HomeMy WebLinkAboutPermit Building 2010-6-24
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00818
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 632 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703271008300
Springfield TYPE OF WORK: Interior
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolition - interior prior to permit submittal
Commercial
Owner: MAJOR DEFOE
Address: 90751 PRAIRIE ROAD
EUGENE OR 97402
I CONTRACTOR INFORMATION ~
Contractor Type
General
Contractor License
NATHAN EDWARD BUCH 103060
BUILDING INFORMATION ~
Expiration Date
II/06f20 II
Phone
541-688-8323
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Units: # of Stories:
Primary Occupancy Group: Heig\1t of Structure
Secondary Occupancy Group: - ~--_. Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: laW le&lm~.1I9 '., '.
,.'TTENTION: Olego; l:l the ~9gbI\~ing: .
Notificationcentel'1 RMATlON
OAR 952-001-00 .es
~. You may ol:lta'~tfof~:~te'e\l~o~e
. the center. \ Uf fi~on
ca'''~~r for the Olegon _ ~\.Trees Rqd:
num center IS 1-800-33 aved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Total:
Handicapped:
Compact: .
- '.-
I PUBLIClMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
icn
Sidewalk Type:
Description
Tvpe of Construction
Downspouts/Drai.n,s_t,, ;:~~.';,"~,;~:~i~>-'<'I .
."t-':"it,;:~~~~i;:'- . ~
,.,..' ,d""" \r1\\t.\NOB .
~O,,\Cf.~ .,,1 S\\t-.\.\. ~?,'!~E"WI'1 \5 t-I01.,
\s ?E"wl E" 1\-1 v D fOB .:
I Valuation DescriPtio~~~\IJ\H\CE~ ~~i~OD.
. .~ 1\\'1 "\ 80 O!\,
$ Per Sq Ft : ,.S'IuanfFiiotage Value
or multiplier :." or Bid Amount
Date Calculated
:.~~! ~.
Notes:
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Paee I of2
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00818
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I'Ci.:
Total Value of Project
Fees Paid__
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Demolition
Amount Paid
Date Paid
Receipt Number
$6;96'..
$2,90
$58.00
6/24/10
6/24/10
6/24/10
2201000000000000738
2201000000000000738
2201000000000000738
Total Amount Paid
$67.86
Plan Reviews ~
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To Request an inspection call the 24 hour re,cording 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 Reauired Insnections I
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all debris is removed from' the ~ite.
, , :
By signature, I state and agree, that 1 have carefully examined th~'completed application and do hereby certify that all
information hereon is true and correct, and I furt~erl 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.
1 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 eusure that all required inspections are 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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C/2L-00
Owner or Contractors Signature
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,;J,{?:!
Date
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, Paee,2 of}
225 :Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000738
Date: 06/24/2010
9:29:38AM
'f.
Job/Journal Number
COM20 10-00818
COM20 10-00818
COM20 10-00818
Payments:
Type of Payment
CreditCard
cReceintl
Description
Demolition
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
NA THAN BUCH
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," "~~Jt'. . ..~;.,~:.!~.~ ~'f':.'.~ ,:,.
,~~ .::~~;
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Amount Due
58.00
6.96
2.90
$67.86
'..
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$67.86
$67.86
05470c In Person
Payment Total:
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6/24/2010