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Home My WebLink AboutPermit Building 2004-7-7 ._ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00825 ISSUED: 07/07/2004 APPLIED: 07/07/2004 EXPIRES: 01107/2005 VALUE: $ 2,000.00 r-. ~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I. SITE ADDRESS: 650 MAIN ST ASSESSOR'S PARCEL NO.: 1703353109000 Springfield TYPE OF WORK: Interior PROJECT DESCRIPTION: Drywall repair TYPE OF USE: Commercial Total: Handicapped: ~-A;t: -~... .....c:F!:.t9' -r. " IPUBLICIMPR~~~~~~ . :~~~~? ~O~.p):'~ ~\~ '1f.\\'9" \ -\,;, Owner: TERESE'S PLACE Address: 650 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License ,C\\\'(.. BUILDING INF~1'I~N-:~\ \~'t. . ~\\ ~ # f, Sfil~ '(~~~~\) ~~ C\,\\'\,fC.~~~ CO ~,?1lI. e \\"v~ ~'t) :-.t~~ ~: '\~ ~~\)~ s:.<a\a pe: ~\} ~~~~ ~e gy Path: c;,~~~ \'Q~ Sprinkled Building: ~ I DEVELOPMENT INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion , Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Total Value of Project Page I of2 Repair Expiration Date Phone nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQuiRED PARKING Value Date Calculated $2,000.00 $2,000.00 07/07/2004 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00825 ISSUED: 07/07/2004 APPLIED: 07/0712004 EXPIRES: 0110712005 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I FI'I'~ paillJ Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 7/7/04 7/7/04 7/7/04 1200400000000001047 1200400000000001047 1200400000000001047 Total Amount Paid $52.65 ';; 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 Renuirell Tn~nl'djon~ I Drywall: Prior to taping. 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made orany structure without permission oflhe Community Services Division, Building Sarety. I rurther certiry that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I rurther 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 rront or the property, and the approved set or plans will remain on the site at all times during construction. 7/7/DY y~(2 Owner or Contractors Sig;;;tu~ Date " Paee 2 or2 225 Fifth Street ;. Sp~ingtMd, Oregon 97477 :541-726-3759 Phone . .r~RII!~~~- .~ :.'. 1Iic... '" , , . : I -,' " .'-...-_.~--,' ,.,. RECEIPT #: 1200400000000001047 Job/Journal Number COM2004-00825 COM2004-00825 COM2004-00825 Description + 7% State Surcharge + 10% Administrative Fee Building Pennit Payments: Type of Payment Cash Change Check raid By TERESES PLACE TERESES PLACE TERESES PLACE Check Number "'" Received By -Batch Numher djb djb djb Job/Journal Number Description " 'COM2004-00825 + 7% State Surcharge COM2004-00825 + 10% Administrative Fee COM2004-00825 Building Pennit Payments: Type of rayment raid By Received By Cash TERESES PLACE djb Change TERESES PLACE djb Check TERESES PLACE djb Job/Journal Number Description COM2004-00825 + 7% State Surcharge COM2004-00825 + 10% Administrative Fee COM2004-00825 Building Pennit Payments: t ,Type of rayment raid By Received By Cash TERESES PLACE djb Change TERESES PLACE djb Check TERESES PLACE djb ; " 7/7/2004 Page 1 of I 14984 iIitY of Springfield Official Receipt .elopment Services Department Public Works Department Date: 07/07/2004 Item Total: Authorization Number .,' How Received In Person In Person In PerSon Payment Total: Item Total: Check Number Authorization Batch Number Number How Received In Person In Person In Person Payment Total: 14984 Item Total: (;heck Number Authorization Batch Number Number How Received 14984 In Person In Person In Person Payment Total: 1:37:12PM Amount Due 3.15 4,50 45,00 $52.65 Amount Paid $10.00 ($2,35) $45,00 $52,65 Amount Due 3,15 4,50 45,00 $52.65 Amount Paid $10,00 ($2,35) $45,00 $52.65 Amount Due 3,15 4.50 45.00 $52.65 Amount Paid $10,00 ($2.35) $45,00 $52,65