HomeMy WebLinkAboutPermit Correspondence 2004-8-17
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225 FIFTH S7T1EET
SF'/~/NGFIELD. OF! .9/".'/7;
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
August 17, 2004
McKenzie Taylor Construction
120 Monroe Street
Eugene, Oregon 97402
Enclosed is a copy of the permit for 6769 Bluebelle Court, Springfield, Oregon.
When you obtained your permits, we assigned an incorrect job number to it. The correct
job number for this project is COM2004-01016. Please refer to this number when
requesting an inspection or infoDnation about the project. I am enclosing a copy of the
pem1it and for you to keep for your records and a new placard for the jobsite.
'Thank you, and if you have any questions, please feel free to phone me at 726-3790.
cc: John Pearson
Encl
Status
Issued
CITY OF SPRINGFIELD -
Building/Co~bination Permit
PERMIT NO: COM2004-01016
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/17/2005
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6769 BLUEBELLE CT
ASSESSOR'S PARCEL NO.: '1702344400806
. Springfield TYPE OF WORK: Fire Damage
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Fire Repair
Owner: CAMPBELL JOHN M & MICHELE A
Address: 6769 BLUEBELLE CRT SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
XXLINC
EUGENE ELECTRIC SERVICE INC
RIGHT WAY PLUMBING
License
109867
90200
49561
Expiration Date Phone
11/09/2004
03/17/2007 541-344-3561
12/16/2004 541484-3787
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# 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
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Front yard 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:
I PUBLIC IMPROVEMENITS~I"fIOI~Urego" j'.W r' .
.. '. II d eqUlreS you to
101l0W rUlef-S.....-I........~llwi~.. ~he 0 U
-". luewa h"''''~Pe:. regon tility
Notmcatlon Center. Tho~e J 114
in OAR 952 ODownsROIitsIDrIl6s:s are set forth
- () '-UU 1 U tnrough OAR 952-001..
0090. .You may obtain copies of the rules b}
calling the center. (Note: the telephone
number for th~ Oregon Utility Notification
Center IS 1-800-332-2344).
Street Improvements:
~ OiTd6!sewer Available:
-H~mMM:r9ffjw,tt EXPIRE IF THE WORK
\UNWJBIZED UNDER THIS PERMIT IS NOT
~OMMENCED OR IS ABANDONED FOR
\NY 180 DAY PERIOD.
Paee 1 of3
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-01016
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/17/2005
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description ' Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Total Value of Project
$5,000.00
$5,000.00
08/17/2004
~
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Minimum/Adjustment Plumbing'
Amount Paid Date Paid Receipt Number
$4.60 8/16/04 1200400000000001220
$11.34 8/16/04 2200400000000001060
$3.22 8/16/04 1200400000000001220
$7.94 8/16/04 2200400000000001060
$43.00 8/16/04 1200400000000001220
$3.00 8/16/04 1200400000000001220
$68.40 8/16/04 2200400000000001060,
$14.00 8/16/04 2200400000000001060
$31.00 8/16/04 2200400000000001060
Total Amount Paid
$186.50
I Plan Reviews I
Initial Review
08/17/2004
08/17/2004
10
LLH
This job was issued in error under
job number COM2004-01019. It
was combined with this job that was
issued previously to keep entire
project together. Please see attacherl
documents/address file for copy of
letter sent to general contractor.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Ceiling Insulation: Prior to cover. .
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Pal!e 2 of 3
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;.f
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01016
ISSUED:. 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/17/2005
VALUE: $ 5,000.00
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.
Owner or Contractors Signature
Pae:e 3 of 3
Date
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01019
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/16/2005
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6769 BLUEBELLE CT
ASSESSOR'S PARCEL NO.: 1702344400806
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Fire restoration.
Owner: CAMPBELL JOHN M & MICHELE ~
Address: 6769 BLUEBELLE CRT SPRINGFI~D OR 9747
Contractor Type
General
Electrical
Plumbing
Contractor
XXL INC
EUGENE ELECT
RIGHT WAY PLU
Phone
541-344-3561
541 484-3787
# of Units:
Primary Occupan Group:
Secondary Occupan Group:
Primary Construction pe
Secondary Construction pe:
# of Bedrooms:
# of Stories Lot Size:
Height of S , ucture Sq Ft Ist Floor:
Ty~ of H t: Sq Ft 2nd Floor:
~~\ T e: S~t;t Basement:
. &; ype: JH ~~-G~agefCarport
'\.~ '!\..'" 1~.58Y Path:, ~0C:J ~~t ~~:
(,' ('1..~ SR.~kIed Building: nfa #' ~r0~eiP.ant~I' -l,.d:
_.'~v ,"\' (\). (€I "(,,fQ . (0 .......;v ~_~
~ e " .
