HomeMy WebLinkAboutPermit Building 2010-6-21
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00674
ISSUED: 06/21/2010
APPLIED: OS/25/2010
EXPIRES: 12/21/2010
VALUE: $ 12,258.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1084 G ST
ASSESSOR'S PARCEL NO.: 1703351103400
Springfield TYPE OF WORK: Paving
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TYPE OF USE: Alteration
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PROJECT DESCRIPTION: Paving and sitework
Owner:
Address:
SPRINGFIELD SCHOOL DISTRICT 19
525 MILL ST
SPRINGFIELD OR 97477
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Contractor ,~~ \-'l, ,,':O~o":l' ,,\:I"':\0'l,,<;,><1> ~o\'\>Llcense, ',' Expiration Date
ORDELL C, ~!~~ ~ tNo' 177q2' 07/05/2010
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-v0',:;0~<:co\0 ORMATION
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\l ..,\:Ie;) ,0'0 ~o'Q~#~tories: Lot Size:
. ."'\o....;::,.'\' L ,'O'1Ieight 'of Strncture Sq Ft 1st Floor:
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,-'0....(;' Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq sgBasement:
Range Type: ~' Garage/Carpol't
. Energy,Path: , ,~:~S~ ther:
Sprinkled Building' n/JL '\~,o( '@c;;upant Load:
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I DEVE1:0PMENT INFORMA rrf. ,,~y"''v
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Phone
541-747-8734
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction'Type:
# of Bedrooms:
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUB~I~,~IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
Downspouts/D'rains:
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Notes:
Description
Type of Construction
I V aluation De~cription I
$ Per Sq'Ft Square Footage
or multiplier," ,,: "or Bid Amount
Value
Date Calcnlated
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Page I of 2
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Status
Iss u ed
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00674
ISSUED: 06/21/2010
APPLIED: 05/25/2010
EXPIRES: 12/21/2010
VALUE: $ 12,258.00
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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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Estimate
Estimate
$1.00
12,258.00
$12,258.00
$12,258.00
06/02/2010
Total Value of Project
Fees Paid . '
,
Fee Description
Plan Review CommlInd/Public
+ 5% Technology Fee
Paving
Amount Pai1~
$107.41'
$8.26
$165.25
Date Paid
Receipt Number
5/27/10
6/21/10
6/21/10
1201000000000000571
1201000000000000733
1201000000000000733
Total Amount Paid
$280.92
Plannioe Review
06/02/2010
I Plan Reviews ~
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Structural Review
06/02/2010
'06/0'7/2010 '
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APP CJC
As submitted
Public Works Review
06/08/2010
06/10/2010
APP 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
workday..,
Reouired Insuections ~
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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 Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structurewithout permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~.l,tilO.a.relip,;compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all required inspectioii'sfiire:r~qiiested',a{ the proper time, that each address is readable from the
street, that the permit card is located at the front of th~ prop~rty, and the approved set of plans will remain on the site at all
times during construction. l.(~i f.\-; ~i" l
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Page' 2 'of 2
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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 #:
1201000000000000733
Date: 06/21/2010
8:14:20AM
Job/Journal Number
COM2010-00674
COM20 1 0-00674
Payments:
Type of Payment
Check
cReceintl
Description
Paving
+ 5% Technology Fee
Paid By
LANE CO SD 19
Received ~y
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Check Number
Batch Number
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Item' Total:
Authorization
Number How Received
Amount Due
165.25
8.26
$173.51
Amount Paid
90410
$173.51
$173.51
In Person
Payment Total:
6/21120 I 0
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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1201000000000000571
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Date: OS/27/2010
2:00:26PM
Job/Journal Number
COM20 I 0-00674
Description
Plan Review Comm/lnd/Public
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Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
107AI
$107.41
Payments:
Type of Payment
Check
Paid By
LANE COUNTY SD 19
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Received By
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Amount Paid
DJB
89899
In Person
Payment Total:
$107AI
$107.41
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5/27/20]0