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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~) _ 'J '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