HomeMy WebLinkAboutPermit Building 2010-3-16
Status
Issued
f!./O-327
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00327
ISSUED: 03/16/2010
APPLIED: 03/16/2010
EXPIRES: 09/16/2010
VALUE: $ 400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200100
Springlield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:
PROJECT DESCRIPTION: Convert 2~on-E,*,rng~ ~~flnltllf()'flffi1lres you.t~
fnllnW rules adopted by the Oregon Utility
." . Center IlIu::>t;;:lul~y.....08Btf9~
Owner: SPRINGFIELD SCHOOL "~~~_b'b1-oci10 through OAR 952-001-
Address: 525 MILL ST rn y y obtain copies of the rules by
SPRINGFIELD OR 974770090'1' OUth~~enler. (Note: the tele~ho~e
cal mq l:lITl 11811111;10"""
number tor tne UI t::8U11 _ I I 1
I COll'n:tR~1€1d'*qNiI&~>tION I
Public
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION ,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
E
# of Stories:
Heightilf Structure
. Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
240
3
No
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
~Ili!;r~ve Rqd: Compact:
TYtl3i~llfJllVem6U EXPIRE IF THE WORK '
. '\lJTHORIZEO UNDER THIS PERMIT IS NOT
-, r, ~ "'" " .... I~
PUBLIC'IMP.R' S,
......,
Front yard Sctback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special I IIstruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
;'l ,( r i ,~ , .
. \ '. ~ l, "
I V alu~tion Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00327
ISSUED: 03/16/2010
APPLIED: 03/16/2010
EXPIRES: 09/16/2010
VALUE: $ 400.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
400.00
$400.00
$400.00
03/16/2010
,.
-'fotal Value of Project
Fees Paid I
$6.96
$2.90
. $58.00
$37.70
3/16/10
3/16/10
3/16/10
3/16/10
Receipt Number
1201000000000000235
1201000000000000235
1201000000000000235
1201000000000000235
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review CommlInd/Public
Amount Paid
Date Paid
Total Amount Paid
$105.56
I. Plan Reviews ~
Structural Review
03/16/2010
Structural Review
03/16/2010
03/16/2010
APP KLK
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, insp.ections requested after 7:00 a.m. will be made the following
workday.,'.!".!.."
.c,.....,. ,".
ReQuired InsDec~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
By signa lure, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all \'t'ork 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 be made of any structure without permission of the Community Services Division, Building Safety.
I further certify lhat only conlractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
I further agree to ensure that all required inspeclions are requested at the proper time, that each address is readable from the
street, that the permit card is located at tbe front of the property, and the approved set of plans will remaill on the site at all
times d' r tion.
~ ((c. (i(j
I' COli tractors Signature Date
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22~ fifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
i(~f
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000235
Date: 03/16/2010
1:53:0IPM
Paid By
GARY NEWMAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KLK KLK 06551 C In Person
Payment Total:
Amount Due
37,70
58,00
6,96
2,90
$105.56
Job/Journal Number
COM20 I 0-00327
COM20 I 0-00327
COM20 I 0-00327
COM20 1 0-00327
Description
Plan Review Commllnd/Public
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
CredilCard
Amount Paid
$105,56
$105.56
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cReceintJ
Page I of I
3116/2010