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HomeMy WebLinkAboutPermit Building 2010-6-21 !. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00673 ISSUED: 06/21/2010 APPLIED: OS/25/2010 EXPIRES: 12/21/2010 VALUE: $ 16,000.00 .,~i Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 326 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703263406200 '. , ' Springfield TYPE OF WORK: Paving PROJECT DESCRIPTION: Paving and sitework T' " ! li( ',I,~J.';i:.,...1 ;,i,;j',; " 'i :. f SPRINGFIELD SCHOOL DISTRICT 19 I \l'J 525 MILL ST , 009-~ 51 laW", r Ulnu SPRINGFIELD OR 97477 .t\'\1S~-psen: u66alQ 'al\rJOll~JI\\13~ ' --eiT,rit\.pl\\lm '1""'1\~~ au\ . - uu" ij,~a\ :a\U\~1 :~ ~13Ul no" uovv, ~J:I'__J~~~iI'-I.~JI/\,qOu. A~ 6 \:j'lf01 , ~;ry'lalua'J uv\<ov\\\\O!>l Contractor ~og'~;s ale S~\nl,aS~l\~~\dojJJice!i,ge M~~XPiration Date ORDELL CONSTR (i)~ ,r:lYuo6al(\)nm21N3 07/05/2010 . - ...- DING INFORMATION TYPE OF USE: Alteration Pnblic Owner: Address: Contractor Type General Phone 541-747-8734 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , , # of Stdries: I ,.,. Height of Structnre Type of Heat: Water Type: Range Type: Energyl,Path: NOi\e:e~!!~~ Bnildin DElVE,l'. ' :Ii \~', NeEO OR \ ' CO~9V'E/J'b~l\i'ER\OO. (>.N,# S~eet frees Rqd: Paved Drive Rqd: " % of L9t Coverage: Lot Size: Sq Ft 1st Floor: , Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport !!,t Other: ffupant Load: # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Speciallustruction: I PUBLIC IM~ROVEMENTS ~ ! Sidewalk Type: '~ I . ';, I -I', .;j,,~ ,:r,: :.' , :. ~ I :' ,:,.. . i - ,1.; ~'m- .. ! . !'- Downspouts/Drains: Notes: Description Type of Construction I Valuation bescription ~ $ Per Sq Ft '! Square Footage or mul'ip~ie~ ,.': ,:, or Bid Amount ",.~t~.;:"- ...:::':f\::i~-~'"'' ,. .. ~L01' .! ~,>'r!' " ',:~;G"r;< j!'>"..iL Value Date Calculated :- Paee I of 2 .k . ~ ~ l' i_ Estimate Estimate I I $1.00 ! , , Total,Value:'of'Project , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00673 ISSUED: 06/21/2010 APPLIED: OS/25/2010 EXPIRES: 12/21/2010 VALUE: $ 16,000.00 Status Issued ";~::.'1.~E' ::'::i!.,~~~' ....~.. 'E,tJ! k;J:. {l' I, r,~~~.C'o< ll~\l~" I I ".\"/ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 16,000.00 $16,000.00 $16,000.00 06102(2010 .. LFees Paid , 'I Fee Description Plan Review Comm/lnd/Public + 5% Technology Fee Paving Amount Paid Date Paid Receipt Numher $126.43 $9.73 $194.50 5/27/10 6/21110 6/21110 1201000000000000572 1201000000000000732. 1201000000000000732 Total Amount Paid $330.66;::~ ';0; '~'~!.""':::':'~',' ,^;"f,L'. '1~' - ,. I Pi~n R~~iews ~ Plan nine Review 06/02/2010 I 06/02/2010 , I 06/07/2010 I 06/18/2010 I 06/1812010 I , I I , APP EMM Structural Review 06/02(2010 WI CJC Public Works Review 06/08/2010 APP TSS Structural Review 06/18/2010 APP CJC No PW issues - paving adds no new impervious surface. As submitted To Request an inspection call the 24 hour re~o'r'dih at 7z'6:3769. All inspections requested before 7:00 ..,~ """~:.' .1 I- a.m. will be made the same working day;'inspecti~ns requested after 7:00 a.m. will be made the following , I . work day. . I I ReQuired InsDections , Final Building: After all required inspections have Jeen requested and approved and the building is complete. i Final Paving: After paving is complete. ..--. '->j..,:........, ,,- . ," "1" ''', "'1'" . (,. :'.1." . By signature, I state and agree, that I have careful!y'e~~mi~~~.Jhe completed application and do hereby certify that all information hereon is true and correct, and I furtheP'C'ertifY"th'at any and all work performed shall be done'in accordance with the Ordinances of the City of Springfield and the Caws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre with';ut permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who a~e in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are r~quested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,I .~~ C,h"fLI) Date 1.:1.: { ;, II' ,,~- .~' I.; Paee 2 of 2 225 Fifth Street Springfield,.oregon 97477 541-726-3759 Phone RECEIPT #: ~ I. iC~ "~'.''''.$.''..~..'''.'''''''' ......-- . ; 1 1201000000000000732 , City of Springfield Officil)1 Receipt Development Services Department Public Works Department Date: 06/2112010 8: II :42AM Job/Journal Number COM20] 0-00673 COM20 1 0-00673 Payments: Type of Payment Check cReceintl Description Paving + 5% Technology Fee Paid By LANE CO SD 19 I I Received ~y Check Number Batch Number cjc ....... It, ii " ~ ,~l~ ,-n ..:. 'I' I ~e .,". ;1". . ,""",,,",.If-.' I' , 'I Page 1 of I . d :1", Item Total: Authorization Number Amount Due 194.50 9.73 $204.23 How Received Amount Paid 90413 $204.23 $204.23 In Person Payment Total: 612112010 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00673 Payments: _ Type of Payment Check cReceintl RECEIPT #: .I I 1201000000000000572 , r i I I 11 . C~eck Number Received By Batch Number Description Plan Review Commllnd/Public Paid By LANE COUNTY SD 19 ,1.:~Y:.i~~ DJB ,ik-:-:"!: " Ii , , t,t, -iI 011" ,.i.:.', J' ';j.' "I l I' I I " "..' , , ,I Page 1 of 1 i City of Springfield Official Receipt Development Services Department Public Works Department Date: OS/27/2010 2:02:54PM Item' Total: Authorization Number How Received Amount Due 126.43 $126.43 Amount Paid 89898 $126.43 $126.43 In Person Payment Total: 5/27/20 I 0