HomeMy WebLinkAboutPermit Building 2010-6-21
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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
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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
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Springfield TYPE OF WORK: Paving
PROJECT DESCRIPTION: Paving and sitework T'
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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~ '
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Contractor ~og'~;s ale S~\nl,aS~l\~~\dojJJice!i,ge M~~XPiration Date
ORDELL CONSTR (i)~ ,r:lYuo6al(\)nm21N3 07/05/2010
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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:
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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:
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% 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 ~
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Sidewalk Type:
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Downspouts/Drains:
Notes:
Description
Type of Construction
I Valuation bescription ~
$ Per Sq Ft '! Square Footage
or mul'ip~ie~ ,.': ,:, or Bid Amount
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Value
Date Calculated
:- Paee I of 2
.k
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Estimate
Estimate
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$1.00 !
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Total,Value:'of'Project
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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
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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
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LFees Paid ,
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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;::~
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I Pi~n R~~iews ~
Plan nine Review
06/02/2010
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06/02/2010
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06/07/2010
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06/18/2010
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06/1812010 I
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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
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a.m. will be made the same working day;'inspecti~ns requested after 7:00 a.m. will be made the following
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work day. . I
I ReQuired InsDections ,
Final Building: After all required inspections have Jeen requested and approved and the building is complete.
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Final Paving: After paving is complete.
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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
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Date
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Paee 2 of 2
225 Fifth Street
Springfield,.oregon 97477
541-726-3759 Phone
RECEIPT #:
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1201000000000000732
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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
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Received ~y
Check Number
Batch Number
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Page 1 of I
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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 #:
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1201000000000000572
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11 . C~eck Number
Received By Batch Number
Description
Plan Review Commllnd/Public
Paid By
LANE COUNTY SD 19
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Page 1 of 1
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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