HomeMy WebLinkAboutPermit Building 2003-1-6 (2)
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRl1~la<1ELD
Building/Combination Permit
PERMIT NO: COM2003-00009
ISSUED: 01106/2003
APPLIED: 01106/2003
EXPIRES: 07/06/2003
VALUE: $ 500.00
SITE ADDRESS: 4748 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1803031103200
Eugene
TYPE OF
Interior
PROJECT DESCRIPTION: Interior partition wall
TYPE OF USE: Alteration
Commercial
Owner: STAR RENTALINC
Address: PO BOX 3657 SEATILE WA 98124
Contractor Type
General
Owner
I CONTRACTOR INFORMATION I
Contractor
BRUCE G WAY
STAR RENTAL INC
License
115220
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Stree t
Storm Sewer Available:
Special Instruction:
Notes:
Desc rilltion
BUILDING INFORMATION '\)"~
y.,'t. 'l' ';j'\
# of Stories: X. ,,,"\ ~ ,S ~
Height of 't.i-'?'~ '?'t."~' ,,\)"
~. Typ~l!~ea~\\\S '.\J\)~'t.'I:>
r'\\\fV n,~\y8fe~..'!.'Yile,,\,-~~
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~('\w ^" 'i)
.... . \.~
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Expiration Date
07/15/2003
Phone
541-741-6291
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
01) \CCompact:
~eS ':I '~\\':I
% of Lot Coverage: N'l ~eo.l)\ O~ U\\ \ ~~'
O\\\~ eO~~ ese\ 0 :\_
-.., "eg o"",,\~ ';,"9.~ _~l).cO
IP. UBLIC IMJ',R~viMih~.Q.'Sj\" ~~OSe ~::"~Op...~'e"~I)\es v,
. "'~ ,4 ,t~I~. ~10"'" _ ~\\, O~e
\O\\~ ~\O~ G~,\.co'\~~I~~R ~ee9~c&-(\O~
~O\\\\C~ g'6'l:r:J O'<;J\0'\~ d"\~ ..l;f)~'\
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I Valuation Descrintion I
Type of Construction
Square Foota2e
$ Per Sq Ft
1 of 2
Value
Dale Calculated
.
. CITY OF SPRINtJt<Il!,LJJ
Building/Combination Permit
PERMIT NO: COM2003-00009
ISSUED: 01/06/2003
APPLIED: 01/06/2003
EXPIRES: 07/06/2003
VALUE: $ 500.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
500.00
$500.00
$500.00
01/06/2003
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date
Receipt N um ber
$4.50
$3.15
$45.00
1/6/03
116/03
1/6/03
2200200000000000357
2200200000000000357
2200200000000000357
Total Amount
$52.65
I Plan Reviews I
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.
~ Reouired Insnections ,
1 Drywall: Prior to taping.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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 structore 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 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
atall~:n:7;r/~ . . I/~ /72,
=-- v- () {. f!./'
Owner or Contractors Signature Da e I:
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00009
COM2003-00009
COM2003-00009
Payments:
Type ofPaymeut
Check
Paid By
BRUCE WAY
Description
Building Pennit
+ 7% State Surcharge
+ 10% Administrative Fee
Receipt #: 2200200000000000357
Date: 01106/2003
Received By
Check N umber Conti rm No
djb
Page I of I
116/200p
II :00:24AM
,
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
45.00
3.15
4.50
Line Item Total:
'$52.65
How Received
Amount Paid
In Person
52.65
$52.65
...
Pavment Total:
cReceipt.rpt
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1J,?J;:, ".~225 F.J.FTH,STREET ~.'~ _,0, ;..:~.\ [it 'rlJ~'\ ::.; : .:', _. EL_CAL PE!WJT A~fLICATIOJ:l', '< .
I~~~~,..~.t~\-~ t SPRINGFIELD, OREGON 9747il ttt~~;'.l f;[.1 i~\!W f'1l ~~~If1:~:'~ ~: ~l~;': ", .~~~1:\. ',.' ~~.,~ ~ ';JE~3j:'i'...':.~r.',~,,\\1~1~:"'_ \~~.
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~~~~;lf L LOCATION OF )1IlSTALQ;r1QN ~ ;>~:?~ f.'%:(i' t'~',k~" l,'<"'.',:.,~):{':":'.'i..:,'0'~::\" '...~~X'''''' /".,':';.' >.. .;.,
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"i\d'lIulti-Family per dwelling unit. ';::;',<.'.
