HomeMy WebLinkAboutPermit Building 2010-4-9
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00358
ISSUED: 04/09/2010
APPLIED: 03/24/2010
EXPIRES: 10/09/2010
VALUE: $ 500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1660 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253105600
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Remodel Existing Nursery and Classroom Accessory fa Existing Church
. I PUBLIC IMPROVEMENTS I ',,' <\"";%;"w;,,QI':i"" .- .;
. ,,7 Sidewalk Tft\-\E ~O?-\<. ::
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Capping I lavatory and I drinkin~{(\!!,"'Mi~~\'t \It-\tlE?-1\'\\~u Ot-\Etl fOR".. '
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Owner:
Address:
1ST CONSERV BAPT CHRCH SPFD
1660 MOHAWK ST
SPRINGFIELD OR 97477
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I CON'fRACTOR INFORMATION .
Contractor Type
Contractor .
License
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I BUILDING INFOR~T10N I
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# of Units: 1'4: o{e90n~'1 . gOn \ \o{\h
Primary Occnpancy Gronp: ,.'T'{ENA'i~S adopted R~S~tl~I-Il~~,.
Secondary Occupancy GrouptollO'll '" centet. ~~~ tutes '0,/
Primary Constrnction Type ~O\\\\~.oo~-OO'OWe.stfi~\'~~ phone
Secondary Construction Type\tl o"s 'foU me" o'o\alle'~~O~i\\CetiOn
# of Bedrooms: Q090, 9 \M centel. g;\t.i!.'fltiA\
caI\\~e! W the.O~_ (p81lJ(t~ilifing No
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I DEVELOPMENT INFORMATION I
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Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
SoJar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
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% 'of Lot Coverage:
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Street Improvements:
Storm Sewer Available:
Special Instrnction:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Tvpe of Construction
Page I of 4
,',
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review CommlInd/Pnblic
Plan Review Fire & Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Mechanical-Value
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
Structural Review
Plannin1! Review
03/24/2010
03/24/2010
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$1.00
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Total Value of p'roject
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Amount Paid
$56.71
$34.90
$23.40
$9.75....:
$58.00 ( .,."
$38.00' ,.
$58.00
$21.00'!
$20.00
$319.76
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Date Paid
3/24/10
3/24/10
4/9/10
4/9/10
4/9/10
4/9/10
4/9/10
4/9/1 0
4/9/1 0
I Plan Reviews I
03/30/2010
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Pa!!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00358
ISSUED: 04/09/2010
APPLIED: 03/2412010
EXPIRES: 10/09/2010
VALUE: $ 500.00
5,000.00
$5,000.00
$5,000,00
03/24/2010
Receipt Number
1201000000000000260
1201000000000000260
1201000000000000320
1201000000000000320
1201000000000000320
1201000000000000320
1201000000000000320
1201000000000000320
1201000000000000320
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. will be made the following
work day.
l.JlennirecUnsnections ~
Paee 3 of 4
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00358
ISSUED: 04/09/2010
APPLIED: 03/24/2010
EXPIRES: 10/09/2010
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iospection Line
By sigoature, 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 c~rtitYthat any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of ih~ 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 that only contractors and employees who are in compliance with ORS 701.005 will be used 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
lim during construction. ~ 9-1A-p Q~ I I ()
Date
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. Paee 4 of 4
225 Fifth Street
SpringfiCld, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000320
Date: 04/09/2010
9:43:08AM
Job/Journal Number
COM20 I 0-00358
COM20 I 0-00358
COM20 1 0-00358
COM20 I 0-00358
COM20 I 0-00358
COM20 1 0-00358
COM20 I 0-00358
Payments:
Type of Payment
Cred itCard
cReceint 1
Description
Building Penn it
Fixture
Mechanical- Value
Minimum/Adjustment Plumbing
Minimum/Adjustment Mechanical
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BETHANY ROBERSON
Check Number
Batch Number
Received By
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Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
58,00
38.00
58.00
20.00
21.00
23.40
9.75
$228.15
Amount P.lid
004517 In Person
Payment Total:
$228.15
$228.15
4/9/2010