HomeMy WebLinkAboutPermit Building 2006-6-1
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fi..
541-726-3769 Inspection Line
SITE ADDRESS: 3680 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061202700
. CITY OF SPRI~l;d'lJ'.LD
Building/Combination Permit
PERMIT NO: COM2006-00653
ISSUED: 06/01/2006
APPLIED: 05/31/2006
EXPIRES: 12/0l/2006
VALUE: $ 89,000.00
Springfield TYPE OF WORK: School
TYPE OF USE: Repair
Pnblic
PROJECT DESCRIPTION: Reroof-Douglas Gardens
Owner: SCHOOL DlST #19
Address: 525 MILL ST
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
A..........-..'....',...."'r. r'\___~~ I...,.. ..........."i......C' "0"'\11 tt"\
follow ;~I;~ adopt~d by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
uu~u. YOU IllClY UUli::tlll L,;UIJlt~ UI lilt:: I urt~ uy
I CONTRAGTOR>INFORMA(I'I0N: 11e telephone
number lOr me uregon UlIllty Notification
Center is 1I5icensii~-23'E~piration Date Phone
BUILDING INFORMA nON I
E
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I E \NQP,\\
f\"t\1" 0':' ,-r:"nl\\~ It il-l IREQ\'JIRED PARKING
\,\UI \,t.. \-\1\'- t:.'" \'IIli ~\~v'
OverlaY1~~.y?t.\\~\I S t.\\ 1\-\\S ?~\\ t(l;~lal:
# Street rm~\~f1d:t.O DI'IO IS 1\'01\I'IOOI'l\:.O Handicapped:
Paved Drive.~qd:"Gt.O 0\\ 00 " Compact:
""","11.,,-,, <::01
% of Lot1Coverage:01\'/ ? t:." .
. 1\1'1'/ 1liv
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsmrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
_S!!IJ~~,P.I~. .
~
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 100/0 Administrative Fee
+ 8% State Surcharge
Building Permit
Total Amount Paid
$1.00
Total Value of Project
L.Fee, p,,~
Amount Paid
Date Paid
.
CITY OF SPRINGFIELD
$52.28
$41.82
$522.75
6/1106
6/1/06
6/1106
Building/Combination Permit
PERMIT NO: COM2006-00653
ISSUED: 06/01/2006
APPLIED: 05/31/2006
EXPIRES: 12/01/2006
VALUE: $ 89,000.00
89,000.00
$89,000.00
$89,000.00
05/3112006
$616.85
I Plan Reviews I
Receipt Numher
1200600000000000772
1200600000000000772
1200600000000000772
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.
'Rf>OU~
Roofing: Prior to installing any roof covering.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 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 ins 'ons are requested at the proper time, that each address is readahle from the
street, that the permit card' a ed a fron of the property, and the approved set of plans will remain on the site at all
times during construe'
\
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:::z.-
Owner or Co~g;'ture
J
Paee 2 of2
~/~r:
D,.(." / /"
225 Fifth Street
Springfield, Oregon 97477
~~ ..
541-726-3759 Phone
-r~
~~. ~
~
av of Springfield Official Receipt
_elopment Services Department
Public Works Department
.
RECEIPT #:
Date: 06/0112006
1200600000000000772
Job/Journal Number Description
COM2006-00653 Building Permit
COM2006-00653 + 8% State Surcharge
COM2006-00653 + 10% Administrative Fee
Item Total:
Payments: (;heck Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check SPFD PUBLIC SCHOOLS DlST djb 47106 In Person
19
Cash STEVE ANDERSON djb In Person
Change STEVE ANDERSON djb In Person
Payment Total:
Job/Journal Number Description
COM2006-00653 Building Permit
COM2006-00653 + 8% State Surcharge
COM2006-00653 + 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check SPFD PUBLIC SCHOOLS DlST djb 47106 In Person
19
Cash STEVE ANDERSON djb In Person
Change STEVE ANDERSON djb In Person
Payment Total:
Job/Journal Number Description
COM2006-00653 Building Permit
COM2006-00653 + 8% State Surcharge
COM2006-00653 + 10% Administrative Fee
Item Total:
Payments: l.:heck Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check SPFD PUBLIC SCHOOLS DlST djb 47106 In Person
19
Cash STEVE ANDERSON djb In Person
Change STEVE ANDERSON djb In Person
Payment Total:
cReceinl1
Pa~e I of 1
II :48:40AM
Amount Due
522.75
41.82
52.28
$616.85
Amount Paid
$615.53
$5.00
($3.68)
$616.85
Amount Due
522.75
41.82
52.28
$616.85
Amount Paid
$615.53
$5.00
($3.68)
$616.85
Amount Due
522.75
41.82
52.28
$616.85
Amount Paid
$615.53
$5.00
($3.68)
$616.85
6/112006