HomeMy WebLinkAboutPermit Building 2006-1-3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00011
ISSUED: 01103/2006
APPLIED: 01103/2006
EXPIRES: 07/03/2006
VALUE: $ 2,000.00
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Status: Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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" SITE ADDRESS: 1195 MAIN ST
ASSESSOR'S PARCEL NO.: 1703354107600
Springfield TYPE OF
Interior
.'. PROJECT DESCRIPTION: Construct 2 partition walls
TYPE OF USE: Alteration
Commercial
Total:
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Owner: COLE JEFF A 1-2
Address: 2783 RlVERW ALK LP
EUGENE OR 97401
, Contractor Type
: General
I CONTRACTOR INFORMATION I
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Ilrl\'eel \RilmleIType:
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't!;iJergy Path:
Sprinkled
Contractor
OWNER
_ # of Units:
-' Primary Occupancy Group:
Secondary Occupancy
( Primary Construction Type
: . Secondary Construction
# of Bedrooms:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
. Rearyard Setback:
, Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
- Street
Storm Sewer Available:
, Special Instruction:
Notes:
I Valuation Descrintion I
Description
$ Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Tvpe of Construction
1 nf 2
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Value
Date Calculated
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. CITY OF SPRINGFIELD.:
Building/Combination Permit:
PERMIT NO: COM2006-00011
ISSUED: 01/03/2006
APPLIED: 01/03/2006
EXPIRES: 07/0312006
VALUE: $ 2,000.00
Status: Issued
, 225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
01103/2006
Total Value of Project
Fp.p.s Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Amnunt Paid
Date Paid
$4.50
$3.60
$45.00
113/06
1/3/06
1/3/06
Receipt Number
1200600000000000002
1200600000000000002
1200600000000000002
Total Amount
$53.10
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.
Framing Inspection: Prior to cover and after aU rough in inspections bave been approved.
Final Building: After all required inspections have been requested and approved and the building Is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all
. information hereon is true and correct, and I further certify that any and all work performed sbaU 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 wiD 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.
I further agree to ensure that all required inspectinns are requested at the proper time, that eacb address is readable from
tbe street, that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
atalltimes~co~ /"
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Om(.; or Contractors Signature D~ /
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2 of 2
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, CITY OF SPRINGFIELD, OREGON
~~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
City Job Number Date
o 1 & 2 Family Dwelling or Accessory 0 New Construction 0 Demolition
o Multi-Family 0 AdditionlAlterationlReplacement 0 Otber
Ii? Commerclal/lndustrlal 0 Tenant Improvement
Job Address (/95.4tJ.i" Sf BldgNo. Suite No.
Lot Block Subdivisinn Tax MaplTax Lot
Project Name Ph:l:" {~i...U...~e.,.
Description of W ork/location on premiseS/special conditions 5,....", II 2.. MN",J., j
o I ProDertu Owner 11 & 2 Familu Dwellino
Name j en: (",ie. SQ Ft x $/SQ Ft Vnlue
Mailing Address 32~ ,~I... St New Dwelling Area
City .5,?L"'~i",J.Q State C1f:-. Zip m77 Garage/Carport Area
Phone (6";) {,f{3-1c.."Oi Fax Other Structure Area
Owner Representative Total Value
Phone Fax I CommerciallIndustriallMulti-Familu
SQ Ft X $/SQ Ft Value
Existing Building Area .fi.i:l.6
New Building Area -€:r
Total Value
o I Architectl.Designerf.Engineer
Name
Address
Existing
New
City
Contact Person
Phone Fax
o I Contractor(s)
Contrnctor's Name
State
Zip
Occupancy Group( s)
Cons!. Type( s)
Number of Stories
CCB#
Expiratinn Date Phone #
I 0 I Residential Proiects
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-width or Second Driveway 0 Yes 0 No
Tempnrary Power 0 Yes 0 No
Notice: All contrnctors & subcontrnctors are required to be licensed with the Construction Contrnctors Board of the State of Oregon
under provisions of ORS 70 I and may be reauired to be licensed in the iurisdiction where work is being perfonned.
I For Office Use Onlu
I PLAN CHECK FEE I
General
Plumbing
Mechanical
Electrical
o I Commercial/Industrial Proiects
Has site review application been submitted?
DYes 0 No 0 NIA
Ifso. Name of Planner
Journal Number
Secondary
Energy Path
I RCPT#
I DATE
I BY I
BUILDING
PERMIT
APPLICATION
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Building Permit Details
1. Removal of wall in room in Southwest section of building.
2. Installation of wall with door in southwest section
3. . Insatllation of wall with door in middle and west section of building
4. lnsatallation of 4" high platform in room
5. Installation of 20" high platform with rail around outside that is 30" high along southeast wall
6. Installation of20" high platform with rail around outside that is 30" high in middles of north
section of building.
7. Installation of 4" high platform and 48" high partition just north of main door.
Electrical Permitting done by other. to follow
225 Fifth Street. .
Spt'iilgfield, Oregon 97477
541-726-.3759 Phone
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JOb/Journal Number
COM2006-00011
COM2006-00011
COM2006-00011
Payments:
T)1le or Payment
Check
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1/3/2006
"
RECEIPT #:
Description
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PSJ INC
~
.ty of Springfield Official Receipt
.veIopment Services Department
Public Works Department
1200600000000000002
Date: 01/03/2006
Item Total:
l;hect< Number Authorization
Received By Batch Number Number How Received
djb 1010 In Person
Payment Total:
I of I
12:10:06PM
Amount Due
45.00
3.60
4.50
$53.10
Amouot Paid
$53.10
$53.10