HomeMy WebLinkAboutPermit Building 2004-12-2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued ATTENTION: Oregon law requires you toPERMIT NO: COM2004-01471
225 Fifth Street, Springfield, OR follow rules adopted by the Oregon UtilitlSSUED: 12/02/2004
541-726-3753 Phone Notification Center. Those rules are set foMPLIED: 12/02/2004
541-726-3676 Fax .. In OAR 952-001-0010 through OAR 952-0~~r~S: 06/02/2005
541-726-3769 Inspecbon Line 0090. You may obtain copies of the rules by .
"'QIIIlI~ "1'0 ,",'01 HOI. \1'iUlO. UI'(J ~v..;,t-'II\"lII'Q
fiWTloer Tor me uregon UlIlllY I~I JUIIl,,;dUUII
SITE ADDRESS: 1001 MAIN ST r.ente.s 1_800_S,sp.rlnllfield TYPE OF WORK: Curbcut
ASSESSOR'S PARCEL NO.: 170335410530U r I oJ <<oJ '+},
TYPE OF USE: use Initials
Industrial
PROJECT DESCRIPTION:
Owner: SPRINGFIELD CITY OF
Address: PO BOX 300 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
I BUILDING INFORMATION I
# 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 Olher:
Occupant Load:
nla
I DEVELOPMENT h,,'uN>'IATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Sidewalk Type:
DownspoutslDrains:
Notes:
Description
Tvpe of Construction
I Valuation Descriotion I.
S Per Sq FI Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
Paeelof2
.
. CITY OF ~rKlI~GFIELD
Building/Combination Permit
PERMIT NO: COM2004-01471
ISSUED: 12/0212004
APPLIED: 12/0212004
EXPIRES: 06/0212005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Ff'f'~ P~ilU
Fee Description
Curbcut Permit
PW Mult Disc - 2nd Permit
Sidewalk Permit
Amount Paid
Date Paid
$75.00
$-30.00
$75.00
12/2/04
12/2/04
12/2/04
Receipt Number
2200400000000001468
2200400000000001468
2200400000000001468
Total Amount Paid
$120.00
I Plan Reviews I
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.
~irf'd Inmf'f'tions I
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
,
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 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.
1 further certify that only contractors and employees who are In compliance with ORS 701.005 will be used on this project.
1 ~urther agree to ensure that all require'" inspections are requested at the proper time, that each address Is readable from the
st'r'kt,f)l;Iat the permit card Is Ired at tl\,e front of the property, and the approved set of plans will remain on the site at all
\~~~~~~, 0~l IH_-D'
O~ or Contractors Signature ~ Date
Pa~e 2 of2