HomeMy WebLinkAboutPermit Building 2004-2-25
'.
. CITY OF SPRINGFIELD'
Buildhlg/combination Permit
PERMIT NO: cOM2004-00218
ISSUED: 02/25/2004
APPLIED: 02/25/2004
EXPIRES: 08/25/2004
VALUE: $ 7,125.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3255 GA TEW A Y ST APT 3
ASSESSOR'S PARCEL NO.: 1703222002200
Springfield TYPE OF WORK: Commercial Miscellaneous
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TYPE OF USE:
Repair
Commercial
PROJECT DESCRIPTION: Replacing 3 stairwells
Owner: G VILLAGE LLC
Address: 16541 REDMOND WAY STE 364C REDMOND WA 98052
Contractor Type
General
Contractor
LLCBINC
I CONTRACTOR INFORMATION I
License
100498
BUILDING INFORMATION I
Expiration Date
05/05/2006
Phone
503-364-8441
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type,
Range Type:
Energy Path:
Lot Size:
, Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
, Sq Ft Other,
Impervious Surface Area:
~
SETBACKS
I DEVELOPMENTINFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd,
% of Lot Coverage,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback,
Solar Setbacks:
ATTENTION:Orp.nnn j",w rAnll"A" ",,,. t"
I PUBLIC IMPROVEMENTS;. .v rules adopted by the Oregon Utility
NOTICE: ._...~allo'1 Center, Those rules are set fort
Street Improve....~tS:: OAR 9~Sldewalk Type,
I nlo) t'tHMIT SHALL EXPIR n "''''-yv i 'UV,:J lhrough OAR 952-00
Storm Sewe~~mi!J!~lfED UNDER THIS ~ IF THE WORK 0090. YOLDOWlJspdtitsIDrah!s:es of the rules I
Special Ins'lmiWltNCED OR IS ABAN ERMIT IS NOT calling the center, (Note: the telephone
. ANY 180 DAY PERIOD DON ED FOR number for the. Oregon Utility Notification
Notes.. "--'_"'" 1-Rnn-:~::;2.2344).
'.
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
.
. Lll i OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2004-00218
ISSUED: 02f25f2004
APPLIED: 02f25f2004
EXPIRES: 08/25/2004
VALUE: $ 7,125.00
Status
Issued
'~.<;
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees. Paid I
1111111
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$9.18
$6.43
$91.80
2/25/04
2/25/04
2/25/04
2200400000000000177
2200400000000000177
2200400000000000177
Total Amount Paid
$107.41
I Plan Reviews I
, 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.
I Renuired TnsneetionsJ
1 Final Building: After all required inspections have been requested and approved af'd the building is complete.
2 Foundation: After forms are erected but prior to concrete placement.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
"'I,;
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 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.
--I //.(#~~//'
---<1: f" V' - J- r l:I-V-
~..er or Contractors Signatufe
C),. Jy ~ CJ'1
Date
"1
Paee 2 of2
225 Fifth Street ::'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00218
COM2004-00218
COM2004-00218
Payments:
Type of Paymenl
Check
Cash
.-
Job/Journal Number
COM2004-00218
COM2004-00218
COM2004-00218
Payments:
Type of Payment
Check
Cash
.
..,
-.';
~'
~j
cit~ of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/25/2004 9:31:42AM
Amount Paid
Receipt #: 2200400000000000177
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GATEWAY VILLAGE
LEONARD BARDFIELD
Description
Building Permil
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GATEWAY VILLAGE
LEONARD BARDFIELD
Received By
lkw13806
Received By
lkw13806
Item Tolal:
91.80
6.43
9.18
$107.41
Check Number
Balcb Number
Authorization Number How Received
In Person
In Person
Payment.Total:
Amount Paid
$107.00
$0.41
$101.41
Amount Paid
13806
Item Total:
91.80
6.43
9.18
$101.41
Check Number
Batch Number Authorization Nu"mber
How Received
Amount Paid
13806
In Person
In Person
Payment Total:
$107.00
$0.41
$107.41