HomeMy WebLinkAboutPermit Building 2008-4-29
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-00578
ISSUED: 04/29/2008
APPLIED: 04/24/2008
EXPIRES: 10/29/2008
VALUE: $ 14,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2259 5TH ST
ASSESSOR'S PARCEL NO.: 1703262101902
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair Fire Damage
Owner: V AN CHURA FRANK JR & D M 1-2
Address: 2245 N 5TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-7356
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
BELFOR USA GROUP INC
License
146973
Expiration Date
02116/2009
Phone
541-726-9905
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# 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:
nla
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENT~\II t:NTION' Oregon law requires YOU,lO
NOTICE: r_' JW rules adopted by the Oregon Utility
Streett~~moor=SHALL EXPIRE IF THE WORK Notlficat~Std8talk~1fyp'e:)se rules are set forth
in OAR 9;;2-001-0010 through OAR 952-001-
Stor~~~~~~[b~NDER THIS PERMIT IS NOT 0090, Yo~oNlR~8Bt~Rl(Jlj~~es of the rules by
Specll{!ffl~~VltC~JeIED OR IS ABANDONED FOR calling the center. (Note the telephone
ANY 180 DAY PERIOD number for the Oregon Utility Notification
Notes. Center IS 1-800-332-2344).
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00578
ISSUED: 04/29/2008
APPLIED: 04/2412008
EXPIRES: 10/29/2008
VALUE: $ 14,600.00
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
14,600.00
$14,600.00
$14,600.00
04/29/2008
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
$16.15
$19.38
$8.08
$161.54
4/29/08
4129108
4/29/08
4/29108
Receipt Number
2200800000000000546
2200800000000000546
2200800000000000546
2200800000000000546
Total Amount Paid
$205.15
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.
I Reouired Insoections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Fmal 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
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 ofany 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~
Lf - ;;< C; - c> B
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00578
COM2008-00578
COM2008-00578
COM2008-00578
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescrIptIOn
BUIldmg Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
BELFOR
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000546
Date: 04/29/2008
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
Ilh 19084 In Person
Payment Total:
Page I of 1
10:17:37AM
Amount Due
161 54
808
1938
16 15
$205.15
Amount Paid
$205 15
$205.15
4/29/2008