HomeMy WebLinkAboutPermit Building 2003-4-22
.
. CITY OF SPRINtJl'U,LU
Building/Combination Permit
PERMIT NO: COM2003-00297
ISSUED: 04/22/2003
APPLIED: 04/22/2003
EXPIRES: 10/22/2003
VALUE: . $ 3,567.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3033 GA TEW A Y ST APT 1
ASSESSOR'S PARCEL NO.: 1703222003600
Springfield TYPE OF WORK: Carport
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Carport Repair
Owner: KKMH LLC
Address: PO BOX 8099 PORTLAND OR 97207
Owner: LEISURE TIME TRAVEL
Address: 3033 GATEWAY ST STE 14 SPRINGFIELD OR 97477
Owner: KKMH PROPERTIES LLC
Address: 15450 SW BOONS FERRY #9-140 ATTN MICHAEL HUMMEL LAKE m
OR 97035
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Contractor
STEELPORT LLC
KKMH LLC
License
108502
Expiration Date Phone
503-643-6785
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
UN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
U-l
SETBACKS
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
"ltr€ Total:
1iI:~llal1l /vIiOt Handicapped:
IfJotlfiC<I/ll/es v"Ore Compact:
Q ~f? lar, ^ <1(10." ,gal;
% of Lot Coverage: 'OSO 9s..., '--&1}' Alle(16 Iql1 _
. y, "00 let ~ leI/,
n. Cql!'h_aUI?}-", 7'On; /l}o.~_ll}e o.~ires ,_
I PUBLIC IMPROVEMENTS' ferr; 'e C~I}~otq,;; (I}rau;:/es ;:'0.1) u;'~ 10.
C. 'II}, er (. Ca,Q' "0-1 es 1111y
Street ImprovementsN 011 C E: e~;ge~alJ<<:l~~l'e.~eoS' af I? 9s. FJI fa....
'IS! 'Ban . II}, Il}e 8-00 '11}
Storm Sewer AvailabT<l:IlS PERMIT SHALL EXPIRE IF THE WORK DownspilyYID"4JJ}st-'l&/e rUle 7.
Special Instruction: AUTHORIZED UNDER THIS PERMIT IS NOT 'JJ<'2,'Ylilal;f!l}al)eoS'6y
Notes: COMMENCED OR IS ABANDONED FOR ~. . Cqlia/}
ANY 180 DAY PERIOD.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Rearyard Setback:
Solar Setbacks:
Pa~e 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00297
ISSUED: 04/22/2003
APPLIED: 04/22/2003
EXPIRES: 10/22/2003
VALUE: $ 3,567.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Vall~ation Descriotion I
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Foota~e
3,567.00
Value
$3,567.00
$3,567.00
Date Calculated
04/22/2003
Total Value of Project
, F~~s Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Comm/IndlPublic
Amount Paid
Date Pai
$6.06
$4.24
$60.60
$39.39
4/22/03
4/22/03
4/22/03
4/22/03
Receipt Number
1200200000000001049
1200200000000001049
1200200000000001049
1200200000000001049
Total Amount Paid
$110.29
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.
~r~dlnsnections ~
1 Framing Inspection: Prior to cover and after all rough In inspections have been approved.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
3 Footing: After trenches are excavated.
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.
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 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa~e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00297
COM2003-00297
COM2003-00297
COM2003-00297
Payments:
Type of Payment
Check
Paid By
Description
Building Permit
Receipt #: 1200200000000001049
Date: 04/22/2003
Plan Review Comml1ndlPublic
+ 7% State Surcharge
+ 10% Administrative Fee
STEELPORT LLC
Received By
Check Number Confirm No
dim
2886
Page I of I
4/22/2003'.
,
,
3:08:3IPM
.'-~
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
60.60
39.39
4.24
6.06
Line Item Total:
$110.29
How Received
Amount Paid
In Person
.
Payment Total:
110.29
$110.29
cReceipt.rpt