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Permit Building 2013-6-24
SPRINGFIELD • 225 Fifth St . CITY OF SPRINGFIELD Springfield,OR 97477 1,„�a Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2012-01830 www.springfieldor.gov permitcenter(@springfeldor.gov PROJECT STATUS: Issued ISSUED: 06/24/2013 EXPIRES: 12/20/2013 STATUS DATE: 06/24/2013 APPLIED: 09/28/2012 SITE ADDRESS: 404 C ST 1,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703352410600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Window relocation-see Code Case OWNER: COLEMAN-FRASER SUSAN Phone Number: ADDRESS: 404 C ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 , INSPECTIONS REQUIRED Inspections ' 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building 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 or 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 re sled at the proper time,that each address is readable from the street,that the permit card is located at the front of the prop y, d the approved set of plans will remain on the site at all times during c nstruction. Owner or Contractor Signature Date ‘C‘P meV li 1eQp\teAOC\V\�`O.vh nP\ev1 e°ca.°_se\ 001• G;e9d0y\e \)\es PC V-• e$09 P;(C``C,°NW Gao\ec0NC)1° OP eS°e\k\e?Wirt \FAN .1 )1 \o\o 0eti1Or o01-0 \air O o\e\r NOtN\ \' p\\; R0\S N �O\7\a�9y2meyobet ��\\223aa� 03%. • \-cSI\ .c�\\SPA OFpR•\co off\\-,e ire°`e 6o°.33 ” N\g PERK�0011 8pgiP� i� n PNy 1ga Opy P Springfield Building Permit 6/24/2013 10:03:51AM Page 1 of 1 SPRINGFIELD --- CITY OF SPRINGFIELD 225 Fifth St i . TRANSACTION RECEIPT Springfeld,OR 97477 °Yba 541-726-3753 k .oaeeor4 811-SPR2012-01830 - www.springfield-or.gov 404 C ST 1 permitcenter©springfield-or.gov RECEIPT NO: 2012001808 RECORD NO:811-SPR2012-01830 DATE:09/28/2012 �' Ia *1.. 71 9[e7 laZa teaks r" , ; ACCOUNT--CODETRA S'CODE� EAMOUNT-DUE State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 6.96 Structural Building Permit Fee 224-00000-425602 1002 58.00 Technology fee(5%of permit total) 100-00000-425605 2099 2.90 TOTAL DUE: 67.86 WIPAMENTTYP E nAYORartsrHE itTa C RPEN ER � O°M'ENT £ ; .AOUNT PAIDs d 'Vaal Check COLEMAN-FRASER SUSAN 67.86 9588 TOTAL PAID: 67.86