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