HomeMy WebLinkAboutPermit Building 2010-5-17
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00624
ISSUED: 05/17/2010
APPLIED: 05/17/2010
EXPIRES: 11/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3950 Kathryn Ave Springfield TYPE OF WORK: Commercial Miscellaneous
ASSESSOR'S PARCEL NO.: 1702304400900
ATTENTION: Oregon law requlr~ USE: Addition Commercial
PROJECT DESCRIPTION: PROVIDf\)IfItNA'IJlW~1lfdlbyltl>>l.<InI(jDDltfti~as Expired Permit)
Notification Center. Those rules are set forth
Ih VA" tI~.4:;~ I~W 10 dlluuyl.6'Aft ~ 1-
Owner: OSBURN JOHN F TE 0090. You may obtain copies of the rulea br
Address: 3950 KATHRYN ST calling the center. (Note: the telephone
SPRINGFIELD OR 97478 number for the Oregon Utility Nollflcallon
Owner: JOHN F OSBURN LIVING TRUsfenler is 1-800-332-2344).
Address: 3950 KATHRYN ST
SPRINGFIELD OR 97478
Contractor Type
Contractor
I CONTRACTOR INFORMATION ~
License
Expiration Date Phone
BUILDING INFORMA nON ~
# 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:
Range Type:
: :,E~gergYJPath: .'
Sp'finkledBuilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOT~:VELOr.MENT INFORM~;,I.~N ~
THIS PERM~IRE IF THE WORK
AUTHORIZED'lUmmT"~I!RMIT IS NOT
COMMENCElfOA.~~Y\~NED FOR
ANY 180 DAy"/P~~b~ov'er.ge: .
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00624
ISSUED: 05/17/2010
APPLIED: 05/17/2010
EXPIRES: 11/1712010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
;J oj
Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage'
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid ~
.,
Fee Description
+ 12% State Surcharge,
+ 5% Technology Fee
Building Permit
Amount Paid., ','
Date Paid
Receipt Number
<.... J
>,
$6.96
$2.90
$58.00
5/17/10
5/17/10
5/17/10
2201000000000000517
2201000000000000517
2201000000000000517
Total Amount Paid
$67.86
Plan Reviews ~
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To Request an inspection caIl the 24 hour'recording at 726-3769. AIl 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 foIlowing
work day.
I Reauired InsDections ~
Final Building: After all required inspections have been requested and approved and the building is complete.
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By signature, I state and agree, that I have carefullyJexamined 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, BuildingSafety.'
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
times during construction.
(?af~(Mre~
Owner;~r Contractors Signature
. ~
>!7/cJ
Date I /
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
J; ~ ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000517
Date: 05/17/2010
3:02: 13PM
Job/Journal Number
COM20 1 0-00624
COM20 1 0-00624
COM20 1 0-00624
DRC20 1 0-0000 1
DRC2010-00001
Payments:
Type of Payment
Check
cRcceiotl
Description
Building Pennit
+ 12% State Surcharge
+ 5% Technology Fee
CTY LU Compatibility - Llr
+ 5% Technology Fee
Paid By
JOHN OSBURN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KLK
4412
KLK In Person
Payment Total:
,
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Page 1 of 1
Amount Due
58.00
6.96
2.90
281.00
14.05
$362.91
Amount Paid
$362.91
$362.91
5/17/2010
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Page 1
COMMBRCrAL!INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Number: 981503
225 North Fifth Street
Springfield, OR 97477
Office: 726.3759
Inspection Line: 726-3769
Location of proposed Work: 3950 KATHRYN AVE
Assessors Map #: 17023000
Tax Lot #: 02101
owner: OSBURN & CAGLE
Address: 3950 KATHRYN AVENUE
Phone #: 741-0881
City/State/Zip: SPRINGFIELD, OREGON 97478
Description Of work:l COVEREP_PARKINGg
ADDITION Value:
0.00
Contractor
Cons t .
Contr"etor If
Phone
Expires
General:
OWNER
QUAD AREA: 3 INC
-- OFFICE USB --
LAND USE: 3999
ZONING CODE: HI
Item
COVERED PARKING
~i()T'Cs~are Feet
1::.
i~~~A~~~~~ ~~~~~;:~~~::~E,:~~~
ANY1B0DAYPERIOD NEOFOR
12,500.00
$/Square Feet
value
12,500.00
x
TOTAL VALUE OF PROJECT
Plan Check Fee:
64.03 Rec #: 32242 Date: 12/07/98 Rec By,
BUILDING ArrENT 0 .
surcharge/~fflr~:ln I N.Oregon law requires you to
MECHAN1CNo ! . W ~ures adopted by the Oregon Utility
surchargrr/~l'Mon Center. Those rules are set forth
PLUMBING 52-o01-0010thmugh OAR 952-001-
surchargg9~~fnrRU may obtain copies of the rules by
Ing the center. (Note: the telephone
SUBTOTAL ~M~r the. Oregon Utility Notification
nte". 1-800-332-2344).
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
98.50 .0(>-'
7.89
0.00
0.00
0.00
0.00
106.39
106.39
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Job Number: 981503
Page :2
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated jOb number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7;00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "..." work.
shall he furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
lFOOTINGi} After trenches are excavated.
S1fRUCTORAL CONCRETB~in excess of 2500 psi. To be done during eonstr.
by State Cert. Insp. Results to City Building Inspector
IHIGH-STRENGTH-BOLTIN~1 - To be done during constr by State Certified
Special-Inspector. Results provided to City Building Division.
LWING3prior to cover. .
FINAL-~=--PLAN1fAfter all requireme~ts_have_bee~met_for_M~nimum~
L----Devel()~m.ent Standar~s_o~_from the Development A~reemen~:/
rFINAL_BCILD~~G - When all required inspections have been approved and
the building is complete.
-- - ADDITIONAL COMMENTS _u
(DRC-98-~1-248,_~~ER_IS~JULIE_SCOTT\
~S-JULrE-SCOTT-9a~11~2~a__A
Plans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: 12/31/98
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, BUilding safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit ca is located at the front of the property, and the approved set
of plans 11 remain 0 he sit tall imes during construction.
,~1/75
Dat
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Job Number: ~81503
Page 3
.-- VALIDATION
Date Paid:
tr3 2- ft-j
/kln
,
/op~
Receipt Number:
Amount Received:
Received By:
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Case Activity Listing
Case #: 98-01503-01
4/13/2010
II :02:27 AM
12/20/1999 None Info TM
Buil
COMZlO Progressive 12/13/1999 None Info TM New Tenant
Buil
COMZIO Progressive 2/21/2002 None Info TM
buil
COMZlO Footing 2/9/1999 None Not TM WIDEN FIGS 6" AT SLOG
Buil
COMZIO Footing 2/9/1999 None Not BS PROVIDE APPROVED PLANS,
Buil SPECIAL lNSP FOR FOOTINGS.
COMZlO Footing 2/1 0/1999 None OK TM
Buil
Page I of I
CaseActivity..rpt