HomeMy WebLinkAboutPermit Building 2008-6-27
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00943
ISSUED: 06/2712008
APPLIED, 06/2712008
EXPIRES: 12/27/2008
VALUE: $ 760,000.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 FdX
541-726-3769 InspectIOn LlDe
SITE ADDRESS 650 Q ST
ASSESSOR'S PARCEL NO 1703262405500
Spnngfield TYPE OF WORK ReRoof
TYPE OF USE
Repair
Commercial
PROJECT DESCRIPTION Reroof
Owner FRED MEYER
Address 3800 SE 22ND A VENUE
PORTLAND OR 97202
Phone Number 503-232-8844
I CONTRACTOR INFORMATION I
Contractor Type
Gene. al
Contractor
UMPQUA ROOFING CO INC
License
51465
ExpiratIOn Date
10106/2008
Phone
541-302-6850
I BUILDING INFORMATION'
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construct.on Type
Secondary ConstructIOn Type
# of Bed. ooms
B
# of Stones Lot Size
HeIght of Structure ulres yoU to Sq Ft 1st Floor
Type,of Heat:\On laW reqoregon Utility Sq Ft 2nd Floor
, ,'vi" v -~ the It'"
, .Water.T.vpj1.ted by les are set IO"'q Ft Bascment
r lit:'" de - r ru Oi.-
I Rangec~".\;r ThOse hOAR 952.() ~q Ft Garage/Carport
'J.,\I'Ell~1-~yo~W~O~ 0 throug 01 the lules ~q Ft Othcr
i~(\~~IVJll~I~~~~~f~e~he ~?~,r.~~~:Rccupant Load
I DEVEtQ~MM~a:~MiiMNiiM..
, 'i'ili /'" r
. cenlll'" .
REQUIRED PARKING
Front yard Setbdck
Side I Sctback
S.de 2 Setback
Rearyard Setback
Soldr Setbacks
OverldY Dost
# Street Trees Rqd
Paved Dnve Rqd .,-
% of Lot Coverage
Total
-,
- . HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Stlcet Improvements
Storm Sewer Available
Speclallnstructoon
SIdewalk Type
DeSCriptIOn
Tvpe of ConstructIOn
Downspoutsl~O{\v.
~I?~ \f ~~ IS ~(}1
"01\Ct~ ~ S~t>.\.\. ~IS Vt.\l.\J\li (}\l.
_1,1<:' p~\l.Ui_.. 1Il\1\)t.\l. i_..,\n()~t.Q f
'.' \10\\1:'"" I'::> t'-U' r,
I V aluattJtW,vstf:lillrJh t\l.I(}Q.
~'J. '0(\ Ut"
$ Per Sq Ft p.W{ '\ Square Footage
or multopher or B.d Amount
Value
Date Calculated
Notes
Page I of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00943
ISSUED' 06/27/2008
APPLIED 06/27/2008
EXPIRES: 12/27/2008
VALUE. $ 760,00000
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
B,d Amount
Use BId Amount
$100
760,000 00
$760,000 00
$760,00000
06/27/2008
Total V dlue of Project
Fees PaId I
Fee DescriptIOn
+ 10% Admlmstratlve Fee
+ I 2 'Yo State Surcharge
+ 5% Technology Fee
BUlldmg Permit
Amount PaId
Date P dId
ReceIpt Number
$29856
$358 28
$14928
$2,985 64
6/27/08
6/27/08
6/27/08
6/27108
3200800000000000437
3200800000000000437
3200800000000000437
3200800000000000437
Total Amount Paid
$3,791 76
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspections requested before 7:00
a m will be made the same workmg day, mspectlons requested after 7 00 a m, will be made the followmg
work day
I'{e","recl Insnechons I
.... ..
Rooting Pnor to mstalllng any roof covenng
By signature, I state dnd agree, that 1 have carefully exammed the completed applicatIOn and do hereby certify that all
mfol mdhon hereon IS true dud correct, and I further certify that any and .III work performed shdll be done III accordance with
the Ordmdnces of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY ,,,II be madc of any structure wIthout permISsIOn of the Commumty Services DIvISIOn, BUlldmg Safety
1 turther ccrtlfy thdt onty contractors and emptoyees who are 10 compliance with ORS 701005 Will be used ou thIS project
1 further agree to cnsure that all reqUIred mspectlOns are requestcd at the proper time, that each address IS readable from the
permit card IS located at the front of thc property, and the approved set of plans WIll remalll on the SIte at dll
nstr ')lOn
~'''' nUL.J
;_ _L
1!l:;{~J {'J ~
Owner or Contractors Slgndture
Paee 2 of 2
225 Fifth Strcct
Sprmgficltl, On.rgon 97477
541-726-3759 Phonc
Job/Journal Number
COM2008-00943
COM2008-00943
COM2008-00943
COM2008-00943
Payments
I ype of Pa} ment
eredltCard
cRcceml]
RECEIPT #,
De!.crlphon
BUlldmg Penn It
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
UMPQUA ROOFING CO
~
I
City of Sprmgficld Official Rccclpt
Dcvclopmcnt SCrvlCCS Dcpartmcnt
Public Works Dcpartmcnt
3200800000000000437
Datc, 06/27/2008
2 33 32PM
Item Total
Check Number AuthorllatlOn
Received By Batch Number Number How Received
Amount Due
2,985 64
14928
35828
298 56
$3,791 76
Amount Paid
dJb
02782Z In Person
Payment Total
$3,791 76
$3,791 76
Page I of I
6/27/2008