HomeMy WebLinkAboutPermit Building 2006-05-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00606ISSUED: 0512212006APPLIED: 0512212006EXPIRES: 1112212006VALUE: $ 28,500.00
SITE ADDRESS: 1875 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703251300702
PROJECT DESCRIPTION: Reroof with 30yr comp
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Owner:
Address:
Contractor Type
General
VILLAGE INN SPRINGFIELD LLC
I11I MAIN ST STE 7OO
VANCOUVER WA 98660
Commercial
Phone
724-743-7777
cn law r UITES to
ty
Contractor
CENTIMARK CORP
License Expiration Date
69234 09n4t2007
n
nur cation
nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
ED OR IS
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
B
VN
N
$ Per Sq Ft
or multiplier
ffiii*ffff$
REQUIRED PARKING
Total:
Handicapped:
Compact:
1
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Tvpe of Construction
Pase I of 2
Value Date Calculated
',
) t-\
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00606ISSUED: 0512212006APPLIEDz 0512212006EXPIRES: 1112212006VALUE: $ 28,500.00
Estimate Estimate
Fee Description
+ l0o Administrative Fee
+ 87o State Surcharge
Building Permit
Total Amount Paid
$1.00 28,500.00
Total Value of Project
Date Paid
st22/06
st22t06
5t22t06
$28,500.00
$28,500.00
Receipt Number
1200600000000000690
1200600000000000690
1200600000000000690
05t22t2006
Amount Paid
$24.78
$19.82
$247.80
$292.40
Fees Pa
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.
Roofing: Prior to installing any roof covering.
Final Building: After all required inspections have been requested and approved and the building is complete.
nsnections
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.
and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensu uired inspections are requested at the proper time, that each address is readable from the
street, that the at the front of the property, and the approved set of plans will remain on the site at all
times
7
or Contractors Signature
Pase 2 of 2
Date
.&
tr)
I further certify that only
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;'-' of Springfield Official Receipt
clopment Services Department
Public Works Department
RECEIPT #: 1200600000000000690 Date: 0512212006 l:24:10PM
Job/Journal Number
coM2006-00606
coM2006-00606
coM2006-00606
Description
Building Permit
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
247.80
19.82
24.78
Item Total: $292.40
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check KELANAR ROOFING INC djb I 003 In Person $292.40
Payment Total: 5292.40
cReceintl Page I of I s12212006