HomeMy WebLinkAboutPermit Miscellaneous 2003-5-19
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. . CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00339
ISSUED: 05/19/2003
APPLIED: 05/05/2003
EXPIRES: 11/19/2003
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4595 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324307400
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Fire damage
Owner: EQUITY LIMITED PARTNERSHIP
Address: PO BOX 54 THURSTON OR 97482
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Contractor
WARRIOR CONSTRUCTION LLC
EQUITY LIMITED PARTNERSHIP
I BUILDING INFORMATION I
License
150837
Expiration Date
04/21/2005
Phone
541-729-8824
# of Buildings: # of Stories: \IOU ,\0
Primary Occupancy Group: R-3 Heigh~ y~~tl1iicfure0\.\\\W
Secondary Occupancy Group: U-l . I:;}g(!;y.p~'ofMet:}gO(\' \. ,ort\
Primary Construction Type . V....N. \u\'I.0\ \~at~i!~8~S ate seZ_QQ"\
Secondary Construction Type: y, \ -~\es adO? {R,a.Q.~e.?'~Rf(o~f\ 95 \0S 0)
# of Bedrooms: \o\\o'i'J ~: 0(\ C6(\\.e (~nef'gy.;P~tli: 0\ \."e fU ...e
'\\ca.\\ Q"\ _Qv \ v n\eS n"O\'
~O~ i\. Po 95Z-Q ,.. nO\.a.\(\ ~~~",. t"e \.e\~~,t'.a\\O{\
\~09Q, '(Ol'I.J:iE~En0pMi~lDlINii)iiMA TION I
ca.\\\(\'d {\t\e V' - -QQ-3'~,,"'-
'oef \0 is ,\-8
(\utn c.e(\\.efOverlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
% of Lot Coverage: ....\Q~"k
,~~ ~.. i\
_, O\?.~ \f \"t \~ ~Q
, -. d. ?\:~\,.. Q't\
J R '~\~ Q~~'\) ~
\~\~ ~\lt.\) ~ \~ ~t()~~dewalk Type:
~'0\~~t.~Ct.~ ~t.~\Q\). DownspoutslDrains:
C~~'{ '\ ~\) \)~
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Paee 1 of 2
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00339
ISSUED: 05/19/2003
APPLIED: 05/05/2003
EXPIRES: 11/19/2003
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees PaiU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Minimum/Adjustment Mechanical
Vent Fan
Amount Paid
Date Paid
$10.00
$26.94
$18.86
$224.40
$33.00
$12.00
5/19/03 .
5/19/03
5/19/03
5/19/03
5/19/03
5/19/03
Receipt Number
1200200000000001232
1200200000000001232
1200200000000001232
1200200000000001232
1200200000000001232
1200200000000001232
Total Amount Paid
$325.20
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 ReQlJire~ IPrs~~~t,ons J
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Ceiling Insulation: Prior to cover.
3 Drywall: Prior to taping.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Rough Mechanical: Prior to Cover
6 Final Mechanical: When all mechanical work 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 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 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 construction.
~kJ~ S'~(/-o;S
ofr or Contractors Sign&tur{
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00339
COM2003-00339
COM2003-00339
COM2003-00339
COM2003-00339
COM2003-00339
Payments:
Type of Payment
Check
5/1912003
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City of Springfield\
Development Services Department
Public Works Depaa huen4'
Official Receipt
Receipt #: 1200200000000001232
Description
Building Permit
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WARRIOR CONSTRUCTION
Received By
djb
r
8:15:51AM
Date: 05/19/2003
Item Total:
Amount Paid
224.40
12.00
33.00
10.00
18.86
26.94
$325.20
.
Check Number
Amount Paid
Confirm No
How Received
In Person
Payment Total:
325.20
$325.20
.
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