HomeMy WebLinkAboutPermit Building 2005-5-12
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00566
ISSUED: 05/12/2005
APPLIED: 05/1212005
EXPIRES: 1111212005
VALUE: $ 36,100.00
Status
Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1250 Rainbow Dr
ASSESSOR'S PARCEL NO.: 1703273402602
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace roof cover material
Owner: RAINBOW VILLAGE INC
Address: 1250 RAINBOW DRIVE
SPRINGFIELD OR 97477
Contractor Type
General
I CONTRACTOR INFORMATION ,
Contractor License
HEADS ROOFING & CONSTRUCTION INC 156943
Expiration Date
09/04/2005
Phone
541-344-2341
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
BUILDING INFORMATION'
.ON: OrGgon law requIres you to
, 'Nil S' do ted by the Oregon U~Il~Slze:
Nolm~r'lt~p'rthose rules are sel~!I~' 1st Floor:
_ ~ -0010 through OAR 95~t 2nd Floor:
In. s,n,I,\! Basement.
OOm..~Lt9{aY obtain copies of the rule"S'Fi Garage/C~rport
cml~pgytPittt~nter. (Nole: the lele~h~~t Other:
IlSIliboo~i1iBliltdTh'g<gon Uliil~ollflca&~~upant Load:
,..~~'o.;~ 1_Rnn_~~?_?344\.
I DEVELOPMENTINFORMATION I
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC,IMl1RO,VEMENTSI
ALL Evnl[1~ Ie ~E WORK
THIS PERMIT SH ~Sldewalk ype: NOT
IZED UNDER THIS PER II I::>
AUTHOR Downsl!outslD~ains:
COMMENCED OR IS A8i\I~uu,'Lu ,vi.
ANY 180 DAY PERIOD,
Notes:
I Valuation Descriotion I
Description
Type of Construction
S Per Sq Ft
or multiplier
Square Footage
or Bid Amount-
Value
Date Calculated
Pal!e 1 of2
~r;....,' !lI,'~JIII:LI:!. .
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.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00566
ISSUED: 05/12/2005
APPLIED: 05/12/2005
EXPIRES: 11/12/2005
VALUE: $ 36,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
51.00
36,100.00
536,100.00
536,100.00
05/12/2005
Total Value of Project
Fp.p.s Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
529.46
520.62
5294.60
Date Paid
5/12/05
5/12/05
5/12/05
Receipt Numher
1200500000000000613
1200500000000000613
1200500000000000613
Total Amount Paid
$344.68
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 Rp.ouirp.d T~
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 he 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 sitc at all
times during construction.
owne6acto~
~!r2/~
I v-
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-00566
COM2005-00566
COM2005-00566
Payments:
Type of Payment
CreditCard
..~
5/12/2005
RECEIPT #:
Description
Building Pennit
+ 7% Stale Surcharge
+ 10% Administrative Fee
Paid By
ANDY HEAD
~'
~
Jiii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000613
Date: 05/12/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djh 403264 In Person
Payment Total:
Page 1 of 1
1:15:38PM
Amount Due
294,60
20,62
29.46
$344,611
Amount Paid
$344,68
$344.611
Methamphetamine Lab/Address Tracking Report (Updated 04/05/05)
Address I Notification Date I Case Number I Case Agent I Certif. of Fitness
12095 Primrose St., Eugene (Appeal denied 093099) 072099 99-14003 Rauch 10/03/00
2571 Primrose St" Eugene 4/23/02 02-07527 Humphreys 7/15102
1300 Quaker St., Apt 32, Eugene 08/23/04 04082015454 Thoming COF dated 10120/04
1300 Quaker St., Apt. 56, Eugene 10/9/02 02-19524 Gill 12/3/02
1445 Railroad Blvd" Space 15, Eugene 1/27103 03-01772 McCormick 5/28/03
1250 Rainbow Dr., Apt #7" Springfield 8/25102 02-08149 Humphreys 12/13/02
. 76332 Rainbow St., Sp, #13, Oakridge 07/05/01 01-12588 Testa 8/16/01
28375 Rainbow Valley Rd" Eugene 03/12/93 Unknown Unknown COF on 9/5/03
88381 Ridiculous Rd" Veneta 09/23/96 96-19615 Thoming 04/28/99
998 Robin Hood Ave" Eugene 6/24102 02-11322 Gill 10/02/02
2090 Roosevelt Blvd., Apt. 1, Eugene 10/20/96 96-21845 Grimes Per ODH 3/22/01
This site received a COP, no issue
date was given
12380 Roosevelt Blvd" Apt 6" Eugene 11/19/01 01-22111 Doe ,1129/02
33185 Row River Rd., Cottage Grove 11/13/98 98-23821 Mohr 12/12/00
38019 Row River Rd., Cottage Grove 08/05/99 99-15117 Montes None
. 38065 Row River Rd" Cottage Grove 05/07/97 Unknown Unknown ' 4/24/03
0 , ODH list - Non-INET
3346 Royal Ave., Eugene 04/07/99 99-06521 Rauch 08/30/99
460 Rutledge St., Eugene 02/23/96 Unknown Kerns Per ODH 3/22/01
This site received a COF, no issue
date was given
11200 "S" St., Springfield 12/17/97 97-27697 Lewis 06/16/99
11414 "S" St., Springfield 08/23/00 00-16033 Testa 4/2/03
I 05400 Sand Dune Park Dr., Florence 02/16/99 Unknown Unknown 5/16/02
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