HomeMy WebLinkAboutPermit Building 2008-6-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00760
ISSUED. 06/17/2008
APPLIED. 05/30/2008
EXPIRES: 12/17/2008
VALUE $ 700,000.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 In spec lIon LIDe
SITE ADDRESS 785 42ND ST
ASSESSOR'S PARCEL NO 1702290002900
Spnngfield TYPE OF WORK MannfacturIDg
TYPE OF USE
New
Industnal
PROJECT DESCRIPTION River Water Intake RelocatIOn Project
Owner WEYERHAEUSER COMPANY
Address PO BOX 9777
FEDERAL WAY W A 98063
I CONTRACTOR INFORMATION'
Contractor Type
Contractor
LIcense
ExpIratIOn Date Phone
BUILDING INFORMATION.
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones Lot SIze
Height of Structure Sq Ft 1st Floor
Type of Heat Sq Ft 2nd Floor
Water Type Sq Ft Basement
ATTaj\jY~egon law requires you tOSq Ft Gdrdge/Cdrport
folio 1UiQIii!:t~pted by the Oregon Utlllty;q Ft Other
Noltfl RftilWlsg~!!,!~se rules 8llMet fortbccupdnt Load
. "," ,.,.oo"".nf'\1.
~\nl-'~~O'l~"I"'t'.:.\J.."",
~i~eONn.ruIeSby
cal\lng the cente~. ,f'{(Ju!' r.rJ lo.Ilphone
nu~ f~~tOregon Utility Notification
'~A tar ii 1.aoo-332-2344).
# Sttt't! TIees Rijd-
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Front yard Sethack
Side I Sethack
Side 2 Sethack
Rearyard Sethack
Solar Setbacks
Total
Handicapped
Compact
I PUBLIC IMPROVEME~TS'
Street Improvements
Storm Sewer AvaIlable
Spec fa I InstructIOn
SIdewalk Type
DownspoutslDrams
Tvpe of ConstructIOn
NOTICE:
THIS PERMIT SHAll EXPIRE If ~HE ~ORK
~i:'I~D UNUtK I MI\) r~nlV"T I.. UaT
I Valuation De .. ED OR IS ABANDONED FOR
A~q!~.Q, Pl\X~~RIOD.
or Bid Amount
Value
Date Calculated
Notes
DeSCription
$ Per Sq Ft
or mullIpher
Page I of3
-li..~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00760
ISSUED 06/17/2008
APPLIED' 05/30/2008
EXPIRES. 12/17/2008
VALUE $ 700,000.00
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Estimate
Estimate
$100
700,000 00
$700,000 00
$700,000 00
05/30/2008
Total Value of Project
Fpp<. P~lrl.1
Fee DescriptIOn
Plan RevIew CommlIndlPubhc
+ 10% AdmmlStratrve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg Permit
Plan RevIew Comm/lnd/Pubhc
Amount PaId
Date PaId
Receipt Number
$1,801 05
$277 08
$332 50
$13854
$2,770 84
$1,801 05
5/30/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
2200800000000000788
2200800000000000912
2200800000000000912
2200800000000000912
2200800000000000912
2200800000000000912
Total Amount PaId
$7,121 06
I Plan RevIews I
I U1tral RevIew
06/0412008
06/04/2008
APP LLH
Structur..1 Rev,ew
06/16/2008
06/16/2008
10
LLH
No structural review reqUired per
Dave Puent Okay to <ssue once
mformahon IS compiled
To Request an mspectIon call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7 00
a m will be made the same workmg day, mspections requested after 7 00 a.m. will be made the following
work day.
I, Rpnl~n~.n~f'hOW
SpecIal InspectIOn Weld Inspectron To be done dUring constructron by a State Certrfied SpecIal Inspector WIth
approvallrom the CIty of Springfield CopIes of mspectron results shall be provIded to the CIty of Springfield
Structural Concrete In excess of 2500 pSI To be done durmg constructIOn by a State Certrfied Inspector
Prov,de results to C,ty BUldmg Inspector
Footmg After trenches are excavated
FoundatIOn After forms ..re erected but prior to concrete placement
Fmal BUlldmg After all requIred mspectlOns have been requested and approved and the burldmg IS complete
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00760
ISSUED 06/1712008
APPLIED. 05/30/2008
EXPIRES' 12/1712008
VALUE. $ 700,00000
225 Fifth Street, Sprmglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By Slgnatnre, I state and agree, that I have carefnlly exammed the completed applicatIOn and do hereby cerlffy that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shaH be done 10 accordance with
the Ordmances of the City of Sprmglield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY will be made of any strncture wItbout permISSIon of tbe CommuDIty Services D,vlSIon, BUlldmg Safety
I further cerllfy tbat only contractors and employees who are 10 compliance with ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address fS readable from the
streel, that the permit card fS located at the front of the property, and the approved set of plans mil remam on the SIte at all
"..'''""',7'""iJ./!L,,- 6j;7/ar
Owner or C~ntractors Signature / Date /
Page 3 of 3
225 FIfth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
""~!>{I~ElLl>~
:J~ -
ItIi: ~ ~ ,
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00760
COM2008-00760
COM2008-00760
COM2008-00760
COM2008-00760
Payments
Type of Payment
CredltCard
cRecemt 1
RECEIPT #,
2200800000000000912
Date' 06/17/2008
Description
Plan RevIew Conunllnd/Pubhc
BUlldmg PermIt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstral1ve Fee
Pa,d By
SCOTT UNGER
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
DJB
079137 In Person
Payment Total
Page I of I
I 28 I2PM
Amount Due
1,80105
2,770 84
13854
332 50
277 08
$5,32001
Amount Paid
$5,32001
$5,32001
6/17/2008