HomeMy WebLinkAboutPermit Miscellaneous 2009-12-2
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01718
ISSUED: 12/02/2009
APPLIED: 12/0212009
EXPIRES: 06/02/2010
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7345 THURSTON RD
ASSESSOR'S PARCEL NO,: 1702350002600
Springfield TYPE OF WORK: Miscellaneons
PROJECT DESCRIPTION: Egress gate
TYPE OF USE: Addition Public
Owner: SPRINGFIELD SCHOOL DISTRICT 19'
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TlO~ ..1
Contractor Type
General
License
Contractor
OWNER
BUILDING INFORMATION'
# of Units: . # of St~,,~:
Primary Occupancy Group: E '!i;~ructure
Secondary Occupancy Group: C'tI ~e~1b {l.~.
Primary Construction Type e9,o<0 \'3' \~e ~~l~
Secondary Construction Type\O~' O~9\llO 'O~se ~~\~~ '; ~
# of Bedrooms: ~\2.~~ ~es aO \el. ~~ ~IO~~'~ Il~e i\\
'" ~\O~ ~~O<0ce\.OO\o," c09\~jID~ \6ft\~lIIg' n/a
\0 ..~<>.\\ _."rc. ;_,,,\{I \-,~. l~O
~~O",,,, ~~~ ~a~~RMi$~NT INFORM.mON I
00<;:,0 \, {l9J \~0 \~0" \"~\)" . .'
ci;\\ x\O~ X'" "
~~'Oe (j0{1\0 Overlay Dist: ..",...
~ #'Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:,
Solar Setbacks:
, ';_ ~:l"~'"
I PUBLIC ~OVE~f~~i
\\O"'i\C\\>J\\\ S\\~~\\L;~\O ?t.~~~ rO?
'\\\\0 ?\\l't.D \\\'\10\0 I>S"r>-\'\DO
^\\\\,\O.. " 0\\
t" ~\>J\'t.\'\C't.v 't.\\\OD.
COi'J \) Dr>-'i?
~~'i '\\\
Street Improvements:
I Storm Sewer Available:
Special Instruction:
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
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I. Valuati?n Descriotion ,.1
Des~ription
, Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e I of2
. !' '~
Value
Date Calculated
>::>1i!1lI/!'IOl'II!l;"'1:>:
-',..-' ."".
, '
~'
CITY VI' ~l'KINGl'lJ<,LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01718
ISSUED: 12/0212009
APPLIED: 12/02/2009
EXPIRES: 06/02/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
2,000,00
$2,000,00
$2,000,00
12/0212009
Total Value of Project
F~es Paid I
$6,96
$2.90
$58,00
1212/09
1212/09
12/2/09
Receipt Number
1200900000000001294
1200900000000001294
1200900000000001294
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
-,.;
Total Amount Paid
$67,86
Plan Reviews I
Structural Review
12/02/2009
12/0212009
APP RWC
Egress gate SE corner
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.
I 'Rellllirerl Tnsllections I
..,
Final Building: After all required iuspections 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 that all
informatiou 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 hereiu, and
that NO'OCCUP ANCY will be made of any 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 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
1::7J:'~ IJ,b/o9
~~re ~~
....
Page 2 of2
225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01718
COM2009-0 1718
COM2009-0 1718
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
LANE COUNTY SD 19
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001294
Date: 12/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB
86009
In Person
Payment Total:
~'
"!.
Page I of I
2:34:29PM
Amount Due
58,00
2.90
6,96
$67,86
Amount Paid
$67.86
$67,86
12/2/2009