HomeMy WebLinkAboutPermit Building 2010-6-21
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00672
ISSUED: 06/21/2010
APPLIED: OS/25/2010
EXPIRES: 12/21/2010
VALUE:' $ 10,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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S]TE ADDRESS: 2355 YOLANDA AVE
ASSESSOR'S PARCEL NO.: ]703244402200
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TYPE OF WORK: Paving
TYPE OF USE: Alteration
Public
PROJECT DESCR]PTION: Paving and natwork '
Contractor Type
SPRINGFIELD SCHOOL DISTR]CT ]9 <;\ lG\UG'J lGo.\ll\\~
525 MILL ST ()'3-~ . G~\ leI e\l\\~ l)
SPR]NGF]ELD OR 97477 ,.z;(,~~-~e\iGlO \lGO a~'.,Ol- 'l)I(FJ \l\
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Contract<:(ll:l. <i9\c;6 '6'<l~9\l\,a5 1-0. 9a)" 10 .~Oncense
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-~~~dING INFORMATION I
# of Sto'ries: Lot Size:
Height of Structure Sq Ft ]st Floor:
. ,Type of Heat: ~ Ft 2nd Floor:
Water Type: . '{\C)'i'S~ Ft Basement:
. ~3l,ge.J:xge:\,' i " \X- \~X-'\S ~ Ft Garage/Carport
/~~frgrN~~t)i,: " Ii' SJ\\'-'i:. 9: ~ ~sq Ft Other:
,o"$~!inFI~~iBuil ~t(:.~ ,'0 ?'i:h' ~\) x-C) Occupant Load:
Expiration Date
Phone
Owner:
Address:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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# ~\tjeef&rces Rqd:
PaVed Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC ]MllROV~MENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
Description
Type of Construction
I V aluat~on Description I
E4tl~ . .,;,~~n~i '.'''':. .
$ Per,s,?\f!";lS', ')ll/r: Sq~are Footage
or m':l.~~!~lier ~ it~' or Bid Amount
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Value
Date Calculated
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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: COM2010-00672
ISSUED: 06/21/2010
APPLIED: OS/25/2010
EXPIRES: 12/21/2010
VALUE: $ 10,000.00
Status
Issued
Estimate
Estimate
$1.00
10,000,00
$10,000.00
$10,000.00
06/0212010
TotalValue of Project
Fees Paid ,
Fee Description
Plan Review Comm/[nd/Public
+ 5% Technology Fee
Paving
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Amount Pal~"1~r: :~'J~, 'i1\ ;.~
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$88.40~J"l !0:~,'t"
$6.807';
$136.00
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" pate Paid
5/27/10
6/21/10
6/21/10
Receipt Number
1201000000000000570
[20[000000000000731
1201000000000000731
Total Amount Paid
$231.20
I Plan Reviews I
06/0212010 06/07/2010 APP EMM
06/0212010 06/0812010 " APP CJC As submitted
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06/08/2010 06/10/2010 APP TSS No Public Works [ssues
Plan nine Review
Structural Review
Public Works Review
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.
I Reouired Inspections ~
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Final Building: After all required inspectio'';~l~veb:een' requ~sted and approved and the building is complete.
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Final Paving: After paving is complete. ':,":', - ,,.,'
By signature, [ state and agree, that 1 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 701.005 will be used on this project.
I further agree to ensure that all required inspections' are re'quested 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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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
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1201000~00000000731
Date: 06/21/2010
8:08:47AM
Job/Journal Number
COM20 I 0-00672
COM20 I 0-00672
Payments:
Type of Payment
Check
cReceintl
Description
Paving
+ 5% Technology Fee
Paid By
LANE CO SD 19
Amount Due
136.00
6.80
$142.80
Item Tot:I!:
Check Number Authorization
Received By Batch Number Number How Received
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Amount Paid
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$142.80
$142.80
90409
In Person
Payment Total:
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6/21/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000570
Date: OS/27/2010
1:58:36PM
Job/Journal Number
COM20 I 0-00672
Payments:
Type of Payment
Check
cReceintl
Description
Plan Review CommfInd/Public
Paid By
LANE COUNTY SD 19
Received ~y
Check Number
Batch Number
Q~$,
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Page 1 of I
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Item Total:
Authorization
Number How Received
Amount Due
88.40
$88.40
Amount Paid
89897
$88.40
$88.40
In Person
Payment Total:
5/27/20 I 0