HomeMy WebLinkAboutPermit Miscellaneous 2005-2-25
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
,
. CITY OF SPRIl'Il\.TJ<1J!,LU
Building/Combination Permit
PERMIT NO: COM2005-00225
ISSUED: 02/25/2005
APPLIED: 02/24/2005
EXPIRES: 08/25/2005
VALUE:
Status
Issued
SITE ADDRESS: 2152 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251301500
Springfield TYPE OF WORK: Store
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: New utility meters.
Owner: TRI-W GROUP LTD PARTNERSHIP
Address: 100 SE CRYSTAL LAKE DR
CORVALLIS OR 97333
Phone Number: 541-757-2790
Contractor Type
Geueral
Electrical
Plumhing
I CONTRACTOR INFORMATION I
I w reqU~u to
Contractor ATTENTION: Oregon a the.Qr Vt\\ity Expiration Date
ACTION CON~t1(t(l1mN-@P~YNG" lies get forth 06/23/2006
ROSE CORPj:UMiR6Nn Center. Those ru clM3Js2.Q01. 09130/2005
ROBINSON llMmOUNa~.Q01? thr_o~~~ ~~JMles bY 07/13/2005
00901-IBuitiliNG:iNF~NE1 hOne
cal.',J "' UtiUiY~cation
number Wh~~~~g~-332-2344).
CffJf~1 o( Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: ."..:_. n/a
......,..-
Phone .
541-988-9013
541-686-0905
541-345-6909
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
" # of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENTlNFORMATlON I- WORK
,,,,. .-- L E~\'IKt If I HE
TH%f,e~ra~J1s~:~~~R THIS PERMIT IS NOT
AU IrSt'r.~t,Tre~ R<\il: ABANDONED FOR
CO"~l\I1t-l\lllr:U ell I -
Paved DrIve R~d:OD
^N"1nl~I\l~'fr't:ltl .
" % of Eat Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLI\.. mJPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
. Pa2e I 00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Snrcharge
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Perm ServlFdr 201 to 400 amps
Water Line - 1st 50 Feet
Total Amount Paid
Structural Review
.
. CITY OF SP1Ul~t.d<U.L1J
Building/Combination Permit
PERMIT NO: COM2005-00225
ISSUED: 02/25/2005
APPLIED: 02124/2005
EXPIRES: 08/25/2005
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F,:lop,". tiWLI
Amount Paid
Date Paid
Receipt Number
$17.90
$12.53
$14.00
$4.00
$41.00
$75.00
$45.00
2/25/05
2/25/05
2/25/05
2/25/05
2/25/05
2/25/05
2/25/05
1200500000000000253
1200500000000000253
1200500000000000253
1200500000000000253
1200500000000000253
1200500000000000253
1200500000000000253
$209.43
I Plan Reviews I
02/24/2005
02/24/2005
OK
DLM
No proposed change to structure or
interior layout. Adding separate
utility services to existing tenant
area.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Ue()lIireru-nsne~tion~ I
Water Line: Prior to filling trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Final Gas: When all gas work is complete.
Electric Service: Approval required prior to utility co,?pany energizing service.
Pal!e 2 of3
.
. CITY OF ~r.tONGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00225
ISSUED: 02/25/2005
APPLIED: 02/24/2005
EXPIRES: 08/25/2005
VALUE:
Status
Issued
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 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 tim'e, 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.
~---- (R.D~"'ld Hortoo)
2-25'05
\ .
Owner or Contractors SIgnature
I
Date
Paee 3 of3
225 Fifth Street
S~rlngrteld, Oregon 97477
541-726-3759 Phone
e
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City of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00225
COM2005-00225
COM2005-00225
COM2005-00225
COM2005-00225
COM2005-00225
COM2005-00225
Payments:
Type of Payment
CreditCard
2/25/2005
RECEIPT #:
Date: 02/25/2005
1200500000000000253
Description
Water Line - 1st 50 Feet
Fixture
Gas Outlets 1-4
Minimum! Adjustment Mechanical
Perm ServlFdr 201 to 400 amps
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DA VlD HORTON
Item Total:
l.:heck Number Authorization
Received By Batch Number Number' How Received
djb 706443 In Person
Payment Total:
Page I of!
1O:29:38AM
Amount Due
45.00
14.00
4.00
41.00
75,00
12.53
17,90
$209.43
Amount Paid
$209.43
$209,43