HomeMy WebLinkAboutPermit Building 2005-08-31F SPRINGFIELD
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Ins pe ction Line
SITE ADDRESS: 42510TH ST
ASSESSOR'S PARCEL NO.: 1703351411200
PROJECT DESCRIPTION: Replace ceiling grid and tile
PERIVIIT NO: COM2005-01189ISSUED: 08/31/2005APPLIED: 08/31/2005E)PIRESz 0212812006VALUE: $ 18,000.00
Springfield TYPE OF
TYPEOF USE:
School
Repair Public
Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
m
Contractor TVpe
General
Contractor
JACKSON
Expiration Date
12fi9t2006
Phone
541-344-5274
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyrrd Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
lollow
in OAR
0090. You
calling
num,ber
$ Per Sq Ft
or multiplier
Ceilcf$S
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
%o ofLot Coverage:
1-
of the rules bY
the tetePhone
UtilitY Notitication
-23441.
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
PL.H
Sidewalk Type:
DownspoutVDrains
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Square Footage
or Bid Amount
DEVELO PMENT I NFO RMATION
Description Tvpe of Construction
I of 2
Value Date Calculated
fr'llL:l
ICE:
CO MMENC
E WORK
ANY 1BO D
IS
ED OR
AY PEI \i0D
Valuation Description I
GFIELD
Buildin g/Co mbination Permit
F
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
541 :7 26-37 69 I ns pe ction Line
PERIIIT NO: COM2005-01189ISSUED: 08/31/200sAPPLED: 08/31/2005E)PIRESz 0212812006VALUE: $ 18,000.00
Estimate Estimate
Fee Description
+ l0o Administrative Fee
+ 77o State Surcharge
Building Permit
Total Amount
$1.00 18,000.00
Total Value of Project
Date Paid
8/31/0s
8/3Uos
8/31/0s
Receipt Number
1200500000000001270
1200s00000000001270
1200500000000001270
$18,000.00
$18,000.00
08/31/200s
Amount Paid
$16.98
$11.89
$169.80
$198.67
Fees Paid
Plan Reviews
To Request an irspection 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.
Ceiling Grid: After drywall approval but prior to cover.
Reouired Insnections
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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,.
and that NO OCCT PAI\CY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
are requested at the proper time, that each address is readable from
of the property, and the approved set of plans will remain on the site
Owner or Contractgrs Signature
2of2
Date
I further agree to ensure that all required
* the street that the permit
at all times during
225 Fifth Street
Springfield, Ore gon 97 477
541-726-3759 Phone
City of Springfield Official Receipt.- zelopment Services Department
Public Works Department
RECEIPT#: 1200s00000000001270 Date: 0813112005 8:44:04AM
Job/Journal Number
coM2005-01189
coM2005-01189
coM2005-01189
Description
Building Permit
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
169.80
I 1.89
16.98
Item Total:$198.67
Payments:
Type of Payment Paid By Received By
uneck NumDer
Batch Number
Authorization
Number How Received Amount Paid
CreditCard STEPHENANDERSON djb 082741 In Person
Payment Total:
$198.67
-sToE^6-7
8/31/200s lofl
$plllil(lrl€LD