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~.
'"
........