HomeMy WebLinkAboutPermit Building 2003-02-19OFS
Buildin g/C ombination Permit
PERMIT NO: COM2003-00092ISSUED: 0211912003APPLIED| 02n912003E)GIRES: 08/1912003VALUE: $ 2,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
SITE ADDRESS: 725 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052108300
PROJECT DESCRIPTION: Window installation
Owner: SCHOOL DISTRICT #19
Address: 52SMILLST SPRINGFELD OR 97477
Springfield TYPE OF
License
86924
Miscellaneous
Expiration Date
04t03t2004
CommercialTYPEOF USE: New
Contractor Type
General
Owner
Contractor
KEITH CLEMMER
SCHOOL DISTRICT #T9
Phone
43r-0192
CONTRACT OR INF ORMATI ON
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area :
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer,c.J*0IJ C E :
Special InstrucdJrlilS PERMIT SHALL EXPIRE lF THE W0RK
,IIUTHORIZED UNDEB THIS PERMIT IS NOTNotes: ,.r.rt1UENCED 0R lS ABAND0NED FOR
Description Type of Construction $ Per Sq Ft Square Footage
Sidewalk Type:
les are set f
Downspouts/Drains
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
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Value Date Calculated
|, U lLLrlL\ U rl\ r (,KlYrry..l
icvf I dqutres yOU I(
re Oregon Utility
Valuation Description I
Status: lssued
225 Fifth Streef SPringfield, OR
541:726-3153 Phone
541-726-3676 Fax
541.:726-37 69 Inspection Line
Schools VN
Fee Description
+ l0oh Administrative Fee
+ 7Y" State Surcharge
Building Permit
Total Amount
$67.20 1.00
Total Value of Project
Date
Buildin g/C ombin ation Permit
PERI\{I'T NO: COM2003-00092ISSUED: 0211912003
APPLEDz 0211912003E)CIRES: 08/1912003VALUE: $ 2,000.00
$67.20
s67.20
0211912003
Receipt Number
2200200000000000501
2200200000000000501
2200200000000000501
Amount Paid
$4.s0
$3.1s
$4s.00
$52.65
2n9103
2t19t03
2n9103
Fees
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Final Building: After all required inspections have been requested and approved and the building is complete.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described
hereirl and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.06 will be
used on this project.
I further agree to ensure that all required inspections are requested at the prop€r time, that each address is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all times during
-o
or Contractors Signature
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l-zrft I
Required lnsDectlons I
i
211912003
1:50:36PM
City of Springlield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #: 220020000000000050 I
Date: 0211912003
Line ltems:
Job/Journal Number Despription Amount Paid
coM2003-00092
coM2003-00092
coM2003-00092
Building Permit
+ ljYo Administrative Fee
+ 1Yo State Surcharge
Payments:
45.00
4.50
3.15
Line Item Total:$s2.6s
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check HEADSTART OF LANE COUNTY lkw 42802 In Person 52.65
Total:$s2.6s .-
Page I ofl cReceipt.rpt