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HomeMy WebLinkAboutPermit Building 2010-2-9 SITE ADDRESS: 1820 MAIN ST ASSESSOR'S PARCEL NO.: 1703363100100 TYPE 21\d1SE: Remodel Commercial PROJECT DESCRIPTION: Office ONL Y portion of structure. ,I\~,i~'P_~i1riifMh:"m inculde any occupancy type other than B. See Job NumjJercC9-01581 f()r,Electricahil'ild Mechanical __..,"'('",ON". j - :'.....A '0\1 ~\I.... '_"" ~(e s,=a ':,," ~ 1'" (:.. \eS auv~' '\\I"se 'v-- OP,R \:l"~-' ~ \O\\O'J'II\lO~ cen\B\O\~\OLlg\'\ \ \ne \ \lIes P t-IO\i\~C~~S'2.'OO'\ -O~\ain CO\lie~:e \e\e?\10~~n in 0,:, ",,'I (l\a~ O.~, (t-Io\e:.""" NO\\\\Ca \l~~Ni::~;~~'r~~:il~~ I ,,/ ~~I.!- License Status Issued 225 Fifth Street, Springfield, OR 54 J -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: RIVER OAKS LLC PO BOX 2266 EUGENE OR 97402 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Dl'scription Type of Construction CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00175 ISSUED: 0210912010 APPLIED: 0210912010 EXPIRES: 0810912010 VALUE: $ 6,000.00 Springfield TYPE OF WORK: Interior Expiration Date Phone ~UlLDJNG INFORMATION I B \ # of Stories: Lot Size: Height of Structure SqJt Ist.Floor: Type of Heat: ut. 'J'.I\'5\i.'+:t 2nd Floor: Water Type: . \"'~ W i {' S ~t Basement: . "~.4~"T~W:;'\\t>.\.\. tf-.'?\S ,?~",~\1 ~dq Ft Garage/Carport ~)\'l!\llh l\\\)t.'" i\\ ()~~\) f ~q Ft Other: i ,priA~\law~S t>,:ot>.~\) Occupant Load: ~\ 1\ \1V , ~"'Y' n'r\ _ I DEVEJ\OP'~W'k"'~f~RMA-TION I "'1'1' ' REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 'Yo of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation DescriDtion I $ Per ::;q Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee J 01'2 , 1')1;"1.;' ;>. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00175 ISSUED: 02/09/2010 APPLIED: 02/0912010 EXPIRES: 0810912010 VALUE: $ 6,000.00 '."., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid ~ Receipt Number $1 1.64 $4.85 $97.00 2/9/10 2/9110 219/10 1201000000000000117 1201000000000000117 1201000000000000117 Total Amount Paid $113.49",'J 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. wilJ"be made tlie following work day. R~(lUir~d Tnspedin.ns , , , .~ By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne 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 herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. )'further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on' this project. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that thr per nit card is )cated at the front of the property, and the approved set of plans will remain on the site at all times durilltf oust ~ ction( . ,'~:",' J ' ,--../ I I! \l rWoV\. .'/-. -- ~ ~ Iv Owner or Go ~tractors SignXture Date I Pa2e 2 of 2 . ,"':~r''' S{n~~tural Permit Application - 225 Fifth Street. Sprmgfield, OR 97477. PH(541)726~J75J. FAX(541)726-J689 cpEPAfnMENfusE9N~Y '1 Permitno. {!IO - /7 \' Date 2- / I II 0 . , This permilis issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. l::i~~':;:~'.,t;:.