HomeMy WebLinkAboutPermit Building 2009-12-18
Status
Issued .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01804
ISSUED: 12/18/2009 I
APPLIED: 12/17/2009 I
EXPIRES: 06/18/2010
VALUE: $ 4,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
SITE ADDRESS: 3661 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1702300002103
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:.. . Alteration
PROJECT DESCRIPTION: Install3-hr rated door in 3-hr rated fire area'sep':iration fi're barrier. Wall is
non-bearing.
Commercial
Owner: ONE WORLD ORGANICS LLC
Address: 423 A ST n' law requires you .to
SPRINGFIELD OR 97477 A':TTENTION: Orego < 'th Oregon Utility
1'\ . _..I..........to.r\ bV e _..".......tl.,
tOlluW I~'-~~:'r.j?r Those rUl"" oR 952<001-
I COIt4IDRl'HS'ro.R:~F.oRM,\\iDQN..A by
ur ~ r1\ L ill liT 'U~'o>;'!1 the rules
90 You may ol:1ta," c. . \l1e te\\ll!"-51~e .
Contractor Type Contractor 00 ail' 9 the center. ~YiSIi\ Nollifd.!Il'~lOn Date Phone
General OWNER ~"Lfor the ore~~~ ~~~IX~A4\. .'
BUILDING l~lMl:j-i6N":"
,v 1
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
F-l
S-I
VB
# of Stories: .... . .... Lot,Size:
';", 10.. ~,.. ~."
Height ~!' Structure. Sq Ft 1st Floor:
Type of Heat: .:":;,",<',;; Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sjitiy~(e?T!~i!~n~~ ~ I I FX~~E IF lfQc~u~~Load: '.
I DEVELciiMEi..iT"iNio.~)\:T10N'll PtK~~ 'Foi:- .
COMMENCED OK 10 l\ot\"DON REQUIRED PARKING
Oveday,mstiJAY PERIOD. Total:
RI~ I ru...
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
. Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improve~ents:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of 3
CITY OF SPRINGFIELD'
Status
Issued
,
Building/Combination Permit
PERMIT NO: COM2009-01804
ISSUED: 12/18/2009
APPLIED: 12/17/2009
EXPIRES: 06/18/2010
VALUE: $ 4,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amuunt
Use Bid Amount
$1.00
4,000.00
$4,000.00
$4,000.00
12/17/2009
Total Value of Project
Fp~< P'WU
$9.30
$3.88
$77.50
$6.96
$2.90
$19.00
$39.00
12/17/09
12/17/09
12/17/09
12/18/09
12/18/09
12/18/09
12/18/09
Receipt Number
2200900000000001400
2200900000000001400
2200900000000001400
2200900000000001403
2200900000000001403
2200900000000001403
2200900000000001403
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adj~stment Plumbing
Amount Paid
Date Paid
Total Amount Paid
$158.54
I 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 7:00a.m. will be made the following
work day.
I Ii' ..;ra,j I..<nart;"n< .
,G?.._
Firewall: Located and constructed according to plans.
,
I
Final Building: After all required inspections have been requested and approved and the building is co"-,plete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
. .
Pace 2 01'3
. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws..oCthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of aucture without3rmiSSion of the Community Services Division, Building Safety.
I further certify that only contrac and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure th I required inspections are req6ested at the proper time, that each address is readable from the
street, that the permit -d is loca.ted allhe fron71'lh00perty, and the approved set of plans will remain on the site al all
times during con st. cHon. '. .
"'--. .
/
Status
Issued
225 Fifth Street, SpringtieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeclion Line
/""~.
/
,.:\'
Paee 3 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01804
ISSUED: 12/1812009
APPLIED: 12117/2009
EXPIRES: 06/1812010 I
VALUE: $ 4,000.00
Dale
225 Fifth- Street
Springfield, Oregon 97477
541-726-3759 Phone
~-=~
~,'
City of Springfield Offieiall~eceipt
Development Services Department
Public WorksiDepartment
Job/Journal Number
COM2009-0 1804
COM2009-0 1804
COM2009-0 1804
COM2009-0 1804
Payments:
Type or Payment
CreditCard
cReceinll
RECEIPT #:
2200900000000001403
Date: 12118/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
OREGONS ONLY ORGANIC
Item Total:. .
Check Number Authorization
Received By Batch Number Number How Received
cjc
282023 tn Person
Payment Total:
Page I of I
c.
1 :28:43PM
Amount Due
19.00
39.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
12/18/2009