HomeMy WebLinkAboutPermit Building 2005-8-9 (2)
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01075
ISSUED: 08/09/2005
APPLIED: 08/09/2005
EXPIRES: 09/28/2006
VALUE: $ 4,296.00
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
Springfield TYPE OF WORK: Interior
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace drywall in kitchen and plumbing refit in boys shower area
Public
"-'Owner: SCHOOL DISTRICT #19
Address: 525 MILL ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Plumbing
NOTICE: CONTRACTORINF_TION I
THIS PERMIT Sr ALL t^nnr: \I rllC 'y
CqmlfmRflED UNDER THIS PERMIT IS Noticense
Me~~l)~~N~m4WrolthN 32772
~~~~m<p~D. 156428
BUILDING INFORMATION.
Expiration Date
12/11/2005
07/25/2007
Phone
541-687-2287
541-744-8946
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
'.. Secondary Construction Type:
# of Bedrooms:
E
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: \.0
# Street Trees Rqd: ('\' ..\~es 'lou '\'hl
. :-N ~e"lv \)\\ h,
Paved Drive Rqdbon \a o~e9on ,~\.'(\
% Of~K.~li~~t'fge:d b\} \'(\e \ saxe set 00,\,
,.",t: u\eS adO?te ,nose ~u e O,.,r\ 95'2.-0
. _1Ir.\N ~ ,~~,."p.~. ,~,,(\n .. ,\p.S b'l
PUB '~UMP~itQ~~M'E~t.l' "~?\es 01 ~~~e?no~e
. f'\' ,,\ ~e' \ne ft!.Ca\\On
\n 90 'tou rna n\eL \\'10 \ft~~.~anh)'pe:
00 . . \ne ce gon t f)r:>..AA).
ca\\\ng ~ 'o{ \ne .O{~'Ooo_30'ilm(spoutS/Drains:
nurnbe Cen\.e{ \s '\
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01075
ISSUED: 08/09/2005
APPLIED: 08/09/2005
EXPIRES: 09/28/2006
VALUE: $ 4,296.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriPtion'
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
4,296.00
Value
Date Calculated
Total Value of Project
$4,296.00
$4,296.00
08/09/2005
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
Minimum/ Adj ustment Plumbing
Amount Paid
Date Paid
$6.84
$4.79
$68.40
$5.50
$3.85
$43.00
$12.00
$4.50
$3.60
$42.00
$3.00
8/9/05
8/9/05
8/9/05
8/10/05
8/10/05
8/10/05
8/10/05
3/28/06
3/28/06
3/28/06
3/28/06
Receipt Number
1200500000000001160
1200500000000001160
1200500000000001160
2200500000000001072
2200500000000001072
2200500000000001072
2200500000000001072
2200600000000000392
2200600000000000392
2200600000000000392
2200600000000000392
Total Amount Paid
$197.48
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.
L.Reouire~nsnections I
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01075
ISSUED: 08/09/2005
APPLIED: 08/09/2005
EXPIRES: 09/28/2006
VALUE: $ 4,296.00
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 per . card is located at the front of the property, and the approved set of plans will remain on the site at all
times during con r ction.
Paee 3 of 3
~-2P--oo
Date
..\.
2'25 Fifth Street
Springfield, Oregon 97477
541,.726;3759 Phone
Job/Journal Number
COM2005-01075
COM2005-0 1 075
COM2005-0 1075
COM2005-01075
Payments:
, T~peof Payment
Check
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3/28/2006
RECEIPT #:
Description
Fixture
Minimum! Adjustment Plumbing
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MORRISE KIELTY
r.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200600000000000392
Date: 03/28/2006
8:53:28AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 11 06 In Person
Payment Total:
Amount Due
42.00
3.00
3.60
4.50
$53.10
Amount Paid
$53.10
$53.10
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