~ \ - ,~EloPMENT INFORMATI -r- ~0 \~0C:J O~~0 \\)~o'\:-7 O'\:-
,\.~ ~ <J>~' fQ 0 ~0 ~ (y.~ ~(it1IRED PARKING
S"\' $) ~ O~ ~e; ~O 0-:::;'. f":> \:l '~~
Front yard Setback: ~. ~ ~~ ~ $;). Overlay Dist: ~. ~:P~ f....~ ~ o~,e. '$:'0 ~ot~:
Side 1 Setback: ~~f;J~\,'0 ~<:) ~ <:)~\,~ # Street Trees B..-ll.~ ~ 'li ~0 ~,,~.~ C;~0'\.0~~~nIJ~dicapped:
Side 2 Setback: ~ ~ ~<ij. ~\..)~ ~ ~ Paved Driv~4Itl~~e ~ (;0 ~,,>S &'\.~ ;1... ~ o'\:- ~<?;'Compact:
Rearyard Setback: '\.'0 ':0'\.'0 ~~ <:)"f- % of Lot ~~~~o b<?;(;S rb--\ ~e ;l..0c:t> ~\Jr>.:>
Solar Setbacks: ~ '"'~ .... <t:,~ ',..0 .&.v ~ ~ ve 0 ,,93
,'IV ~ " ,o~ _$' .J,o\) .'0-0 ~0 'b
~- l ~ R> lo.p' fb'
I PUBLIC IMPROVEM~~_ jt~ i.Qfb' cl~~
~\)~ Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01019
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/16/2005
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
. Total Value of Project
$5,000.00
$5,000.00
08/1612004
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$11.34
$7.94
$68.40
$14.00
$31.00
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
Receipt Number
2200400000000001060
2200400000000001060
2200400000000001060
2200400000000001060
2200409000000001060
Total Amount Paid
$132.68
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.
Ul-eouiredJnsnections I
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing. .
Final Plumbing: When all plumbing work is complete.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01019
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/16/2005
VALUE: ' $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
\ ~ rJAff.- Y ~
- ~or Contractors Signatul - /
iJ /b/O"f
Date
Page 3 of3
$PA~N.~F{:[2';f-rJ'
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
, .
CityJObNUmberCO~1i 200/ . O\O\~ Date O~,\ b,() ~
~ 1 & 2 Family Dwelling or Accessory D New Construction D Demolition
o Multi-Family 13' Addition/Alteration/Replacement D Other
D CommerciaIlIndustrial D Tenant Improvement
Job Address .~. ~ C, 7 ~ 'I ~ J I J-/ t3e../1 5}- Bldg No. Suite No.
Lot Block Subdivision Tax Map/Tax Lot
Project Name
Description of Work/location on premises/special conditions
v[]property
Name Jvt: t~ G" ~ ,Ph<..q
Mailing Address ~ ,I ~ /3/vL p>gJ.f
City ~r:~ State () (L Zip q 7lf7g
Phone ,'\:S"1- 2 4 4 ") Fax
Owner Representative
Phone
Fax
D
Name
Mailing Address
City
Phone
State
Fax
Zip
D
Name
Address
City
Contact Person
Phone
State
Zip
Fax
CCB#
y'{L
Expiration Date
Phone #
o Residential Projects
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-width or Second Driveway DYes D No
Temporary Power DYes D No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions of ORS 70 I and may be reauired to be licensed in the jurisdiction where work is being performed.
I For Office Use Only
I PLAN CHECK FEE I 1; (3)?. b B
I
PERMIT
D
Contractor's Name J
General ./ ~~lf '" -:r' A'1c/4f"",,~-rjrCt"J!oY
Plumbing' _ r ~~ )hT ,{;AL.
Mechanical ( ^J 11, /
Electrical eJl ~t;'1' ~v,'r_
o Comlnercia.f;InduStrial Projects
Has site review application been submitted?
DYes 0 No 0 N/ A
If so, Name of Planner
Journal Number
I RCPT#
BUILDING
(~
11\
Id.,.
~r
-
f._ c('
.>1.& 2 Family DlVclling
SQ Ft
:x $/SQ Ft
Value
New Dwelling Area
Garage/Carport Area
Other Structure Area
Total Value 'f. ("( R,4.$o.""4i:~, &. $:000, ~
;Comnte~cia.l/I.,tdJ.l.1>iridl/1l111fti-Family
SQ Ft :x $/SQ Ft Value
Existing Building Area
New Building Area
Total Value
Existing
New
Occupancy Group(s)
Const. Type(s)
Number of Stories
Secondary
Energy Path
I DATE
I Ore;' I b-OL'tl BY {J ~ \?
APPLICATION
Shared Drive(T:)/Building Forms/Building Pem,it Application IO-02,doc
l' 225 Fin., Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 10 19
COM2004-01019
COM2004-0 10 19
COM2004-0 10 19
COM2004-0 10 19
Payments:
Type of Payment
Check
8/16/2004
RECEIPT #:
Description
Building Permit
Minimum! Adjustment Plumbing
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE/TAYLOR
CONSTRUCTION
......~ty of Springfield Official Receipt
..;velopm~nt Services Department
Public Works Department
2200400000000001060
Date: 08/16/2004
3:28:32PM
Item Total:
, Check Number Authorization
Received By Batch Number Number. How Received
Jmp 2859 In Person
Amount Due
68.40
31.00
14.00
7.94
11.34
$132.68
Amount Paid
Payment Total:
$132.68
$132.68.
Page 1 of 1