HomeMy WebLinkAboutPermit Building 2006-1-23
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726-3689
www.cl.springfield.or.us
January 23,2006
Thomas and Amanda Freitag
1123 Kintzley Avenue
Springfield, Oregon 97478
Enclosed is a copy of the fire damage permit for your residence at 1123 Kintzley Avenue,
Springfield, Oregon.
When you obtained your permits, we neglected to properly validate them and to enter
your phone number. I am enclosing a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Lisa Hopper
Building Safety Supervisor
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00082
ISSUED: 01120/2006
APPLIED: 01120/2006
EXPIRES: 07/20/2006
VALUE: $ 4,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1123 KINTZLEY AVE
ASSESSOR'S PARCEL NO,: 1802062403000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: FIRE DAMAGE REPAIR - Previous fire
Owner: FREITAG THOMAS & AMANDA
Address: 1123 KINTZLEY AVE
SPRINGFIELD OR 97478
Phone Number: 541-746-5379
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R3
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
VB
nla
f~:O':NTION:Oregon law r ,I DEVELOPMENT INFORMATION I
,NotjfiCat~~~e~:dOPted by the 6r~'~" yo~ ~o
Fronty<frd:S~tback: 0 nter. Those rUles 9 n U~v9'rlay Dist:
, . v"",_ 0 1 00 are'
Side 1 Set,!l3~k;ou - 10 through OAR Set#iStteet Trees Rqd:
Side 2 Setback: t may obtain cop,'es 952'Ba'Yed Drive Rqd:
-"""'0 b of th - ,
RearyanL~I~J'pk: e center. (Note' th e rule~.19f Lot Coverage:
Solar Setbacl<s: tor the Oregon ui'/' e telephone .
CAnt......!_ ~ I 'tVI\Jf"\HI:__"
- , UUU-d32-2344)1 r~~~~'.:. llviPROVEMENTS,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: Sidewalk Type:
THIS PERMIT SHALL ~1A!!'rF?ifEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 OAY pr:Q,nn
I Valuation Descriotion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of2
~' ,
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00082
ISSUED: 01/20/2006
APPLIED: 01/20/2006
EXPIRES: 07/20/2006
VALUE: $ 4,500.00
Status
Issued
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
4,500,00
$4,500,00
$4,500,00
01/20/2006
Total Value of Project
U'iir,' P~id I
Fee Description
+ 100/0 Administrative Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$6,84
$5,47
$68,40
1/20/06
1/20/06
1/20/06
Receipt Number
2200600000000000083
2200600000000000083
2200600000000000083
Total Amount Paid
$80,71
I 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.
I RNJUJjilrl"orl Jnonpt't;nno .
1I.,flrlrIWIIfl(lrl~
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Final Building: After all required inspections have heen requested and approved and the building is complete,
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 he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he 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 he 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.
, I
Owner or Contractors Signature
Date
Pa!!e 2 of2
.
.
CITY ot< ~rK11~GFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00082
ISSUED: 01/20/2006
APPLIED: 01/20/2006
EXPIRES: 07/20/2006
VALUE: $ 4,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1123 KINTZLEY AVE
ASSESSOR'S PARCEL NO.: 1802062403000
Springfield TYPE OF WORK: Single Family Residence
"
( PROJECT DESCRIPTION: FIRE DAMAGE REPAIR - Previous fire
TYPE OF USE:
Repair
Residential
''-Owner: FREITAG THOMAS & AMANDA
Address: 1123 K1NTZLEY AVE
SPRINGFIELD OR 97478
.~
~ \.~:;:
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
, ' Primary Construction Type
, Secondary Construction Type:
# of Bedrooms:
R3
# 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:
VB
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I 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 IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
, Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.
CITY OF SPRIl';t>-1<lJ!,LD
Status Issued
q~
" 225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
. 541-726-3676 Fax
~541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2006-00082
ISSUED: 01/20/2006
APPLIED: 01/20/2006
EXPIRES: 07/20/2006
VALUE: $ 4,500.00
Bid Amount
Use Bid Amount
$1.00
4,500,00
$4,500,00
$4,500,00
01/20/2006
Total Value of Project
Fees Pailll
Fee Description
+ 100/0 Administrative Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$6.84
$5,47
$68,40
1/20/06
1/20/06
1/20/06
Receipt Number
2200600000000000083
2200600000000000083
2200600000000000083
Total Amount Paid
$80,71
q'
I 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.
I Reouirell Tnme~tiont.l
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete'.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
, t,. 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" . ~
5~~
'--'
\ I"l-D ( 0 ,
Owner or Contractors Signature
I
Date
"~,I
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006.00082
COM2006.00082
COM2006.00082
Payments:
Type of Payment
Check
2
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:,
;1
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2
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:1
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'AI
2
1/20/2006
:1
RECEIPT #:
."~'I!'~,)iIL~',"""
~.
~.:
aity of Springfield Official Receipt
'lllllllJ'evelopment Services Department
Public Works Department
2200600000000000083
Date: 01120/2006
Description
Building Pennit
+ 8% State Surcharge
+ 10% Administrative Fee
PaId By
THOMAS FREITAG
Received By
dim
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
4214
In Person
Payment Total:
I:S0:04PM
Amount Due
68.40
5.47
6.84
$80,71
Amount PaId
$80,71
$80,71