HomeMy WebLinkAboutPermit Miscellaneous 2008-12-10
Status
Issued
CITY OF SPRINGFIELD -
_ Building/Combination Permit
PERMIT NO: COM2008-01761
ISSUED: 12/10/2008
APPLIED: 12/10/2008
EXPIRES: 06/10/2009
VALUE: $ 6,138.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3255 GATEWAY ST APT 204
ASSESSOR'S PARCEL NO.: 1703222002200
Springtield TYPE OF WORK: ApartmentBnilding
,
PROJECT DESCRIPTION: Replace stairs apt. 203-204
TYPE OF USE: Repair
Residential
Owner: .
Address:
G VILLAGE LLC
16771 NE 80TH ST STE 208
REDMOND W A 98052
Contractor Type
Applicant
General
~TTI=~lTInN' Orp.oon law requires you lU
I G:ON."[RAc;roR-INF.0RM!\'fION~,n Utility
Notification Center. I nose I Uli:~ "", set forth
Contractor in OAR 952-001-001 0 throl!,i'fe'ilS'~ 952EV~iration Date Phone
OWNER 0090. You may obtain copies of the rules~y
L&L ORNAMENTAL calling the center. (Notf67~60telel?ho~e 01103/2010 503-364-8441
_ .. ..... . _ _ _'~ . 'T'''''' .\I.....+,41("l<:3tlnn
UH'J'U'O" .", ~"..... """. -.-,- ::
BUlLDIING,INF@R!\M\flQN-,344).
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary'Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
R2 - Height of Structure Sq Ft Is~..Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
~. ........,...r".
I DEV'Ei,(,)P,MENrIf1Im<OOMMlfON yo THt wut\1>.
AUTHORIZED UNDtK I ~lv r L-IIMIT ISR~OT REQUIRED PARKING
cgr,\,:~![y~.Qi_m OR IS ABANDONED FO Total:
A~,~t'l'lYS1JAilS ~:<IiOD. Handicapped:
Vaved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street lmprovemcilts:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01761
ISSUED: 12/10/2008
APPLIED: 12/10/2008
EXPIRES: 06/10/2009
VALUE: $ 6,138.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description 'Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,138.00
Value
Date Calculated
Total Value of Project
$6,138.00
$6,138.00
12/10/2008
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
- Receipt Number
$9.63
$11.56
$4.82
$96.30
12/10/08
12/10/08
12/10/08
12/10/08
1200800000000001216
1200800000000001216
1200800000000001216
1200800000000001216
Total Amount Paid
$122.31
-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 Reollired I nsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
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 Ordinauces 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.
I further certify that only contractors anp 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
time~o~~ I(}!o!o~
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
SptingfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01761
COM2008-0 1761
COM2008-01761
COM2008-01761
Payments:
Type of Payment
Cash
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
TINA RENSVOLD
".'~~-~~ F!.~..lit..,: .).-.'...~'. ,',....,..,..
*./& '
i '&:' ,"
.~ ,
_i - ~__ ;
-~ . . ~_.;' ._, "" '~"
'.. -..,.... . ....... ...'-'. -
City of Springfield Official Receipt
DeveIopmcnt Services Department
Public Works Department
1200800000000001216
1:52:18PM
Date: 12/10/2008
Item Total:
t:hcck Number Authorization
Received By Batch Number Number How Received
cjc In Person
Payment Total:
Amount Due
96.30
4.82
11.56
9.63
$122.31
Amount Paid
$122.31
$122.31
Page I of I
12/10/2008