HomeMy WebLinkAboutPermit Building 2007-8-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01149
ISSUED: 08/17/2007
APPLIED: 08/03/2007
EXPIRES: 02/1712008
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1479 S A ST
ASSESSOR'S PARCEL NO.: 1703363207200
Springfield
TYPE OF WORK: Modular Unit
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Modular employee structure
Owner: J M DAVEY LLC
Address: 1484 S B ST
SPRINGFIELD OR 97477
Phone Number: 541-746-5000
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction.Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Description
NUHl;E:
THIS PERMIT SHALL EXPI
AUTHORIZED UNDER THIS ~&I1OA~~ l& NOT
c 0 fimJp~ Nc<EfP6RIf8l}W3ANQg NirDifi(Mi
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS'
Sidewalk TyJle.' , s you to
^TTFNTION: Oregon law r~qUlre Ut'I'ty
r; I - ..JT.\ . ~.I.' ~6",,/"'\r,gODn II
~ Ilow rules aua~W...>)p)~tlLSyvJ:a'ln~. t f th
,0. Th e rules are S9 or
Notification Center. ~s hOAR 952-001-
in O~R ;52~~~ .~gt~~~ ~~~i~S of the rules by
009 _~}\e center. (Note: the te'~~hor:'e
,.. u tor tne uregulI J~{,:l1 f!atlfu;Q11('''
cri n~~n oter is 1-80Q-332.2344)-
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01149
ISSUED: 08/17/2007
APPLIED: ,08/03/2007
EXPIRES: 02/17/2008
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Modular Unit
Modular
$1.00
3,500.00
$3,500.00
$3,500.00
08/08/2007
Total Value of Project
Fees Paid I
Fee Description
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fire SF Fee - Non-Residential
Modular Building
Amount Paid
Date Paid
Receipt Number
$43.65
$8.32
$3.36
$5.37
$16.00
$67.16
8/3/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
1200700000000000998
2200700000000001302
2200700000000001302
2200700000000001302
2200700000000001302
2200700000000001302
Total Amount Paid
$143.86
I Plan Reviews I
Initial Review
Structural Review
08/08/2007
08/08/2007
08/08/2007
08/1612007
APP LLH
APP DJP
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
work day.
I ReQuired Insoections I
Final Modular Set Up: After all required inspections have been requested and approved and project 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 ofany 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 readable from the
street:d~ the permit ca d is located at the front of the property, and the approved set of PIa. ns will remain on the site at all
li71_ g coostruct' o. F -/7 -0 J
ojier or lontractlrs Signature Date
Pa!!e 2 of 2
. I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01149
COM2007-01149
COM2007-01149
COM2007-01149
COM2007-01149
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Fire SF Fee - Non-Residential
Modular Building
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE SCAFFOLDING
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001302
Date: 08/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
1249
In Person
Payment Total:
Page I of I
10:27:18AM
Amount Due
16.00
67.16
3.36
5.37
8.32
$100.21
Amount Paid
$100.21
$100.21
8/17/2007