HomeMy WebLinkAboutPermit Building 2004-1-29
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Building/Combination Permit
PERMIT NO: COM2004-00125
ISSUED: 01/2912004
APPLIED: 01/29/2004
EXPIRES: 07/29/2004
VALUE: $ 29,200.00
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1526 MAIN ST APT 23
ASSESSOR'S PARCEL NO.: 1703363202601
Springfield TYPE OF WORK: ReRoof
S 'iO\l to
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I PUBLIC IMPRQY.Iil\1ENri ~;~"ll O{99U~' set loti
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/>.,. <\lIeS euv . 1"ose :Sld~\R !iYp,ee:s \
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ell _.101 t"e. _ <-1\00-'3
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I Valuation Des~;iDtion I
TYPE OF USE:
PROJECT DESCRIPTION: Reroof East and West building
Owner: ROYAL CHATEAU
Address: PO BOX 7455 EUGENE OR 97401
Contractor Type
General
I CONTRACTOR INFORMATION I
Contractor License
QUANAH HERNANDEZ INC 157272
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure ~
Type of Heat: ~ ~Q\'l\
VN Water Type: ~~ \r "\~ "\ \~ ~Q"\
Range ~s..\. ~'I-"~ ~\\\t.~ ~
\\()"\\t,~~~~;~t'\\ '\\\:~~Q~~\) T~
,<I,.\\~ "~-X1~?~ ~.,:,.,\t>-'ON
Im~WllM"'\'''\'''I~TION I
tt\., 'O~ ur.
...~'l '\ .
I" Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
R-I
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
29,200.00
Total Value of Project
Paeelof2
New
Residential
Expiration Date
10/0712005
Phone
541-746-6823
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
$29,200.00
$29,200.00
01129/2004
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Lit i' OF SPRINGFIELD I
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00125
ISSUED: 01129/2004
APPLIED: 01129/2004
EXPIRES: 0712912004
VALUE: $ 29,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f'~ Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$25.37
$17.76
$253.65
1/29/04
1/29104
1/29/04
1200400000000000131
1200400000000000131
1200400000000000131
Total Amount Paid
$296.78
I Plan Reviews ,
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.
l.Rp.ouirf'd In~np.ctinw
1 Roofing: Prior to installing any roof covering.
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 the approved set of plans will remain on the site at all
times during construction
/~~ /-zr-ocf
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Owner or Contractors Signature
Date
Pal!e 2 of2
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.J~n 15 04 05:38p
.ERR'" KNIGHT
p.2
PROPOSAL/CONTRACT
IOJ837-5712.
Oat" Id-31-0~
PROPOSAL 0 CONTRACT ~
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PROPOSAL SUBMrTTED TO: :in VI J<n Ian is
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Name fi d .f Ltf)
screetiDl OWI1-hw !ub'-kd,)J)ile b
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City fW:tPn6 State OR.....
/ ,Phone i(BLf~ %.1.~ Filx 3tJ.S -41td.;,
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Ql-tat1al1 H~rt1at1bcz, I11C.
3750 Gem Street
Springfield, OR 97478
PhonelFax (541) 746-6823
CC8# 157272
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We hereby propose to furnish the materials a1d pe"'torm the labor necessa:--y fur the completion of:
=nilC, CDn1rad.. '15 h)r -H')t ~111 fi.1CLkclu f<f- RMf' (J 15;](" kAlUh~
Siu~ ()f3DYl .V;ofil. l'aSifl/1a \Nps+ f3wlr!(n.q~. lUf will {f.ftf'Vffr .
t'Xl<"1111Q -f'1~O't5~r S/,p-.<:.l1fP+:(blen 00 Dversllo-S!1fd
lCll+h neeD Ate." SIf1{ilt P~f.,J WmhllllJf. NtW ru!-;1r.m bti)/s w~/.Jr mIJdp nlt'all
Do(.f"ICIShr.s i dralf1s . All nrt1/i15 wil/ b' (\!JKKeA to M{IKf' 51ire., -fflt'() a.re..
