HomeMy WebLinkAboutPermit Building 2008-9-2
Status
Issued'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01l92
ISSUED: 09/02/2008
APPLIED: 08/09/2008
EXPIRES: 03/02/2009
VALUE: $ 5,000.00
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspeclion Line
SITE ADDRESS: 4181 EST
ASSESSOR'S PARCEL NO.: 1702322300300
SPRINGFIETYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addilion
Commercial
PROJECT DESCRIPTION: Accessibility ramp
Owner: LINCOLN CAPITAL II LLC
Address: 1580 VALLEY RIVER DR STE 270
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
WESTERN ASPHALT MAINTENANCE INC 87992
BUILDING INFORMATION I
Expiration Date
0110612010
Phone
54 I -726-0828
# of Unils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruclion Type
Secondary Couslruclion Type:
# of Bedrooms:
B
# of Slories:
Heigbt of Slruclure
Type of Heal:
Waler Type:
Range Type:
Energy Palh:
Sprinkled Building:
Lol Size:
Sq FI 1 sl Floor:
Sq FI 2nd Floor:
Sq FI Basemenl:
Sq Ft Garage/Carporl
Sq Ft Otber:
Occupanl Load:
VB
n/a
I DEVELOPMENT INFORMATION I
Fronlyard Selback:
Side 1 Setback:
Side 2 Selback:
Rearyard Selback:
Solar Selbacks:
Overlay Disl:
# Slreel Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
REQUIRED PARKING
Tolal:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Slreel Improvemenls:
Sidewalk Type:
Slorm Sewer Available:
Special Inslruclion:
A~'t:lf~~~w requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
'" nTI r.1=' 1l!lSll....Y"" m.m ,,"'=1,\ r"";"~ "III)" ",I.,. "I'
THIS PERMIT SHALL EXPIRE IF lttt-'f;':.JIII\ I calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PER~llIVll'\tiiP1in De~criDtion number for the Oregon Utility Notification
COMMENCED OR IS ABANDONEn I=OR Center is 1-800-332-2344).
"$ Per' 'Sq Ft Square Footage
DescripliJl.f-JY 180TO~WB1lrelJ~clion or multiplier or Bid Amounl Value Dale Calculated
Noles:
Page 1 of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01192
ISSUED: 09/02/2008
APPLIED: 08/09/2008
EXPIRES: 03/02/2009
VALUE: $ 5,000.00
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
5,000.00
$5,000.00
$5,000.00
08/09/2008
:rotal Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review CommllndlPublic
Amount Paid
D'ate Paid
Receipt Number
$7.57
$9.09
$3.79
$75.74
$49.23
9/2/08
912108
9/2/08
9/2/08
912108
2200800000000001316
2200800000000001316
2200800000000001316
2200800000000001316
2200800000000001316
Total Amount Paid
$145.42
I Plan Reviews I
Plannine Review
08/09/2008
08/11/2008
. . APP EMM
Structural Review
08/09/2008
08/1112008
APP ,RCW
Needs completion of MDS LUCS
requirements
Ramp only
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 InsDections I
Site Inspection: To be made after excavation but prior to setting forms.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature,.! state and agree, that 1 have carefully ex'amined 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.
1 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.
Owner o.r Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1192
COM2008-01192
COM2008-0 1192
COM2008-0 1192
COM2008-01192
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
De.scription
Plan Review Commllnd/Public
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ARC OF LANE CO
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001316
Date: 09/02/2008
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
dim
18035
In Person
Payment Total:
Page I of I
2:07:00PM
Amount Due
49.23
75.74
3.79
9.09
7.57
$145.42
Amount Paid
$145.42
$145.42
9/2/2008
Fees Associated With 8/9/2008
Case #: COM2008-01192 3:01:06PM
4181 EST
541-726-3753 Phone LINCOLN CAPITAL II LLC
541-726-3676 Fax
Trans Revenue Date Calculated Original Amount
Description Code Account Number Calculated By Amount Due
Plan Review CommllndlPublic 1060 224-00000-425602 8/9/2008 DJB . 49.23 49.23
(
Building Permit 1002 224-00000-425602 8/9/2008 DJB 75.74 75.74
j....
+ 5% Technology Fee 2099 100-00000-425605 .8/9/2008 DJB 3.79 3.79
+ 12% State Surcharge 1099 821-00000-215004 8/9/2008 DJB . 9.09 9.09
+ 10% Administrative Fee 1098 224-00000-426605 8/9/2008 DIB 7.57 7.57
Total Due: $145.42
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