HomeMy WebLinkAboutPermit Building 2006-10-10
.
.ITY OF ~rKll'l/~"lf,LD
Building/Combination Permit
PERMIT NO: COM2006-01267
ISSUED: 10/10/2006
APPLIED: 10/04/2006
EXPIRES: 04/10/2007
VALUE: $ 20,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2400 Hartman Ln
ASSESSOR'S PARCEL NO.: 1703223300600
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Change waiting room into office
Owner: OREGON UROLOGY INSTITUTE
Address: 1180 PATTERSTON STREET
EUGENE OR 97401
Phone Number: 541-343-9250
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
JEFFREY J TAYLOR
License
158664
Expiration Date
02111/2008
Phone
541-990-0905
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
Height of Structure Sq Fl 1st Floor:
TYJ1e 1[r\'j~Jf:"~:ulegon law requirelSl/ffit 2nd Floor:
~,,~1~;1%~ adopted by the OregOSqlFltIQysement:
:WJ~lfe<T.~~,center. Those rules artSgElltffutrage/Carport
IrE\Nf~t!P';ltbP01-0010 through OAR ~g;fl{,~~er:
O~~?I~!~:!~i~~~~;~i~. ~~Pi~ssOf th6qf.~l\gaBI Load:
- ._~n .. .-.....- ".". ,. -,.._'Iune
I DEVEI!@RMElNlIJl~F.(il~T,IO~"I!Y Notification
Lienteris 1-800-332-2344). \ REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
V1hr
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Nnl'II'r:.
I PU&IH~I~YM1ENTS J
AUTHOR/ZED UNO'ER TH;~~sWeTJirkWflRK
COMMENCED OR /S A8AND~oMlIl'b~NA)fains:
ANY 180 DAY PERIOD, ED FOR
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
,
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01267
ISSUED: 10/10/2006
APPLIED: 10/04/2006
EXPIRES: 04/10/2007
VALUE: $ 20,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
20,000.00
$20,000.00
$20,000.00
10/04/2006
Total Value of Project
L.Fees P.gid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$18.54
$9.27
$14.83
$185.40
10/10/06
10/10/06
10/10/06
10/10/06
Receipt Number
2200600000000001420
2200600000000001420
2200600000000001420
2200600000000001420
Total Amount Paid
$228.04
Plan Reviews I
Fire Department Review
Structural Review
10/10/2006
10/04/2006
10/1 0/2006
10/04/2006
APP GRG
APP DJB
approved per JMP
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested hefore 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 InsDectionsJ
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Drywall: Prior to taping.
Final Building: After all required inspections have heen requested and approved and the building is complete.
Rough Electric:, Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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.
If} /;0 loG:,
Date { I
/
.' I1AA.A.4 , _
Owner or CJtractors Signature
Paee 2 of2
225 Fifth Street
-' .
Springfield, Oregon 97477
541-726-3759 Pbone
Job/Journal Number
COM2006-0 1267
COM2006-0 1267
COM2006-0 1267
COM2006-0 1267
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
.iL~,
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OREGON UROLOGY
INSTITUTE
~
C~f Springfield Official Receipt
"opment Services Department
Public Works Department
2200600000000001420
Date: 10/10/2006
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
djb
4493
In Person
Payment Total:
Page I of I
2:12:13PM
Amount Due
,
185.40
9.27
14.83
18.54
$228.04
Amount Paid
$228.04
$228.04
10/10/2006