HomeMy WebLinkAboutPermit Building 2009-8-5
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01136
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/0512010
VALUE: $ 36,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3957 HA YDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702190003300
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Reroof
Owner:
Address:
CITY OF EUGENE
CITY HALL
EUGENE OR 97401
I. CONTRACTOR INFO~A TION I
Contractor Type
General
Contractor
EAGLE ROOFING CO
License
56239
Expiration Date
05/01/2010
Phone
541-389-8305
. I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
, Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1St Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport I
Sq Ft Other:
Occupant Load:
n/a
1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drivc Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
Stonn Sewer Available: ATTENTICP'Ow!1SP2utsIDraiifs:uires you~ tD
Special Instruction: , follow rules adopted by lI;e Oregon Utility
Oller.: E II' THE WORK Notification Center. Those rules are scet forth
Notes:N I'RMIT SHALL EXPIR I'RMIT IS NOT in OAR 952-0Cl1-0Cl10 through OAR 902-001-
THIS P_cd'l'r. \ IN\J[R THIS P:..rn ,nR Cl090, You may obtain copies ofth,e r~I~~ .bY
I-\U (11\.)' "'-'-t"'"r\ .. R \S I\\::H.\\\lUV"-- .:. .1lmg me C81llt:1. \1~U~<;:;,'.~."v '.....-;1':..-..--,
CO!\J\MENCc\,OpI'D\OO, " I Valuation DescrintioOillnber lot the Oregon Utility NO)tlllcatlon
",\{ 1 <;,;; oil.Y. <-I'. Center is 1-8ClCl-332-2344 .
,-.>U
$ Per Sq Ft Sqnare Footage
or multiplier or Bid Amount
Type of Constrnction
Value
Date Calculated
Description
Pa2e 1 of 2
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. Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01136
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/05/2010
VALUE: .$ 36,800.00
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
36,800.00
$36,800.00
$36,800.00
08/0512009
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$44.41
$18.50
$370.09
8/5/09
8/5/09
8/5/09
2200900000000000882
2200900000000000882
2200900000000000882
Total Amount Paid
$433.00
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day,.inspections reque~ted after 7:00 a.m. will' be made the following
work day.
I Reou,""ed Tnsnections I
,11111111111
Roofing: Prior to installing any roof covering.
Final Building: After all required Inspections have been requested and approved and the building is complete.
By signature, I state and agree, that I haye carefully examined the completed application and do hereby certify that all
information hereon is,true and correct, and I furthcr certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and '
that NO OCeUPANCY 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.
1 further agree to ensure that all required inspections are requested at the proper time, that each a~dress is readable from the:
street, that the per~d i ated at the front ofthe property, and the approved set of plans will remain on the site at all
times during co t uctio
.t w.~ r'vL- ~ g;( 5 r o~
Owner or ContraQors Signature Date I
Paee2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01136
COM2009-0 1136
COM2009-0 1136
Payments:
Type of Payment '
CreditCard
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
MICHAEL T, KELLY/EAGLE
ROOFING .
~iiji
iii: "
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000882
1 :44:20PM '
Date: 08/05/2009
Received By
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
370,09,
18,50
,44.41
$433.00
Amount Paid
NJM
$433,00
515034 In Person
Payment Total:
$433.00
Page 1 of 1
8/5/2009