HomeMy WebLinkAboutPermit Building 2008-10-21
Status
Issued
CITY OF SPKll'lt..t<lJ!.LD
Building/Combination Permit
PERMIT NO: COM2008-01558
ISSUED: 10/21/2008
APPLIED: 10/21/2008
EXPIRES: 04/21/2009
VALUE: $ 2,000,00
225 Fifth Street, Springlield, OR
541-726.3753 Phone 'I
541-726-3676 Fax
541-726.3769 Inspection Line
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SITE ADDRESS: 150HMOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404401
Springlield TYPE OF WORK: Commercial Miscellaneons
TYPE OF VSE: Alteration
Commercial
PROJECT DESCRIPTION: Install skylight
Owner:
Address:
ROSETTA MhENKINS LIVTR
PO BOX 214 ::
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
General
Ii
Contractor
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J!CFF BELNAP CONSTRUCTION LLC
License
173239
Expiration Date
11/3012008
Phone
541"228"5535
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II
# ofVnits: . ~I
Primary Occupancy Group:
11
Secondary Occupancy Group:
Primary Construction TypJ '
,
Secondary Construction Tipe:
# of Bedrooms: Ii
BUILDING INFORMA nON,
B
# of Stories:
Height of Structure
ATTEN'fN!l"'~~~n law requires you to
follow rM'W!i~d by the Oregon Utility
Notificat~l!ilb:f.e:rhose rules are set forth
In OAR ~2'tll})\.wro through OAR 952-001-
0090. y~ritdY'llbftIiil<OnJlies of the lilies bV'
-...:::;. - :~~J: :n~~:"~L ~""':'.g. U:1t ltl'p......-
~~~~~~~Ilf"H'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:-
':' :Pavcd Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
......,..
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I ~VBLlC IMPROVEMENTS I'
Street Improvements:
Storm Sewer Available:
Special Instruction :
Sidewalk Type:
N01'CE~ ' ~I\!W_-l(
1HIS PERMit S"'~i~ THIS PERMIT IS NOT
AUTHORIZED U~R IS ABANDONED fOR
COMMENCE~ rEtI'n.D '
, I Valuation Descrintion
Notes:
Description
Tvpe of €onstruction
1i
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of2
Status
Issued
CITY OF SrKll'liGnJ<.LD
Building/Combination Permit
PERMIT NO: ,COM2008-0ISS8
ISSUED: 10/21/2008
APPLIED: 10/21/2008
EXPIRES: 04/21/2009
VALUE: $ 2,000,00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
i
Estimate
Estimate
$1.00
2,000,00
$2,000,00
$2,000,00
10/21/2008
Total Value of Project
Fees Paid I
Fee Description
+ 100/0 Administrative Fee II
+ 12% State Surcharge )1
+ 5% Technology Fee il
Building Permit i:
Amount Paid
Date Paid
Receipt Numher
$5.20
$6.24
$2,60
$52.00
10121/08
10/21/08
10121/08
10121/08
1200800000000001074
1200800000000001074
1200800000000001074
1200800000000001074
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Total Amount Paid
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$66.04
I Plan Reviews I
II
ToRequest an inspectibn call the 24 hour recording at 726~3769, All inspections requested before 7:00
a,m, will be made the s~me working day, inspections requested after 7:00 a,m, will be made the following
'I' , '
work day, ii
.,
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II
II
Framing Inspection:,! Prior to cover'and after all rough in inspections hav,e h~en approved.
Final Building: Afte'r all required inspections have been requested and approved and the building is complete,
t .
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By signature, I state and agtee, that 1 have,carefully examined the completed application and do herehy certify that all
information hereon is true ~nd correct, ami 1 further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City 'bf Springfield and the Laws of the State of Oregon pertaining to the work described ~erein, and
that NO OCCUPANCY wi I! 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 CO,nstruction, :r~
~L/:/ - /
61, ~77~'~~" ' ~
- /'/ II ~ -
wner Contractor . na, ture
V'I
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1
I Re9uiredlnsDections I
/f~y
Date
P'2e 2 of 2
225 Fi,fth Str.eet
Springfield, Oregon 97477
, I
541-726-3759 Phone'
Job/Journal Number
COM2008-01558
COM2008-01558
COM2008-0 1558
COM2008"01558
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
'1
RECEIPT #: ,1200800000000001074
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Descripti~n
BUildirig Permit
+ 5% Technology Fee
, '
+ 12%lState Surcharge
+ 10%IIAdministrative Fee
Paid By
JEFF BELNAP CONSTR
. ',~
,
Date: 10/21/2008
Item Total:
<"':heck Number Authorization
Received By Batch Number Number How Received
djb
511270 In Person
Payment Total:
Page I of I
1:07:26PM
Amount Due
52.00
2,60
6.24
5.20
$66,04
Amount Paid
$66,04
$66,04
10/21/2008