HomeMy WebLinkAboutPermit Building 2003-09-19o
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00931ISSUED: 0911912003APPLIEDT 0911912003EXPIRES: 0311912004VALUE: $ 8,500.00
SITE ADDRESS: 2OO S MILL ST
ASSESSOR'S PARCEL NO.: 1703353207801
PROJECTDESCRIPTION: Reroof
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Owner:
Address:
Owner:
Address:
Contractor Tvpe
General
Contractor
MORTHAN INC
Expiration Date
09n7t2005
Commercial
Phone
541-726-3082
WILLAMALANE PARJ(&
2OO S MILL ST SPRINGFIELD OR 97477
RECREATION DISTRICT
2OO S MILL ST SPRINGFIELD OR 97477
License
93876
CONTRACTOR INFORMATION
TION
BUILDING INFORMATI(
# of Buildings:
Primary Occupancy Group: B
Secondary Occupancy Group:
Primary Construction Type YN
Secondary Construction Type:
# of Bedrooms:
# of Stories:Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
.\a$.
\"(\
,.OO
:'::Ji\d
$e6 [\o$P$
t,U
\olu
ca$
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
$r\$o'
REQUIRED PARKING
Total:
Handicapped:
Compact:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
E:
Nt
\t 1HE NOB!
\S NO\
Sidewalk Type:
Downspoutsfl)rains:
Notes:
Pase 1 of2
Dist:
\9
190
/,*.n
=Pec
u.r-.1 I
'{bo€
=,l+ttT
M
€NF
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00931ISSUED: 0911912003APPLIED: 0911912003
EXPIRESz 0311912004VALUE: $ 8,500.00
Valuation Descrintion
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 8,500.00
Total Value of Project
Amount Paid Date Paid
Value
$8,5oo.oo
$8,500.00
Date Calculated
09t1912003
Fee Description
+ llYo Administrative Fee
+ 7Vo State Surcharge
Buitding Permit
Total Amount Paid
$9.96
$6.97
$99.60
$116.s3
9n9t03
9n9t03
9n9t03
Receipt Number
1200200000000002170
1200200000000002170
1200200000000002170
Plan Reviews
To Request an inspection call the24 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.
1 Roofing: Prior to installing any roof covering.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
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
Owner or Contractors
Pase 2 of 2
Date
--o
rees raro I
l(eourreo lnsDectrons I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 phone
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
1 Date:
coM2003-00931
coM2003-00931
Building Permit
+ 7Yo State Surcharge
+ 10%o Administrative Fee
99.60
6.97
9.96
Type ofPayment
Check
Paid By
MORTHAN Authorization Number How Received
In Person
Payment Total:
$116.53
Amount Paid
$116.53
Item Total:
HOMES INC
Received By Batch Number
djb
$116.53