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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