HomeMy WebLinkAboutPermit Miscellaneous 2008-11-5
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01618
. ISSUED: 11/05/2008
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
VALUE: $ 5,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
;:l
SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200.100
Springfield TYPE OF WORK: School
,
PROJECT DESCRIPTION:
TYPEIOF USE: Alteration
Remodel of hathroom to accessible standards :: t
/,,-,. r~~!,., ~I'J' ,.'.rr::.q0r.12"i requires you 0
~..,. +h,"" n'-CI'lI"'\r'1 Iltilihr
Puhlic
Owner: SPRiNGFIELD SCHOOL DISTmci 19.r ":1 ',.,8"". i, H'0'S8 rules ':are set forth
Address: 525 MILL ST in OAii 8i:,~'[101,[l()1O through Ot-R 952-001-
SPRINGFIELD OR 97477 0090, You may obtain copies of,the rules by
........Ili...,.., -+1--...... ,.."...,,+<:"1,' (l\lnic' tho tolonhnnp
r" ,>Ylh;.. f1"l" tho {)ror1'1n I Jtilitv Nrtificatfon
I CO;,TRACTOR,INE0RMA(FI0N\1
Contractor Type
Contractor
License
Expiration Date Phone
BUlLDING,INFORMA nON"
i'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.E
# of Stories:. Lot Size:
'" /JI'j!:.ht of Structure . :1 Sq Ft 1st Floor:
,WT :FyI'" of Heat: . SfFt 2nd Floor:
''illS WaieHi1j,p.I:IALL EXPIRE IE. THE WO~ Ft Basement:
I\Un!t~l1gl'::1YP.i!:lDER THIS PE~MIT IS N(9 Ft Garage/Carport
COM!1?l~~~fp!J'R IS ABANDONED FOR Sq Ft Other:
ANY ~gtli'JN1 ~t'Mm.: n/a Occupant Load:
J DEVELOPMENT INFORMA nON ,
REQUIRED PARKING
VB
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Set hacks:
Overlay Dist:
# Street Trees Rqd:.
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
" Sidewalk Type:
I
:: DownspoutslDrains:
Notes:
I V aluation Descri~tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
HERMIT NO: COM2008-01618
ISSUED: 11/05/2008
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
VALUE: $ 5,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726'3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
5,200.00
$5,200.00
$5,200.00
11/04/2008
Total Value of Project
FpPI~ pqW
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$13.94
$16.73
$6.97
$87.44
$51.00
$1.00
11/5/08
1115/08
1115/08
1115/08
1115/08
11/5/08
'Ii
2200800000000001611
2200800000000001611
2200800000000001611
2200800000000001611
2200800000000001611
2200800000000001611
Total Amount Paid
$177.08
Plan 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.
R~'\ll.i,rprI Tn,\,pl'tioniJ
Rough Plumhing: Prior to cover and including required testing,
Final Plumhing: When all plumhing work is complete,
Framing inspection: Prior to cover and after all rough in inspections have heen approved.
Final Building: After all required inspections have heen requested and approved and the building is complete,
"
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Drywall: Prior to taping,
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
I
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax ,
541-726-3769 Inspection Line'
,
P'ERMIT NO: COM2008-01618
ISSUED: 11/05/2008
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
VALUE: $ 5,200.00
II
Status
Issued
....~.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he 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 he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
timesd~~A~~ ) : /((:7/68
Owner or Contractors Signature Date I I
\
,
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
. COM2008-01618
COM2008-01618
COM2008-0 161'8
COM2008-01618
COM2008-01618
COM2008.0 1618
Payments:
Type of Payment
Check
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000001611
Date: 11/05/2008
Description
Building Penn it
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid ,By
SPRFLD PUB SCH
Received By
CJC
Page I of I
item'Total:
t..:heck Number ,Authorization
Batch Number Number How Received
69192 "
In Person
Payment Total:
)
:.
/
, 10:08:48AM
Amount Due
87.44
51.00
1.00
6,97
16.73
13.94
$177.08
Amount Paid
$177.08
$177.08
,
11/5/2008