HomeMy WebLinkAboutPermit Building 2008-2-20
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01862
ISSUED: 02/20/2008
APPLIED: 12/18/2007
EXPIRES: 08/20/2008
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7527 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702350002901
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: use initials
Residential
PROJECT DESCRIPTION: House fire restoration
Owner: CAMPBELL CYNTHIA & GLEN
Address: 39040 HENDRICKS PARK RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
XXL INC 109867
OWNER U to
INNOV ~"nYliPAmJINnegon ~a~~:~X~t~ftV742
BAXT&Blll3bUMBml9~~~_q't~~,#6~\!rA ~~t ~28
. NotltlcallOlI \ "'''lCi!" Tr.e-.' . -.- .
in OAR 952- INO I
0090. You may obtain c . the telephone
calling the cente'rDt(~\Ete~WJi' ificanon
nu~er for the OI~' M~t ~ .~
U Center is~Q~6r. ..
VN Water Type:
Range Type:
Energy Path:
Sprinkled Building
Expiration Date
06/26/2009
Phone
10/11/2008
03/13/2008
541-746-1040
541-935-6696
# of Units:
Primary Occupancy Group:
S~condary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
No
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~O!ICE:, ~I; itrw.f Ie T1-lF WORK
I pUBnmiJNI~n~~LfP~ H\S PERM\T \S NOT
f\U 1II0Rl ANI:\n.Mt:n J:nR
COMMENCED OR \5 AB I.llWl~MR Type:
ANY 180 DAY PER\OD. Downspouts/Drains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!:e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Vent Fan
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01862
ISSUED: 02/20/2008
APPLIED: 12/1812007
EXPIRES: 08/20/2008
VALUE: $ 30,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
30,000.00
Value
Date Calculated
Total Value of Project
$30,000.00
$30,000.00
02/20/2008
~
Amount Paid
Date Paid
Receipt Number
$20.00
$37.95
$45.54
$18.98
$9.00
$279.54
$7.00
$10.00
$16.00
$14.00
$3.00
$34.00
$7.00
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
1200800000000000149
$502.01
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouiredJnsnections I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
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.
Pal.?:e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough PJumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01862
ISSUED: 02/20/2008
APPLIED: 12/18/2007
EXPIRES: 08/20/2008
VALUE: $ 30,000.00
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 pJans wiH remain on the site at all
times during construction.
~~~ ~~
Owner or Contractors sig~re
Pa2e 3 of 3
:lJ~/ o&'
f
Date
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01862
COM2007-01862
COM2007-0 1862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
COM2007-01862
Payments:
Type of Payment
Check
cRecemt]
RECEIPT #:
1200800000000000149
Date: 02/20/2008
Description
BUIldIng PermIt
Fixture
MInimum/AdJustment Plumbing
Furnace - up to 100,000 btu
Air HandlIng Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
MInImum/AdJustment Mechanical
-Mechanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstratIve Fee
Paid By
MCKENZIE TAYLOR
CONSTRUCTION
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
3681
In Person
Payment Total:
Page 1 of 1
9:39:30AM
Amount Due
279 54
1600
3400
1400
900
700
10 00
700
300
2000
1898
4554
3795
$502.01
Amount Paid
$502 01
$502.01
2/20/2008