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HomeMy WebLinkAboutPermit Building 2004-2-4 (2) -. .. CITY OF SPRINGFIELD Building/Combination Permit " . Status Issued PERMIT NO: COM2004-00147 ISSUED: 02/04/2004 APPLIED: 02/04/2004 EXPIRES: 08/04/2004 VALUE: $ 500.00 . ,A ~J 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4197 FRANKLIN BLVD ASSESSO'R'S PARCEL NO'.: 1703344300100 Eugene TYPE O'F WO'RK: Gas Station TYPE O'F USE: PRO'JECT DESCRIPTIO'N: Light pole foundation approved by Liz Miller. Alteration Commercial .:~, O'wner: CASCADE ENERGY LLC Address: 25115 SW PARKWAY WILSONVILLE OR 97070-0607 I CO'NTRACTO'RINFO'RMATION I Contractor Type Engineer Mechanical Contractor HAL PFEIFER SITEWORK CONSTRUCTION INC. License 119652 Expiration Date Phone 541-683-4257 01/1212005 541-744-9204 BUILDING INFORMATIO'NI # of Units: Primary O'ccupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: R~~ Type: Sq Ft Garage/Carport ~n~y Path: ~.,::\ ~q Ft O'ther: ' ,......~<<:...... ~"Q;- _ 4,0~...-?~ ,~~ervlous Surface Area: ~: ~.~ ~ t.-- ~.. ~ ,- ,<lW.F;VEC0PMENT INFORMA TION I~ 0 OJ rn'l; '>o..t$-' 0 ,~ h !,,\1 ,0! 0'- ~ ~Oj ,.::i 0'" ,~QUlRED PARKING ..... A.~ ~ ~ 0'" ~ :t::;-0 ~ 'if ..;;r <>.." o..~ Overlay Dist: ,'1> ~0 ,::5' O~" '>o..0'<.~V Total: .'>0." 0' ~ ~., ,,:t::;- 0 0 .~ q.-~ ~ ,.~. # Street Trees Rqd:o -Q.... 1<>0 ,:)e$ I<> 0" ~o ~Handicapped: ol..'...$:::- '5 ro..'<:-'" ~ Paved Drive Rqd;"0C!i 00,-c:-0.A,.0 ~0 .-s'.,::\ $ Compact: ~-v~.~ '-' ~ 0 {f " ~'.O 0"~ 1-J ~ ~<<; ~ 67 ~ ~ % of Lot Cov~g~O <to. ~ ~ v ~Cf .:S'rf]I ~'V ~ ~ ~ ~ ~ 'l> If <:)1::) ~ I;:: 0'" ":> .......A~"~.~ ,,"> ~ ,0'" r~ X.'~ ,,<'" _C!i ~<:! ~~~ ....v I PUBLIC IMPjd)1Ek~1f;,\ V0"'-00' ,,'P '-'~ l - IfJJ, 0:C:".f ~ ,ct .:ii;:-v ~ J..,O" -s' o<.'SiMwalk Type: CfO~ . .~Oj ~ ,. :s '" ~ ~ ~<to cDownspoutsffirains: ~ v'l>~ '::! ,:)~ '" M VN Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: . '~1t Paee 1 of2 ,; I . . \...11 f OF SPKll'lul'l~LU Building/Combination Permit PERMIT NO: COM2004-00147 ISSUED: 02/04/2004 APPLIED: 02/04/2004 EXPIRES: 08/04/2004 VALUE: $ 500.00 :1 Status Issued ~ 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "~ I Valuation Descrintion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500.00 Value Date Calculated Total Value of Project $500.00 $500.00 02/04/2004 Fp.~~ P,aid . Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Comm/IndlPublic Amount Paid Date Paid $4.50 $3.15 $45.00 $29.25 2/4/04 2/4/04 2/4/04 2/4/04 Receipt Number 2200400000000000094 2200400000000000094 2200400000000000094 2200400000000000094 '>, Total Amount Paid $81.90 I Plan Reviews I Structural Review 02/04/2004 02/04/2004 APP JMP To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l....isouirp.d Tn~np.~tion~ I 1 Foundation: After forms are erected but prior to concrete placement. ". By signature, I state and agree, that I bave 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 O'rdinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he 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 requested at the proper time, that each address is readahle 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 rZ-:"'"0f;i3v -Jd? >I ~l7d O'wner or Con.Qactors Signature Date ( Paee 2 of2