HomeMy WebLinkAboutPermit Miscellaneous 2009-1-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00061
ISSUED: 01/14/2009
APPLIED: 01114/2009 .
EXPIRES: 07/14/2009
VALUE: $ 3,600.00
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3255 GATEWAY ST APT 101
ASSESSOR'S PARCEL NO.: 1703222002200
Springfield TYPE OF WORK: Apartment Building
TYPE OF USE: Repair
PROJECT DESCRIPTION: Stair replacement at north side of building/units 101 end stairs
Residential
Owner: G VILLAGE LLc
Address: 16771 NE 80TH ST STE 208
REDMOND WA 98052
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
L&L ORNAMENTAL
License
167860
Expiration Date
01103/2010
Phone
503-364-8441
I, BUILDING INFORMATION I . .
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R2 Heigbt of Structure
Type of Heat:
VN ATTENT~1e'bT~aOh law requires you to
follow ru!~~,nS9(f~l\?''(j by the Oregon Utility
Notificati&.It.!i,[~iJ(Jr~I/'ii.os,e rules are set forth
In OAR 95~R!'mklJtll1ll~I'ffi~l!ih OAR 95~!e01-
^"'^/' .1.... ..
-~~~~~Wi;::e~~\~!~:y
Cmter~j~ b1~RO-332-2344).
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I ~UBLIc IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
NOTICE: . ,.- DownspoutslDrains:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
AIJY 1 Be DAY prlOD.
I Valuation Descrintion
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
'1
_'l1l~~I~~~!Iii!'~j;,&.. .
.i ,-': +
CITY OF SPRI~ljl'lj<,LD
Building/Combination Peqnit
PERMIT NO: COM2009-00061
ISSUED: 01/14/2009
APPLIED:. 01114/2009
EXPIRES: 07/14/2009
VALVE: $ 3,600.00
Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
3,600,00
$3,600.00
01114/2009
Total Value of Project
$3,600,00
Fees, Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$9.30
$3.88
$77..50
1/14/09
1/14/09
1/14/09
1200900000000000016
1200900000000000016
1200900000000000016
Total Amount Paid
$90,68
I Plan Reviews ,
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. '
.!le~u!red Insll~ctions .
Footing: After trenches are excavated,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After an required inspections have beeu requested and approved and the building is complete,
By signature, I state and agree, that I have carefuny. 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 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 and employees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensure that an 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 plaus will remain on the site at all
times during construction. . .
-1l~~~
\ / \'4/01
Owner or Contractors Signature
I
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
Job/Journal Number
COM2009-0006l
COM2009-0006l
COM2009-00061
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2009-0006l
COM2009-0006l
COM2009-0006l
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GATEWAY VILLAGE
GA TEW A Y VILLAGE
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GATEWAY VILLAGE
GA TEW A Y VILLAGE
City of Springfield Official Receipt
Development Services'Department
Public Works Department
1200900000000000016
Date: 01/14/2009
. Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Payment Total:
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
djh
In Person
In Person
Payment Total:
Page I of I
9:47:06AM
Amount Due
77.50
3,88
9,30
$90,68
Amount Paid
$100.00
($9.32)
$90.68
Amount Due
77.50
3.88
9.30
$90,68
Amount Paid
$100.00
. ($9.32)
$90.68
1/14/2009
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