The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-5-20 . Status Issued ~...i. ~ .__ \...11 f OF ~rKlNGFIELD. Building/Combination Permit PERMIT NO: COM2004-00605 ISSUED: OS/2012004 APPLIED: OS/2012004 EXPIRES: 11120/2004 VALUE: $ 500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5630 Main St ASSESSOR'S PARCEL NO.: 1702334103000 Springfield TYPE OF WORK: Store TYPE OF USE: Repair PROJECT DESCRIPTION: Fill in opening in tenant demising wall between 5630 & 5640 Main Commercial Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: . Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla , DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descriotion I Sidewalk Typ.e: ATTENTION: Oregon taw requires you to foMm'lfi&'\!BWw5 by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.o01.()()10through OAR 952-001- 0090. You may obtain copies of the rules by ~HRD tt.. ....",L.. i~'t.~w. d..... ~"";"""";I'-Illg number,fOr the Oregon Utility Notification Center 18 1"..80<>-332-2344). Notes: Description Type of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500.00 Value Date Calculated Total Value of Project Paeelof2 $500.00 $500.00 05/20/2004 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00605 ISSUED: OS/20/2004 APPLIED: OS/20/2004 EXPIRES: 11/20/2004 VALUE: $ 500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~s Pair! I Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 5/20/04 5/20/04 5/20/04 1200400000000000775 1200400000000000775 1200400000000000775 Total Amount Paid $52.65 i Plan Reviews I 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. I ReolJirpr!lnsr~ctions I I Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywail: Prior to taping. 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 ofthe Community Services Division, Building Safety. I 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. * J tr/ 5/20/ D~ ( Owner or Contra~ Signatdre Date Paee 2 of2 225 Fifth Street Sprin'gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00605 COM2004-00605 COM2004-00605 Payments: Type of Payment Cash 5/2012004 . RECEIPT #: a~~:~~ Ilk. ! .-.,.. ~.... I ._~. .' JiijJy of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000775 Date: OS/20/2004 Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By PETER KRYL Received By dim Page I of I Item Total: Check Number Authorization Batch Number Number How Received In Person Payment Total: 3:28:17PM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65