
Total Value of Project
L.Fppo P'JiIU
Value
$62,475.00
$62,475.00
Date Calculated
02123/2004
Fee Description Amount Paid Date Paid Receipt Number
Plan Review commlIndlPublic $397.25 2/10/04 2200400000000000117
+ 10% Administrative Fee $53.94 3/11/04 1200400000000000297
+ 7% State Surcharge $8.26 3/11/04 1200400000000000297
Encroachment Permit $120.00 3/11/04 1200400000000000297
Fixture $28.00 3/11/04 1200400000000000297
Paving $421.35 3/11/04 1200400000000000297
Planning Final Occy Inspection $143.00 3/11/04 1200400000000000297
SDc SanitarylStorm Admin $98.60 3/11/04 1200400000000000297
Storm Drainage Impervious Area $1,972.00 3/11/04 1200400000000000297
Storm Sewer - 1st 50 Feet $45.00 3/11/04 1200400000000000297
Water Line - 1st 50 Feet $45.00 3/11/04 1200400000000000297
Total Amount Paid $3,332.40
I Plan Reviews ,
Fire Department Review
02111/2004
03/02/2004
OK GRG
Planninl! Review
02/11/2004
02/13/2004
APP EMM
Public Works Review
Structural Review
02/11/2004
02/11/2004
02118/2004
02117/2004
APP SB
WE JMP
Structural Review
SUB Review
02/24/2004
02111/2004
02124/2004
02123/2004
APP JMP
APP DH
Pal!e 2 00
Plan Check: Site work
improvements for Charles Moore
Heavy Industrial Subdivision. Job
#cOM2004-00165. Plans appear to
meet code requirements. Will
require hammerhead turnaround (If
needed) upon submission of
individual submittals for
development of each lot.
Construct as per Notice of Decision
for Tentative Subdivision SUB
2003-00053 (Kay Bork Planner)
SDcs for pavement added.
Left message with Brenda for Rene
Fabricant to obtain verification of
value of the work.
Received statement of value.
.
. L11 f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00165
ISSUED: 03/1112004
APPLIED: 02/11/2004
EXPIRES: 09/11/2004
VALUE: $ 62,475.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
~ired TlW'edion\J
1 Rough Grading: After gravel is in place but prior to placing concrete.
2 Final Paving: After paving is complete.
3 Rougb Plumbing: Prior to cover and including required testing.
4 Water Line: Prior to filling trencb and including required testing.
5 Sanitary Sewer Line: Prior to filling trench and including required testing.
6 Storm Sewer Line: Prior to filling trench.
7 Final Plumbing: When aU plumbing work is complete.
By signature, 1 state and agree, that 1 bave carefuUy examined the completed application and do hereby certify that aU
information hereon ;s true and correct, and 1 further certify that any and aU work performed shaU 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that aU 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 aU
times during construction.
~ ""/?t'~
O.ln'er or Contractors Signature
S' -( (- oc.j
Date
Page 3 of3
225 Fifth Street '"
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0025I
COM2004-0025I
COM2004-0025I
COM2004-0025I
COM2004-0025I
COM2004-00252
COM2004-00252
COM2004-00252
COM2004-00252
COM2004-00 165
COM2004-00 165
COM2004-00165
COM2004-00 165
COM2004-00165
COM2004-00165
COM2004-00 165
COM2004-00165
COM2004-00 165
COM2004-00 165
COM2004-00250
COM2004-00250
COM2004-00250
COM2004-00250
COM2004-00250
COM2004-00250
COM2004-00250
COM2004-0025I
COM2004-0025I
COM2004-0025 I
Payments:
Type of Payment
Check
~~~~.
~:..j
Receipt #: 1200400000000000297
Description
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fce
Watcr Linc - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrativc Fee
Planning Final Occy Inspection
Fixture
Storm Drainage Impervious Area
SDC SanilarylStorm Admin
Encroachment Permit
Paving
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Linc - 1st 50 Feet
Water Line - Each AddtllOO'
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
JAMES MOORE
2580
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/11/2004
10:45:23AM
Amount Paid
Item Total:
28.00
45,00
42.00
16.31
23.30
45.00
45.00
6.30
9,00
143,00
28.00
1,972.00
98.60
120,00
421.35
45.00
45,00
8.26
53.94
45.00
28.00
45,00
28,00
45,00
13.37
19.10
45.00
28.00
45.00
$3,536.53
.
.
How Received
In Person
Payment Total:
Amount Paid
$3,536.53
$3,536.53