HomeMy WebLinkAboutPermit Building 2005-8-8 (2)
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. . CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01053
ISSUED: 08/08/2005
APPLIED: 08/03/2005
EXPIRES: 02108/2006
VALUE: $ 115,000.00
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 755 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703220003000
Springfield TYPE OF
ReRoof
TYPE OF USE: Repair
Public
PROJECT DESCRIPTION: Reroof
- Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST
SPRINGF1ELD OR 97477
I CONTRACTOR INFORMATION'
Contractor ,\'(-.x.. '\~~~ '\ License
OWNER,(. ~ .,~ '\ ~'"
. \..'~i:\I'BUri:;DiNG- iNFORMATION I
':<",<-\'; ~ '\,. . :...;.\l~
# of Units: __, r~' .,~ S ,'i\.'\)\;;. ,?:C?i' # of Stories: Lot Size:
Primary Occupancy ~r!lUP:x\.~~ x.\) \E\)<(o. \~ \)\). Height of ~ ,0 Sq Ft 1st Floor:
Secondary Occupancy ,,'(-.\'0 'I:'-\)",\\: ~x..\) 'Y.x.~ Type of Heat: . '" '\O'\)\il::-'\ K\ Sq Ft 2nd Floor:
P"rimary Construction TypJ. . ,,~0~ ~~.\ Water Type: eo.~,~e O~ e\ \O~ \' Sq Ft Basement:
Secondary Construction T'i:,\)\'" \'0<;) Range Type: ..,'ll ~ o~eg \e'" fj'l:\)\) l\Sq Ft Garage/Carport
# of Bedrooms: '?--~ Energy P.a!li:' l\.;s.e J.e'" 'a' \>-~ ~ J.e'" 'Q Sq Ft Other:
Sprin~d~eO 'Q o",e ~ ,,'<;0-0 .;sl)la K\O~e ~ccupant Load:
_~. .......() A'Y'\ _,,':'> ......\ ,.....0 ~\o\
I DEv:EliO-l!I'.fEi~T"llSroRMA TION~io\:.\V
T' ~\O~ 'i..'o~ - !0\)'\" ~\..". ~o'-'\)\:.\'" '!Jt>.t>.\.
\0 ~r'a' ,,7,: >l 0 ~ '" 7,:'f-
_,o\:.'O,xerlay(I>lst~~,e . eQ,O ".'!J'?i
,- C#"'S '~"... r. 0\ f;)v
. ^ treet ".rees^e \RJ
\" -\). -'\.'. ~'\, ~
\)(Pav~1!'Dr~,!e' ~~<! ~
o/a~~qgwrage:
~
Contractor Type
General
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Expiration Date
Phone
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains
.,
I Valuation Descriotion I
Type of Construction
SPerSq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
1 of 2
,
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01053
ISSUED: 08/08/2005
APPLIED: 08/03/2005
EXPIRES: 02/08/2006
VALUE: $ 115,000.00
'4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.. 541-726-3676 Fax
541-726-37691nspection Line
Bid Amount
Use Bid Amount
$1.00
115,OOO.00
$1l5,OOO.00
$1l5,OOO.00
08/03/2005
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
$61.44
$43.01
$614.40
Date Paid
8/8/05
8/8/05
8/8/05
Receipt Number
1200500000000001153
1200500000000001153
1200500000000001153
Total Amount
$718.85
I Plan Reviews ,
To Request an inspection caD 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.
Roofing: Prior to installing any roof covering.
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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 requlretUnspectlons
the street, that the permit card.is'16t.rt;d at the fr t
at all times.~uring CO~trCtiolL ~
~_.c?/ __ ~
ownerorco~
r uested at the proper time, that each address is readable from
e property, and the approved set of plans wID remain on the site
8hk
/ '"
Date
~
2 of 2
. 225 Fifth Street
Springfield, Oregon 97477
c. 541-726-3759 Phone
,
Job/Journal Number
COM2005.0 1053
COM2005.0 1 053
COM2005.0 1 053
Payments:
Type of Payment
Check
.,
,
.,
"
"
8/812005
.
RECEIPT #:
Description
Building Pennit ,
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SPRINGFIELD PUBLIC
SCHOOLS
.~.'i
~
~ty of Springfield Official ~eceipt
.velopment Services Department
Public Works Department
1200500000000001153
Date: 08/08/2005
Item Total:
Check Number Autllorization
Received By Batch Number Number How Received
jmp 39524 In Person
Payment Totnl:
1 of I
11:58:39AM
Amou nl Due
614.40
43.01
61.44
$718.85
Amount Paid
$718.85
$718.85