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HomeMy WebLinkAboutPermit Building 2009-11-2 /, ... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01602 ISSUED: 11/02/2009 APPLIED: 11/02/2009 EXPIRES: 05/02/2010 VALUE: $ 9,435.00 Status Issued 225 Fifth Street, Springfield, OR;!, 541-726-3753 Phone:'}'; :: -:.:' 541-726-3676 Fax. { , 541-726-37~9 In,~pection.Line SITE ADDRESS: . IlIl MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253317000 Springfield TYPE OF WORK: ReRoof .. PROJECT DESCRlPTION:... Re~~~f serfvice station ',- ;:,~.:~ ,,;;'> - '~;'~-,g.:' ....' '. -,' TYPE OF USE: Repair Commercial Owner: THABET INVESTMENTS-llll MOHAWK LLC Address:. 267JWILLAKENZIE RD STE 4 EUGENE' OR 97401 I ,<:ONT~CTOR INFORMATION' ,,' Contractor Type General " Contractor .. ' . ,r MCKENZIE ROOFING License 106380 Expiration Date 05/15/2010 Phone 541-744-2448 " BUILDING INFORMATION I ~: . ;. # of Units: # of Stories: Primary Occupan~y Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type "Water Type,: . "..;,,' Secondary Construction Type: '-'hE Range Type: II!: ""OR\{ # of Bedrooms: . , :: NOTh;: ~1!'!fblH..~ " ,'" THIS PERM\T S\-I~lj,~~~lfI[RM&fi.\iNOT n/a ._, ,~"!7r:n I \~\[)EK (,lfZ r:'tl 'I " !:' COMM'E'N-CEDDEY~~T'II#OkMATION I ANY \80 DAY t'''t.r;IJ.1. Overlay Dist: #Btreet Tr~es Rqd: Paved Drive Rqd: , % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks:" " REQUIRED PARKING Total: Handicapped: Compact: " Street Improvements: Storm Sewer A vailab]e: Special Instruction: :,-. .("''''(\~-::::'('l(''~nl''\f'_1 COI 'O't,........ ~~'I'lVWftllWEWfE\'iIl[8lfjl JOj-Jaqwnu , , - :', I I, ".- '" ,_,_&0 a4~JjuW,~il.. Aq salnJ a41 jO s'a!doo U!elqo Aew ril3X"'mmQI'ype: -~OO-C:S6 !:I'lfO 4BnoJ41 O~OO-~OO-c:tmWb'(jl4ijts/Drains: 4lJOj las ale selnJ as041 'JalUaa uOlleolj1loN '.> AI!l!In u05aJO a41 Aq pSldope sa/riJ MtJ"Oj 01 noli saJ!nbaJ Mel u05aJO :NOI1N311V Notes: ." " !i ., ;, I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee] of2 Issued C_" ";F' 225 Fifth Street;Sprlogfleld, OR' 541-726-3753 Phone 541-726-3676 Fa,x,.. ;, . > 541-726-3769 inspectiOliLine ':: ': Status Estimate Estimate .'... ' .:,\ ' :>. Fee Description';" + 12% State Surcharge + 5% Techno]ogy Fee Building Permit "', ';;',":" ", Total Amount Paid ;' IT. ~; ; r .: : ~ . '.. *: . ,I ;l $1.00 -: ~ Total Value of Project F~,es Paid I Amount Paid $16,32 $6,80 $136.00 " $159.12 Plan Reviews I Date Paid 11/2/09 11I2/09 11/2/09 CITY OF ~rK11~ul'IELD Building/Combination Permit PERMIT NO: COM2009-01602 ISSUED: 11/02/2009 APPLIED: 11102/2009 EXPIRES: 05/02/2010 VALUE: $ 9,435.00 9,435.00 1lI02/2009 $9,435.00 $9,435.00 Receipt Number 2200900000000001244 220090000000000]244 2200900000000001244 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. ~. * - ~. .J!" ...' '1 .. .. . ~1I,jr,~d In,,~rections' Roofing: Prior to installing ~ny 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 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. 1 further agree to ensure that all required inspections are requested at the proper time, thai 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 ou the site at all times during construction. r <:: ~~' /~,~ ~{"A"/i.~ Owner or Contractors Signature' ... il :1r, ,., ,j , ...,: ..1 :.~. . . ; ,; . Pa2e 2 of 2 I/-d -07 Date 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone,' ",> ,:,;,,~~ 'e ,- ;~,,' RECEIPT #: Job/Journal Number COM2009-0 1602 COM2009-0 1602 COM2009-01602 Description ,";'1'--. + 5% Technology Fee + 12% State Surcharge Building Pennit.. Payments: Type of Payment CreditCard .",,1;-.:, .. .; ;Paid'By ,MCKENZIE ROOFING .~~<;: ~:~~ "'~'" ," ~;, : " , ,;:.{;'fd '" ., c' t cReceintl City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001244 Date: 1lI02/2009 Item Total: t.:heck Number Authorization Received By Batch Number Number How Received djb 081291 In Person Payment Total: " " Page I of I '] :59:59PM Amount Due 6,80 16.32 136.00 $159,12 Amount Paid $159,12 $159.12 11/2/2009