HomeMy WebLinkAboutPermit Building 2004-1-16
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Status
Issued
*
Building/Combination Permit
PERMIT NO: COM2004-00061
ISSUED: 01116/2004
APPLIED: 01116/2004
EXPIRES: 07/16/2004
VALUE: $ 7,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5236 MAIN ST APT 2
ASSESSOR'S PARCEL NO.: 1702333104400
Springfield TYPE OF WORK: ReRoof
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Reroof #2
Owner: HOWARD MCCULLOCH
Address: 2677 W1LLAKENZIE RD STE #3 % VILLAGE PARK SPFD-BUNTING
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
QUANAH HERNANDEZ INC 157272
1 BUILDING INFORMATION I
Expiration Date
10/07/2005
Phone
541-746-6823
..
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-1
VN
# of Stories: Lot Size:
Height of Structure \~I1j)~s~~~oor:
Type of Heat: (\ \'a.'~ taqU:"'~lbt't\ill~ !Ioor:
Water Type: ON,.otaGO.. 0'1 ,,,e Ot~q.Ii'~~ent:
Ran~iP~;n &009'9'" S9 tu\eS~I1i!~~carport
Ener~&JItII~\96C9o\9t. "O'~tOUg" QFo~' ~e q!h'i!1!:
\ ~\lce.'iO(\ Q'\ .00'\0 ~ 09i9S q1J e~S\Surface Area:
,\n \ rt:.f')-C). . ..,,\ft C \t-.ft. '- ~1'" ..:,....n
, DEVELOPMENT.ii-U!Om\tAJibM.I~O\~\\\i~ ~O\\""""
L\.l~ lli(\9"lv - O;8'tI~(\ ","''l.'t~44). REQUIRED PARKING
Ce: lot \ne ~ I'-<,n-, .
Overlav n....~et .~. \e - Total:
JC't'Cf1"'-- ,...~.....
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I PUBLIC IMPROVEMENTS I \Rt \f 1\\t 'l'JU~1
"0 \ 'v'" ~ S\\~ll t~~..w.a8RF~\S ~
\s P't.\\W\\ Q't.R i"111;) r fOR
~1\\QR\1't.QQ\.I~R \S !\lJI~~tIb~fs rains:
CQW\W\t~C't.~'{ ptR\OQ.
p.~'{ ..all Q
Street Improvements:
Storm Sewer Available:
'" Special Instruction:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of2
--.
. CITY OF SrKil'\jljI<l'J!,LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00061
ISSUED: 01/1612004
APPLIED: 01/1612004
,EXPIRES: 07/1612004
VALUE: $ 7,600.00
'.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$ 1.00
7,600.00
$7,600.00
$7,600.00
01/16/2004
Total Value of Project
Fees Pllid I
Fee Description
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
$9.18
$6.43
$91.80
Date Paid
1/16/04
1/16/04
1/16/04
Receipt Number
1200400000000000069
1200400000000000069
1200400000000000069
Total Amount Paid
$107.41
,.
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 RenlJired Insne~tinw
I Roofing: Prior to installing any roof covering.
2 . 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 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 tbe approved set of plans will remain on tbe site at all
-"a~
Owner or Contractors Signature
J -It; ~ 0 cj
I
Date
Pal!e 2 on
225 Fifth Street ,~
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00061
COM2004-00061
COM2004-00061
Payments:
Type of Payment
Check
-~..............
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Receipt #: 1200400000000000069
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
QUANAH HERNANDEZ lNC
Received By
djb
L'beck Number
Batch Number Authorization Number
City of Springfield Official Receipt'
. t.
Development ServIces Department
Public Works Department
Date: 01/16/2004 2:10:28PM
Hem Total:
How Received
In Person
Payment Total:
.
Amount Paid
91.80
6.43
9.18
$107.41
Amount Paid
$107.41
$107.41
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