HomeMy WebLinkAboutPermit Building 2010-4-16
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00470
ISSUED: 04/16/2010
APPLIED: 04/16/2010
EXPIRES: 10/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 326 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703263406200
Springlield TYPE OF WORK: Site Work Only
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Site drain piping
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST'
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
WILDISH CONSTRUCTION CO 695
BUILDING INFORMATION ~
Expiration Date
10/22/2011
Phone
541-485-1700
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Ra'iig,nYiJ'"
E,iergY' Nth':
Sprinkled 'Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
. ~w requires you to
ATTENl1ijA'."l!Ile~llflb the Oregon Utility
follow rlJ}%~~.P~r4R/i~\!J'1.IIeS are set fort~
Notification oe i ~Oi 0 through OAR 952-00.,::
in OAR 952-0 - . 0 ies of the rules w,
0090 You may obtaIn ~ofe' the telephone
caliing the center. ( Utility Notification
..( e on
Center is i -80 -
Notes:
ce"
THIS PER"MIT SHALL EXP Valuation Descri tion
IRE IFTHr\', ' , I"
A~THOR'ZED UNO~ THISJ?ERM/T 16P~(J;'Ft"";'" Squ'are Footage
Descr01!'wnV/ENCeO'~A'f'S')!.'r3~~'[j'8~ED PUfIIlultiplier ",' or Bid Amount
ANY 180 DAY PERIOD. "
Value
Date Calculated
Pa2e 1 01'2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00470
ISSUED: 04/1612010
APPLIED: 04/1612010
EXPIRES: 10/16/2010
VALUE:
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
Fixture
Storm Sewer - 1st 100'
Storm Sewer Each AddtllOO'
Amount Paid ;,':
Date Paid
Receipt Numher
:"
$25.08 '
$10.45
$38.00
$76.00
$95.00
4/16/10
4/16/10
4/16/10
4/16/10
4/16/10
2201000000000000366
2201000000000000366
2201000000000000366
2201000000000000366
2201000000000000366
Total Amount Paid
$244.53
I Plan Reviews, I
\' "
Plumbing Plan Review
04/16/2010
04/16/2010
APP SKG
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 Reauired Insnections ~
Storm Sewer Line: Prior to filling trench.
. .' ~.., .
'.;',";/'
Final Plumbing: When all plumbing work is ~o.~plete:
By signature, [ state and agree, that [ have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fur'ther 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 ofOI'egon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture 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.
[ 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 fr of the property, and the approved set of plans will remain on the site at all
times during construction.
1-06./0
Owner or Contractors g
Date
!Page 2 of 2
'.~ 'i:';! ~
225 Fifth Street
Springfield, ,Oregon 97477
541-726-3759 Phone
~~~:
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000366
Date: 04/16/2010
10:53:12AM
Job/Journal Number
COM20 1 0-00470
COM20 I 0-00470
COM20 I 0-00470
COM20 I 0-00470
COM2010-00470
Payments:
Type of Payment
Check
cReceintl
Description
Stann Sewer -I st 100'
Fixture
Storm Sewer Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
WILDlSH BUILDING CO.
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
76.00
38.00
95.00
25.08
10.45
$244.53
Amount Paid
njm
$244.53
$244.53
802335
In Person
Payment Total:
: i"
,
Page I of I
4116/2010