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Home My WebLink AboutPermit Building 2009-9-23 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01413 ISSUED: 09/23/2009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ."1 541-726-3676 Fax . 541-726-3769 hispection Lin~ SITE ADDRESS: 175 W B ST ASSESSOR'S PARCEL NO.: 1703353201601 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: I Dental office remodel , .1. Owner: ISLAND PARK DEVELOPMENT LLC Address: . PO BOX 7009 . EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor ATTENTION: Oregon law recIJice-nseu to Expiration Date GMD ELEcTRI<fa'NGI rules adopted by the CJ lifl 91' Uti lily 11/19/2010 BAXTER PLUMBIN(n~h(QOTER.LEese ruIE'{6902Set forth 03/13/2010 . _.______.__~_.. _,'..."....1"",.."...... ;;ofi~ B"l:iiLDIN G;ii,ii6.,tMA-;[10NI'- rules by calling the center. (NOle:lne lel~phone numbe,#fofStories:lgon Utility Notification Height Of Stiin:ture2-2344). Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-726-8601 541-935-6696 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOTICE: Overlay Disl: r Ir: THE WORK ,co.' ^' \:rcVDIRnrd C THIS PERMI"1I",1rect _.'e,es ~ ~E:RM\T IS NOT THORIZE[r't,':~~'!l,,,,ve-'Rqd;., FOR AU N-CE:KO[Q~Lot 0lve~ageNED COMME u u 'v' .-. .. . "" ; o.n nAY PERIOD. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Ij !1i>D f'A-c b <:; It-f Ft;i'- /VOL A' ,,- Pal!e I of3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued: PERMIT NO: COM2009-01413 . ISSUED: 09/23/2009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: $ 2,000.00 , . 225 Fifth Street, Spr!ngfield, OR 541-726-3753 Phone. 541-726-3676 Fax , .541-726-3769 Inspection Lin~ f I Valuation Oescrintion I Description ,Tvpe of C?nstruction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fp,,< P1iIU Fee Description, + 12% State Surcharge. + 5% Technology Fee '. Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12 % State Surcharge + 5% Technology Fee lst Appliance Fixture' . + 12% State Surcha.rge + 5% Technology Fee Medical Gas - Value Amount Paid Date Paid Receipt Numoer $7.32 $3.05 $55.00 $6.00 $11.76 $4.90 $79.00 $19.00 $6.96 $2.90 $58.00 9/23/09 9/23/09 9/23/09 9/23/09 9/25/09 9/25/09 9/25/09 9/25/09 9/28/09 9/28/09 9/28/09 3200900000000000665 3200900000000000665 3200900000000000665 3200900000000000665 2200900000000001094 2200900000000001094 2200900000000001094 2200900000000001094 2200900000000001103 2200900000000001103 2200900000000001103 Total Amount Paid $253.89 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. t;'''nI/;rMl 'n.n,,~Hnn. . ,,'~ Rough Electric: Prior to Cover Final Ele~tric: When' all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Paee 2 of 3 . Status Issued.. CITY VI' ~rK11'lt.1'1J',LD Building/Combination Permit _. PERMIT NO: COM2009-0I4I3 ISSUED: 09/23/2009 APPLIED: 09/23/2009. EXPIRES: 03/23/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield; OR 541-726,3753 Phone;. . '. . 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon 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 St~te of Oregon pertaining to the work described herein, and . that NO OCCUPANCY,wilI).le made of any structure without permission of the Community Services Division, Building Safety. I furtber certify'that only contractors and employees who are in compliance with ORS 701.005 will be used ou this project. I furtbe~ agree to e"i:ure th.t I ~e~uir~d.i."s!!~~ti.~"-s.are requested at the proper time, that each ~ddress .is readabl~ from the street, that the perniit.car ,s'J ilted at the front ofthe property, and the approved set ot plans Will remalU on the site at all times ~g'c6"lst?cti01' . I . l \ /v j Owner or Contract'lfrs ,ign~ture 1/2fJ/OQ I Date ~; It .. , Paee 3 on . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department . .---- RECEIPT-#:- u220090000000000Il03 Date: 09/28/2009 2:49:17PM Job/Journal,!'Jumber COM2009-01413 COM2009-0 1413 C0M2009-014[3 ., 4 Descripti~n . :M_edicaIGas -,Value .. +.5% Hchnology Fee ':+ 1,:f% ~tate Surcharge Item Total: . <":heck Number Authorization Received By Batch Number Number How Received CJC 055] 06 In Person Payment Total: Amount Due 58.00 2.90 6.96 $67.86 .l~, . Payments: Type of Payment CreditCard Paid By MCINTYRE CONST Amount Paid $67.86 $67.86 .,. .'. cReceintl Page I of 1 9/28/2009