Loading...
HomeMy WebLinkAboutPermit Building 2013-8-26 SPRINGFIELD 225 Fifth St • CITY.OF SPRINGFIELD Spnngfield,OR 97477 Phone: 541-726-3753 i"'-• 'OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01911 www.springfield-or.gov permitcenter©spdngfeld-or.gov. PROJECT STATUS: Issued ISSUED: 08/26/2013 EXPIRES: 02/21/2014 STATUS DATE: 08/26/2013 APPLIED: 08/26/2013 SITE ADDRESS: 740 21ST ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703361211100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Structural alteration for code compliance-COD13-62. OWNER: HALLOCK ANITA - Phone Number ADDRESS: 740 21ST 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 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 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. ��, • �AuL ,4d4' �V�A ( ; of Owner or Contractor Signature c ' t3 e" 01' Date �a�t e0�s Se 952'o'• O�e9edeo�s J9rOo r\o •;Cc' O�� . lip'. ,-cc\ o . s ete o•���c � . \r b?�2 'C���SQ�Q�1�c�0�Q��0_• G N\CSI Springfield Building Permit 8/26/2013 11:46:45AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD xl 225 Fifth St t1/41 TRANSACTION RECEIPT Springfeld,OR97477 `' 'OREGON 541-726-3753 811-SPR2013-01911 www.springfield-or.gov 740 21ST ST permitcenter @springfield-or.gov RECEIPT NO: 2013001873 RECORD NO:811-SPR2013-01911 DATE:08/26/2013 DESCRIPTION a ` _• .._ ,'nus•a4,-",'IG a ACCOUNT CODE/TRANS-CODE ? • ' 0 I '. .'DUE State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 .,..PAYMENT TYPE're- DEOW.LSBY `_. _ i AMOUNT'PAID'; �-. COMMENTS__�=� Check HALLOCK ANITA 93.60 1390 TOTAL PAID: 93.60