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HomeMy WebLinkAboutPermit Building 2004-3-29 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINt..HIj,LU Building/Combination Permit '* PERMIT NO: COM2004-00343 ISSUED: 03/29/2004 APPLIED: 03/29/2004 EXPIRES: 09/29/2004 VALUE: $ 2,400.00 SITE ADDRESS: 4440 MAIN ST ASSESSOR'S PARCEL NO,: 1702320000402 PROJECT DESCRIPTION: Reroof . Springfield TYPE OF WORK: ReRoof TYPE OF USE: New Commercial Owner: ANDREW HEAD Address: 1616 ARDENDALE LN EUGENE OR 97405 Contractor Type General Phone Number: 541-344-2341 'CONTRACTOR INFORMATION , Contractor License HEADS ROOFING & CONSTRUCTION INC 156943 BUILDING INFORMATION I '" # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description , Overlay Dist: ~O?-'io. # Street ~~ ~01 ~~~~~~~i~ ~~iki~~VJ~~~~ t},\Y'11-\ _..('~\'\ 01'\ _" COW.\~\~~I\IJImiJll~PROVEMENTS , \l1(eS 'j~~\i\\\'j p.~'l " ..hI (e~ 0(\ v (\ Side~.al~l.:YRI\D(eg e se\ \0 OiJe9 N \(\':".I<\S e.( 2.00 ~~,\\O~~oo~4~'b1g6'~e3i>-~ 9~\l\es \ F'-"f\ (\l\es (\\e(' \~(0\l9 0\ \~e ....o(\e ~\o'l'i Ce ~",\O "ies ~e9". (\ \0 .' a.\iO(\ oo'\'''?:' . (\ CO,. ,\~e \8 '\iCa.\IO ~O\I\IC 9':;,2', 0'0\'001 ~0\8' . ~O\I ",I>.~ . ""a.'j ...,t. ~ . ,,\i\'~ _. -.\, .... ~v. -'v- \~eGo' O(egv~ ",,,,?t.., I Valuation Descril)\'iolh\'(\~( \o( \~~ '.r d,r- .. "\l~'O r.r $ Per Sq Ft Square Footage V I or multiplier or Bid Amount a ue $1.00 2,400.00 $2,400,00 . Bid Amount Tvpe of Construction Use Bid Amount Expiration Date 09/04/2005 Phone 541-344-2341 VN # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Patb: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Impervious Surface Area: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Date Calculated 03/2912004 Total Value of Project Paeelof2 $2,400.00 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00343 ISSUED: 03/29/2004 APPLIED: 03/29/2004 EXPIRES: 09/29/2004 VALUE: $ 2,400.00 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees P'ilirl I Fee Description + 10% Administrative Fee + 7% State Surcbarge Building Permit Amount Paid Date Paid Receipt Number $5,28 $3.70 $52.80 3/29/04 3/29/04 3/29/04 -1200400000000000399 1200400000000000399 1200400000000000399 Total Amount Paid $61.78 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 Renuirerl1nsnectiow I Roofing: Prior to installing any roof covering. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do hereby certify tbat all information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliauce with ORS 701.005 will be used on tbis project, I further agree to ensure that all required inspections are requested at tbe proper time, tbat eacb address is readable from the street, tbat the permit card is located at the front of tbe property, and the approved set of plans will remain on tbe site at all times dUr::uct~c.U~ Z/29. ! () ~ Owner ~r Contraktors Signature Date Paee 2 of2 .1"225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00343 COM2004-00343 COM2004-00343 Payments: Type of Payment CreditCard Paid By ANDY HEAD ,-;1 -J;~iI WitT '",",-"'''~ ',",-,"",,1 -~~"- . c~ J , , , ' ' ''''~^':J''' Receipt #: 1200400000000000399 ..;J Description Building Permit + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number 000337 091997 City of Springfield Official Receipt Development Services Department ~ Public Works Department Date: 03/29/2004 10:07:24AM . Amount Paid Hem Total: 52.80 3.70 5.28 $61.78 How Received In Person Payment Total: Amount Paid $61.78 $6],78 . .