~?n::::~'i.l~g:q'AA:.:'~:GY~'8'NMgN_Ti~1~-~1~G\'i~gf~:~J:~1i~~1~~ I This project has final land-use approval. Signature: Date: 1~~}~-;:!":;1%~'~;~};~l{<;L~2;'~~;~N~IFE~E ~,'~'Ct{Ej5i:r['~.~?,;'?J1~~~' .~1"?i';:if?~:'t,~~:,;~,:-:~;;E/ I I This ~roject has DEQ approval., 1;.t~;;1Y1.i4~:H~'n(f~)~~rIll.~tj~~~~1t~~4;~k[ill~~11.~}~~:;G~:Tl\~~~i;j{~!Z?~itt1:;:~i~.,~1 Signalure: Date: 1 (a) Job description: [)FFtLh eLM,j> l\ I I Zoning approval verified: 0 Yes 0 No I Occupancy I I. Property is within flood plain: 0 Yes 0 No I I Construction type: \ :~I~:~g~tg9f~~~:~:!;~;f@C1"~~=:;::~~f&;;gl ~:~~:e:ese;uare foot I . 1~~\i'##;~~W'Q~isiTEi.i@9'RMAIiQ&lA@l~Qc~tT6Nl:rJi$j;~\w:~:;1 Other information 1 I Job site address: I J( 20 Mri-I tv' I I Type of Heat: I I City: q PF, JD State 1 ZIP: I Energy Path: I Subdivision: 1 Lot no.: o ne~ 0 alteration D addition I I Reference\t'\K?-,~1O'6\ I Taxlot QJ\O/ [.(',: :~. ',:-,- "PROPERTY'6wNgR>"" (b) Foundation-only permit? DYes D No I Total valuation: $ / LV\FI I 1 Name: ~i 1t:Y<- *,<';, LL-L- <c.U.V 1 Addres\D ~..J.!Ll<21o ~'Y)fn <L- ' I Stat0{0 ~- \- . Fax I E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. li~'7}B:U.iJ~iIfg:J~~~~~m~1~;~~W~~~~~i~2.;$~Y~oh~jt;r~1.~.Af~~':{},~);,:~~;:~;:1 1 ZIp(.f't4:I.f. ~ (a) Permit fee (use valuation table): $ q 7 1 , I (b) Investigative fee (equal to [2a]): $ I I (c) Reinspection ($ per hour): I (number of hours x fee per hour) $. 1 (d) Enter] 2% surcharge (.]Z x [Za+Zb+Zc]): i 1&3 1 1 (e) Subtotal of fees above (2a through 2d): I Sign bere: I. . " '. gONTRACI()~,;I~si:ALLATI~)N;,,~,.::;>, . I Business name: I Address: 1 City: I Phone: I E-mail: I CCB license no.: ! Print name: I Signature: I State: Fax: I 'ZIP: (a) Plan review (65% x permit fee [Z.]): $ I (b) Fire and life safety (40% x permil fee [Za]): $ I' (c) Subtotal of fees above (3a and 3b): $ IK,:tk'MJsf'~!i#~ii~~i!~rf~~~ti~~~~3~~1~;~~;~fJf}~;!:9%j:,:t::tf;1~~i';~~9);ifS'~~ I (a) Seismic fee, 1%(.01 x permit fee [Za]): $ - I TOTAL fees and surcharges (2e+3c+4a): $ II,?, <{51 l~t{;:G~~1fJ7ts]!111Z~sJJ_EECQN:m~{A,G;"tORH~~.QRMAI{Q~~:;;:~~2~~~~~~Il I Name CCB License NU!T1ber Phone Number I I Electrical i I Plumhing I I Mechanical I . ' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number cOM20 I 0-00 175 cOM20 I 0-00 175 cOM20 I 0,00 175 Payments: Type of Payment creditCard cReceiotl RECEIPT #; Description Building Permit + 12% State Surcharge + 5% Technology Fee raid By MARK WORMAN ",I,'~RJ..,Q<,.~j 'I, .I~ '.,:,', ~f'" ", ' I ~'.',. , _. - . -. ::. -, ~ . - , ............-.,..,.....--,--"-<-....". '..- City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000117 Date: 02109/2010 I :35:371'M -"r Amount Duc 97,00 11.64 4.85 $113.49 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 022727 . In Person Payment Total: Amount Paid $113.49 $113.49 ". .~; 'j Page I of I 2/9/20 I 0