HomeMy WebLinkAboutPermit Building 2003-9-2
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. CITY OF ~nUf"lu.H~LD
Building/Combination Permit
PERMIT NO: COM2003-00845
ISSUED: 09/02/2003
APPLIED: 09/0212003
EXPIRES: 03/02/2004
VALUE: $ 58,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 725 A ST
ASSESSOR'S PARCEL NO.: 1703354204900
Springfield TYPE OF WORK: ReRoof
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Reroof
Owner: PACIFIC WESTERN BANK
Address: PO BOX 15144 DEPT KEY WORCESTER MA 01615
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
BLESER BUILT ROOFING INC
License
75393
Expiration Date Phone
541-830-0226
DUILlJll'I'G INFORMATION'
# of Buildings:
Primary Occupaucy Group:
, Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
~ Water Type: Sq Ft Basement:
"Q:;:... Range Type: Sq Ft ,Garage/Carport
.:;." .::..<:::>" ,- ,
~' ~ Energy Path: Sq Ft Otlier:
~":~~ Im~eiYi'(;us'Surface Area:
\: ...{)'" _" 0"';- a...... "-
..L~~ ~~~~EVELOPMENT INFORMATION' <.0oC!O<.0Oj ~0' 0)<6~:~lJ~~0 _~
'V.,~.1N" '1i-~ 0 ~0<:> ~~Q~D PARKING
~~~ ~~~O~~.Q
Frontyard Setback: .;;,; ~ SJ'f' Overlay Dist: ~ "Q-". rib if 0 Tl!.tal:~
S.d I S b k .'>:\ ~ 'f' # S T R d ~>'J 0 o~J >:i C, H- ,,':1
I e et ac : c?-" S) 81. treet rees q: <.~ ~0 ,,'<:' !.,O ',,0 ~ anulc~pped:
Side 2 Setback: ~. ~ ~~~ Paved Drive Rqd: ~YoOQ.!.,. (;)~ c,oQ.~. C:::(l~p~t:
~~ ~~.... ~- ..) 'b' ~0!::>" '~~o .$' n;v
Rearyard Setb . ~<<; ~ ~ ~ ~ % of Lot Coveragej$- '< 0<:> "'~ $S ~<i1 ~ o~ <::,0:0
Solar Setbac .~ ~ ~ <:)~ ",<</ <.~ >::-0 <:::,(;)"-., if> ~","" ",<So <::)'"
"''''~.A\: _~ f:'.. ,(,." N. '.0 /"to' I'J..~ ",.c::: ^~ q.:;
"l-~~'V I PUBLIC IMPROVEMm-ITSI~O)~cv <.'~'" ~...~0 i..{?'
~ . v ,...... <::.. ,0 ,,0
Street Improvements: ,- ~ 0,..(;)' ~Id~}Valkgype:
'~!SJ q; "$)v li
c:; Q ~wnspoutslDrains:
~
B
,VN
SETBACKS
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
58,400.00
Value
Date Calculated
Total Value of Project
Paee I of2
$58,400.00
$58,400.00
09/0212003
i
.
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Total Amount Paid
I Fp.,,. PlIirl I
Amount Paid
Date Paid
. CITY OF ~rKll'\jtd<lELD
Building/Combination Permit
PERMIT NO: COM2003-00845
ISSUED: 09/02/2003
APPLIED: 09/02/2003
EXPIRES: 03/02/2004
VALUE: $ 58,400.00
Receipt Number
1200200000000002047
1200200000000002047
1200200000000002047
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.
$40.58
$28.40
$405.75
912103
912103
912/03
I Roofing: Prior to installing any roof covering,
2 Final Building: After all required inspections have been requested and approved and the building is complete.
$474.73
I Plan Reviews I
I, Reoui'r'~li J' sl np.dinos I
I Iii 11111..11
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and aU 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 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 at all
, times during construction.
//_ ;rdArl
. oW#or Contractors Signature
-
Page 2 of2
'l-2-0~
Date
225 Fifth Street '
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00845
COM2003-00845
COM2003-00845
Payments:
Type of Payment
Check
~~J!~,.,,,q:r,~
1Ii!.
..- "
'V~,H.'" _ _
Receipt #: 1200200000000002047
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BLESER BUlL T ROOFING INC
Received By
jmp
Check Number
Batch Number Authorization Number
8626
,,' City o(Springfield Official Receipt'.
Development Services Department r
Public Works Department
Date: 09/02/2003
I:S7:12PM
Amount Paid
Item Total:
405.75
28.40
40.58
$474,73
How Received
In Person
Payment Total:
Amount Paid
$474.73
$474,73
.
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