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Home My WebLink AboutPermit Building 2009-4-10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00477 ISSUED: 04/10/2009 APPLIED: 04/10/2009 EXPIRES: 10/10/2009 VALUE: $ 1,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 333 58TH ST ASSESSOR'S PARCEL NO.: 1702343200100 Springfield TYPE OF WORK: Interior PROJECT DESCRIPTION: Mens locker room modilication TYPE OF USE: Alteration Public Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: _ , . . 'f .":\ '.~ \lo.lr!,Rt IWU8l~!.~M~~E\'.~\1 IS ~O\ ~~\10\'.12ED \lN~~; A\3ANDON'WIiPX'lk Type: COMMENCED 0 E\'.IOD. Downspouts/Drains: ANY ~ 80 DAY P Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 ", Contractor Type General License Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATlONt ' , Ore on law reqUire" yu t.o ATTENTION# of_St%rles:; the Oregon Utility SJpllow ru\esJi~ightOtr~ttUClilfe; are set forth Notificatl~~_~Thlpi~flR~aCU9h OAR 952-001- vll\lf OAR 9 WatJltt[~eDpies of the rules by 0090. You m"l - p'9te: the telephone calling th~g~~rPY f::' Utility Notification mber for",Mre;6.!I m 4) nu cerfu!riilkWi&iMi?it.34. . I DEVELOPMENT INFORMATION I' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improv'ements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descri)7tion I Description Tvpe of Construction $ Per Sq Ft 'or multiplier Square Footage or Bid Amount Page I of 2 Expiration Date Phone Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Bid Amount Use Bid Amount Fee Descrintion + 12% State Surcharge + 5% Technology Fee Building Permit Total Amount Paid Fire Department Review Structural Review 0411 012009 0411012009 $1.00 Total Value of Project ~ees Pli~ I Amount Paid Date Paid CITY OF' SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00477 ISSUED: 04/10/2009 APPLIED: 04/10/2009 EXPIRES: 10/10/2009 VALUE: $ 1,000.00 1,000.00 0411012009 $6.96' $2,90 $58.00 $67.86 I Plan Reviews I 0411012009 0411012009 APP APP $1,000.00 $1,000.00 Receipt Number 4110109 4110109 4110109 1200900000000000254 1200900000000000254 1200900000000000254 GRG RWC 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 Reouired Insnection,s I Special: See Plan Reviewer or Inspectors Notes for specilic requirements. Final Building: After all required inspections have heen 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 he 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 sile at all times during construction. ~A~~ -------- Owneror Contractors Signature Paee 2 01'2 ~!(Q(01 Date 225'Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00477 COM2009-00477 COM2009-00477 Payments: Type of Payment CreditCard J cReceintl r RECEIPT #: Description Building Penn it + 5% Technology Fee + 12% Slale Surcharge Paid By GARY NEWMAN City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000254 Date: 04/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 09445a In Person Payment Total: Page I of I 9:S4:46AM Amount Due 58,00 2,90 6,96 $67,86 Amount Paid $67,86 $67.86 4/1 0/2009