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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 Page 2 of2