HomeMy WebLinkAboutPermit Building 2007-12-20
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01907
ISSUED: 12120/2007
APPLIED 12/20/2007
EXPIRES. 06/20/2008
VALUE. $ 80,000 00
SITE ADDRESS 1224 MODOC ST
ASSESSOR'S PARCEL NO, 1703264417500
Spnngfield TYPE OF WORK FIre Damage
PROJECT DESCRIPTION Roof repaIr - fire damage
TYPE OF USE RepaIr
ResIdential
Owner MARC TOY
Address 1224 MODOC ST
SPRINGFIELD OR 97477
Contractor Type
General
I CONTRACTOR INFORMATION I
Contmctor
BELFOR USA GROUP INC
License
146973
#ofUDlts
Pnmary Occupancy Gronp
Secondary Occupancy Group
Pnmdry Conslruchon Type
Secondary ConstructIOn Type
# of Bedl ooms
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer Available
SpeCIal InstructIOn
Notes
DescrIPtIOn
I BUILDING INFORMATION I
# of Stones
R-3 HeIght of Structure yOU 10
I~N~tI teqult9S n UtilitY
vJ.~O I I!/f lhe Of ego sel1ortl\
tollo'14 rules 0 t l\llPIlSe fule~~~ 952-001.
Nollllcal1on 1:{lU'I!l:tt1fOU9h I the rules by
In OAR 952- IJIB!lt~RlM.O telephOllllJ
-r600 Vn'\ t1) ~ f"'ln,~~'\"e iI _...ht'\l'\
....~immrEiJl~~Ql'lfWFi(5~ I
l\Ur.I~". ~I s -1-tJ, ! -
cenler ,
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd.
% of Lot Coverage
Phone Number 541-349-2809
ExpIratIOn Date
02/16/2009
Phone
541-726-9905
Lot SlLe
Sq Ft 1st Flool
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Othe,
Occupant LOdd
REQUIRED PARKING
Total
Hdndlcapped
Compact
I PUBLIC IMPROVEMENTS I
sldew'~f~"t-lO~~
N01\CE~ ~IT SHT>,l\' ~~~~\1A\~I\iPT
~~:i~lE\) \l~~~; ~~t-.~\)O~E\) fOR
~~~~;~~E~ PERIO\).
I ValuatIOn Descrintion I
$ Per Sq Ft
or multlpher
Square Footdge
or BId Amount
Type of ConstructIOn
Page I of2
Value
Date Calculated
_""N.~
Ut...
~.'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01907
ISSUED' 12/20/2007
APPLIED 12/20/2007
EXPIRES: 06/20/2008
VALVE: $ 80,000.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
EstJmate
EstJmate
$100
80,000 00
$80,000 00
$80,000 00
12/20/2007
Total Value of Project
Fees Paid'
Fee DescriptIOn
+ 10% Admmlstrahve Fee
+ 5% Technology Fee
+ 8% State Surchdrge
Bmldlllg PermIt
Amount Paid
Date PaId
ReceIpt Numbe.
$53 70
$26 85
$42 96
$53704
12/20/07
12/20/07
12/20/07
12/20/07
1200700000000001514
1200700000000001514
1200700000000001514
1200700000000001514
Total Amount PaId
$660 55
Plan Reviews ,
Structural RevIew
12/20/2007
12/20/2007
APP DJB
Engmeered I epaIr to fire damdged
loof
To Request an mspectIOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a.m. WIll be made the same working day, mspections requested after 7 00 a m. WIll be made the followmg
WOI k day.
I ReoUlred T n~n~ctJons I
Frammg InspectIOn Pnor to cover and after all rough IIllllspectlOns have been approved
Fmal Bulldmg After all reqUIred mspectlOns have been requested and dpproved and the bulldmg IS complete
By sIgnature, I state and dgree, that I have carefully examIDed the completed apphcatlOn and do hereby ce.lIfy that all
IIlformatlOn hereon IS tl ue and correct, and I further certlly that any and all work performed shall be done III dccorddnce With
the Ordmances of the CIty of Spllllgfield and tbe Laws of the Stdte of Oregon pertammg to the work descnbed herelll, dnd
that NO OCCUPANCY will be made of any st. uctnre wIthout permISSIOn of the CommulllIy ServIces DIVISIOn, Bulldmg Safety
I furthe. certJfy that only contractors and employees who are III compliance WIth ORS 701 005 WIll be used on thIS pi oject
I further agree to ensure that all reqUIred IIlspectlOns are requested at the proper lIme, that each add. ess IS readable from the
street, that the permIt card IS located at the f.ont of the property, and the approved set ofpldns WIll remdm on the site at all
times durmg constructIOn
/~~ fd~O~7
Owner or Contractors SIgnature
Date
Pa~e 2 of2
225 F;fth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1907
COM2007.01907
COM2007-0 1907
COM2007 -01907
Payments
Type of Payment
Check
cRecemtl
RECEIPT #.
DescriptIOn
BUlldlllg Perm II
+ 5% Technology Fee
+ 8% Slate Surcharge
+ 10% Admllllstrallve Fee
Paid By
BELFOR
SPJjlfNQFJIILD o..,j!!,.ll I
CIty of Spnngfield OffiCIal ReceIpt
Development Services Department
PublIc Works Department
1200700000000001514
Date. 12/20/2007
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb 19045 In Person
Payment Total
Page I of 1
2 03 54PM
Amount Due
53704
2685
4296
53 70
$660 55
Amount PaId
$660 55
$660 55
12/20/2007