HomeMy WebLinkAboutPermit Building 2010-1-7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00030
ISSUED: 01/07/2010
APPLIED: 01/07/2010
EXPIRES: 07/07/2010
VALUE: $ 2,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4405 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323105300
Springfield TYPE OF WORK: Interior
PROJECT DESCRIPTION: Repair interior drywall and insulation
TYPE OF USE: Repair
Commercial
Owner:
Address:
MARTHA JEAN FRANK REVOCABLE TRUST
2511 LILY AVE
EUGENE OR 97408
I CONTRACTOR INFORMA T10N I
Contractor Type
General
License
04231
Contractor
EHLERS CONSTRUCTION INt;:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
11119/20 I 0
Phone
541-689-6177
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
nla Occupant Load: .
REQUIRED PARKING
Total:
Handicapped:
Compact:
. . -,- ,'1:..,.'~,;,,__, _','.' .
. I PUBLIC IMPROVEME~~srHE WOR\( :.
NO \ Ivc'Mli S\-li'-'-'- E~I'IRt I~ 1M\i~~1kType:
T\-\\S I'ER T\-\\S I'En ,,',
T\-\ORlZED UNDER "DONEDj@&n~p~iits/Drains:
AU MMENCED OR IS f>..Bf>.... ." .-f" " .
~~Y 180 Df>..Y PERIOD,. .
Street Improvements:
Storm Sewer Available:
Speciallllstruction:
Notes:
.1 V a~uation Descrj,?tion I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square footage
or Bid Amount
Page 1 of2
Value
Date Calculated
... . '~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00030
ISSUED: 01/07/2010
APPLIED: 01/0712010
EXPIRES: 07/07/2010
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
01107/2010
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
117/10
117/10
117/10
1201000000000000021
1201000000000000021
1201000000000000021
Total Amount Paid
$67.86
Plan Reviews ,
,.f.
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 requested after 7:00 a.m. will be made the following
work day.
'1 R~r"i~er 'nsnecti9,~.s I
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
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 structnre 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 nsed 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'
s~reet, tha.' the If;;]'t card is located at the front of th~.pr~p.~rty, and the approved set of plans will remain on the site at all
tlm~ d~ struct . }. !~l .' ':
'<t5vc-. ).'~~' ,., " . I /7 I/D .
.. ';';;'If. I {
Owner or Contra V .gnature Oa(e
Pa2e 2 of2
225 Fifth Street
..,.
SprinJlfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00030
COM20 I 0-00030
COM20 I 0-00030
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
Description
Building Penn it
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
EHLERS CONSTR INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000021
Date: 01107/2010
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'.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6755
In Person
Payment Total:
"
"
Page 1 of I
I:II:SSPM
Amount Due
58,00
6,96
2,90
$67.86
Amount Paid
$67,86
$67.86
1/7120 I 0