HomeMy WebLinkAboutPermit Building 2010-5-19
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM20IO-00644
ISSUED: 05/19/2010
APPLIED: 05/19/2010
EXPIRES: 11119/2010
VALUE: $ 2,000.00
Status
Finaled
225 Fifth Street, Spring/ield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 2000 Nngget Way
ASSESSOR'S PARCEL NO.: 1803031103800
Eugene
TYPE OF WORK: Interior
PROJECT DESCRIPTION: Install door opening
TYPE OF USE: Alteration
Commercial
Owner: UNITED STATES BAKERY
Address: 2000 NUGGET WAY
EUGENE OR 97403
I CONTRACTOR.INFORMATlON .
Contractor Type
General
Contractor
OWNER
License
.-.1 BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
If SIr.' . requires you to
AnENTlON:. . lI'l!11ligon Utility
follow rulea e e . tilles ere set forth
Notification Ce 0 . hOAR 952-001-
In OAR 952-001 ~ ~s of the rules by
0Q90. You me: ~)i ~= the telephone
calling the ci~lt/tilit\l,~OllfiCatiOI\i/a
number, for t~f 1:. 1 668 :a:l3 t)~~-\)
I D'mLOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cov~rage:
I PUBLIC IMPROVEMENTS ~
.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:
Sidewalli.'.thier'c'
NO"'CE~ . . r*l'W\~llOif~W!;1tl<
TI-\l5 PERMIT SHl\i~ T\-\IS PERMIT \S ~ T .
AUTHORIZED UNDIS ABANDONED fOR .:..
.,' COMMENCED OR 100. . . .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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V alu:1tlori b~scri
Description
$ Per Sq 'Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of2
Value
Date Calculated
\...
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00644
ISSUED: 05/19/2010
APPLIED: 05/19/2010
EXPIRES: 11/19/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
05/19/2010
Total Valne of Project
Fees Paid__
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$6.96-('ii
$2.90 ",:'
$58.00
I',',.:'
,.' ,
5/19/10
5/19/10
5/19/10
1201000000000000500
1201000000000000500
1201000000000000500
"l
Total Amount Paid
$67.86
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, inspections 'requested after 7:00 a.m. will be made the following
work day.
Reauired InsDections ~
Final Building: After all required inspections have been requested and approved and the building 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 struct~re 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
times during construction.
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Owner or Contractors Signature
Date
'-i:'
Paee 2 01'2
Y'.\:f~. ";\ 'r!_,~ ,.
225 F.ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii:4M
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000500
Date: 05/19/2010
II:S4:2IAM
Job/Journal Number
COM20 1 0-00644
COM20 1 0-00644
COM20 I 0-00644
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KIM ARNOLD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Amount Paid
djb
$67.86
$67.86
847573 In Person
Payment Total:
. I.
.,.
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