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Home My WebLink AboutPermit Building 2008-5-8 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00651 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3365 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062104300 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire damage Owner: CHAMBERS DAHNAH R & KEITH 0 Address: 3365 DOUGLAS DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Tvpe General Contractor BELFOR USA GROUP INC License 146973 Expiration Date 0211612009 Phone 541-726-9905 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: ATTmm~fCSt~~ew requires you to Sq Ft 1st Floor: followr~~ted by the Oregon ~~ltti~q Ft 2nd Floor: Notifi~~r. Those rules are ;5e2 g~1.sq Ft Basement: In OAlIJ.lj6~~OO1 ~ through ~~~ I~s b~q Ft Garage/Carport 0090.Etold~a>Jltootatn caples 0 e ru ~q Ft Other: to, ,{Note: the tel~phone call8}g-b~But dlUg UtTt N6'trticatlOnOccupant Load: _......M ~^r the.-.Qreq.on 11 Y . I DEVELO~1fi~X'TnJ~~l REQUIRED PARKING R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT S~P'tRlBlbldiffiIslE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00651 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 10,000.00 $10,000.00 $10,000.00 05/08/2008 Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt Number $11.86 $14.24 $5.93 $118.64 5/8/08 5/8/08 5/8/08 5/8/08 1200800000000000444 1200800000000000444 1200800000000000444 1200800000000000444 Total Amount Paid $150.67 I Plan Reviews I Structural Review 05/08/2008 05/08/2008 APP DJB Engineered fire damage repairs To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reauired Insoections I Ceiling Insulation: Prior to cover. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all mformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~1~~~ -S ,80<6 Owner or Contractors Signature Date Pal!e 2 of 2 22$ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00651 COM2008-00651 COM2008-00651 COM2008-00651 Payments: Type of Payment Check cRecemtl RECEIPT #: Description BUlldmg Permit + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee PaId By BELFOR USA GROUP INC City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000444 Date: 05/08/2008 Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 19085 In Person Payment Total: Page 1 of 1 11:59:48AM Amount Due 11864 593 1424 11 86 $150.67 Amount Paid $150 67 $150.67 5/8/2008