HomeMy WebLinkAboutPermit Building 2006-5-3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00522
ISSUED: 05/03/2006
APPLIED: 05/03/2006
EXPIRES: 11/03/2006
VALUE: $ 3,000.00
Status
Issued.
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 6858 GLACIER DR
ASSESSOR'S PARCEL NO.: 1802031102300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION: Kitchen Remodel
Owner: BIGLEY DARYL & NANCY
Address: 6858 GLACIER DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
MOIR CONSTRUCTION
EASTSIDE ELECTRIC INC
MOIR CONST
License
41570
117770
Expiration Date
02114/2009
10/04/2007
Phone
541.343.4396
541.915-9828
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Oc~upant Load:
R.3
nla
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Sethack:
Side 2 Set hack:
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 InstrnciiolJ:'NTION: Oregon law reC:l.ims YOl! ',0
follow rules adopted by the Orc[.m :';,:!1
Notes: Notification Center, Those rules [.[(J c ,! ',:r'il
in OAR 952,001-0010 throu90l O;,H S ~<, ~,
0090, You may obtain ccpios of the r;..~"s ,~y
calling the center, (f\:ute: the te'~):,c,10
number for the Oregon Utility Nu\,;,c,",,,..m
Center is 1-800-332,23";4).
Sidewalk Type:
DownspoutslDrains:
,
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WOIK
AUTHORIZED UNDER THIS PERMIT IS N( T
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of 3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00522
ISSUED: 05/03/2006
APPLIED: 05/03/2006
EXPIRES: 11/03/2006
VALUE: $ 3,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,000.00
Value
Date Calculated
Total Value of Project
$3,000.00
$3,000.00
05/03/2006
J;'pp\" P~irl I
$10.00
$9.78
$7.82
$52.80
$9.00
$4,00
$32.00
5/3/06
5/3/06
5/3/06
5/3/06
5/3/06
5/3/06
5/3/06
Receipt Number
1200600000000000596
1200600000000000596
1200600000000000596
1200600000000000596
1200600000000000596
1200600000000000596
1200600000000000596
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Exhaust Hoods
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Total Amouut Paid
$125.40
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.
, Rpnlli~nsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Building: After all required inspections have heen requested and approved and the huilding is complete.
Pace 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541.726.37691nspection Line
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00522
ISSUED: 05/03/2006
APPLIED: 05/03/2006
EXPIRES: 11/03/2006
VALUE: $ 3,000.00
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 insp tions are requested at the proper time, that each address is readable from the
street, that the permit card is located at the nt of the property, and the approved set of plans will remain on the site at all
times during constr ction.
Owner or Contractors Signature
Pa~e 3 of 3
Date
:;--h !o~
{
SPRINGFIELD "'~-~''''I"-
. r I' A f."".j
f' ';:".:.:l",~!""7~~~'t'~:;'.I. ;
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X: (541)726-3689 r~t~~,. ~'~
s;-/JJaL
o Demolition
o Other
City Job Number Cr:.:.-
(&1 1 & 2 Family Dwelling or Accessory
6~f"2-<-
o New Coustruetion
o Multi-Family ,lKL Addition/Alteration/Replacement
o Commereia9.ud~U;ial /' I vO, Tenant Improvement
Job Address, bcY:'C V (-~iltf1.-1~tI2J Bldg No,
Lot Block Subdivision Tax Mapffax Lot
Project Name U/;A~/~. h/L~{1A~ [",,71:-
Description of Work/location on premises/special conditions /
r,~..-:<~-;j:~~.1,,"'.~l;.~~"~,-~j:""~;;1.:'f""-' >;7";"- - -;'",-;'~r JC~--::r'~ ~ '~"',' . wr~. ~'-. --,-'';:;' ....., ," ,',' ~. -,,~r"'.~.~ l"i:,-'f'''' <J./>, :> ~"""".
~:~=;1tS~f%r "~:~:~:~".:;\;~~~:~':'~~""
City ~!L State ,~/. Zip I)?vrl? Garage/Carport Area
Phone -? 1./ /, .. 7 q.fZ- Fax. Other Structure Area
Date
Suite No.
Owner Representative
Phone
Fax
Total Value
~.:;~~ ,~~:".~~ 'j:~::;~;;~;fiXr.r~I':~_'c~':TI;1.'ifS:r..'1-~~ 7'J',~(:,,: "...;,'"!,' ,:. .\,l'_,,~,~.;;.:t"i ':::t1,"?~' ~,,'.~
;~t;:llmm!!!:.<;i!!1/ LT!clUS triClI/Ar.\Ilti- f<!.J!t iJ!i:,::,,:i<":~.1> ,.;.;:t., ;
SQ Ft X $/SQ Ft = Value
p.~:;r,:'''''Y:*l~.:?,~~i;r;;,~~,..:'''~~r1~~~~-i'''1'Jf.q
o ~~pkUfant:t' ~~t},~,d;t;;~~ i.;/t!,h~:iii&1iT'e,:ruJ..~~~:~~
Name <:::fp.1/{' ,/J1tJ/{,
Mailing Address /39/) /J..q Jr, Ill) ,
City Wf!Bu( State (M: Zip f??Vt1t(
Phone~':?-id?N Fax 11f/~//..r::7?
