HomeMy WebLinkAboutPermit Building 2010-4-2
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00409
ISSUED: 04/02/2010
APPLIED: 04/02/2010
EXPIRES: 10/02/2010
VALUE:
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Status
Issued
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SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200100
Springfield TYPE OF WORK: Electrical Work Only
Owner:
Address:
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Add/alter 2 circuits , I requireS you to
ATTENTION: Oregon h~~hP. Oreaon Utility
tOlloW lu1",;;) ....dcpt:.4 ~ ,are set TOI(II
SPRINGFIELD SCHOOL DISTRffi)f1f1&ation Center. Those rUhe~AR 952-001-
525 MILL ST 'n OAR 952_001-0010throu.g ules by
SPRINGFIELD OR 97477 ~090. You may obtain COPI~shOftthl:pr hone
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GCilllll~ l. I.... - . . ro' Utilitv NOtltlCt,lllVII
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Public
Contractor Type
Electrical
Contractor
OWNER
License
Expiration Date Phone
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BUlLDINGIN'FORJ\1A TION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
E
l';;
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
NOTme<; of Heat: E WO~\(Ft 2nd Floor:
. \&a~M~Iffi'\Jl.ll EXPIRE IF TH NI'i'tFt Basement:
T~IS,~lM~ ~DER THIS PERMIT IS ,S'q Ft Garage/Carport
,\JTIEnerg ;.<I . S Jl.BANDONED FOR SqFt Other:
~OWSpfi~kl~a) . Ilia; Yes, ".C" Occupant Load:
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I DEyi<ioPMENT INFORMA TlON ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
DownspoutslDrains: '
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Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
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.. Total Value of Project
I Fees paid.J
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00409
ISSUED: 04/02/2010
APPLIED: 04/02/2010
EXPIRES: 10/02/2010
VALUE:
Amount Paid Date Paid Receipt Number
$7.32 4/2/10 2201000000000000310
$3.05 ,4!2i10 2201000000000000310
$55.00 4/2/10 2201000000000000310
$6.00 412/10 2201000000000000310
$71.37
I Plan Reviews ~
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,ectionsrequested after 7:00 a.m. will be made the following
work day.: :.:.~;, ' -, -;: .,
Re~~ired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I 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 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 be made of any structure without permission of the Community Services Division, Bnilding Safety.
1 further certify that only contractors and employe,es who are in compliance with ORS 701.005 will be nsed 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
times during construction.
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Date
2~5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000310
9:46:55AM
Date: 04/02/2010
Job/Journal Number
COM20 I 0-00409
COM20 I 0-00409
COM20 1 0-00409
COM20 1 0-00409
Payments:
Type of Payment
Check
cReceintl
.. .
Amount Due
55.00
6.00
7.32
3.05
$71.37
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
LANE CON SD19
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
00088551
$71.37
$71.37
In Person
Payment Total:
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4/2/2010