HomeMy WebLinkAboutPermit Building 2004-5-25
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
. CITY VI' ~rK11~ul'1J<..LD
Building/Combination Permit
PERMIT NO: COM2004-00343
ISSUED: OS/25/2004
APPLIED: 03/2912004
EXPIRES: 11/25/2004
VALUE: $ 2,400.00
Status
Issued
SITE ADDRESS: 4440 MAIN ST
ASSESSOR'S PARCEL NO,: 1702320000402
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair Commercial
PROJECT DESCRIPTION: Reroof, DG indicates plumbing and structural work being done wlo permits. Left msg
for owner to contact our office 050504,
Owner: ANDREW HEAD
Address: 1616 ARDENDALE LN EUGENE OR 97405
Phone Number: 541-344-2341
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor License
HEADS ROOFING & CONSTRUCTION INC 156943
AMERICAN EAGLE.j.. 153834
<,~-:-f'.iJtHLD1NG INFORMATION"
'\.o(:......~.
# of Units: ~ ~ ~'\. \\:,~
Primary Occupancy Group: {S~ ~~ &.\:,
Secondary Occupancy Gr?.~J~ <<~S. _,~\::J~
Primary Construction TyPe &.~ ~WN
Secondary Conttl'nctl!u'i~:~ ~
# of Bedroo!it.\~~~~"'~~~ ~~ ~\:,~'
~~~S,->..\:,~....\.)~~.J,. ~<<;
~. ~"v v'
~ \J~ ....co\::J
\)~
~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
09/04/2005
12/30/2004
Phone
541-344-2341
# of Stories: 09 Lot Size:
Heigbt of Structure ~ ''&ijj~t 1st Floor:
Type of Heat: # ~ ~ 2nd Floor:
Water Type:' ~ _6.cf!' ./J: asemeot:
Range Type: ~ <fr 0<'''''' ~0 qf:l~!.J(aragelCarport
Energy Patb: ~,q; ~0 ~<G> O~ 1I>~~er:
Sprinkled Buildillf b~':;" ",0 ~ ~ ~ 'S' fItCc~nt Load:
".........'t) ,no: . _0 _oS ~. 0 ..0 ..:~
I DEVELOPMENrnJ6iiMAE'eN~~0~~ ~v~.
~. ~J :".~,J ~,\ ~~'II v~ !j,'!) REQUIRED PARKING
.0<<.)....~ ~O~" ~'-'/j ~ o(Co ~fj;
Ov~i~l<? n'&~ ~ 0 ~'l}. ~0C$ c;:,<:$~
# StMye_~~~~ c.0 00 ,,'IJ
Pave~~q\P. ~0 ~>1S' i.<:>
% of Ljjtc~qte~ f/}'O 0~0
I::l c.'l> # 0
^.:s
I PUBLIC IMPROVEMENTS I
Total:
Handicapped:
Compact: '
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Estimate
Bid Amount
Estimate
Fee Description
+ 10% Administrative Fee
+ 7% State Surcbarge
Building Permit
+ 100/0 Administrative Fee
+ 7% State Surcbarge
Perm ServlFdr 201 to 400 amps
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Total Amount Paid
Initial Review
Structural Review
.
. CITY OF ~rK11~ld<1J<..L1J
Building/Combination Permit
PERMIT NO: COM2004-00343
ISSUED: OS/25/2004
APPLIED: 03/29/2004
EXPIRES: 11/25/2004
VALUE: $ 2,400.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,400.00
1,450.00
Value
Date Calculated
Total Value of Project
$2,400,00
$1,450,00
$3,850,00
03/29/2004
05/10/2004
Fpp< tlWU
Amount Paid
Date Paid
Receipt Number
$5,28
$3,70
$52,80
$7,50
$5,25
$75.00
$34.32
$4.50
$3.15
$45,00
3/29/04
3/29/04
3/29/04
5/4104
5/4/04
5/4/04
5/10/04
5/25/04
5/25/04
5/25/04
1200400000000000399
1200400000000000399
1200400000000000399
2200400000000000469
2200400000000000469
2200400000000000469
2200400000000000505
2200400000000000649
2200400000000000649
2200400000000000649
$236,50
05/11/2004
05/11/2004
I Plan Reviews I
OK RJB
APP JMP
05/14/2004
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 I?r'Wirptl In<nections I
I Roofing: Prior to installing any roof covering,
2 Electric Service: Approval required prior to utility company energizing service,
3 Framing Inspection: Prior to cover and after aU rough ill inspections bave been approved.
4 Final Building: After all required inspections bave been requested and approved and tbe building Is complete.
Paee 2 00
.
. Ul f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00343
ISSUED: OS/25/2004
APPLIED: 03/29/2004
EXPIRES: 11/25/2004
VALUE: $ 2,400.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I bave carefully examined tbe completed application and do bereby certify that all
information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with
the Ordinances of tbe City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission oftbe Community Services Division, Building Safety.
I further certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project,
I further agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from the
street, tbat tbe permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
~m0Uring con,struction, ~ ~
~\ruXJ\P2. . \\S.A.AA_~ , OS;;)~y
Owner or Contractors Signature Date
Paee30f3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2004-00343
COM2004-00343
COM2004-00343
Payments:
Type of Payment
Check
5/25/2004
.
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PHAEDRA HEAD
.P~:R_~~F:I_~.~_"_.__" II.
WiL,
-. ... :
. ,
.. '
. --._~_ __' _ r .'
JiiilY of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200400000000000649
Date: OS/25/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 1030 In Person
Payment Total:
Page 1 of 1
11:52:52AM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52,65