HomeMy WebLinkAboutPermit Building 2008-6-16
~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-0I630
ISSUED' 06/16/2008
APPLIED' 11/01/2007
EXPIRES 12/16/2008
VALUE' $ 100,000.00
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
SITE ADDRESS 1460 G ST
ASSESSOR'S PARCEL NO 1703362204601
SprlOgfield TYPE OF WORK Site Work Only
TYPE OF USE
New
Commercial
PROJECT DESCRIPTION South parklOg lot Improvement project
Owner MCKENZIE WILLAMETTE REGIONAL MEDICA
Address PO BOX 190700
SAN FRANCISCO CA 94119
I CONTRACTORINFORMATION I
Contractor Type
Architect
Contractor LIcense
GERALD MCDONNELL AND ASSOCIATES
BUILDING INFORMATION I
EXPiratIon Date Phone
541-344-9157
# of UUltS
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary Construchon Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled BuddlOg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
Total
Handicapped
Compact
I PUBLIC IMPROVEME~TS I
Street Improvements
Sidewalk Type
Storm Sewer Ar'Pi!:!t>t<!ON Oregon law req'w83 , - DownspoutslDralOs
SpeCIal Instr\lS/:Imt rules adopted by the Ore Jail ,_
Noltflcatlon Center Those rules are sell
Notes In OAR 952-001-001 0 through OAR 9~2-0j NOTICE:
0090 You mal{ obtam caples of the ru'es bv THIS PJ:RMIT SHAll J:)(PIR1= 11= TH1= WnRK
calling the center {Note th\:~:v,.., 'v, c I,UTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon UtllltyJWlaluatwn Desc~iDtion [;OMMENCED OR IS ABANDONED FOR
Center IS 1-800-332-2"....}
$ Per Sq Ft Square FMr~gt80 DAY PERIOD.
DeSCrIptIOn Tvpe of ConstructIOn II I B d A I Value Date Calculated
or mu Ip lef or I moun
Page 1 of 3
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I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01630
ISSUED. 06/16/2008
APPLIED. 11/01/2007
EXPIRES' 12/16/2008
VALUE' $ 100,00000
225 Fifth Street, SprIngfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIon LlDe
Total Value of ProJect
L.Fpp<, P'\IlU
Fee DeSCrIptIOn Amount PaId Date Paid Receipt Number
Plan ReView Comm/IndlPubhc $404 85 1111/07 3200700000000000726
+ 10% AdmlDlstratlve Fee $8168 6/16/08 3200800000000000408
+ 12% State Surcharge $23 28 6/16/08 3200800000000000408
+ 5% Technology Fee $40 84 6/16/08 3200800000000000408
Fixture $80 00 6/16/08 3200800000000000408
PavlOg $622 84 6/16/08 3200800000000000408
SDC SaUltarylStorm AdmlO $10287 6/16/08 3200800000000000408
Storm Dramage ImpervIOUs Area $2,057 44 6/16/08 3200800000000000408
Storm Sewer - 1st 50 Feet $50 00 6/16/08 3200800000000000408
Storm Sewer Each Addtl 100' $64 00 6/16/08 3200800000000000408
Total Amount Paid $3,527 80
Plan ReViews ,
IUltIal ReVIew
11/02/2007
11/0212007
APP LLH
Pubhc Works ReView
11/0212007
11/0612007
APP JHJ
Attached SDC Worksheet (JHJ)
Structural ReView
11/0212007
11108/2007
APP RWC
Plans for sIte work forwarded to
Steve Graham and Robert CastIle
Struclural ReView
11/09/2007
11/09/2007
APP SKG
No plumbmg Issues
Fire Department ReView
11102/2007
11/2612007
OK GRG
Plans ReView soulh parkmg 101
Improvemenl proJecl Job
#COM2007-01630 Plans appear 10
meet code requirements
Plannme: ReView
11/02/2007
03/0412008
APP EMM
Needs FlOal Site Plan Submittal and
Developmenl Agreemenl Planner
Lmda Pauly Development
Agreement Signed on 2/29/08
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All InspectIons requested before 7'00
a m. WIll be made the same workmg day, inspectIons requested after 7:00 a.m. WIll be made the followmg
work day.
Page 2 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO. COM2007-0I630
ISSUED. 06/]6/2008
APPLIED. 11/01/2007
EXPIRES. 12/16/2008
VALUE. $ 100,000.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon Lme
L ReoU',red Tnsl:\ectJ~n~ I
Storm Sewer LlOe PrIor to fillIng trench
Rough GradlOg After gravel IS 10 place but prIor to placmg concrete
FlOal PavlOg After pavlOg IS complete
By slguature, I stale and agree, that I have carefully examlOed the completed applIcatIOn and do hereby cerhfy that all
IOformatlOn hereon IS true and correct, and [ further certify that any and all work performed shall be done 10 accordance with
the OrdlOances of the City of SprIngfield and the Laws of the State of Oregon pertalOlOg to the work descrIbed herelO, and
that NO OCCUPANCY wIll be made of any structure without permISsIOn of the Commumty Services DIvIsIOn, BUlldlOg Safety
I further cerllfy that only contractors and employees who are 10 complIance with ORS 701 005 will be used on this proJecl
I further agree 10 ensure that all reqUIred IOspectlOns 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 remalO on the site at all
'\..... =, ,"".~rn0 b - I {, - Cf2
'm"(7Y"'"ru~ D..,
Page 3 of3
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-01630
COM2007-01630
COM2007-01630
COM2007-0 1630
COM2007-0 1630
COM2007-0 1630
COM2007-0 1630
COM2007-0 1630
COM2007-0 1630
Payments
Type of Payment
Check
cRecelOtl
RECEIPT #:
3200800000000000408
Date: 06/16/2008
DescriptIOn
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Stann Dramage ImpervIOus Area
SDC SaUltarylStorm Admm
Pavmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
WILDlSH CONSTRUCTION
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
ddk 800624 In Person
Payment Total
Page I of I
2 56 IOPM
Amount Due
8000
5000
64 00
2,05744
10287
622 84
4084
2328
8168
$3,122 95
Amount Paid
$3,122 95
$3,12295
6/16/2008