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
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!\\.}\ \-\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
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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
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8/9/2005
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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