HomeMy WebLinkAboutPermit Miscellaneous 2010-5-26
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CITY OF SPRINGFIELD
, , Building/Combination Permit
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00678
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11126/2010
VALUE: $ 17,100,00
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SITE ADDRESS: 725 A ST
ASSESSOR'S PARCEL NO,: 1703354204900
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Springfield TYPE OF WORK: Commercial Miscellaneous
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TYPE OF USE: Alteration
PROJECT DESCRIPTION: Ceiling upgrade " ,.,". .""
Owner: . PACIFIC WESTERN BANK
Address: PO BOX 15144 DEPT KEY
WORCESTER MA 01615
I CONTRACTOR INFORM A TION ~
Contractor Type
General
Contractor License
R & H CONSTRUCTION CO ' ':,' 38304
I,: BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
Description
$ PerSq Ft
or multiplier,
Type of Construction
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Pa2e I of 2
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Commercial
Expiration Date
l2I23120 II
Phone
503-246-5502
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Date Calculated
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00678
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/26/2010
VALUE: $ 17,100.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00 , '
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17,100.00
$17,100.00
$17,100.00
OS/26/20 I 0
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Total Value of Project
Fees Paid___
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$25.68
$10.70 ,c.
$214.00:;~r ':':',i,
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$250.38',"'c ""0
5/26/10
5/26/10
5/26/10
1201000000000000559
1201000000000000559
1201000000000000559
I Plan Reviews ~
To Request an inspection call the 24 hour recording at726-3769. 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.
, 7" ~"/ -',
Redtiiredjn~u~~tions I
Ceiling Grid: After drywall approval but prior to covel'.
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 conect, and 1 furtherc~rtify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the L~,~s of the State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any struciure,~itbout,permission of the Community Services Division, Building Safety.
I further certify that only contractors and employ~~s'W'ho 'are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectio'ns are reqnested at the propel' time, that each address is readable from the
street, that the permit card is located at the front o/"the property, and the approved set of plans will remain on the site at all
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Owner 01' Contractors Signature
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Date
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Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000559
10:36:04AM
Date: OS/26/2010
Job/Journal Number
COM20 1 0-00678
COM20 I 0-00678
COM20 I 0-00678
Payments:
Type of Payment
Check
cReceintl
Description
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
R&H CONSTRUCTION CO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
214.00
25.68
10.70
$250.38
Amount Paid
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$250.38
$250.38
1014
In Person
Payment Total:
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5/26/20 I 0