HomeMy WebLinkAboutPermit Building 2007-06-08Status Pending
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: COM2007-00834
ISSUED:
APPLIED: 06/0812007
EXPIRES:VALUE: $ 750,000.00
SITE ADDRESS: 1401 21ST ST
ASSESSOR'SPARCELNO.: 1703250000802
PROJECTDESCRIPTION: Tenantlmprovements.
Springfield TYPE OF WORK: Store
TYPE OF USE: Addition Commercial
PhoneNumber: 541-232-lll7Owner:
Address:
OLYMPIC LLC
PO BOX 26125
EUGENE OR 97401
Contractor Type
Architect
General
Electrical
Mechanical
Contractor
ERIC
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INC
SHEET METAL CO
CO
05/0u2008
06t2712007
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06t29t2008
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Phone
541-688-5594
541-521-0114
541-686-2365
541-688-5004
541-344-6996
License ExPiration Date
\\$
82355
51088
4483
107255
rs{
# 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 Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Height of
Type
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
# of Stories:oc\
r ala-
.^\
Wr
M
S1
VB
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Page 1 of3
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nla
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
Building/C ombination Permit
PERMIT NO: COM2007-00834
ISSUED:APPLIED: 06/0812007
EXPIRES:VALUE: $ 750,000.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 750,000.00
Total Value of Project
Amount Paid Date Paid
Value
$750,000.00
$750,000.00
Date Calculated
06/08/2007
Fee Descrintion
Plan Review Comm/Ind/Public
Plan Review Fire & Life SafetY
+ lDoh Administrative Fee
+ 5olo TechnologY Fee
+ 8olo State Surcharge
Fixture
Total Amount Paid $3,190.90
To Request an inspection call the 24 hour recording at 726-3769' All
a.m. will be made the same working day, inspections requested after
Rough Plumbing: Prior to cover and including required testing'
Final Plumbing: When all plumbing work is complete'
Receipt Number
l 200700000000000724
1 200700000000000724
I 20070000000000073 1
l 20070000000000073 I
l 20070000000000073 I
l 20070000000000073 I
inspections requested before 7:00
7:00 a.m. will be made the following
$1,740.80
$1,071.26
$30.80
$15.40
$24.64
$308.00
6t8107
618107
6fiil07
6ny07
6tru07
6ltu07
Plan Reviews
Paee 2 of3
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work day.
Fees Paid I
Status Pending
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: COM2007-00834
ISSUED:
APPLIED: 06/0812007
EXPIRES:VALUE: $ 750,000.00
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 Safefy'
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 locaied at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Fr.*i.,z /?--/,6:;' y'/- O 7
Owner or Contractors Signature Date
Pase 3 of3
h
225 Fifth Street
Springfietd, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
elopment Services DePartment
Public Works Department
RECEIPT#: 1200700000000000731 Date: 0611112007 8:10:16AM
Job/Journal Number
coM2007-00834
coM2007-00834
coM2007-00834
coM2007-00834
Description
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ l}Yo Administrative Fee
Amount Due
308.00
I 5.40
24.64
30.80
Item Total $378.84
Payments:
Type of Payment Received By
Check Number
Batch Number Number How Received Amount PaidPaid By
ILO CONSTRUCTION 6888 In Person
Payment Total:$378.84
$378.84CheckJmp
cReceintl Page I of I 611112007
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