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
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CITY OF SPRINt..HIj,LU
Building/Combination Permit
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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
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F'-"f\ (\l\es (\\e(' \~(0\l9 0\ \~e ....o(\e
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\0 .' a.\iO(\ oo'\'''?:' . (\ CO,. ,\~e \8 '\iCa.\IO
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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
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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
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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
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WitT '",",-"'''~ ',",-,"",,1
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Receipt #: 1200400000000000399
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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
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Amount Paid
Hem Total:
52.80
3.70
5.28
$61.78
How Received
In Person
Payment Total:
Amount Paid
$61.78
$6],78
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