HomeMy WebLinkAboutPermit Miscellaneous 2008-10-8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01053
,ISSUED: 10/08/2008
APPLIED: 07/15/2008
EXPIRES: 04/08/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541"726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5815 A ST
ASSESSOR'S PARCEL NO.: 1702343200202
SPRINGFIETYPLOF WORK: Site Work Only
PROJECT DESCRIPTION: Utilities for partition approval
TYPE 'OF USE: New
Commercial
Overlay Dist:
# Street Trees Rqd:
.' Paved Drive Rqd:
. % of Lot Coverage:
.' ,,~ \NOR\{
J)ai'r~' ._ ro' . J'.~'o~ \f'Tn i, l4Ci
I PUB"ij.\aiftfRtll"~HIS}PERWI\\f~R
"U\liIL.t.IJ" \. ~..nnllltO
fo,Ul n WltNCtO OR IS Ml""~lfl'iwalk Type:
CONI < 00 OF>.'1 PERIOO. 'DownspontsfDrains:
'fo,N'I,U . .
Owner:
Address:
AMIGOS HI LLC
PO BOX 25
WALTERVILLE OR 97489
Contractor Type
Plnmbing
I CONTRACTORINFO~A~I~~ I
. oregon laW leqUlI , U\i.I~ty
,Contractor ATTENTION, dopted by the Olegtq~~~h
KlPCO INC tolloW rUl~S""~'M'1. Those lu.le;: ~~i73l.001.
NOllllu......'--, _ _-:-..~r ':JI'.'I':.(<:'-: ~'eSDY
'n OARI('l!RUlJillIJlj'(G. . Affill9 .
\.. 'I' '."L. ~ '\ 'lit ne
090 'tou ,,,,,". Note' me ","~I .
o calling th'lll(,'f~Nt4~n Utility Notification
number tOlM~~r~{Gilr/00~a44).
CeifY!le of Heat: '
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedroom's:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
d..
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
,
Type of Construction
Paee I of2
Expiration Date
02/03/2009
Phone
541-689-9265
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd 'Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:,
Handicapped:
Compact:
Value
Date Calculated
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
Fee Description
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Storm Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Total Amonnt Paid
Plnmbing Plan Review
07/15/2008
Amonnt Paid
$13.20
$15.84
$6.60
$50,00
$50.00
$32.00
$167,64
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews .1
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8108
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01053
ISSUED: 10/08/2008
APPLIED: 07/15/2008
EXPIRES: 04/08/2009
VALUE:
Receipt Nnmber
"
2200800000000001488
'2200800000000001488
,2200800000000001488
. ,2200800000000001488
'2200800000000001488
2200800000000001488
SKG
To Request an inspection calHhe 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.
. ~e/l~l"ir~~ hlSrecti/lns I
Storm Sewer Line: Prior to filling trench,
Water Line: Prior to filling trench ~nd including required testing.
By signature, I state and agree, that Ihave carefnlly examined the completed application and do hereby certi(y 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 strnctnre 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 prope~ 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.
~i~JJtA'~_
Owner icon tractors ~a~u-re~
Page 2 of2
'to ( ~ 10 <is
Date
225 Fiftb Street
-,
Springfield, Oregon 97477
541-726-3759 Pbone
Job/Journal Number
COM2008-0 1 053
COM2008-0 1 053
COM2008-0 I 053
COM2008-0 I 053
COM2008-0 1 053
COM2008-0 I 053
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
Description
Storm Sewer - I st SO Feet
Water Line - 1 st SO Feet
Water Line - Each Addt\ 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ \ 0% Aaministrative Fee
Paid By
BRANCH ENGINEERING INC
S"!'~'~,",Q..,.F1..,.""""">..._";,__,,,,,_, '~.,,',
lit;" ,
".. ".J
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...,..,...-.,......,"".,'.-'.....,. '---,-,- '-'-'
City' of Springfield Official Receipt
Development Services Department,
"Public Works Department
2200800000000001488
Date: 10/08/2008
Item Total:
Check Number Authorization
~cceived By Batch Number I Number How Received
djb
9463
In Person
. Payment Total:
..
Page I of I
2:13:40PM
Amount Due
50,00
50,00
32,00
6.60
15,84
13.20
$167.64
Amount Paid
$167.64
$167.64
10/8/2008