HomeMy WebLinkAboutPermit Building 2010-1-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00011
ISSUED: 01/11/2010
APPLIED: 01/05/2010
EXPIRES: 07/1 1/2010
VALUE: $ 71,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691I1spection Line
SITE ADDRESS: 555 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: ReRoof
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: Reoof - BWOP
Owner: CENTENNIAL SHOPPING CNTR LLC
Address: 331 FILBERT ST
SAN FRANCISCO CA 94133
I CONTRACTOR INFORMATION.
Contractor Type
Contractor
License
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
No Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
_.Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
I PUBLIC IMPROVEMENTS,:;" .:
. ".," "\-\t. \No?\(sidewalk Type:
MOi\el:.: NlIi S\-\r-,\.l ~?I?t. ~~~Ii IS \'IOiD~'wnspouts/Draills:
1\-\\S ?~~IEO UNOE? 1\-\1~60\'lEO fOR ;:(>
{\Ul\-1 ENCEO OR IS r-,B{\ ". " ," . .
CONlNl nAV?ERIOO.
f.!JI ,Illl ., .
I va.luMion Descriotion I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Pa2e I of 2
Status
Issued
U 1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-000Il
ISSUED: 01/11/2010
APPLIED: 01/0512010
EXPIRES: 07/1112010
VALUE: $ 71,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amonnt
Use Bid Amount
$1.00
71,570,00
$71,57,0.00
$71,570.00
01/1112010
Total Value of Project
Fees Paid I
Fee DescriPtion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Penalty Fee - BWOP Building
Amount Paid
Date Paid
Receipt Number
$136,20
$56,75
$567.52
$567.52
1/11110
1/11110
1/11110
1/11110
1201000000000000029
1201000000000000029
1201000000000000029
1201000000000000029
Total Amount Paid
$1,327.99
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, R,eouired lnsnections I
Roofing: Prior to installing any roof covering..,,; ,
By signature, I state and agree, that I have carefnllyexamined 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, aud
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.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tliat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
t~~~~I~~~~ \ _ \\ _ \~
Owner or Contra~~'s Signature ~ =---- Date
.' Paee 2 of 2
225 Fifth Street
Springi'ield, Oregon 97477
541-7,,26-3759 Phone
.'
Job/Journal Number
COM20 1 0,000 I I
COM20 1 0-000 I I
COM20 1 0-000 I I
COM2010-00011
Payments:
Type of Payment
Check
cReceintl
~n~:~~~
Wt...
City of Springfield Official Receipt
De'jelopment Services.Department
Public Works Department
RECEIPT #~ . 12010000000.oQ000029
Description
Building Pennit.
Penalty Fee - BWOP Buil~ing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
EVERGREEN ROOFING OF
OREGON
D,ate: 01/11/2010
Item To al:
Check Number Authori ation
Received By Batch Number Num er How ~eceived
djb 16455 In Person
Il!.n,
~. ~ ,"', ,
/"
t.,'
,.',.
Page 1 of I
Payment Total:
l
10:24:16AM
Amount Due
567.52
567.52
136.20
56.75
$1,327.99
Amount Paid
$1,327.99
$1,327.99
1/11/2010