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Home My WebLink AboutPermit Field Test & Inspection Report 2006-11-9 ~ ~ ~ City of Springfield . (l tvr'- Bunging Permit & Inspection Summary I' / () M#I/JiVtJ- . 11/9/2006 8:20:48AM Job #: COM2006-01436 225 Fifth Street 541-726-3753 Phone 541-726-3676 Fax. Project Status: Issued Job Address: 5658 Main St Springfield Scope of Work: Banner Description of Work: Banner permit fee to satisfy Code Enforcement - Banner is now down Owner & Contractor(s) Name 1~' Address City. State. ZiD Phone OWN PSMMR LLC 3474 SPRING BLVD EUGENE OR 97405 J Valuation of Proiect Date OccuDancv Construction TVDe Cost Per So Ft So Ftl! Valuation Calculated Staff DescriDtion Amount Paid Fees Paid Date Paid ReceiDt # Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Total Amount Paid $45.00 $2.25 $4.50 $51.75 11/08/2006 11/08/2006 11/08/2006 2200600000000001564 2200600000000001564 2200600000000001564 Plans Reviewed DeDartment Received Due Date ComDleted Result Reviewer Comments InsDections Conducted InsDections Banner Removal Comments Date Result InsDector ~ ~ "S{\ ~ \.0 \~\i ~t..\) L ~ ~~~\r~ I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01436 COM2006-01436 COM2006-01436 Payments: Type of Payment Check cReceintl RECEIPT #: .-s . .t'~T..~'.._~' .......... Wi: , e.... .' ,'" , i. , -.. - ".- .~,..,.._,.'...' ... . Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By EXTREME ENT INC Caof Springfield Official Receipt "Iopment Services Department Public Works Department 2200600000000001564 Date: 11/08/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 000 In Person Payment Total: Page I of I 9:22:ISAM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 ~ 11/21/2006 . Status Finaled .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01436 ISSUED: 11108/2006 APPLIED: 11108/2006 EXPIRES: 11108/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5658 Main St ASSESSOR'S PARCEL NO.: 1702334103000 Springfield TYPE OF WORK: Banner TYPE OF USE: Addition PROJECT DESCRIPTION: Banner permit fee to satisfy Code Enforcement - Banner is now down Commercial Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Se~ondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupaut Load: nla I DEVELOPMENT INFORMATION' Frontyard 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: Sidewalk Type: Storm Sewer Availadl.(JnCE" DownspoutslDrains:es you ,,-, Speciallnstruction:THIS PER" ATTENTION:Olegon law requlI n Utility MIT SHALL d pted by the Orego \ Notes: AUTHORIZED UNDER ETXPIRE IF THE W~t9~\~W r.ul:c~n~er. Those rules are s5e~ ~;I COMMFNI'i:n ,,~ . _ HIS PERMIT ",.. ,~tlflc.a~~" ""1_11010 through OAR 9 .~ _ ..... AIVY180 - -" '''Mo';r;3v,v UF -- - .:i'. .-..--- a obtaincOplesu""""_._- . DAY PERIOD. r Valua~lonQRscf.ioHonYIU m ~enter. (Note: the tele'pho~e <.;""",,9 the 0 n Utility Notification $ P S F S' - '-"\)e rego ) Description Tvpe of Construction erlt,q I' t q.uB-a.'de-A.Fo~t~~et.er is 1_80c.viiihi,-2344. Date Calculated or mu Ip lef or I moun. Pal1e I of2 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01436 ISSUED: 11/08/2006 APPLIED: 11/08/2006 EXPIRES: 11/08/2006 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P"idJ Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Amount Paid Date Paid $4.50 $2.25 $45.00 11/8/06 11/8106 11/8/06 Receipt Number 2200600000000001564 2200600000000001564 2200600000000001564 Total Amount Paid $51.75 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. 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 he 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 ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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. ~la~ Attach Owner nr Cont'actors Signature Paee 2 of2 . .CITY 0.. ~rKll'lt..NJ'.,L1J Status Issued Building/Combination Permit PERMIT NO: COM2006-01436 ISSUED: 11108/2006 APPLIED: 11108/2006 EXPIRES: 11/08/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Prnject Fees ~ Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews , 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. By signature, I state and agree, tbat I bave carefully examined the completed application and do bereby certify tbat all information bereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance with tbe Ordinances oftbe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made ofany structure witbout permission oftbe Community Services Division, Building Safety. I furtber certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at tbe proper time, tbat each address is readable from the street, tbat the permit card is located at tbe front of the property, and tbe approved set of plans will remain on tbe site at all times during construction. -~~ r:{ /1- 6 -b ~ Owner ~ctors Signature Date Paee 2 of2 225 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01436 COM2006-0 1436 COM2006-0 1436 Payments: Type of Payment Check cReceiol1 RECEIPT #: . -rj;~~ WtL. - Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By EXTREME ENT INC caof Springfield Official Receipt '-Iopment Services Department Public Works Department 2200600000000001564 Date: 11108/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 000 In Person Payment Total: Page I of I 2:49:44PM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 11/8/2006