HomeMy WebLinkAboutPermit Building 2005-9-21
,
Status
Issued
.
. CITY Ul' ~l"IUr\jl>l'IELD
Building/Combination Permit
PERMIT NO: cOM2005-01286
ISSUED: 09/21/2005
APPLIED: 09/21/2005
EXPIRES: 03/21/2006
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3033 Gateway ST APT 219
ASSESSOR'S PARCEL NO.: 1703222003600
Springfield TYPE OF WORK: Apartment Building
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: Fire damage repair.
Owner: KKMH LLC
Address: PO BOX 8099
PORTLAND OR 97207
I CONTRACTOR INFORMATION I
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Contractor f.<. ~~'" ?,'0 License
CRISPIN AIWEN,DON,DO FLORES 136713
, x.,~, ~S '\ ,~C'I~;BUlLDING INFORMATION"'o
'v '\, .",,-, !~ ,,,\
. x.-"?-v ''0 ~~' -,\0 ~"'?:S'
, # of Units: ," ~ S ""<.:)'<; c. ~ # ofStorles: .,00, ^~ ",,0 ^,. Lot Size:
r'" \\,~ .,', ,..., '" .~, 0" 0 !:)" ~_
Primary Occupallcy.Group:" v ,,<(-. R-!,v' Height ofStructure~ ~<;$ ~c; ,$ r.'01';Q Ft Ist Floor:
.' " .. v v X:-~ ,'" O'~ '~qjJ <6J
Secondary Oc\upal\!Y' G!:~u'p:S> <:?,'<; Type of Heat: ~ 0 ~ 'If ~ ,J' ~Q)'l Ft 2nd Floor:
Primary Constru~ti".n,,:rYPt~ '~ VB Water Typei,~''ll' '$' ,~0 O~ >$'0 Q'<:-O'~ Ft Basement:
Secondary Construction .Type;'\) Range TYl!e: 0'0"'- ~0 . ~Cf cl- .;z;.0 ,&-v~q Ft Garage/Carport
\ ~\-.J,,' ,0 ~~,-- ~Qi ~o OV ~ e" o~
# of Bedrooms: \j ,'-\" Ener~~;Pa!~t ~ ~ i:l '$' ~ ".Sq Ft Other:
'i'~ Spriiikled~Building: vO ",i' nla\::}'t< Occupant Load:
_~' ....0- ...."'.. ,,\) :.$:- _,0 ...~'_l];
, DEY.Ei'OP.MENT<INFeRMA :noN.:f
,0" .&-G~ qjJ' ~'- v"" V' ",'0'
,,~ ,$- '0-:' ~0 ~0,~
'Overlay Dlst:" ," , '
~- r-...'" ,.('."b \0 r:::..eJ
# Street Trees Rqd:,"
,..- (".". '1)- V
PaveCl Drive~Rqd:
~V
% of Lot Coverage:
Contractor Type
General
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
Description
Expiration Date
09/16/2007
Phone
503-363-9618
REQUIRED PARKING
Total:
Handicapped:
Compact:
, PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Type of Construction
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Date Calculated
Value
Paeelof2
\I
.
.
. Ull' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01286
ISSUED: 09121/2005
APPLIED: 09121/2005
EXPIRES: 03/21/2006
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
10,000.00
$10,000.00
$10,000.00
09/21/2005
Total Value of Project
Fpp~ P3ilU
- Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$10.74
$7.52
$107.40
9/21/05
9/21105
9121/05
Receipt Number
2200500000000001303
2200500000000001303
2200500000000001303
Total Amount Paid
$125.66
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.J~"lIlirprl ~
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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 ~o 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.
1 further agree to ensnre that all required inspections are requested at the proper time, that each address Is readable from the
street, that the pt"m(t card ts located at the front of the property, and the approved set of plans will remain on tbe site at all
times during'co sfructlon.
~/ /
-...
ral/O c;-
Own~;"r [ontractors Signature
...-
Date
Paee 2 of2
. 225 Fifth Street
Springfield, Oregon 97477
Q 541-726-3759 Phone
Job/Journal Number
COM2005-01286
COM2005-01286
COM2005-0 1286
Payments:
Type of Payment
CreditCard
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9/21/2005
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RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
C A CONSTRUCTION
~
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001303
Date: 09/2112005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 002219 In Person
Payment Total:
Page I of 1
9:59:17AM
Amount Due
107.40
7.52
10.74
$125.66
Amount Paid
$125.66
$125.66