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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 <,t 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