LEGAL DESCRIPTION \"e\O"~seScr"icc Included: 'ii;
II< ' 0 3 . 0:>' . I I' 0 '3?-o7J 6 "o.s c \0.,,6 Items Cost Sum.;
fi.\~0 ~p'\ . ~.~,., .
),M..r.i-:;" 'Ov,'O e'b9 "',,1
;;}':;); JOB DESCRIPTTON~:,. :\e~o.s,eo."\' $IOG.OO
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~~~.? Permits arc rion-lransferabl~:an~.fJ\pire,,\,,~
~\=,{1<'i if work is not'started within 'J>8ll days 1-0
~. ~'t.;.!: of issuance bT jf work is suspended 'for ^9-\v,\0
~.tJ~/'., 180 d l~:' \e S\9J"
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rfsili 2. CONTRf.,c::;TOR \NST ALLA TION ONLY B. SCI'viccs 01' Fccders .... r/:::>
{.;~:, "to; :..t:P:. . ~~:; , Installation, Altera.tions or .:
''\iil'( '.: Electrical Co~tiacto~;lZ>u i Icier::, E. /E'G1- (\'( . Rclocation: "', . " .
~';~ AddreSS~J"'rll'\ ,':"(.;~:::~ 200 amps or less '~.;, "" c"f:'$:~~.OO '. "
.,..;~~''it~ \;'~r.1'~ 1i.~J:tri~" ./.:.....:~.:;:)~~./-: . 201 nmps to 400 amps .'j,~~ '::, 1;::$..7.5,.,0'..0, ,,~C;;... _
, . ~ r .""to.. """'~, 4<7t=.' l'ro~",,' r " ,t'.." ~ .
!l~~t~ Citu:.,,?(e0~'~'::'JJlOne D;J~''i/]';-J,9:'~~i~~:;~i:'. i. 401 amps to.. 600 a~ups,),.;:,,\.. ,~,$1~5:QO ,~:,
;.t'I\:;5," COt15~;.;~'!i';j"" .,"'",~tt/! "(p,~,f,&,, '1,/ ""'~"~\.J',60] omps to 1000 amps,;" ;~'. ":,,,,,.:$163.00'" .
:QiPd~ ~ - .,' Jr'>:' 'C'" !'N~' ....,t. A:~a:'1-~"i'~~~~"f '. ,1~"1,. :'1"0' 1000' sf"] ''':'~;'~.;;I I "\~$3'~\7"OO'~
"~~*'''' '~"r-'" .,t:.lcensc,: llInuer ."it:' .'.T1'\~, ';"~"_' ("','''-f''',: ver mnp vots~~.,.,>". ," "\.,"_~'" ). ..~:_.
~~..\ '!.-~~': If,-~,ij~it~~l?; .~:"k ":'~~"''''~~_t,_~f,*,,'':::[; -1/kr.~'~~R"ecohneBt billv.~:1.';;:ti~':;:~h:i~': :>: '-~'::~;'~$r50-.0'o1_-, .<:":' .
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f.~' ~/5 Expira,ti9.n' pa.te';~ ,,-i:::1.1S' :l~')'Ff~,"~'1 r~I~'r.;)fi"/I\. ..~',t~:'~1~'.i.Hi;.~'l::,'f.t:;fi~],<f")lt~l~~(~~;'~~f){,,;':;~'_ :~,(I}~~:~~'~ )~,;4~,:,:":;'()rt~:.:":
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'l5J:.:""'''-~6'''~;,.",,,;,;;:, '1il!i' .~. '~"'r;j'i'.. ,,~n, 1 :i,y;';"'f.",:s.'" ~<. ,. C' "Temporary Services or ,Feeders:' :';: '." ~~..: ,~r..,,~~:_.. ','
~9[5fl 4";.>Vr....'/\l; ~j..;_J;;~ r': 't:~~':n A,r~t.,;;< ".,\t,:.;!':.~""'J'ti)I.:""-:.!: . .,~ 't:^' ',.' t.;..... '''. {.'.... :.,:(,~"";" :~;~~~1r;"..l';~I~ . :'J~:.
