HomeMy WebLinkAboutPermit Building 2005-6-2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2005-00658
ISSUED: 06/02/2005
APPLIED: 06/02/2005
EXPIRES: 12/02/2005
VALUE: $ 11,400.00
*"
SITE ADDRESS: 1152 MAIN ST .
ASSESSOR'S PARCEL NO.: 1703354104200
Springfield TYPE OF WORK: ReRoof
PROJECT DESCRIPTION: Reroof Class A reinforced PVC
TYPE OF USE: Repair
Commercial
i Owner:
, Address:
SUTTON MOTEL PROPERTIES LLC
1152 MAIN ST
SPRINGFIELD OR 97477
u\te9 ~~tl~e
ROBIN B WILKERSON -'" \a'ft teC!_^no~tlO~~~..n
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t\Ilt'll\l'" ce'I"'1;i"ath:
Sprinkled Building:
Contractor Type
General
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1;
Description
Tvpe of Construction
I CONTRACTOR INFORMATION I
n/a
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date
10/07/2005
Phone
541-964-3006
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIl.'HMI:ROVEMEl'I.TS I tXPIRt IF 1\11'. V'J~B1
lU\~ \'tn"" , ~. 1u'~ r:>I'R~~\1 IS
n IZeO I'NOtR nSldewalkIype:
I\UlHOR L U BJ\NOONtU I l)1\
COMMtNCtO OR IS 1\ DownspoutsIDrains:
I\N'I1BO 01\'1 ptRIOO.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page I of2
Value
Date Calculated
.
. CITY VI< ~t'K11~uI<u'LD,
Building/Combination Permit
PERMIT NO: COM2005-00658
ISSUED: 06/0212005
APPLIED: 06/02/2005
EXPIRES: 12/0212005
VALUE: $ 11,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
11,400.00
$11,400.00
$11,400.00
06/0212005
Total Value of Project
Fl'l's tiWU
Fee Description
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$12.30
$8.61
$123.00
6/2105
6/2105
, 6/2/05
Receipt Number
1200500000000000716
1200500000000000716
1200500000000000716
Total Amount Paid
$143.91
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.
I Rl'oui~l'l'tions I
Roofing: Prior to installing any roof covering.
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 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 ofany 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
I ; street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
. times during construction.
/2~ (1id
O'wner or Contractors Signature
(/z/tJs-
I
Date
Pal!e 2 of2
225 Fifth Street
SpJingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00658
COM2005-00658
COM2005-00658
Payments:
Type of Payment
Check
.
1
6/212005
.
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ROBIN WILKERSON
lita<.:-i!iiiI'-.<~..'~'.<.-.- . .'. .,............
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r' .~
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Jili.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000716
Date: 06/02/2005
Item Total:
Check Number Authorization
Received By Balch Numher Number How Received
djb 8468 In Person
Payment Total:
Page 1 of 1
9:03:3IAM
Amount Due
123.00
8.61
12.30
$143.91
Amount Paid
$143.91
$143.91