HomeMy WebLinkAboutPermit Miscellaneous 2008-11-5
Lll i' OF ~nur~GFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01621
ISSUED: 11/05/2008
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
VALUE: $ 30,460.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line.
SITE ADDRESS: 3120 Pierce Pkwy
ASSESSOR'S PARCEL NO.: 1702300001000
Springfield TYPE:OF WORK: Storage Building
" TYPE',OF USE: Alteration
PROJECT DESCRIPTION: Reroute storm sewer and water lines on site
Puhlic
Owner:
Address:
STATE OF OREGON MILITARY DEPARTMENT
PO BOX 14350
SALEM OR 97309
"
J CONTRACTOR INFORMATION.
Contractor Type
Contractor
License
Expiration Date Phone
"
BUlLDINGINFORMATlON I;;
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: .
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,I
'n/a
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Sethack:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
R.EQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Availahle:
Sp.eciallnstruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I V aluati~n Descri?tion I.
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace I of 3
CITY OF SPRINGFIELD
~r
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01621
ISSUED: 11/05/2008 .
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
VALUE: $ 30,460.00
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F'pr~' ~
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% T~chnology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Water Line - 1st 50 Feet
Water Line - Each AddtlIOO'
Amount Paid
Date Paid
Receipt Numher
$20.70
$24.84
$10.35
$52.00
$17.00
$52.00
$17.00
$52.00
$17.00
11/5/08
11/5/08
11/5/08
11/5/08.
11/5/08
1115/08
1115/08
11/5/08
1115/08
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
3200800000000000722
Total Amount Paid
$262.89
I 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.
I R~?"irr~ lr~llr[tiori'J
Underground Plumhing: Prior to filling.the trench and including require~ testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
_~'I"', ,GF,t~g;,
I ",
'i'!f} .
Status
Issued
CITY OF SPRINGFIELD
II
~uilding/Combination. Permit
PERMIT NO: COM2008-01621
ISSUED: 11/05/2008
APPLIED: 11/04/2008
EXPIRES: 05/05/2009
V~LUE: $ 30,460.00
225 Fifth Street, Springfield, OR
541"726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 wor'k 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 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 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 located at the front of the property, and the appro~ed set of plans will remain on the site at all
times during con;ruction. ;J;} \1
~~ I;'z,-.O~
Owner or ~ractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1621
COM2008-0 1621
COM2008-0 162]
COM2008-01621
COM2008-0 1621
COM2008-01621
COM2008-0 1621
COM2008-01621
COM2008-01621
Payments: ,
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WILDlSH
,
Item Total:
Check Number Authorization
Batch Number Number How Received
3200800000000000722
Received By
,cJc
Page 1 of 1
80090 I:
City of Springfield Official Receipt'
Development Services Department
Public Works Department
Date: 11/05/2008
9:11:2IAM
Amount Due
52,00
17.00
52.00
17.00
52.00
17.00
10.35
24.84
20.70
$262,M9
Amount Paid
In Person
Payment Total:
$262.89
$262.M9
11/5/2008