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(l~~~.~'~I;~.ExPlratton Date J 'f,;;~ '.~.":' _':.~;:'~1~~;t~~}1:~I:?~~/.20~^?.J.11~~ QI:"Ies.s:5;i':,~"\\~';"'~'~f-:',",, . ';"'I'-:..:;'t?$;50:90~ ..1:r..~_,
~~h~tf'(,>~~~~~t~.: "':; '. f .....,.,-;.:.~",~~~.\"~,:~:.' ;.~\;~. ~ 201.ampSJO 400 amp~ ~'I ';~.:'.:, '.' .~;: ,:, \$~9:00. ~
,,::~\,;;;;..:r.signaturc of Snl'cn-ising Electrician Over 40] to GOO ainpsi! " '.\ ..' <;'. -;$100.00 .', ,
~;~;r~~~~1:{~.~1t,~; ~$;'~~~:~~'~i,.. J'v Ovcr 6'00 amps or 1006 volts see '.fIN' (: :. ~ ~1\- ~
~~ttb""'W>'~ '.c .~., F ~~ "'''''ll' ..r.~'), . . ,'..!' "", .
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",.~.cr'~~;~:t:IV4'), .j:. <<! 0:H':t~J;-."IN .,l~1,~\~ .~']- I ;"..':-' . ~n."J"y D. \ Branch CIrCUIts 1.'1.' ~'_~ .!'.
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;:r6~'~,l':'<!~tg~vncrs;Na.IJ1e ;" 'AJl~\i ,] I'.i"\\:\ 1'\'lJ\ .~ Q{egOflNcw Al!eratioll or ~xtensioll Pcr Pall.el' ,. ;" ' ~,
~~~~:,;;o'f':rF~r~:'i\KrCk:'~:#)~~'XIl:(f1...:--,\"yvd,()'i\ne aJese\t~~\",:, . 'c..::, .
''.';<'~ ','j,:tAdct'ress"Vr,) \~:,r.~:.,:.~.t;r)~rio?\e -"-;lob (\lleOS f>-?>(;jfl~'Circuil . $43.00 .
'r;J')'r~t~'~-'ai~: '; h'''''}~~iIOI/-J(\l.\'''-ce(\\e\. ;Q'\~'O\l~n ~\\le(i.lleSe:"" - " ".-
, .. '" :~City T). 1 \ 0._ .~!t!'riC')\1 ~,,~,ClCl'\ CO?\es 0 'e\~acIP~.dditional Circuit or\\Ith Service
::,/: -.\~,: '~~""''':' .; '''::~/l.~,9~~'v~'io'()\a\''NO\e,.\~e~e,';~!\c€(ie'?,pcnnit 2Q$3.00.1d2......-
>-' ,'. ,~'OW\"ERINS ALLATro~I:'/O\)((\ ce(\\el.~ (\\.l\\\\\~ tJ.tJ.\,
'.,,:. :, 'if:iThe installat~~n is bei!,g"M~cja\9.n 9 \~e \\le o(e~~r:,!,"".~IIl~ccllaneous (Scnicc/fccdel' not includcd)
,,: ';; ~:.j.)ropertY~I .o\vn \~hich,}s 1:'.ot i&tl'!l.deaiOI ,\8' i" " .~\ I -Each installation _
....; ":,"Ior~ale...le~~eor~e~\. ~. n. .. CP,'" Pump or ungatlon $)0.00
/,' i~, -". ..:..J,>' ;"c' ....:".. ,. ." Sign/Oulline Lighting $50.00
. ':":,~i~OW~l;t~_~!g~oture~ .~', ~'.' If l\-\E ~OP-I<. Limited Eneri,'YlRes $2500
:' ,:.: . i~t ",:.-~' ;~Ol\C~~'" :S\-\~l\. EXPIRE tJ\ll IS ~Ol LlIllIted Energy/Comm _ $45.00 _
'. '. ':," - ,,~ r,:~MIl .. -r, 1~ pEP- OR.
...: .:c: .'. .'," 'fl'.ti.iOI\\lr.O Ur-l\.J\;;.S' ~Bp..~OO"tu f lI''Jinimum Elccl,'ic Pe.-n,illnsJlCClilln Fcc is S45.00 + SlIrchargcs
.,' .. :~,; -;: .' r>.\II" ~O 0\\ \ .-
: . . ,~',,'.' r' COtJ\tJ\E~r>.'f p~~IOD,' 4. S UBTOT AL OF ABOVE
. "~ ~ . .r>.I'i'l \80 , f:\"l 7% State SlIrchargc
~~~~~$\''' ::~~;";'''"';'' ,,,
$ 19.00
....
....,
$ 50.00
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