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HomeMy WebLinkAboutPermit Building 2009-5-4 CITY OF SPKll~l>FIELD Building/Combination Permit PERMIT NO: COM2009-00605 ISSUED: 05/04/2009 APPLIED: 05/04/2009 EXPIRES: 11/04/2009 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 141 5TH ST ASSESSOR'S PARCEL NO.: 1703353105000 Springfield TYPE OF WORK: COl1)mercial Miscellaneous PROJECT DESCRIPTION: Repair ceiling TYPE OF USE: Repair Commercial Owner: Address: SHARI R HIATT LIVING TRUST 663 NORTHRIDGE AVE SPRINGFIELD OR 97477' I CONTRACTOR INFORMA TlON I Contractor Type Genera' Contractor EHLERS CONSTRUCTION INC License 04231 I BUILDING INFORMAcrlON I I /I "ull"- , \)\11\1' , , \rN/;;l,e", . r:p0 \ l\n # 01 UUltS: ~o# ull\\'lf@sll set 0 ,_ Primary Occupancy Group: -~O~" Ole \ef!l.il:~t~&t'~t!l!ie.-\)() '0':/ Secondary Occupancy Group: f'\\'E.\-I'u\es aO~~I. 1Yilg8l~e'ii'f.\ne lU\eS e Primary Construction Type \O\\lY'lh{;o0 ce0 _\)(),\WllWbiIu:PP.\ \e\ellno~o(\ Secondary Coustruction Type: ~o\\\IGa 9'6~-\)()' o'01tlfn8ec;llYjJfe ~o\I\IGa\ # of Bedrooms:. i0 Of''' '(ou \l\a'J e0\~e\r@',fjl.iIl\~_,:,,<l..I,). \)09\)'\'0<:1 \ne ~ne SPilI,~S4>'ll'unoiug: n/a 1"'1\\\ ,-\n{ ._ ,,:16 l\u~\Jvi IliJ1(\1tLOPMENT INFORMATION I Froutyard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expirati'on Date 1 II1912010 Phone 54 I -689-6177 Lot Size: 'Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Tota': . Handicapped: Compact: I PUBLIC IMPROVEMENTS' \1-""'.' l\01\ct-. li S~t>.\.\. ~~~~lXpe: -n-\\S ?~?~\ \)\'\~t?1~fl.~~\\\\\~;rts/Drains: :,;\-\O?\lt O? \$ fl.\> ~~l'Al'A~~Ct~ Pt?'\OU' f>-~'/ ",'CO ~ Street Improvements: Storm Sewer Availahle: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 101'2 Value Date Calculated . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00605 ISSUED: 05/04/2009 APPLIED: 05/04/2009 EXPIRES: 11/04/2009 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-37691nspection Line Estimate Estimate $1.00 2,000:00 $2,000.00 $2,000.00 05/0412009 Total Value of Project F~e~ P~i~J Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Amouut Paid Date Paid Rece~pt Number $6.96 $2.90 $58.00 5/4/09 5/4/09 5/4/09 1200900000000000335 1200900000000000335 1200900000000000335 Total Amount Paid $67.86 .' 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. Reouired In.nection.' Ceiling Insulation: Prior to cover. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been,requested and approved and the building is complete. By signature, 1 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 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 onlycontractors and employees who are in compliance with ORS 701.005 wil,1 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 fr.om 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 construction. ' 00~ Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street SrringfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00605 COM2009-00605 COM2009-00605 Payments: Type of Payment Cash Change Job/Journal Number COM2009-00605 COM2009-00605 COM2009-00605 Payments: Type of Payment Cash Change cReceioll RECEIPT #: De~cription Building Permit + 5% Technology Fee + 12% State Surcharge Paid By EHLERS CONSTR EHLERS CONSTR Description Building Permit + 5% Technology Fee + 12% State Surcharge Paid By EHLERS CONSTR EHLERS CONSTR City of Springfield Official Reeeipt Development Services Department Public Works Department 1200900000000000335 Date: 05/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb ]n Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of 1 2:28:52PM Amount Due 58,00 2,90 6,96 . $67.86 Amount Paid" $68,00 ($0,14) $67.86 Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $68,00 ($0.14) $67.86 5/4/2009