HomeMy WebLinkAboutPermit Building 2006-6-1
J, CITY OF SPJ{INGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00650
ISSUED: 06/01/2006
APPLIED: 05/31/2006
. EXPIRES: 12/0112006
VALUE: $ 206,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2355 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703244402200
Springfield TYPE OF WORK: School
PROJECT DESCRIPTION: Reroof-Briggs Middle
TYPE OF USE: Repair
Public
Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST
SPRINGFIELD OR 97477 law requires you to
_~~, ,,-\("\1'\,. nreoon . I.";~'"
f"'\ I I~'" _ ,.,r1nnted bv me UI V\:jVII ~:'~~~+h
follow r,u\e'l~ t:9N.TAA,Q.:l~OR\II:I~'1"ORM~rJON .
NotificatIon", 0010 througn Uj-\\ \ <J'-'~ ~ ~
C '"f"\^R952-001- 'fth rL'f~c:hV
ontrac,tot' obtain COpIes 0 e UI'Cense
OWNEW090. you,,~~a;nntPr (Note: the te\ep'ho,~e_
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Ga\1I11~ ~..- I IJ-;I,'+\.I I'\. If 1I 111\ IUU"-' I I
number fthr BUlLIDIN'(1; 'INF.oRMA TION I
Center IS l-OVU-VV~ .
# of Stories:
E Height of Structure
Type of Heat:
VN Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~\-\t 'NQ~~
'net:. _ L\.. t'1-\l\Rt n" \\ \s \,\Q\
~09V$t(\l'Y.~Qisfi\-\f\ ~R \\-\\S \ltt'M ra~
\\-\~tr\e~tlt.r~~s\~~tl:. f\'i?>f\~DG~tO
F\\Pa~~(djriv.eJR1tI(J: \ S
C~VJ:t\t~'toYeFage~GD .
~~'{ \~IJ 1-\1"
I PUBLIC IMPROVEMENTS I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
REQUIRED PARK~NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPKll\4lJJ1IELD .
Building/Combination Permit
PERMIT NO: COM2006-00650
ISSUED: 06/01/2006
APPLIED: 05/31/2006
EXPIRES: 12/01/2006
VALUE: $ 206,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
206,000.00
$206,000.00
$206,000.00
05/31/2006
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Aml;mnt Paid
Date Paid
Receipt Number
$91.02
$72.81
$910.15
6/1/06
6/1/06
6/1/06
1200600000000000771
1200600000000000771
1200600000000000771
Total Amount Paid
$1,073.98
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 Reouired Insoections 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 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 requ~ ectio are requested at the proper time, that each address is readable from the
street, that the permit card is I tedat the fro of e property, and the approved set of plans will remain on the site at all
times during constructio
~
Owner or Contractors Sign~re
,/
----
c;/k
Date/ / /
Paee 2 of2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00650
COM2006-00650
COM2006-00650
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SPFD PUBLIC SCHOOLS D1ST
19
r 'v of Springfield Official Receipt
_ A'elopment Services Department
Public Works Department
1200600000000000771
1l:46:06AM
Date: 06/01/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
910,15
72.81
91.02
$1,073.98
Amount Paid
djb
In Person
$1,073,98
47106
Payment Total:
$1,073.98
Page 1 of 1
6/1 /2006