HomeMy WebLinkAboutPermit Building 2010-5-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00557
ISSUED: 05/06/2010
APPLIED: 05/03/2010
EXPIRES: 11/06/2010
VALUE: $ 1,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
SITE ADDRESS: 869 W CENTENNIAL BLVD,
. 1 ~J .
ASSESSOR'S PARCEL NO.: 1703274305806
" . ~pringfield TYPE OF WORK: Awning
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PROJECT DESCRIPTION: Awning
TYPE OF VSE: New
Commercial
Owner: FULTON INTERNATIONAL LLC
Address: 2473 DALTON DR
EUGENE OR 97404
I CONTRACTOR INFORMATION .
Contractor Type
Sigll
Contractor License
METRO WESTERN SIGN & AWNING 160384
BuiLDING INFORMATION ~
Expiration Date
09/22/2010
Phone
541-746-3312
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
. # of Stories:
Height of Structure
Type of Heat:
Wate,' Type:
Range Type:
Energy Path:
'Sprinkled:Building: .
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
II/a
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvemellts:
I PUBLIC IMPROVEMENTS ~
ATTE~~gO'fi1aw requires you to
follow rU~BgelnQ.RYa\~" Oregon UtIlity
Notification Center~ 'l"tlose rules are set forlIa
In OAR 952-001-0010 through OAR 952~10
0090. You may obtain copies of the rules ."
NOTICE: , r: ORK calling the center. (Note:thetelephone
~~~HORIZED UNDER THIS ~;t~~OJescriPtion ~ Cenler is 1-800-332-2344).
COMMENCED OR IS ABAND
ANYT"v'f,Q .Q-t0'oli'Jirug~h $ Per S.q~t _. ". S?ua.re Footage
. or multlpller..j, '" "".: or B,d Amount
,:.;,,'0',
il",J'.',
Storm Sewer Available:
Speciallllstruction:
Notes:
Description
Value
Date Calculated
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Page 1 of 2
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: COM2010-00557
ISSUED: 05/06/2010
APPLIED: 05/03/2010
EXPIRES: 11/06/2010
VALUE: $ 1,500.00
Status
Issued
Estimate
Estimate
.$1.00
1,500.00
$1,500.00
$1,500.00
05/03/2010
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
.ti~F".,' ~!
Amount Paid~."._
\' 1~ ..
Date Paid
. ~. .'
$6.96,;,; :.:
$2.90
$58.00
,
5/6/10
5/6/10
5/6/10
Receipt Number
2201000000000000468
2201000000000000468
2201000000000000468
Total Amount Paid
$67.86
I Plan Reviews I
To Request an inspection call the 24 hour re,cording 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.
I Reuuired InsDections ~
Final Building: After all required inspections have been requested and approved and the building is complete.
.'(~.t; ,,11 "'Ii , i'
By signature, 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 1 furth.e~.certifythat 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, Building Safety.
1 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 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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Owner or Contractors Signature
Date
i.
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
$~A.:G~~.~O ii......
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000468
Date: 05/0612010
9:50:31AM
Job/Journal Number
COM20 I 0-00557
COM2010,00557
COM20 I 0-00557
Payments:
Type of Payment
Check
cReceintJ
Description
Building Penn it
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
FULTON ENTERPRISES
: -I
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
In Person
Payment Total:
$67.86
$67.86
1232
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Pa.ge 1 of 1
5/6/20 I 0
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