HomeMy WebLinkAboutPermit Building 2004-05-14Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-00537ISSUED: 0511412004APPLIED: 05/0612004
EXPIRESz 1111412004VALUE: $ 11,000.00
SITE ADDRESS: 20r S ISTH ST
ASSESSOR'S PARCEL NO.: 1703360000500
PROJECT DESCRIPTION: Maintenance shop - multi purpose room
Owner: SpRINGFIELD CITy OF
Address: 201 SOUTH 18TH STREET SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration Public
PhoneNumber: 541-726-3761
License Expiration Date PhoneContractor Type
General
Contractor
OWNER
)NTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard E:Solar
M
AUTHORIZE
\TN
IT SHALL EX PIRE IF TH
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
EWRKT Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Street lmpro€&l$\S
OT
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$r.00 11,000.00
Total Value of Project
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Date Calculated
0510612004
NCE DOR
DAY PERIOD
IS ABAND
Storm Sewer A$tYrJfiB'
Special Instruction:
Notes:
Description
Bid Amount
Type of Construction
Use Bid Amount
for the Oregon
Center is 1-800-332 -2344\
Value
$11,000.00
$11,000.00
DEVELOPMENT INFORMATION
HOTTUPNOYEMENTS
L]
It U I LLrIL\ rJ r1\ I lJIUYrry..l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00537ISSUED: 0511412004APPLIED: 05/0612004
EXPIRESz llll4l2004VALUE: $ 11,000.00
tr'ees Paid
Amount Paid Date Paid
sn4t04
5fi4t04
5fi4t04
sn4t04
Receipt Number
1200400000000000736
1200400000000000736
1200400000000000736
r200400000000000736
Fee Description
+ l0Yo Administrative Fee
+ 7%o State Surcharge
Building Permit
Plan Review Comm/Ind/Public
Total Amount Paid
$11.52
$8.06
$rrs.20
$74.88
$209.66
Plan Reviews
Initial Review
Structural Review
SUB Review
05nu2004
05fiy2004
0sfi2t2004
05nu2004
0511212004
0511312004
OK
APP
APP
RJB
DLM
JF'
No added comments for plan review.
To Request an inspection call the24 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.
I Final Building: After all required inspections have been requested and approved and the building is complete.
2 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
3 Final Fire Department. After all requirements of the Fire Department have been met.
4 Masonry:
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, Building 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.
,- t10t
or Signature
Pase2 of2
Date
l(eourreo rnsDecuons r
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
Aty of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200400000000000736 Date: 05/1412004 e:04:48AM
Job/Journal Number
coM2004-00s37
coM2004-00537
coM2004-00s37
coM2004-00s37
Description
Plan Review Comm/Ind/Public
Building Permit
+ 7o/o State Surcharge
+ l0% Adminishative Fee
Amount Due
74.88
115.20
8.06
11.52
Item Total:$209.66
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
INT CHGS 409 -62282-81 00 I I Ps0409 llh INT CHGS In Person $209.66
Payment Total:
-$20ffi
511412004 Page 1 of 1
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