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HomeMy WebLinkAboutPermit Building 2009-4-22 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00530 ISSUED: 04/22/2009 APPLIED: 04/21/2009 EXPIRES: 10/22/2009 VALUE: $10,000.00' 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3150 MAIN ST ASSESSOR'S PARCEL NO.: 1702310000400 Springfield TYPE OF WORK: Office TYPE OF USE: Repair Pnblic PROJECT DESCRIPTION: Dryrot Repair and Electrical Work Owner: STATE BOARD OF FORESTRY Address: 2600 STATE ST SALEM OR 97310 I, CONTRACTOR INFORMA T10N I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: B License Expiration Date Phone . ATTE'NTlml. r..___ . , BUlFDlN'Cf tjl~~imr*~~~"6~~;~t~~Jf -~.UIJ"ri{ll, Inoserul I Y )Jh~~~lt~:001-00;? through ebA~e9~~;~~~ e: V~~~p,t 8f1~RJrealO copies of the rurl!!, st Floor: nbBYb~~FfA;\?enter. (Note:. ~he teleph~f1 2nd Floor: Water l!]e' he. Oregon Utility Notifjc~fb/l' Basement: Range yp~\er,s 1-800-332-2344). Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Bnilding: n/a Occnpant Load: Contractor Type Contractor I ,DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: NOTICE: , H~nMlIl'6RIU)W~;rs.L__ .AU (,' '\ J JiJ.......,,~...! 'I1iEW.QRlt COMMENC~D DER THIS PERMIT rs'\IJO'f,k Type: ANY 180 DAY ~E~I~tBANDDN~D FQllownsponts/Drains: . .. Total: Handicapped: Compact: !,. .:,<". Street Improvements: - Storm Sewer Available: Special Instruction: , Notes: I Valuation Descriotion I Description Type of Constrnction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Valne Date Calculated Pa2e I of 2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00530 ISSUED: 04/2212009 APPLIED: 04/2112009 EXPIRES: 10/2212009 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amonnt Use Bid Amount $1.00 10,000.00 $10,000.00 $10,000.00 04/21/2009 Total Valne of Project Fees Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee Bnilding Permit Amount Paid Date Paid Receipt Nnmber $16.32 $6.80 $136.00 4/22/09 4/22/09 4/22/09 2200900000000000410 2200900000000000410 2200900000000000410 Total Amount Paid $159.12 I Plan Reviews I 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 Insneetions I Framing Inspection: Prior'to cover 'IUd after all rongh in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. By signatnre, 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 wilLbe made of any structure without permission of the Community Services Division, Bnilding Safety. I fnrther 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. . 6.f;l~tt:.:~&"/ l.j-;)/~ 09 Date Pa2e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00530 COM2009-00530 COM2009-00530 Payments: Type of Payment CreditCard cReceintl' RECEIPT #: Description Building Permit + 5% Technology Fee + 12% State Surcharge Paid By OR DEPT OF FORESTRY City of Springfield Official Receipt Development Services Department' Public Works Department 2200900000000000410 Date: 04/22/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 077260 In Person Payment Total: Page 1 of 1 9:04:24AM Amount Due 136,00 6,80 16,32 $159.12 Amount Paid $159,12 $159.12 4/22/2009