HomeMy WebLinkAboutPermit Building 2008-9-23
Status
Issued
CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I454
ISSUED: 09/23/2008
APPLIED: 09/23/2008
EXPIRES: 03/23/2009
VALUE: $ 500.00
225 Fifth Street, Springfield;OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1210 Mohawk Blvd
ASSESSOR'S PARCEL NO.: 1703253310100
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace damaged light pole base
Owner: CAPLACO TWELVE INC
Address: TAX DEPT MS 1435 104 WILMOT ROAD
DEERFIELD IL 60015 ,.
Contractor Type
Contractor
I CONTRACTORINFORMATlON 1
ATTENTION: Oregon law reqJr,i~~~~n to
.,--11..."" ....Int:' -:>r'.ln.:-,+orl h\J thj:.'l ()n::.nnn I }tility,
NoliIICBUllJDING'INFORMWnON,.set forth
lnO}"\nv....Jr:..-vv I-V'..!' U i.', ".........:::1',..:... .: I "",o~-001-
0090. YOIIi \)f:s'tli't;~~!n copies of the rules by
calling ;H"~;nlot'1t~f'St (~10ttA: the telephone
el!;!! 0 rue onl. N t.f. .
number ~ ,~'lIfWllllpn utllty 0 1 Icatlon
r::,,;Pter IS l-tsuO-332-2344). .
-wdter Type: . .
Range Type:
Energy Path:
Sprinkled B,!~~i.ng: . n/a
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type IA
Secondary Construction Type:
~ of Bedrooms:
Lot Size:
Sq Ft 1st Floor:.
Sl) Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Betback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: Overlay Dist:
THiS PERMl18~mKt~~f\'t IF THE WORK
'UTHORIZEl):m\!rW~dv r.i~~RMIT IS NOT'
/JlvlMENCED ORIS AS NOllNED FOR
. ',/,IV i Q!1 I1AV 01:011111
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction :
. Sidewalk Type:
. ,?ownspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
. Page I of 2
225 Fifth' Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1454
COM2008-0 1454
COM2008-01454
COM2008-0 1454
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Foundation Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SITE WORK CONST
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000994
Date: 09/23/2008
Item Total:
Check Number A~thorization
Received By Batch Number Number How Received
cjc
9238
In Person
Payment Total:
Page 1 of I
9:21 :39AM
Amount Due
52.00
2.60
6.24
5.20
$66.04
Amount Paid
$66.04
$66.04
9/23/2008
_~~.'.~!!!,I~J?,;',,,,,, ...
il'!
Sta tus
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2008-0I454
ISSUED:' 09/23/2008
APPLIED: 09/23/2008
EXPIRES: 03/23/2009
VALUE: $ 500.00
225 Fifth Street, Springfield,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Insl'ection Line
Estimate
Estimate
$1.00
500.00
$500.00
$500.00
09/23/2008
Total Value of Project
Fe,es Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
Amount Paid
bate Paid
$5.20
$6.24
$2.60
~52.00
9/23/08
9/23/08
9/23/08
9/23/08
Receipt Number
1200800000000000994
1200800000000000994
1200800000000000994
1200800000000000994
Total Amount Paid
$66.04
PlaD Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reollired Insn~c~i~ns 1
Footing: After trenches arc excavated.
Final Building: After all required inspections have been requested and approved and the building is complete.
(
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 tbe 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 furthelc ree to ensure that all required inspeCtions are requested at the proper time, that each address is readable from tbe
street,.ihat he permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times aurin const~\r\ t .
/ !1J~~ ~vll (M.<, .hL CfIZz,.!D:)
Contractors signafe
Date
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