HomeMy WebLinkAboutPermit Building 2009-10-26
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726.3676 Fax
541-726,3769 Inspection Line
CITY OF SPRINtJl<u,LD
Building/Combination Permit
PERMIT NO: COM2009-01562
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/26/2010
VALUE: $ 3,001.00
SITE ADDRESS: 3255 GA TEW A Y ST APT 158
ASSESSOR'S PARCEL NO,: 1703222002200
, Springfield TYPE OF WORK: Apartment Bnilding
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Stair replacement units 158 &159
Owuer: G VILLAGE LLC
Address: 16771 NE 80TH ST STE 208
REDMOND WA 98052
Contractor License
L&L ORNAMENTAL ,..l..67860
I BUlLDING,J.NtiY,\iM~~'N.
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0090" n \"e c ~E.Qi~2':~'
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"u!(\'oe1 ce(l\e'lplli k ed Buildiug: ula
I, DEVELOPMENT INFORMA TION ,
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secoudary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I CONTRACTOR INFORMATION I
Expiration Date
01/03/2010
Phone
503-364-8441
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
r
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
" i
":':>'"
I PUlILIC IMPROVEMENTS I ~t-.NO~~
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I. V alu'ati~n DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
, or Bid Amount
Type of Construction
Value
Date Calculated
Page 1 of2
"",'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-37,,9 Inspection Line
"n
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01562
ISSUED: 10/26/2009
APPLIED:' 10/26/2009
EXPIRES: 04/26/2010
VALUE: $ 3,001.00
Status
Issued
", .
Estimate
Estimate
$1.00
. 3,001,00
$3,001.00
$3,001.00
10/26/2009
Total Value of Project
Fe~s Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$9,30
$3,88
$77.50
10/26/09
10/26/09
10/26/09
2200900000000001222
2200900000000001222
2200900000000001222
Total Amonnt Paid
$90.68
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.
~~9 ~ir~d I ~'sn~ctions I
Footing: After trenches are excavated.
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 Ordinances ofthe 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 fu'rther 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
times during construc~ ../.1 '
c;:&~~-L/~ /oluhLj
iner or Contractors Signature ' Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1562
COM2009-0 1562
COM2009-01562
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2009-0 1562
COM2009,O 1562
COM2009,Ol562
Payments:
Type of Payment
Cash
Change
cReceil1t1
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GA TEW A Y VILLAGE
GA TEW A Y VILLAGE
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GA TEW A Y VILLAGE
GATEWAY VILLAGE
City of Springfield Official Receipt
Development Services Department
Public WorkS Department
2200900000000001222
Date: 10/26/2009
Item Total:
Check Number Authorization
: Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Item Total:
Check Number Authorization
Received. By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Page I of 1
1I:14:30AM
Amount Due
77.50
3.88
9.30
$90,6H
Amount Paid
$95.00 .
($432)
$90,6H
Amount Due
77.50
3.88
9.30
$90,6H
Amount Paid
$95.00
($4.32)
$90,6H
10/26/2009