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HomeMy WebLinkAboutPermit Miscellaneous 2007-12-4 ,. . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01767 ISSUED: 12/04/2007 APPLIED: 12/04/2007 EXPIRES: 06/04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5360 I ST ASSESSOR'S PARCEL NO.: 1702283403300 SPRINGFIETYPE OF WORK: Miscellaneous TYPE OF USE: New Public PROJECT DESCRIPTION: Mailbox Owner: CUMMINS INVESTMENTS LLC Address: 31221 OSPREY RD LEBANON OR 97355 I CONTRACTOR INFORMATION' Contractor Type General Contractor DA VIS CONSTRUCTION SERVICES LLC License 160347 Expiration Date 06/14/2008 Phone 541-350-2060 BUILDING INFORMATION. # of Units: 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: Sprinkled Building Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: AI I ClmoN: Oregon taw requht you. fgU- ......... .....,""'*..,,,t .... "*,,, .^"'lalll''''. 11611110.. r:. -~. J-_F '"1ii1~..' -""-.... I PUBLIC Il\IlIF-K~"'~\Zi Thoserules&resetfora L. ~-. _."v I 10thr9pgh ~ 952..001-- 0090. You may obtain ci~,NYuJ" bI calling the center. (NfM;~iM: number for the Oregon UtilItY NotiftoatJoft Center" 1-800.332-2344). Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: ...V.alu . D .. I THIS PERMIT SHALL EXPIRE IFTHEVMtWl atlOn escflPtlOn D AU.T110RIZED l1_NDERjHIS PERMIT IS ~it Sq Ft Square Footage e~~tJrv-f~~NCED tr~~~f A6J\NtJtjfm) FOAr multiplier or Bid Amount ANY 180 DAY PERIOD. Value Date Calculated Page 1 of2 . . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01767 ISSUED: 12/04/2007 APPLIED: 12/04/2007 EXPIRES: 06104/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 5% Technology Fee Encroachment Permit Amount Paid Date Paid $6.75 $135.00 12/4/07 12/4/07 Receipt Number 3200700000000000787 3200700000000000787 Total Amount Paid $141.75 I Plan Reviews ~ 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 Encroachment: After item(s) have been removed to inspect condition of public right of way. 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, Buildmg 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 Pa2e 2 of2 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1767 COM2007-01767 Payments: Type of Payment CredltCard cRecelOt I RECEIPT #: DescnptlOn Encroachment PermIt + 5% Technology Fee Paid By SCOTT DAVIS City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000787 Date: 12/04/2007 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received lkw 05469c In Person Payment Total: Page 1 of 1 9:26:15AM Amount Due 13500 675 $141.75 Amount Paid $141 75 $141.75 12/4/2007