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.
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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