HomeMy WebLinkAboutPermit Building 2004-1-7
J CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2003-01225
ISSUED: 0110712004
APPLIED: 12/09/2003
EXPIRES: 07/07/2004
VALUE: $ 25,000.00
'I';
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 838 Beltline Rd
ASSESSOR'S PARCEL NO.: 1703153000900
Springfield TYPE OF WORK: Office
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Tenant improvement - SelecTemps
Owner: SYCAN B CORP
Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477
Phone Number: 541-746-8444
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Contractor
SYCAN B CORP
SCOFIELD ELECTRIC
MICHAEL GRIFFIN
License
72619
38702
150189
Expiration Date
03/25/2004
12/21/2005
01/23/2004
Phone
541-746-8444
541-686-8612 .
541-942-8339
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constructi?n Type:
# of Bedrooms:
# of Stories: Lot Size:
B ~ Height of Structure Sq Ft 1st Floor:
~\S ~ Type of Heat: 0 Sq Ft 2nd Floor:
VN~ ~~ Water Type: o':::''''=.~~fJ Ft Basement:
&^'# "~\);<{:> Range Type: P:J~ ~ l:\,~~t Garage/Carport
~ ~~ ~ Energy Path: .;to !f<:- ~0~~~'other:
..l.q,~ {"_<?:. & 0($. ~f1j ~0 O.>~~r~~ Surface Area:
(,\, _'-J \' l~ 0 ~ ,q.. b" .0 .,,0 ,
'" ". ~ ... v. ~O~ ~... 9.' fJ)'-
~ ~ <]:)"'f' I DEVELOPMENT INFOR ~ ~!:l. ~ '::-.0 .~c;
SETBACKS ~ ~<:::)~ ~ "'f' ~. ~ V ~ .;$ . 0" 0 0~ ~~ ~,REQUlRED PARKING
. ~.::s- ~ s:::> ~0 0 ~ ~O ~ ;:s'~' 't1t)'
Front yard Setbac~:~ ~ \S ~ Overlay Dist: .9 o~ ~ O~ cP l:\,0' .~ rr Total:
Side 1 Setback:~ q,"<.i ~ $> ~ <(, # Street Tre~qj. ~~ ~r.;; .~ ~O. ~ rP' Handicapped:
Side 2 Setback~..:k> ~ fif <::::)~ Paved Dr#~=V0 ~G '$)~ ~~ ~<:- ~ Compact:
~'~ ~ ~ <()" ~ 0 l:\,0 0"4Je<
Rearyard Setback: -$> &' ~ % of Ifif~~~j}j;C:~~ CJ0<:' 0" ,,9'
Solar Setbacks: <::3 {$ ~ ~o ~CJq;; O)~~ ..,.91 ~0 "C
~ ~ 1~ .<1' ,0 ~- J f'~
I PUBLIC IMPRb~~~~ (/
~ <:-" Sidewalk Type:
DownspoutslDrains:
"."
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!:e 1 of 4
"
.,'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-01225
ISSUED: 0110712004
APPLIED: 12/0912003
EXPIRES: 07/0712004
VALUE: $ 25,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
25,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$25,000.00
$25,000.00
12/0912003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lndlPublic $145.86 12/9/03 1200200000000002572
Plan Review Fire & Life Safety $89.76 12/9/03 1200200000000002572
-Mechanical Issuance Fee- $10.00 1/7/04 1200400000000000014
+ 10% Administrative Fee $26.94 1/7/04 1200400000000000014
+ 7% State Surcharge $18.86 1/7/04 1200400000000000014
Building Permit $224.40 1/7/04 1200400000000000014
Miscellaneous Mechanical $45.00 1/7/04 1200400000000000014
Totlil Amount Paid $560.82
I Plan Reviews I
Pal!:e 2 of 4
_ 9.F,t~,,~~~I~'i~) _
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'il
1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-01225
ISSUED: 0110712004 I
APPLIED: 12/0912003
EXPIRES: 07/0712004
VALUE: $ 25,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
12/1212003
12/1812003
APP JF
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:.
I Reauired Insoections I
'.
,1 Framing Inspection: Prior to coyer and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover. '
3 Drywall: Prior to taping.
4 Final Fire Department. After all requirements of the Fire Department have been met.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Rough Mechanical: Prior to Cover .
7 Final Mechanical: When all mechanical work is complete.
8 SUB Final: After all required energy inspections have been requested and approved.
9 SUB Ceiling Grid: Interior Lighting
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 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 inspection re requested at the proper time, that each address is readable from the
street, that the permit card is located at t front he roperty, and the approved set of plans will remain on the site at all
times during construction.
. .-_ ----;7
c:::-7"-- ;..-.-~'
~,,- ~/
Owne~ Signature
/b~
//
Date
Pa\?:e 4 of 4
'L25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01225
COM2003-01225
COM2003-0 1225
COM2003-01225
COM2003-01225
Payments:
Type of Payment
Check
}~'
Receipt #: 1200400000000000014
Description
Building Permit
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SYCAN DEVELOPMENT
CORPORA nON
Received By
Check Number
Batch Number Authorization Number
Jmp
21345
City of Springfield-Official Receipt
Development Services Department
Public Works Department
Date: 01107/2004
8:49:08AM
Amount Paid
Item Total:
224.40
45.00
10.00
18.86
26.94
$325.20
How Received
In Person
Amount Paid
$325.20
Payment Total:
$325.20