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
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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.
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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
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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
". .~;
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