HomeMy WebLinkAboutPermit Building 2009-2-11
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00077
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01/20/2009
08111/2009
SITE ADDRESS: 4740 MAIN ST
ASSESSOR'S PARCEL NO.: 1702324200101
Springfield TYPE OF WORK: Accessory Bnilding
TYPE OF USE: Addition
PROJECT DESCRIPTION: BWOP Owner installed a smoking room attached to bnilding
Commercial
Owner: SAXON CECIL 0
Address: 85769 2ND ST
EUGENE OR 97405
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I, BUlLD~NG INFORMATION'
fOI;~_ I C:1yl'1 . .'
.#.of Stofles,:O/v, 0 Lot S,ze:
. '\J{lti 'UI... . ,.
II:Heiglit of Sti'ueture'.90/) Sq Ft 1st Floor:
o ~'''N "un" '40/) /,
CiIype 6f;Heat:/)t teC/6 ilfj, r" Sq Ft 2nd Floor:
c, '" <'I)n er.,. 'Y'~ ~r>,.. .
c"Watei'I,Type:t.OO" 11,0 "Ie 041reS Sq Ft Basement:
/)Ut.iL~ge~t~€e:06t 70 tl}r:e rUle/eOo/'OSgJ'tGarage/Carport
Energy.rath:er ill/) Co/)UOI} 0 ilres Ut~t Other:
SpRiik,l~~(Bii,~li.{g:Jteles Of 'ji'6 95;t f~upant Load:
Ie> _ .on,..,. . Ih_ nt::J. ~nl"lJ
I DEVELOPMENT IN~ElliMXVI@N~"I};~S 6~-
-w11 ""'il/' e
'). 10/)
Overlay Dist:
AI. # Street Trees Rqd:
/, Or/C/", , . Paved Drive Rqd:
-4 f/IS Pf, c;, % of Lot Coverage:
Cn~/f/O/;>/~/t1II~, .
B
VN
REQUIRED PARKING
Frontyard'Setback:
Side I Setback:
Side 2 Setback: ,
Rearyard Setback: '
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instrnction:
-4N;';;[NC?/RfJJIQ(i ~OVEMENTS'
. 0 D-4y p vii IS 4 If/IS p~-I;: If/[ Sidewalk Type:
'l:RIOD 84NDO'l:R/t1111. trOR/( Downspouts/Drains:
. 'fiI[D ;:0% N01
Notes:
\~-C). ,
t-;;~'V K I ~aluation DescriDtio~ 1
'~~fP
T f C t t. $ Per Sq Ft Square Footage
ype 0 ons ruc 10 . . . ;
, or multIplIer or B,d Amount
Value
Date Calcnlated
Description
Page I of2
Status Pending
225 Fifih Street, Springfield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
Total Value of Project
F~,~s P~.id ,
I Plan Reviews ,
Date Paid
2/11/09
2/11/09
2111/09
2/11/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00077
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Oi/20/2009
08/1112009
Receipt Number
1200900000000000094
1200900000000000094
1200900000000000094
1200900000000000094
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 Re'1l~ire~,' ~s'1~cti~ns I
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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 trne 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 structnre 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 approved set of plans will remain on the site at all
times during construction. .
Owner or' Contractors Signature
Page 2 of2
Date
Ih\City of Springfield
Electrical Authorization To, Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # RC546596
2/t112009 9:36:43 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I D New construction [i] Addition/alteration/replacement
l~fh'1~f~C~RYiPI;J8Q~"~,n~,U2JI9~~~~rr~~~~1~~~i
I D I or 2 family dwelling 0 Multi.family IKJ Commercial/Industrial I
Descdpt,j~n .....m ~. . l?ty. ..1 . Ea. J ,Total
1~~~1~J~tJ:!l~~~gCE~b,R1mUIJiffU,~1llY;dW~~~iig~un'if:01nclU:4~ ,t-e.
~!!~~~:~~~~~'~g:~~~~~~~~",; .:~~
11,000 sq: ft. or les's [4j
I Ea. add! 500 sq. ft, or portion
I Job no.: I Job address: 4740 MAIN ST
ICUy/StateIZIP: SPRINGFIELD, OR 97478-7646
I Suitelbldg.lapt.no.:
I Project name:
I-Limited energy, residential
{with above sa. fU
I - ~imited energy; multifamily
residential (with above sa. ft.)
- Limited energy, commercia"1
(with above sa. ft.)
- Stand-alone limited energy,
residential
, I' - St.and-a.lone limited energy, I
, ,q.,...,...' multI-famIly, _ _ _" " . .
