HomeMy WebLinkAboutPermit Building 2008-4-7
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00483
ISSUED: 04/07/2008
APPLIED: 04/07/2008
EXPIRES: 10/07/2008
VALUE: $ 15,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3350 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222001600
Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Dryrot repair
Owner: SHILO INN SPRINGFIELD LLC
Address: 11600 SW SHILO LN
PORTLAND OR 97225
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
PANTH~fENfflf"llll. ,.. 151941
TOllow ruie mii:j '"''-'I ~IJ . '.'. -
NotifIcatIon
In ClAR 95 n er. Those rut I ity
0090 2-00 1-0011 Oft~18QMi es are Set forth
. You may ob1l:f'mt! ~t OrMfl?2-001_
n call:ng the centerr~~~torFne rUles by
um~f fOr the 0 ,",~.telephone
Center is ~~~MJly' Notification
.l-"~\1Z.J2S44 )
Energy Path: .
Sprinkled Building
Expiration Date
07/15/2008
Phone
541-327-2100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I ~~f~o~tlE~T~IAE IF THE WORK
AUTHORIZED UNDER THIS PER~~rs-~ofpe:
COMMENCED OR IS ABANDONIW>HlR'outslDrains:
ANY 180 DAY PERIOD.
Notes:
I Valuation Description'
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00483
ISSUED: 04/07/2008
APPLIED: 04/07/2008
EXPIRES: 10/07/2008
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
15,000.00
$15,000,00
$15,000.00
04/07/2008
Total Value of Project
Fees Paid.
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
$16.15
$19.38
$8.08
$161.54
4/7/08
4/7/08
4/7/08
4/7/08
Receipt Number
1200800000000000321
1200800000000000321
1200800000000000321
1200800000000000321
Total Amount Paid
$205.15
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
I Reouired Insoections ,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Floor Insulation: Prior to decking.
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 mspections .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,
~~ ~----------
u.... \.. D <j{
Owner or Contractors Signature
Date
Page 2 of2
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00483
COM2008-00483
COM2008-00483
COM2008-00483
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Bulldmg Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
P ANTHER CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000321
Date: 04/07/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
dJb
8105
In Person
Payment Total:
Page 1 of 1
11:31:29AM
Amount Due
16154
808
1938
16 15
$205.15
Amount Paid
$205 15
$205.15
4/7/2008