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f'lintl . .oo.-KY ~IlPl'yj~1 \~~ will ct!<,o' \l1<.tnll neW 1wO-L0d~ \/1":+ S~l-s-lem5
\-TlII~4? b1frooP \D.t \~\\\ l'e-l.l(G nl<;nt;5 ~ metZll. -AlllVICrbltils will .
l1e <1 wlt (tt ./(A I1Clt)r(il~~ it flat: Sty( l.flm-nDY\S.
COST; 'PIl<.i P:,uilrl.II~. ~t.}.td1J.(ll' (1!.~5+ Bu,/A/l1t/N.!fJ()l..',C" .:lDrnl '?1 :J{J).()O
~ f\w.\ (ot K((14..U~ toll! hr billerf (i) 35t~oer maJ(~ ~us {'()j1 1 md:/lCiI.
WARRA~TY: \5 - ,\ ea..( !\lo .1ft\. K-
ftJI material is guaranteed to be 85 specified, 3:"1d the abo'Je work to be performed in accordance with the drawings ane
sp,=:::ific;ati':ln:: 5ub"it:ted for ebove Vlrcrk er.d oO:'l'lpleted in a substantial VJor~rr.an:ik9 manner' for the s\Jrr: of
__ Dollars ($ ;)'1. iJCIJ.' ,. I.
with paymeots to be mode as follows: ;.{;j. t>(")~[\. V''.IDU.1I1I1& 1'Al<"" u?"f1 rtrYlplthin. . . .
"",,,. Hoc""'''. ",.. ''''. i, '" ""","", ,,, ,,"'c." "",,"C,; (\ ,,.,,,,/ II ~fLt/;f '.,~ 'IIC
:jama~~oct;u'rlnf,jl,;rir.gncrm:li.,.,er!loo:::Vi:ycn';t1"{'lJcf.At1yaltl;lr'tie..'1c:" Respectfully 6'.Jbm:tted t 11.u.tt'lLl I t-tf fC.( 111,/,;. h .
~.\iQtlcr:fr:)"'.b,J'JII s;:liIcLfw:lti~r.. irm,'ll~inQ 1!lt"acclt'!l.\MlIOeexe:uteCI ~ ~~--? -
:Jnl, UJO,' w,'i~,;el1 cl'Jel'~, iJnd .viII \;~c::me el"I ~::"e cre~;c: o-.er Ilnd IlbO\~ '" ---- --...
the Ilstim:';ll. An al;jr-eemant6 con~hgllnt upn 'tri~a. ac:ic.llnt$ c:r Per ~ J
jcl~y!o b~'/Qnll IJur cor.l;"')!. Ownor to ec:"ry fire, tOl"'nedc 1m!:: O:hllr '
neC:~~5!1"y insur!mcc UpOI'l e!:o,", ,,-,crl. Wor~f1'en'f ::::Hnpel'l:etion end
PJb'cLiai1;l:t;lru;;"r..r-~~aon.!:Io....wcrk:.:lbetak.nout~ Note-This proposal may be withdi"a'Nn by us if not accep<::ed
withir, r~ days.
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ACCEPTANCE OF PROPOSAL
n,e a.Jo....a prl::es. specifications and condit ons are s(lcisfactory and :Ire hereby B~ce ted. 'r'bu are 6Ut cI'i;:ed t:t do: ':h~ WO!'K as specified.
PayITlent w:l1 be made as OJt inej aO')'1e. . "11/ -:9'" _ R:, _ /J /J...L
Signature I" _ ~OfW fftA/Jw,/.
Date /.- /5' . () 'I Signature" ' /
,/
"'1:" .....'.1 ,.....,_..___~
CIMIf . c;,..
225 Fifth Street.,;
Springfield, Oregon 97477
541-726-3759 Phone
JoblJournal Number
COM2004-00125
COM2004-00125
COM2004-00 125
Payments:
Type of Payment
Check
""~~~~"'I
Mi.'...............................'..
; '."'''~i J
;~'.l
~ i-.....~, '-.'
Receipt #: 1200400000000000131
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
QUANAH HERNANDEZ
Received By
djb
l.:heck Number
Batch Number Authorization Number
1190
'City of Springfield Official Receipt
'.'
Development Services Department
Public Works Department
Date: 01/29/2004 11:13:43AM
Amount Paid
Item Total:
253.65
17.76
. 25.37
$296.78
How Received
In Person
Payment Total:
Amount Paid
$296.78
$296.78
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