I ' , , I r. . ~IV I . Stand-alone lImIted energy, \ I
I~:::::~::~cel no.: 1702324200101 Lot no.:, i;~~:~~~,rlJz.:. (- ~"iY;;6Er~~'i)~ll\'J~f{~Q~~1<L!i'~9So~tjf~?~1
1!~~~~~c~~i'fO:f.lIO:F.@ORK~@e~_~ ~qQ9lmp~~r,!;ss [2] , ' 'I
w'iringofthefiresu~presi~nsy:Stem - ~ ., c~!.-: Yo~ ""':U07~~f;ZOI~~ps}O;.oJPOiillJP~J2] I
/)1J/}]glJg fhe/}]qy o. ;!/.\~] .>!,!rtp~.t~~t~~J~~j~J'o:,;I ~~~_ '., I
er fOr /Zel}t~..l pY~,,,J;~;~~~~~41'~~~~~f~~;jn~,,t!,l,,'a.ti~lteration
C I'/~ 0.. IOR:relo..t>on"~_lff,,.+ r
el]l 10;:" ""._",~",,,,~..,..,~.,,7~'""t:ij}ffit;!ri''i:F',L,'JI';Y",,",',,,,,.
Clr 'ge~oV{Alpsll'r.le'tsiW1 "02_nVr(" I
IName: TheCount~S;deBarandGr;lJ 1~~~1~~:}~:f;' " ." ,:
I Phone: (541) 744-1506 I Fax: I ffiJI[n,{~~~i.r&:~11~l~ettilion:;(jR!x.!~~i~:wr~~~11i:W~~[
11_~~~i~<f6Nfi>4:CJ"6~~;~,~~~..jl!!,~f,t:"';i'111 :e~~:~;:~a;eCrhf~;:C:~;~ w;th I
.,.c'" U!!zaMi!.-, ..' ~'f,';:l' , . '",,_,)i7j"~<'0._~~?~?"~ _,': .~_'-"';Nr~",~~,it branch CIrcuit
lEI. lie. no.: 20-442C 'r!'~~ ~~o.: 136446 I I B. Fee tbrbranch circuits
I (. -.... - . " without service or feeder fee,
Business Name: BURRELL BROS ENTE,~~..... S~. I first branch circuit r2l
IContact: loshuaBurrell Cr"l...lIjO/:)~;~/I1/,.~~" each addl branch circuit
IAdd..,s: PO BOX 697 'I/A/~'71/1f'Ai;,t:{) 11/14[1 ... I
[CityIStatelZIP: WALTERV1LLE OR 97489.rliDn "vf:{) n',.,VUI:R :;.'fP/I>f" ' I I Secv;cereconnectonly [2]
I Phone: (541 )7472724, r F;'t-1K4;:>i1./10.!il '''tIS'' II?/J~ Each manul,ctured or modul",
It;? 48;4 t>["1i, ~- dwellmg, servlccandlor feeder
Email: burrellbros@mtegraonline.comIODI.VDI1..Il1/... 1- ~ In
I Metro lie. no,: ICity lie. no.: . -i~"O ;:r'!~~ JU'I '.... p or irrigation circle [2]
I Supcn'ising electrician's He. no.: 4721$ , \..j ( 11'Signor outline lighting [2]
, I Signal Clfcuit(s) or limited~
I Supervising electrician's name: JOSHUA J.BURRELL I alteration, or
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedulo your inspection:
not offered online at this jurisdiction
Cross street/directions to job site:
The CountrySide Bar and mill..
$55,00
$55,001
$6,001
$6,00
NOTE: This Authorization To.8egin Work expires within 180
,days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Subtotal I
I State Surcharge (12% of permit fee) I
I City OfSpringtieJd fees. I
I TOTAL PERMIT FEE I
.'City Of Springfield fees: 5% Technology Fee
IDC:[qm~~~crionsa~ ~\ \\\0'1
i~- qLf
$61.00 I
$7,32 I
$3,05 I
$71.37 l
This Aulhorizalion To Begin Work must be posted al Ihe job sile until replaced by a Permit
22:< Fifth Street
Springfield, Oregon 97477
541\726-3759 Phone
Job/JournalNumber
COM2009-00077
COM2009-00077
COM2009-00077
COM2009-00077
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000094
Date: 02111/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization.
Received By Batch Number Number How Received
KR ONLINE Burrell Bros Online
Payment Total:
Page 1 of I
10:37:45AM
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
$71.37
$71.37
2/11/2009