HomeMy WebLinkAboutPermit Building 2004-4-12
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00241
ISSUED: 04/12/2004
APPLIED: 03/0212004
EXPIRES: 10/12/2004
VALUE: $ 15,389.00
Status
Issued
SITE ADDRESS: 6900 Main St
ASSESSOR'S PARCEL NO.: 1702353205317
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE:
PROJECT DESCRIPTION: Site Preparation for Espresso Stand for River City Coffee
SDCs not included for kiosk.
New
Commercial
Owner: GIBSON & GIBSON
Address: 668 GREENWOOD ST JUNCTION CITY OR 97448
Phone Number: 541-998-2388
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
EUGENE SAND & GRAVEL
C & SELECTRIC
TRA VESS CONSTRUCTION
License
44524
3849
138060
Expiration Date
0212312005
09/01/2004
11/01/2005
Phone
541-683-6400
541-741-2236
541-746-6399
I BUILDINGUNFORMATION I
~'V' ;,\
# of Units: ,\~<Of S5o'J.)l,s: Lot Size:
Primary Occupancy Group: S;. ~ li~lg'iib<lf Structure Sq Ft 1st Floor:
Secondary Occupancy Group: .J,'V~ o~TYP,jl'o'r Heat: Sq Ft 2nct-'Floor:
c~ l'.' 'IV ..av .:\,'1
Primary Construction Type ,-v ~'";) fJ\'ater Type: Sq F:~~e!1.t:
Secondary Construction Type: SY:-~\; S;.~ "\ ~~~:\j Range Type: !i.qq;:'tc~r~'e'l8!lJ"port
# of Bedrooms: !V~. #- ~..;;..\j {;> ~ Energy Path: ,0~~~!h1;~)"}: r:o "-
,~'\"\ o<<.~ ...<<.'V 'V~ f:>'V' ,~~ ~p~~i9.u~!\.g.f'aF..e,Area:
~ f-' ,",,'l.- ....(\ -(.~ ^''' ,,~ ~~ /'~ 0. jn' ';"<:0-
,\,<,~,\y:-~<<...;;.."~~ \ I DEVELOPMENTINFORMA TlONl''lo'Q'IOr:00 ',,)<f - 0~:v.0'<.~\(,~~'
SETBACKS ~('<:)~ ,,<t;,<;:; ~v O~' ~~ ~,O ~\0\REqV'ifu;D PARKING
" ~~ :'-..,0 ~?j 0" ,,(;) ,(,0 0' 'l\.'\ ~~
~' Overlay Dist: ~ 0'" 0~ cl=> :\~ ~O~ ~.:tot8l?'
# Street Trees !\~~,~ f;;o (j C'" iF....'lf ~.~ O~ ~.rndicapped:
Paved Drive R'li~o ,pO b'l:r:::J ~'\ 0<!1-0 ~0~ \:,~Compact:
,,0 .~\(, ~ <S' C; 0 ,,9'
% of Lot Cover~ '!1:'<?- ~o.;;, ~0 ~0 ',C.
0" ~ .0' ,,'
~ ....~'V. ~'" ~(' ,r'
~.. ~' ..... -
I PUBLIC IMPROVEMENTS f~.;;,~v
Sidewalk Type:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
Pal!e 1 of3
,
I
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descrintion
Pavine
Tvpe of Construction
Use Bid Amount
Fee Description
Plan Review Commllnd/Public
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Paving
Planning Final Occy Inspection
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addt11 00'
Storm Drainage Impervious Area
Water Line - 1st 50 Feet
Water Line - Each Addt1100'
Total Amount Paid
.
. LoU l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00241
ISSUED: 04/12/2004
APPLIED: 03/02/2004
EXPIRES: 10/12/2004
VALUE: $ 15,389.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,389.00
Total Value of Project
Fpp< P"ill .
Amount Paid
Date Paid
$100.23
$27.22
$8.26
$31.00
$154.20
$143.00
$45.00
$14.00
$620.31
$45.00
$14.00
3/2/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4112/04
$1,202.22
I Plan Reviews I
Initial Review 03/03/2004 03/05/2004 APP LLH
Plan nine Review 03/09/2004 WE EMM
Plan nine Review 04/09/2004 04/09/2004 APP TAJ
Public Works Review 03/09/2004 03/2612004 APP SB
Structural Review
03/05/2004
03/1912004
APP JMP
Value
Date Calculated
$15,389.00
$15,389.00
03/02/2004
Receipt Number
1200400000000000264
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
Held to discuss addressing with Fire
Department
Waiting for Final Plot Plan and
Development Agreement.
Final site plan received and
approved, signed develoment
agreement received on 4/9/2004.
SITE WORK ONLY. SDCs FOR
KIOSK NOT ADDED.
SEE SDC CALCULATION SHEET
ATTACHED.
Received 3/9/2004.
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.
Paee 2 of3
! -Wi"
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00241
ISSUED: 04/12/2004
APPLIED: 03/02/2004
EXPIRES: 10/12/2004
VALUE: $ 15,389.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insnections I
1 Rough Grading: After gravel is in place but prior to placing concrete.
2 Final Paving: After paving is complete.
3 Water Line: Prior to filling trench and including required testing.
4 Sanitary Sewer Line: Prior to fitling trench and including required testing.
By signature, I state and agree, that 1 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.
1 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 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.
~~
4 /I Z/ 0 4
Owner or Contractors Signature
Date
Paee 3 00
" 225 Fifth Street
. Springfield, Oregon 97477
I 541-726-3759 Phone
.
.~
~
~ of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004.0024I
COM2004-0024I
COM2004-0024I
COM2004.0024I
COM2004-0024I
"
RECEIPT #:
2200400000000000348
Date: 04/12/2004
Description
Addressing Assignment
Planning Final Occy Inspection
Paving
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Storm Drainage Impervious Area
Payments:
Type of Payment Paid By
Check !UP INVESTMENTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 10 19 In Person
Payment Total:
'\.
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4/12/2004
Pa~e I of I
10:00:03AM
Amount Due
31.00
143.00
154.20
45.00
14.00
45.00
14.00
8.26
27.22
620.31
$1,101.99
Amount Paid
$1,101.99
$1,101.99