HomeMy WebLinkAboutPermit Miscellaneous 2009-3-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00405
ISSUED: 03/26/2009
APPLIED: 03/2612009
EXPIRES: 09/26/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 532 C ST
ASSESSOR'S PARCEL NO.: 1703352411100
Springfield TYPE OF WORK: Church
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Install secnrity gate
Owner:
Address:
TRUSTEES OF M E CHURCH
530 C ST ATTENTION'
SPRINGFIELD OR 97477 follow rUles a'dOregon law requires
> f..1...~:.c, ontArI ~. ...1_ ~ VOt J in
in OA;:;-~'.'-'f/ <-enter. 1h~~o.:;;;;.v'",gon thi/ily
009 1: eON:rcRXl()T{J)~ INFvRMio\EffW'inth
O. LQ _ _ ~",J! JII , ~ ,\7I,'i;;~1 .11 t~ .:10' -Ii
calling th Dram Copies of t~ "-u01_
Contractor nUmber f e center. (Note: thet ~ce~by
O or the Ore e ephon
WNER r,,ontM ,. gon Uti/ity ~'M;"_. \. e
!. BUlLDI~b 'iNF6iiMkrumf'v"
Expiration Date
Phone
Contractor Type
General
VB
# of Stories:
Height of Structure
Type of Heat:
Water TYpe:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
. Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A-2
Yes
! DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICJ!)verlay Dist:
THIS PE~~'3R'A'l~ ~l(i"lRE IF THE WORK
AUTHO~l~tf.~t'1EIf'VHIS PERMIT IS NOT
COMMEN'tfit~'It~'AMmDONED FOR.
MIV 1 Rn nAY PFRlnn
I PUBLIC IMPROVEMENTS I
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction;
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0040S
ISSUED: 03/26/2009
APPLIED: 03/26/2009
EXPIRES: 09/26/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
03/26/2009
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
3/26/09
3/26/09
3/26/09
2200900000000000300
2200900000000000300
2200900000000000300
Total Amount Paid
$67.86
I Plan Reviews I
Plan nine: Review
Structural Review
03/26/2009
03/26/2009
03/2612009
03/26/2009
OK
OK
EMM
DJB
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"lIired Insoectioos'
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 the 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 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 c;lrd is located at the front of the property, and the ,lpproved set of plans will remain on the site at all
times during construction.
(l~ ~.1~. -
Owner or Contractors Signature
o/i (c, buo '1
Date
Page 2 of 2
225, Fift.h !9treet
Springfield, Oregon 9Z477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number
COM2009-00405
COM2009-00405
COM2009-00405
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment Paid By
Check TIMOTHY EPPERSON
Cash. ANDREW EPPERSON
Change ANDREW EPPERSON
Job/Journal Number Description
COM2009-00405 Building Permit
COM2009-00405 + 5% Technology Fee
COM2009-00405 + 12% State Surcharge
Payments:
Type of Payment Paid By
Check TIMOTHY EPPERSON
Cash ANDREW EPPERSON
Change ANDREW EPPERSON
Job/Journal Number Description
COM2009-00405 Building Permit
COM2009-00405 + 5% Technology Fee
COM2009-00405 + 12% State Surcharge
Payments:
Type of Payment Paid By
Check TIMOTHY EPPERSON
Cash ANDREW EPPERSON
Change ANDREW EPPERSON
cRcceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000300
Date: 03/26/2009
Item Total:
Check Number Al;lthorization
Received By Batch Number Number How Received
djb
djb
djb
In Person
In Person
In Person
Payment Total:
5295
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
djb
5295
In Person
In Person
In Person
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
djb
5295
In Person
In Person
In Person
Payment Total:
,
Page 1 of 1
I:53:27PM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$65.00
$3.00
($0.14)
$67.86
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$65.00
$3.00
($0.14)
$67.86
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$65.00
$3.00
($0.14)
$67.86
3/26/2009