HomeMy WebLinkAboutPermit Building 2013-11-27 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02586
wvnv.springfield-ar.gov permitcenter @springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 11/27/2013 EXPIRES: 05/26/2014
STATUS DATE: 11/27/2013 APPLIED: 11/27/2013
SITE ADDRESS: 640 S 42ND ST,Springfield,OR 97478 SCOPE: ReRoof •
•
ASSESOR'S PARCEL NO: 1802052200201 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Roof repairs for fire and water damage
OWNER: EAGLE VALLEY DEVELOPMENT LLC Phone Number:
ADDRESS: 525 HARLOW RD
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 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.
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Owner or Contrac rr Signature ufres you to Date •
ATTENTION'. Ore9 d by the Oregon ettforth •
rules „ter. Those r h OAR 952-- b
io6ow Oenter. •
I oOA�952001-0010 throw 9s of the rules by
mr obtain trop. the tow-loje
6090. YOihe center. ( eutdltY Nolitication NOTICE
calllber for the QYe- 0-332-23Q 1)'
num Center is 1.
THIS PERMIT SHALL EXPIRE IF THE WORK .
AUTHORIZED UNDER THIS PERMIT IS NOT •
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 11/27/201 2:19:11PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
`o EGON TRANSACTION RECEIPT Springfeld,OR97477
541-726-3753
811-SPR2013-02586
www.springfield-or.gov 640 S 42ND ST permitcenterQspringfield-or.gov
RECEIPT NO: 2013002576 RECORD NO:811-SPR2013-02586 DATE: 11/27/2013
DESCRIPTION x -:,L,;SN; = -±
3x >22.1i N) r '_ACCOUNT CODE/TRANS;CODE 4 AMOUNTDUE .1
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
1l�.� TOTAL DUE: 93.60
�P.AYMENTisTYPE PAYOR CASNIER:CCARP,ENia COMMENTS ._. AMOU ilkFAID
Check roy lundblad 93.60
5200
TOTAL PAID: • 93.60