Existing Building Area
New Building Area
Total Value
~~,"\1i"'ft~'H~4~'~' .... i:s:~,?::,:;:,(,,;~,""'~--;,~!l't~_?r:;."'W'i''\''':~~fi,
o e:~..r_ch(t~~jl..p~~'jfil.l~fIEn9.iil~~j~3':;>~'~'J:"o,~~J:~--z~~
Name
Address
1'<'~';r~?'~T:7l'f:,.r;.-...:r~p~.;.:-r-~~." ',' ,- ~'.....~, 't't- .;..:.;;,~",'.~
~+,_t~Jj'}~':25:.V::'rr:l1r:1,~,::,:;~"";"iAlt.~2l..t,.z,~\~:;;,;!.~b:::1::t../!.~.-#,~~1'~~~ ~r
Existing
New
City
Cqntact Person
Phone
State
Zip
Occupancy Group(s)
Const. Tvpe(s)
Number of Stories
L'~.. .\ '.'.... ~"',... '. ~-", "1"","" <.::r-T~"."~ ~ '.r.; , ..... .,..... "',{-.....-"<i..---.",.-........'r"r,.1'...,->.t,l~F~. ......-...,."'-~.,~f7'I'.... ~--- -~~~,,'(:'. --;l'l.'~~-l'-r
O 'Contractor(s):;-I~;" ~;~t' ,,:~. '.:, -.,.,. .':;'::!J .:. \/;,1~ 0', i::!":....""..:-'<i 'f~;r!"'!.v':":' ,...,1.'i.':-.:"':f=.j;''r..: '~:1''t'''';. :l'::;t.;.,,',:., ,.'..''!Jr.....
'~~\'.'; .~.:C:/-..;',:.L...i,.,-::. .f>',' "J
~__,.._"....;._...",. .., ::.._...:.t':''''-,l'''::.t~..:.:'''':..~~.;..c...~_:''.i:'.,-!.L.J.'_'~''':'''--' ~'_".....~_.l.:t..:-":::',~~:...~~,~~:...,:..::...)'-- ~,~",'....J:~r;<:::o!.....:_~;":'~.
' .. l. "
C;ontractQr's Na~ _I 7", S;CB# :2'~a~n Date ~n7 # I
General mlJ I/? l!JJ/I.{7/ ..LA~ '-II r7D ~IJ 1 ,5.!~~i::Y.';:>q iL
Fax
Plumbing
Mechanical
Electrical
~s ~~~~~::'~ra;~;i?~:~tt::tZ~d~~'~~:;' ~at ~!~~~!i~;'~:'a~ojc.~i!!!;:'~iA'Z\' ~:Dk3i~i~;3~;:Z;!f;i~~\"i:..:;.. :::,
DYes 0 No 0 N/A Water Heater Range Energy Path
If so, Name of Planner Do you require any of the following for this project?
Journal Number ' Over-width or Second Driveway 0 Yes iNO
. Temporary Power 0 Yes' No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the Stat Oregon
under provisions ofORS701 and may be re_Quired to be licensed in the jurisdiction where work is bein~ performed,
I~ForQtfice,Usc;Only~.;, '<.\<:i:::; ~':).J,-.:;';:':".,; ','-- k~1;~~':~'f."":> ~.. ;'~."':~'i~../~';'., .,'; '~J:-"::';:;"'<<::~"~ .,,-:' \1'-
I PLAN CHECK FEE I I RCPT# I DATE
IBY I
BUILDING
PERMIT
AP PLICA TION
Shared Orive(T:)/Building FonnslBuilding. Pennil Application IO.Q2.doc
225 Fifth Street
Springfieid, Oregon 97477
541-726-3759 Phone
-Willf
Ciliti..of Springfield Official Receipt
IWlopment Services Department
Public Works Department
Job/Journal Number
COM2006.00522
COM2006-00522
COM2006-00522
COM2006-00522
COM2006-00522
COM2006-00522
COM2006-00522
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 05/03/2006
1200600000000000596
Description
Building Permit
Exhaust Hoods
-Mechanical Issuance Fee-
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MOIR CONSTRUCTION INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim
4584
In Person
Payment Total:
Page I of I
2:51 :54PM
Amount Due
52,80
9,00
10,00
4.00
32,00
7.82
9,78
$125.40
Amount Paid
$125.40
$125.40
5/3/2006
NEW WIJJDt:JW ~P8lJlq~
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1 1-- -- 8"="8 ,- --
1 I-
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1 ~ 0 -:L~ ~
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1 DINING ~
1 12'-5" X 11'-3"
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1--
LIVING
14'-6" x 17'-4"
II
II
II
II
II
II
II
II
II
, ,
HALL
6'-11" x 5'-11"
tP'2G"~ 6{;+C~ '
CtJ)ff ;2-IXJh -60 ~ z L
s-I.fh~~f-
REVIEWED FOR 7~
CODE COMPLIANCE
t!Y5T,4!L 1(~t(;,dJ) .5D/D)(c. ~s 11'1
C;11ceII B.Il.} IN ~J /fCeLSJ//'I4
_ ~ _ _ ~S N'J 6UM.~ /LVd .
1 r - - - 12'-0" - :- - - - ,- - -
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GARAGE :
11 '-9" x 14'-9"
r-- I
I -, I
c-------- 1 I'
: -: :--------:: ::
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
: ,: :: _ _ _ ..j u _ _ 1 :
1 I -
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I.
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KITCHEN
29'-5" x 11'-2"
, 1"..,.
-
GARAGE
20'-2" x 17'-4"
OFFICE
11'-11" x 11'-2"
I
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