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HomeMy WebLinkAboutPermit Building 2005-8-9 Status: Issued _ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 326 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703263406200 CITY OF SPRINGJHELD ' Building/Combination Permit PERMIT NO: COM2005-01075 ISSUED: 08/09/2005 APPLIED: 08/09/2005 EXPIRES: 02/09/2006 VAL UE: $ 4,296.00 Springfield TYPE OF Interior SCHOOL DISTRICT #19 525 MILL ST SPRINGFIELD OR 97477 to 1_'" r~n\J\res you ATTENT\ON: Ule~":." -: h@ r\rr.gon Ul.\lllY t \10'11 rules adotJl"@e~T~(;~FO~TION I o .tication Center. "I""~ hOAR 95Z-UU ,- ~~_001-001? thro~g s of, the rules bl,icense B St~~~e~~~g~f)umN<32772 € camng the ce~~~lO< F6RmtiONI number tor th", 1 '800-332~'t't.l' center is # of Stories: E Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled PROJECT DESCRIPTION: Replace drywall in kitchen Owner: Address: _ Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN TYPE OF USE: Repair Public Expiration Date 12/11/2005 Phone 541-687-2287 n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street IPUBLIC IMPROVEMENTS I ~ W ,\1r. \N0t'~ \~\fnCt:. N\\\ S\1f\\.t r.'f-tl~~r.t'~\\ \S ~01 1\'"\\S tlr.~It.D \j\'mt.t' '~~~DO~r.D fOt' !\\.}\ \-\0 D Ot' \S f\ CON\~~~~\,,, tlt.t'\OD. I\Nl IV~ I Valuation Description i Storm Sewer Available: Special Instruction: Notes: Description $PerSqFt or multiplier Square Footage or Bid Amount , Type of Construction 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains Value Date Calculated :-WlL~~II~!:,gf,;I~l,.Qi !' " I i, - -.m ..'"'..~~~ .. ..L~' ~.~~. , , ( -, - CITY OF SPRINGf11ELD ' Building/Combination Permit PERMIT NO: COM2005-01075 ISSUED: 08/09/2005 APPLIED: 08/09/2005 EXPIRES: 02/09/2006 VAL UE: $ 4,296.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount, Use Bid Amount $1.00 4,296.00 $4,296.00 $4,296.00 08/0912005 Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $6.84 $4.79 $68.40 8/9/05 8/9/05 8/9/05 Receipt Number 1200500000000001160 1200500000000001160 1200500000000001160 Total Amount $80.03 I Plan Reviews I 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building 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 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 win remain on the site at all time uring cons~')io~ ~ (/' l ~~ ~r y.. 0,\ Owner or Contractors Signature Date 2 of 2 225 Fifth Street SpringfIeld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01075 COM2005-0 1075 COM2005-0 1075 ,; Payments: Type of Payment Check ,( ;. :1 " I,: ;( :1 . ~ 1( 8/9/2005 " '; RECEIPT #: t;ity of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000001160 Date: 08/09/2005 Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By Received By MORRIS KIELTY GEN CONTR djb . 1 or I Item Total: t:heck Number Authorization Batch Number Number How Received 1059 In Person Payment Total: 8:45:01AM Amount Due 68.40 4.79 6.84 $80.03 Amount Paid $80.03 $80.03