HomeMy WebLinkAboutPermit Building 2008-4-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/11/2008
VALUE: $ 30,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5428 E ST
ASSESSOR'S PARCEL NO.: 1702331300500
Springfield TYPE OF WORK: Fire Damage
Residential
PROJECT DESCRIPTION: Fire damage
TYPE OF USE: Repair
Owner: METTEER ADAM J
Address: 564 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechanical
Contractor
XXLINC
INNOVATIVE AIR INC
License
109867
161742
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
/ - ,. "I-r,r # of Stories:
R 3 ,,; )1\1' H^Y<lrl!'''' t'Q~ .
-,. elgut10 '~"rfi~ees you to
,I l".,tl;lt; aG'f'O,);Cdfr.,-1. tita 0
,\:'-.I"tr,~. C ype-o .Neal" regon Utility
v, . ,-,alIOn e~r T"'-' co I
ItlVjJAR 952'00l~."t)rtet'l~fU es are set forth
0090. You ma Rgq.\retflWll9h OAR 952-001-
calling the c~~~{flB:t~s of the rules by
number for thegffiin1~tlto~1I'~dht~lePhone n/a
r- .. regon tlhtyl\lntifiMi:__
I"'DEVELbp~R)MATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Expiration Date
11/0912010
10/11/2008
Phone
541-747-5413
541-746-1040
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE tF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pae;e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/11/2008
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
30,000.00
Value
Date Calculated
Description
Total Value of Project
$30,000.00
$30,000.00
04/1112008
~
Total Amount Paid
Amount Paid Date Paid Receipt Number
$20.00 4/11108 1200800000000000342
$33.35 4/11108 1200800000000000342
$40.02 4/11108 1200800000000000342
$16.68 4/11108 1200800000000000342
$9.00 4/11108 1200800000000000342
$279.54 4/11108 1200800000000000342
$7.00 4/11108 1200800000000000342
$10.00 4/11108 1200800000000000342
$14.00 4/11108 1200800000000000342
$14.00 4/11108 1200800000000000342
$443.59
I Plan Reviews I
04/1112008 04/1112008 APP DJB Engineered fire damage repairs and
structural modifications.
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
Furnace - up to 100,000 btu
Vent Fan
Structural Review
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.
~eouiredJnSDections 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work 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
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/11/2008
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 plans will remain on the site at all
tim"~~~
7 Contractors Signatnre C)
Paee 3 of 3
Date
225 Fifth Street
Spripgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
. COM2008-00509
COM2008-00509
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000342
Date: 04/11/2008
DescnptlOn
Furnace - up to 100,000 btu
Air Handlmg Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
~MechanIcal Issuance Fee~
BUlldmg Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
MCKENZIE TAYLOR
CONSTRUCTION
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
3733
In Person
Payment Total:
Page 1 of I
12:05:12PM
Amount Due
1400
900
1400
10 00
700
2000
279 54
1668
4002
3335
$443.59
Amount Paid
$443 59
$443.59
4111/2008
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5428 E ST
ASSESSOR'S PARCEL NO.: 1702331300500
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 11/16/2008
VALUE: $ 30,000.00
Springfield TYPE OF WORK: Fire Damage
PROJECT DESCRIPTION: Fire damage
Owner: METTEER ADAM J
Address: 564 68TH PL
SPRINGFIELD OR 97478
TYPE OF USE: Repair
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechanical
Plumbing
Contractor
XXLINC
INNOVATIVE AIR INC
TOMS PLUMBING SERVICE INC
License
109867
161742
159425
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
VB
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
"'Ul5f'U rPilE~
Street ImpIi.OY~Q)~~s:
Storm Se~lSA~liifJtqil: SHAll EXPIRE IF THE WORK
SpecialIAUJJiilblilED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
--......- -
Pal.!:e 1 of 3
Residential
Expiration Date
11/09/2010
10/11/2008
05/12/2008
Phone
541-747-5413
541-746-1040
541-607-8879
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
fo~~IRsr,papted by the Oregon Utility
No]fication Cem~r~ Those rules are set forth
In o'~Pf~~t1f.:tftH'lfihrough OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 11/16/2008
VALUE: $ 30,000.00
,.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
30,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$30,000.00
$30,000.00
04/11/2008
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee- $20.00 4/11/08 1200800000000000342
+ 10% Administrative Fee $33.35 4/11/08 1200800000000000342
+ 12% State Surcharge $40.02 4/11/08 1200800000000000342
/+ 5% Technology Fee $16.68 4/11/08 1200800000000000342
Air Handling Unit Up to 10,000 $9.00 4/11/08 1200800000000000342
Building Permit $279.54 4/11/08 1200800000000000342
Dryer Vent $7.00 4/11/08 1200800000000000342
Exhaust Hoods $10.00 4/11/08 1200800000000000342
Furnace - up to 100,000 btu $14.00 4/11/08 1200800000000000342
Vent Fan $14.00 4/11/08 1200800000000000342
+ 10% Administrative Fee $19.20 5/16/08 2200800000000000681
+ 12% State Surcharge $23.04 5/16/08 2200800000000000681
+ 5% Technology Fee $9.60 5/16/08 2200800000000000681
Fixture $192.00 5/16/08 2200800000000000681
Total Amount Paid
$687.43
I Plan Reviews I
Structural Review
04/11/2008
04/11/2008
APP DJB
Engineered fire damage repairs and
structural modifications.
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.
~e(]uiredJnsnections .
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.
Pal.!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00509
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 11/16/2008
VALUE: $ 30,000.00
r'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work 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 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.
<- ~ -L/YY') (? m~ ----
~er or Contractors Signature ()
5 ~/&-2d()A
Date
Pal.!:e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00509
COM2008-00509
COM2008-00509
COM2008-00509
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admlnlstrattve Fee
Paid By
MCKENZIE/TAYLOR
CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000681
Date: 05/16/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DDK
3766
In Person
Payment Total:
Page 1 of 1
11 :04:06AM
Amount Due
19200
960
2304
1920
$243.84
Amount Paid
$243 84
$243.84
5/16/2008