HomeMy WebLinkAboutPermit Miscellaneous 2008-9-17
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Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753Phone
541-726-3676 Fax
541-726_3769 Inspection Line
SITE ADDRESS: 1501 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404401
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01429
ISSUED: 09/1712008
APPLIED: 09/1712008
EXPIRES: 03/1712009
Y ALUE: $ 13,300.00
Springlield TYPE OF WORK: ReRoof
PROJECT DESCRIPTION: Reroof - 60mil TPO
TYPE OF USE: Repair
Commercial
ContraCtor . ATTENT' License ExpirationDate
ALL ROOFS NORTHWES%J.N;c;:./~"::~Ore.gOng~~1e9"ir,,~..._.. 09/02/2009
I BUrLDINGJINR@RMA,:1;1'0N1I9,OregOnUtil(ty.
" 'L'''-. r In, 11 es are t
0090 . _.>q,u l-uUl0 throu h se forth
Cla~.f SPo'fleSilY obtain COPi~s ~AA 952-llOfoSize: .
nJ1Ml\frt~mdtlfre(Note: th~ /he rUles4lyt 1st Floor:
Type ~~tliw Oregon Uti/it N elef?ho1Bit Ft 2nd Floor:
Water f9f*. is 1-800-332_:b4~lIflcatj'Ml Ft Basement:
Range Type: . Sq Ft Garage/Carport
Energy Path: ' .Sq Ft Other:
. Sprinkled Bnilding: nla Occnpant Load:
Owner: ROSETTA M JENKINS LIV TR
Address: PO BOX 214
SPRINGFIELD OR 97477
Contractor Type
General
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
.Special Instruction:
Notes:
Description
Type of Constrnction
. :~
, CONTRACTOR INFORMA nON I
Phone
541-342-4177
B
VB
I DEVELOPMENT INFORMATION ,-
REQUlR~D PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Stl"l;'~ Rqd:
Pa'\'i H~qd:
%A H~M""~HA~
SnMl!:' I~~q 1t^,S\~ l O(P1or I,: -
I PUBL~EM~ rHIS PERMfff WORt(
I, t' RIOD. 8AI\gJ~~.NOT
Downspouts/Drains:
.-
I V aluation D~scrintion I
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Date Calculated
Valne
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01429
ISSUED: 09/1712008
APPLIED: 09/17/2008
EXPIRES: 03/17/2009
VALUE: $ 13,300.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amonnt
Use Bid Amonnt
$1.00
13,300.00
$13,300.00
$13,300.00
09/1712008
Total Valne of Project
Fees Paid 1
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Bnilding Permit
Amonnt Paid
Date Paid
Receipt Nnmber
$15.83
$19.00
$7.92
$158.32
9/17/08
9/17/08
9/17/08
9/17/08
2200800000000001415
2200800000000001415
2200800000000001415
.2200800000000001415
Total Amonnt Paid
$201.07
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reollirecl Insnections I
. ; ". : .
Rooting: Prior to installing any roof covering.
By signatnre, I state and agree, that I have carefnllyexamined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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, ani!
that NO OCCUPANCY will be made of any structure withont permission of the Community SerVices Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
. I further agree to ensnre that all reqnired inspections are reqnested 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;?;lans viii remain on the site at all
times during c.onstruction. I
... '
Wif . 9 (7 0%
I !
Owner or Contractors Signature Date
Page 2 of2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01429
COM2008-0 1429
COM2008-0 1429
COM2008-01429
Payments:
Type of Payment
CreditCard
cReceil1tl
RECEIPT #:
Description
Building Penn it
+ 5% Technology Fee
+ 12% State Surcharge
+ ] 0% Administrative Fee
Paid By
JEFF HEWITT
. '-
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001415
Date: 09/17/2008 .
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 51364Z In Person
Payment Total:
Page] of;]
2:00:27PM
Amount Due
/58.32
7.92
19,00
15.83
$201.07
Amount Paid
$201.07
$201.07
9/1 7/2008