HomeMy WebLinkAboutPermit Building 2010-6-21
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00671
ISSUED: 06/21/2010
APPLIED: OS/25/2010
EXPIRES: 12/21/2010
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6300 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702341200500
Springfield TYPE OF WORK: Paving
TYPE OF USE: Alteration
Public
PROJECT DESCRIPTION: Paving and sitework
Contractor Type
General
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SPRINGFIELD SCHOOL DISTR~q-f\.['\ u05alO a~ al\.51.1\\\130
525 MILL ST 901ll\Ol'l I\\\\.. 0\01) :Ia.ua nOI-. '0600
SPRINGFIELD OR 9747"eO~Ol\d'a\a\ al.\\ '~~OO U\13\C\O f,13UJO_c.96 t\\l0 U\
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Contractor W.\\\('I0~ sal\nbal /1\13\ u License
ORDELL CON~CTlON COMPANY 177132
BUILDING INFORMA TlON ~
Expiration Date
07/05/2010
Phone
541-747-8734
Owner:
Address:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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DEYEtQ I
COIlAW tf)f>-'{ I'\:\'-I
f>-1OYi\AA 'Oist:
# Street Trees Rqd:
Paved Dri~e Rqd:
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, % of L~t Coverage:
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Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
\1\: \)'J()S<l<Ft Garage/Carport
'f.,1'1\'-\: II' i S ~1ft Other:
f \,\\S 1'\:~li IO\,-occupant Load:
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IM('cROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I V alu.~tion Description ~
Description
Type of Construction
fpe.. Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2C I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00671
ISSUED: 06/21/2010
APPLIED: OS/25/2010
EXPIRES: 12/21/2010
VALUE: $ 20,000.00
.,_.........
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
20,000.00
$20,000.00
$20,000.00
06/02/2010
.Total Value of Project
. L'.;Fees Paid:(
Fee Description
Plan Review CommllndlPublic
+ 5% Technology Fee
Paving
Amount Paid
Date Paid
Receipt Number
$151.78
$11.68
$233.50
5/27/10
6/21/10
6/21/10
1201000000000000569
1201000000000000730
1201000000000000730
Total Amount Paid
Plan nine Review
EMM
Structural Review
CJC
As submitted
Public Works Review
TSS
No Public Works Issues
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
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work day. '. '. ..'
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LReouired Insnections I
,
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Paving: After paving 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 L~}ytott~.e:..s.tate;.ofOregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structu~etwitIio:M permission of the Community Services Division, Building Safety.
I further certify that only contractors and employe!i~;{v.~'o ar.;,'ii! compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspection~::a're 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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Date
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22:; Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000730
. .
8:03:30AM
Date: 06/21/2010
Job/Journal Number
COM20] 0-0067]
COM20 10-00671
Payments:
Type of Payment
Check
cReceintl
Description
Paving
+ 5% Technology Fee
Paid By
LANE CO SD ]9
Item Total:
Check Number Authorization
Received ~y Batch Number . Number How Received
Amount Due
233.50
11.68
$245.18
Amount Pa"id
cjc
$245.18
$245. ] 8
9041 ]
In Person
Payment Total:
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Page 1 of 1
6/2112010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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$PJlINQF1ELD'
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000569
Date: OS/27/2010
1:55:3IPM
Job/Journal Number
COM20 1 0-00671
Payments:
Type of Payment
Check
cReceintl
Description
Plan Review Commllnd/Public
Paid By
LANE COUNTY SD 19
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Received ~y
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. Check Number
Batch Number
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Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
151.78
$151.78
Amount Paid
89900
In Person
Payment Total:
$151.78
$151.78
5/27/20]0