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Home My WebLink AboutPermit Building 2005-10-6 ... ~ ii: Status: Issued ~ ~25 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERl\fiT NO: COM2005-01358 ISSUED: 10/06/2005 APPLIED: . 10/04/2005 EXPIRES: 04/06/2006 VALUE: $ 167,400.00 SITE ADDRESS: 3420 Baldy View Ln ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF Site Work Only -f PROJECT DESCRIPTION: Structural Fill for Central Utility Plant TYPE OF USE: New Commercial i Owner: ;J. f' Address: , ")~ PEACEHEALTH PO BOX 1479 EUGENE OR 97440 I. Contractor Type General I CONTRACTOR INFORMATION. Contractor ATTENTION: Onl~@ni'<< req~ii'ii"laJ. Date Phone TURNER CONSTRUCTION ~~ ado~9989Y the OregoilllldJ'9ib>07 \ 503 229-6000 . . I BUILl)mG'WilRMA~:o~u~~~~~~~ 9~5~~_~~;r~ # OOqO.. You may obtain copies of tl- e rtl~es by of Sf~f~~s:- -,0 SIZe: Hei feor Ig the center. (Note: the te e :5};ipr~ FI . Typ~bl&mttor the, Oregon Utility N~I iFf2~H F~:;;: Water Typegenter IS 1-800-332-234~q Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy c Yrimary Construction Type ,: Secondary Construction # of Bedrooms: rt' I DEVELOPMENT INFORMATION. REQUIRED PARKING ., .' Front yard Setback: ;f: Side 1 Setback: :: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street . Storm Sewer Available: Special Instruction: , Overlay Dist: Total: , # Street Trees Handicapped: Paved Dr\'Cl!qd: Compact:" % o~~ PE~MHSHALL IXPIRI . tHE WORK AihttSDl;Et l'~'IOSl T~tA Dr:RMtT Ii NOT PUBLIC I. - tS ABANDONED FOR ODSidewalk Type: . Downspouts/Drains *. Notes: t,. > I Valuation Description 1 :'" Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated .\ :r' .1 of 2 Status: Issued ,; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01358 ISSUED: 10/06/2005 APPLIED: 10/04/2005 EXPIRES: 04/06/2006 VALUE: $ 167,400.00 ( ~ Estimate Estimate. $1.00 167,400.00 $167,400.00 $167,400.00 10/04/2005 Total Value of Project . ~. Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review CommlIndlPublic Amount Paid Date Paid Receipt Number $78.67 $55.07 $786.65 $511.32 10/6/05 10/6/05 10/6/05 10/6/05 1200500000000001472 1200500000000001472 1200500000000001472 1200500000000001472 jT: Total Amount $1,431.71 I Plan Reviews I .,. r ~ To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 :~ a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following :' work day. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all I, 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 wiD be made of any structure without permission of the Community Services Division, Building Sa'fety. 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 wiD remain on the site ;!,ata7~::LZ:72Z 9-6" 05 - II Owner or Contractors Signature Date 2 of 2 Ii. . 215 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone -. City of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2005-0 1358 COM2005-0 1358 .. COM2005-01358 COM2005-0 1358 I" Payments: 1 Type of Payment Check ~C~sh Change J:.. Job/Journal Number COM2005-0 1358 COM2005-0 1358 . COM2005-01358 COM2005-0 1358 Payments: ... TfPe of Payment Check Cash ; Change .,. C Jijb/Journal Number '! QOM2005-0 1358 CpM2005-0 1358 . COM2005-01358 COM2005-0 1358 Payments: Type of Pa~ent . Check Cash Change .- ~4 ~ . ~'~ 11 q. d r .'t 'J :r ~ , " :; 10/6/2005 RECEIPT #: 1200500000000001472 Date: 10/06/2005 Description Plan Review Comm/IndJPublic Building Permit + 7% State Surcharge. + 10% Administrative Fee Paid By PEACEHEAL TH PEACEHEALTH PEACEHEALTH Item Total: Check Number Authorization. Received By Batch Number Number -How Received djb 232328 In Person djb In Person djb In Person Payment Total: Description Plan Review Comm/IndJPublic Building Permit + 7% State Surcharge . + 10% Administrative Fee Paid By PEACEHEALTH PEACEHEALTH PEACEHEALTH Item Total: Check Number Authorization Batch Number Number How Received. 232328 In Person In Person In Person Payment Total: Received By djb djb djb Description Plan Review CommlIndJPublic Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By PEACEHEALTH PEACEHEALTH PEACEHEALTH Item Total: Check Number Authorization Received By Batch Number Number How Received. djb 232328 In Person djb In Person djb In Person Payment Total: .. '. ~ -. I of I 2:52:26PM Amount Due 511.32 786.65 55.07 78.67 $1,431.71 Amount Paid $1,431.17 $0.55 ($0.01) $1,431.71 Amount Due 511.32 786.65 55.07 78.67 $1,431.71 Amount Paid $1,431.17 $0.55 ($0.01)' $1,431.71 ;. Amount Due 511.32 786.65 55.07 78.67 $1,431.71 Amount Paid $1,431.17 $0.55 ($0.01) $1,431.71 . ~