HomeMy WebLinkAboutPermit Building 2005-10-5 (2)
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01378
ISSUED: 10/05/2005
APPLIED: 10/05/2005
EXPIRES: 04/05/2006
VALUE: $ 2,000.00
~iii~
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6853 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306204
Springfield TYPE OF
Dryrot
PROJECT DESCRIPTION: Dryrot repair ongoing
TYPE OF USE: Repair
Public
-Owner: CITY OF SPRINGFIELD
. Address: 225 FIFTH STREET
SPRIfGFlELD OR 97477
~Ol~~~ I CJlN~ ,"c'"MATION ,
1~W. S~ Pgl\~M\,{ $ i\4~i~ l~\S PERMIY 1$ ~lJ I .
~ U~~ I~ AMI\lDONED fO~ ~I~::se
Ai'<l'V ~~ ~ fPls<UfiIIUILDING INFORMATION'
Contractor Type
General
# of Units:
Primary Occupan~roup:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories:
"eight of
Type of "eat:
Water Type,
Range Type,
Energy Path:
Sprinkled
n/a
'DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Pbone Number: 541-726-3753
Expiration Date
02/02/2007
Phone
541-995-6008
Lot Size,
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other,
Occupant Load:
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees ATTENTION: Oregon 'awHlllilir&p~a\\ ~o
Paved Drive Rqd: allow rules adopted by t~&ihji{afl Utility
% of Lot Coverage! 'f" t' n Center Those rules are set forth
Notllca \0, 52 001-
in OAR 952-001-0010 through ~~R_~.",:~ h.
You may 00l"" , "'Vt-"w~ _..m. '!
!pUBLIC IMPROVEMENTS"" t (Note' the telephone
ling the cen er. . . . .
--" b Si.......-'ID""'..lf:1 Utility Notification
num er ,Jf""'" ~3cr )
rnoWIlS~Ji~~JF~~-2344 .
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
1 of 2
Value
Date Calculated
-~-
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01378
ISSUED: 10/05/2005
APPLIED: 10/05/2005
EXPIRES: 04/05/2006
VALUE: $ 2,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
Total Value of Project
Fees paidJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$4.50
$3.15
$45.00
10/5/05
10/5/05
10/5/05
Receipt Number
1200500000000001455
1200500000000001455
1200500000000001455
Total Amount
$52.65
I Plan Reviews I
To Request an inspection call the 24 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.
Framing Inspection: Prior to coyer and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
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 m accordance
. with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD 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 ofthe property, and the approved set of plans wiD remain on the site
at all times du 'ng co struction.
A:n=2 IlIIr
. (
1010510"
Date
2 of 2
225 Fiftk Street
Springneld, Oregon 97477
541'-726-3759 Phone
Job/Journal Number
COM2005-01378
COM2005-01378
COM2005-01378
Payments:
Type of Payment
Check
:1
"
.\"
:1
)'
10/5/2005
"
.
RECEIPT #:
~
~_,r ,_
.....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
1200500000000001455
Date: 10/05/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Paid By
ATEZ INC
Recel ved By
djb
I of I
Item Total:
L:heck Number Authorization
Batch Number Number How Received
25959 In Person
Payment Total:
11:44:18AM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65