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HomeMy WebLinkAboutPermit Building 2003-4-7 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 04/07/2003 APPLIED: 03/21/2003 EXPIRES: 10/07/2003 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 944 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264302300 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Repair fire damage Owner: CYNTHIA C BYFORD Address: 50 KNOOP LN EUGENE OR 97404 Phone Number: 541-689-5819 Phone Number: 541-513-5819 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor CYNTHIA BYFORD CYNTHIA BYFORD I BUILDING INFORMATION I License Expiration Date Phone 541-689-5819 541-513-5819 VN # of Stories: ~o\) ~~\\"\ Lot Size: Height of Structure ~\<.efiJ ~ ~~ \O~ Sq Ft 1st Floor: Type of Heat: ~ 't,.e~<.e<bO 0 #I' J:fJ~: Sq Ft 2nd Floor: Water TtIDll.\\'{>: ~0 etO 91- Cb?~~" ~q Ft Basement: Ran~~eo 'Q~ 0 <.~ Ot--~ 0 <.~ ~0 Sq Ft Garage/Carport ~~go.~"O~ O~~ 0' ~ 0~"O ,p<IQ Ft Other: A<(,,~ \.efiJ'a: ...'1.0<" 1I.f;)~~ ^n\e\\.0\~ ~~fJ Impervious Surface Area: ..... " ...,\'Ii r0\V" rf\' _ (',VY _.".~O . I r~.~~~~iamG~~~~~I)fP'" ~t~ ~~~~? REQUIRED PARKING ~O ~ O\) c1J O~ ~~... \~ 0 ~tl~~~~~0 . ~ '\'~ ()~ tc~~~?~~~d: ~lfDrWe Rqd: % of Lot Coverage: Total: Handicapped: Compa~'t.. '\'t. ~ ~ \T"\~ ,S ~\) . (.~~,~~~~~~ (.\)~ I PUBLIC IMPROVEM~~",\\ 'O\\~~~v. ,\",~~\)~\;.y ~'S ~ ~~\t~Si~~.e: ~~\~ ~~~~~~~~S/Drains: CfJ~ \ro~ ~~ ~~'{ # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft Square Foota2e Value Date Calculated Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 04/07/2003 APPLIED: 03/21/2003 EXPIRES: 10/07/2003 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 35,000.00 $35,000.00 $35,000.00 03/21/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number -Mechanical Issuance Fee- $10.00 4/7/03 1200200000000000958 + 10% Administrative Fee $32.79 4/7/03 1200200000000000958 + 7% State Surcharge $22.95 4/7/03 1200200000000000958 Building Permit $282.90 4/7/03 1200200000000000958 Dryer Vent $6.00 4/7/03 1200200000000000958 Exhaust Hoods $9.00 4/7/03 1200200000000000958 Minimum/Adjustment Mechanical $24.00 4/7/03 1200200000000000958 Vent Fan $6.00 4/7 !O3 1200200000000000958 Total Amount Paid $393.64 I Plan Reviews I Structural Review 03/31/2003 03/31/2003 APP TCM 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. ~eouiredJnsDections I 1 Wall Insulation: Prior to cover. 2 Ceiling Insulation: Prior to cover. 3 Drywall: Prior to taping. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Mechanical: Prior to Cover 6 Final Mechanical: When all mechanical work is complete. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. Pa2e 2 of3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 04/0712003 APPLIED: 03/21/2003 EXPIRES: 10/0712003 VALUE: $ 35,000.00 225 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. ;C:Z/~"'<< Pbdk~/ q-t;-D.'3 Owner or Con;/:.';tors Signature ,/ /- Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00 195 COM2003-00 195 COM2003-00 195 COM2003-00195 COM2003-00 195 COM2003-00195 COM2003-00 195 COM2003-00195 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000958 Date: 04/07/2003 Description Building Permit Vent Fan Exhaust Hoods Dryer Vent Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No CYNTHIA BYFORD djb Page 1 of 1 4/7/2003 10:40:llAM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 282.90 6.00 9.00 6.00 24.00 10.00 22.95 32.79 Line Item Total: $393.64 How Received Amount Paid In Person 393.64 $393.64 Payment Total: cReccipt.rpt Construction ContraclVcs Board 700 SummerSt NE Suite 300 PO Box 14140 Salem OR 97309-:5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: CoVVl W' .~, - 001 5 S- ,Address: 9'1t1 . Gn'l.~,^,~J Issued by: ~& Date: ~~/c; "1 I .< ,Statement:. Information Notice to Property Owners . About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and . plumbing'permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.01.0(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~. 1. I own, reside in, or will reside in the completed structure. . ~'2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. . D 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the s~cture must be licensed with the Construction Contractors Board: . OR . ~ 3B.' I will be my own general contractor. If I hire subcontractors; 1 will hire only suhcontr~Ctor~ licensed. with the Construction Contractors 'Board. If! change my mind and hire a general contraCtor, I will contract with a contractor'who is licensed with the C~B and will immediately notify the office issuing this building permit of the. name Qfthe contractor. , I hereby certify that the above infoniIation is correct and that I have read and do understand the Information Notice to pr~ Owners about Construction Responsibilities on the reverse side o~ this form. elfl#/iq; ~,4,::'2~p" Lf- /7-D,5 pZ~ignat~re ofpe . 'applicant) . .,; . (Date) (White' copy to issuing agency permit file, pi~k copy to applicant.) prop-own. doc OS/22/00 NOTE: f\fotfCG t'O Oti'i!(Jef!2 Construction Contractu,'::S Board it' accordancG many tc- pt'D are as YO'11,(, Q'}i,'SJ COTltract~)r to' construct fl ,re'.;;; you can c;;:d (,,}nc:ems, iT! most te use contractors not licensed wiJh an if or structure. }'"'1 :a'.jj~ 3j~~ ~~o/'J ~ , yeu must taxes th.e taX eV?;TI if you don't t; rn '; "\(CU Vt!il1 be tCD' ;/Cl.JJ T 2iJ'~~ Pi.S an Foy i-neT;:: to pay a tGX all A'rtS1JIanr:e p~'-::tCs:-:;:': , . 5C3..J78 .352/;,. :"13"".;/ ccn1'lf:'<-'.:;!;:"t; Dil_ -:.-" J . tlC";~H}le t8X ,,--<C'T 8 T2 :n\.f ':AI~tg (.;:.:;. !..~""A lJ'T 3L;AD9. any :failurE 'le _tnf{~'~ c .~,(':; ii r;r sure you have jlll~e tt' supervise your haVE the skills to act as your OWl1 <',5 the contractor, to com dinate the times sa they can perform at questions cail CGl1stru('tion OR 97309-5052. (503-378-462 ext 4900) Qf the age"ttcy prop-o\vn.doc OS/22/00 ;- :-, ;-- .i '. ~, March 10, 2003 To: Tom Marx City of Springfield From: Jim and Cindy Byford Subject: Work Schedule Mr. Marx In the first 45 days after the permit is issued the pads, stringers and the floor underlayment will be fmished. During the second 45 days the roofwill be rebuilt and fmished. The third 45-day period will be used to do the wiring, plumbing, interior walls, and windows. During the fmal45-day period we expect to complete the fmish work, painting etc. At that time the project should be complete Jim and Cindy Byford 50 Knoop Lane Eugene, OR 97404 541 689-5819 (j' . . , ;' f '( , ! j '. ~\i14 \ ~o~~ ~r ~ REc.~:i\TRDl MAR 1 1 2003 BY:~g~. '" ........