HomeMy WebLinkAboutPermit Building 2005-8-26
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. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01l66
ISSUED: 08/26/2005
APPLIED: 08/26/2005
EXPIRES: 03/01/2006
VALUE: $ 4,000.00
.. Status: Issued
"1
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1475 HENDERSON AVE
ASSESSOR'S PARCEL NO.: 1703344312100
Eugene
TYPE OF
Fire Damage
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Fire damage repair
" Owner:
. Address:
1
; Contractor Type
General
. Electrical
SKILLERN INVESTMENTS
PO BOX 714
SPRINGF1ELD OR 97477 Ou to
\_... ,,,nuireS Y .....J
ION: ureHVP .- . flregOI1 V":" .~
f'.iiENiles adopte'PC;(l)~RAC'EOR'lNF6RMATION I
. \\0'" ru . nil ..
,0.,,". center, '''~-- h O/l.R \:IO"-V-
NYil~1l.~~uo~ -OO~ 0 throug 5 01 the rules by License
ilx<xmNlt'maY obtain copl~ tile te\ephO~e 109867
~al);~J;b~\l'RIC!SEI\Y.,~~ tl!'iGiicatlOn 90200
~:;;;b~r lor tne.UI~BliiUDING'iNFoRMA TlONI
center IS. ,
Expiration Date Phone
06/26/2007
03117/2007 541-344-3561
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories: .
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
"
n/a
I DEVELOPMENT INFORMATION I
. Front yard Setback:
., Side I Setback:
Side 2 Setback:
_ Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
IPUBLlC IMPROVEMENTS I
,r \NOt'-\\
Sidewalk Type: "01
~\cc.. \ \ t~?I\-\t. .:',.,;~\"[ IS."
~CJ \ .... ~II S\\~I.-I.- DowDSJ!OutSlDrams
1\\1'0 ?t.~llt.O \l~Gt.~~~~~DO~t.G \'\J!'
\l"i\\0l' GOt'- I" "
~O\'1l\'1lt.~Ct.",'/ ?t.t'-IOG.
t-~'/ \'CO G
Storm Sewer Available:
Special Instruction:
Notes:
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I of 3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMITNO: COM2005-01166
ISSUED: 08/26/2005
APPLIED: 08/26/2005
EXPIRES: 03/0112006
VALUE: $ 4,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descriotion I
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
4,000.00
Value
Date Calculated
Total Value of Project
$4,000.00
$4,000.00
09/0112005
r:fl'~ Pairll
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$4.90
$3.43
$43.00
$6.00
$6.06
$4.24
$60.60
8/26/05
8/26/05
8/26/05
8/26/05
9/1105
9/1105
9/1/05
2200500000000001165
2200500000000001165
2200500000000001165
2200500000000001165
1200500000000001286
1200500000000001286
1200500000000001286
Total Amount
$128.23
I Plan Reviews ,
"
To Request an iospection 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. wiD be made the following
work day.
~~1 Tn.nr~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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.
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2 of 3
r
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01166
ISSUED: 08/26/2005
APPLIED: 08/26/2005
EXPIRES: 03/0112006
VALUE: $ 4,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 OCCUP ANCY 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 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 wiD remain on the site
atalltimeSdU~ r-/-~r
Owner or Contractors Signature Date
=
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3 of 3
"
225 Fifth Street
S'prlngfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01l66
COM2005-01166
COM2005-01166
Payments:
Type of Payment
Check
'.".
:,
.,
'-.
:,
"
"
9/1/2005
.
RECEIPT #:
Ii\14
City of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000001286
Date: 09/0112005
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE TAYLOR CONSTR
Reeei ved By
djb
1 of 1
Item Total:
LnecK Numoer Autnonzatlon
Batch Number Number How J,l.ecelved
3045 In Person
Payment Total:
2:14:l1PM
Amoont Due
60.60
4.24
6.06
$70.90 ;
Amount Paid
$70.90
$70.90
, . ,
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2005-08-10-0810
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