HomeMy WebLinkAboutPermit Building 2009-10-8
'.
Status . Issued,;,
225 Fifth Street, Springfield, OR ,
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 luspection Line
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-0J488
ISSUED: 10/08/2009
APPLIED: JO/0812009
EXPIRES: 04/08/20JO
VALUE: $ 400.00
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SITE ADDRESS: 1001 10TH ST Spriugtield TYPE OF WORK: Accessory Buildiug
ASSESSOR'S P1-RGELNO,: 1703351103400
" : TYPE OF USE: Public
PROJECT DESCRIPTION: Add Partitiou l:w.al' 'TION 0 I .
",' A 11:1, : regon aw reqUIres you to
ff"'lllt"'\\M.l'lllo.r. ~~f"'I,....to....l h., +h..... f'\1'^""ro.... Ilt:I;+.,
Owner: SPRINGFIELD SCHOOLDtST~fCTT9Center. Tho'se rules are set forth
Address: 525 MILL ST . . In UAIi 85~-001-001 0 through OAR 952-001-
SPRINGFIELD OR 97477 0090. You may obtain copies of the rules by
r.r::lllinn trj:l t"pntpr (t\I"tA" tho. talo.nhf"lno.
numhp.r fm lhp. OrAnnnlltilitlf Nntifi~otion
I CQN'FRAGJ0RrINF,0Rl\1ATlION .
l
Contractor Type
General
Contract!lr
OWNER
License
Expiration Date Phone
I, BUILDING INFORMATION I
# of Uriits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
A3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Spriukled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq.Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Frontyard Setback: '
Side I Setback: ,
Side 2 Setback: I
RearyardSetback:
Solar Setbacks:
NOTICE:
TH IS P~;-DE~Ei!Q~MENi:iNEORt\1AiIQN:':'
AUTHO "., F ,,, ,...'1 -
. (11'-'-1..1 ......'...'"-.. ....~ " -- p--
COMMENCED OR IS AB4NDONED FOR '
O DAY FP,Y~I~r Dlst:
AN':i 18 ifSl~~it'Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
No
REQUIRED PARKING
Total:
Haudicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
, Downspouts/Draius:
Notes:
IValuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date'Calculated
Pace I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01488
ISSUED: ' 10/0812009
APPLIED: 10/08/2009
EXPIRES: 04/08/20JO
VALUE: $ 400.00
225 Fifth Street, Springl)eld, OR
541-726-3753 Phone" .
541-726-3676 Fax
541-726-3769 Inspection Line
.' "'. '. .
Estimate
Estima te
$1.00
400,00
$400,00
$400,00
10/08/2009
Total Value of Project
, J.
Fees Paid I
Fee Description .
. '~~, '. (
Amouut Paid
Date Paid
Receipt Number
Total Amount Paid
$0:00
I Plan Reviews ,
!~
1 .;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
workday. '
I Rr/illiredlnsnec,t},o~,~ I
~ ,r'
Framing Inspection: Prior to cover and after all rough in inspectious have been approved,
/.
Final Building: After all required iuspections have been ,'equested and approved and the building is complete,
By signature, I state and agree, that I have carefully examined the completed applicatiou aud do hereby certify that all
informatiou hereon is true and correct, and I further certify that any aud all work performed shall be done in accordauce with
the Ordinances of the City of Springfield and the Laws of the State of Oregou pertaining to the work described hereiu, aud
tbat NO OCCUPANCY will be made of any structure without permissiou of the Commuuity Services Divisiou, Building Safety,
I further certify that ouly contractors aud employees who are i1.- compliauce with ORS 701,005 will be used on this project.
I further agree to eusure that all required iuspections 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, aud the approved set of plaus will remain ou the site at all
tim~nstruction.
( ~ OJ '\ 'Yt^~
~ ----~.
Owner or Contractors Siguature
"
Date 10(&-(67 ,
Pa~e 2 of2
:!
225 Fifth Street
Spriilgfi1ld, Oregon 97477
541:726-375~ rbQ.n..e~_
RECEIPT #:
Job/Journal Number~.',
COM2009-01488
COM2009~01488
COM2009-0 1488
, . Qescription
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
CreditCard
,,'.
Paid,By ,
'GARY NEWMAN
,;~. ,. ',~
,
"il r'
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
]20090000000000]124
Date: ]0/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number 'How Received
klk 06577C In Person
Payment Total:
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Page I of I
II :47:08AM
Amount Due
58.00
2.90
. 6,96
$67,86
Amount Paid
$67,86
$67,86
10/8/2009