HomeMy WebLinkAboutPermit Building 2010-7-16
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225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00926
ISSUED: 07/16/2010
APPLIED: 07/12/2010
EXPIRES: 01/16/2011
VALUE: $ 5,348.00
Status
Iss u ed
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Owner:
Address:
SITE ADDRESS: 3255 GA TEW A Y ST APT I I3 Sp'rin~fiell\1 ffiYoP,El,OF 'WO~~:~partment Bnilding
ASSESSOR'S PARCEL NO.: 1703222002200 ATTENTIOI'l: ~o~(ed by the ore.~~~et~~rth
lollow rules ~nt~r. Th;J;YiP,E,IOF'I'JS~2.0~epair I Commercial
PROJECT DESCRIPTION: Stair replacement u"'~1I1J(latlon.~01.001 0 through O~~e rules by !
in OAR.~52 ~O" "btain COpIes 01 ~^Inrnnne
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calling the cente;'e on Utility Notilicatlon
number. lor the, 0 1.~OO'332.2344).
. c~nter IS
G VILLAGE LLC
16771 NE 80TH ST STE 208
REDMOND WA 98052
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I 'CONTRACTOR INFORMA TION 1......-'-
Contractor Type
General
Contractor
LARRY DEAN BROWN
License
167860
Expiration Date
01103/2012
Phone
503-364-8441
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R2
BUILDING ]NFORMA nON I
~lnTICf.'. ElF 1HE WORK
#Iof Stor.f5\i^11 SH~LL D(PIR NlI1~~tlSail':
,~:~!;hf.\i.f:S(t'tf\1lf.EDER "THIS PER ED ~\-ft 1st Floor:
J.y,p.elof:lji~~l: OR IS ~BMmON s'ii Ft 2nd Floor:
,;'~~~.i:l\1'yp\.GED 00. Sq Ft Basement:
"''Ram.e 'r:, 'Yffi!;J~'i PERI . Sq Ft GaragelCarport
. M.1\.9 ,
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:.
Paved Di-ive Rqd:
o/~ .?f Lot .??:~!age:
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
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I V alu~~:i;o~'''~~~~riPtion I
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Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00926
ISSUED: 07/1612010
APPLIED: 07/12/2010
EXPIRES: 01/16/2011
VALUE: $ 5,348.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Estimate
Estimate
$].00
5,348.00
$5,348.00
$5,348.00
07/12/20 I 0
Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
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Amount Paid$\'" "", ''''
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Date Paid
Receipt Number
$11.64
$4.85
$97.00
7/16/10
7/16/10
7/16/10
2201000000000000839
2201000000000000839
2201000000000000839
Total Amount Paid
$113.49
Plan Reviews ~
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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.
LReauired Insnect~
Framing Inspection: Prior to cover and afterralirough.in-inspections have been approved.
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Final Building: After all required inspectio~"s~Je'li~en'!fequ~;ted and approved and the building is complete.
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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. l: 'r
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Owner or Contractors Signature
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Date
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225 Fifth ;Street
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Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RECEIPT #: 2201000000000000839 Date: 07/16/2010 1:24:17PM
Job/Journal Number Description Amount Due
COM2010-00926 Building Permit 97.00
COM20 1 0-00926 + 12% State Surcharge 11.64
COM20 1 0-00926 + 5% Technology Fee 4.85
,',.j .. Item Total: $113.49
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Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Cash TINA REINSVOLD cJc In Person $120.49
Change In Person ($7.00)
Payment Total: $113.49
Job/Journal Number Description Amount Due
COM201O-00926 Building Permit 97.00
COM20 10-00926 + 12% State Surcharge '..(, 11.64
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COM20 I 0-00926 + 5% Technology Fee 4.85
;~):<J"flh ' ~l, Item Total: $113.49
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Payments: 'l) Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Cash TINA REINSVOLD cjc In Person $120.49
Change In Person ($7.00)
Payment Total: $113.49
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Page 1 of 1
7/16/2010
Jun 10 :10 01:11p
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L&L Ornamental
50::'284-8442 p.e
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L&L Ornamental
PO Box 4345
Salem, OR 97302-8345
503-364-8441
Invoice
bare InVfJia #
6/J0/2010 313
Gau:way Villoge LLC
3255 Gateway Street #129
Springfield
OR, 97477
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Bill To
CUstomi':f" I/) Terms 0lM {)(I'fe Ship Vio Customer PO
Gatnroy v,~ Cue on t=dpt 6/10/2010 ' Our Vehicle , ZOJOR-lJ6JO
Quo... Item eotk Ducription PriaEach A1MU11t
1 I$S . installed stair sysfefIJ/FabricQte tmcI 4,873.00 4.873.00
install 11m: (1)- custom T-$It6pt: stair
system tIS per .:mrfrt1Ct. #'1'3
1 OdD ~11JDIftion cmd Cfspcsal/rOke di1wfI mtd 475.00 475.00
dispose of ltXisting mlrs.
We appreciate your business. Payment in full is due Total $5. 348. 00
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Poyments/Credits $0. ()()
Salance Due $5. 348. ()()
Jun 22 10 10:300
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503-334-8442
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