HomeMy WebLinkAboutPermit Building 2008-6-10
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED,
APPLIED'
EXPIRES:
VALUE:
cOM2008-00578
04/29/2008
04/24/2008
12/10/2008
$ ] 4,600 00
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2259 5TH ST
ASSESSOR'S PARCEL NO 1703262101902
SprIngfield TYPE OF WORK Smgle FamIly ReSidence
TYPE OF USE RepaIr
ReSidentIal
PROJECT DESCRIPTION Repair FIre Damage
Owner V ANCHURA FRANK JR & D M 1-2
Address 2245 N 5TH ST
SPRINGFIELD OR 97477
Phone Number 541-747-7356
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechamcal
Contractor
BELFOR USA GROUP INC
SUNSET HEATING & AIR INC
License
146973
171706
ExpiratIOn Date
02/16/2009
08/1712008
Phone
54 I -726-9905
541-988-3181
BUILDING INFORMATION I
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms
# of Stories Lot Size
Height of Structure Sq Ft I st Floor
Type of Heat Sq Ft 2nd Floor
Water Type Sq Ft Basement
Range Type Sq Ft Garage/Carport
Energy Path Sq Ft Other
~prmkl~''!,~IUI~:~~()n law req~ites yo~upant Load
~ DEVELOPMENT> INFo~i\>ri{fu':lea~~'~~f~rth
;n ': "~<.-001--0010 through OAR 952-001- REQUIRED PARKING
Ove~ia;' DI't,y obtam copies of the rules by
01 " ,~~ Co_ t I hone
#-Stceet Wr<!'~<R4tt. (Note the e ep
RGilYl1I~'J?r"ye\Rqd)regon Utility Notification
% of LOCQl)(l\\'ligd:-800-332-2S44).
Total
Handicapped
Compact
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
Special InstructIOn
Sidewalk Type
DownspoutslDrams
Notes
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I of 3
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Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescrIptIOn Tvpe of ConstructIOn
BId Amount Use BId Amount
Fee Description
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BuIldmg Permit
-Mechamcal Issuance Fee-
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
MlmmumlAdJustment Mechamcal
Total Amount PaId
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00578
ISSUED: 04129/2008
APPLIED: 04/24/2008
EXPIRES: 12/10/2008
VALUE: $ ]4,600,00
I ValuatIOn Oescnnhon I
$ Per Sq Ft
or multiplIer
$100
Square Footage
or Bid Amount
14,600 00
Value
Date Calculated
Total Value of ProJect
$ I 4,600 00
$14,600 00
04/29/2008
FpP~, ~
Amount PaId
Date Paid
ReceIpt Number
$1615
$1938
$808
$16154
$20 00
$500
$600
$250
$1400
$36 00
4/29108
4/29108
4/29/08
4/29/08
6/10/08
6/10/08
6/10/08
6/10/08
6/10/08
6/10/08
2200800000000000546
2200800000000000546
2200800000000000546
2200800000000000546
2200800000000000873
2200800000000000873
2200800000000000873
2200800000000000873
2200800000000000873
2200800000000000873
$288 65
I Plan RevIews I
To Request an mspection call the 24 hour recordmg at 726-3769, All mspections requested before 7:00
a m WIll be made the same working day, mspechons requested after 7:00 a,m, will be made the followmg
work day
I l?ponlrp,-l Tn~nechons I
Frammg InspectIOn PrIor to cover and after all rough m mspectlOns have been approved
Wall InsulatIOn PrIor to cover
CeIlmg Insulation Prior to cover
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buIldmg IS complete
Rough Mechamcal PrIor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Paee 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00578
ISSUED 04/29/2008
APPLIED, 04/24/2008
EXPIRES' 12/10/2008
VALUE, $ 14,60000
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerllfy that all
mformatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance With
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY Will be made of any structure Without permIssIOn of the Commumty Services DIVISIOn, BuIldmg Safety
I further certify that only contractors and employees who are m complIance WIth ORS 701 005 Will be used on thIS proJect
I further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, 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 rem am on the SIte at all
times dUrIng construcllon
~B/1~t~
~~/{)~(){(
Owner or Contractors Signature
Date
Page 3 of3
225 Flftlr Street
Spnngfield, Oregon 97477
541-726-3759 Phone
~_GR~~
c-At "
~.
CIty of Sprmgfield OffiCIal Rece'pt
Deve]opment Serv,ces Department
Pubhc Works Department
Job/Journal Number
COM2008-00578
COM2008-00578
COM2008-00578
COM2008-00578
COM2008-00578
COM2008-00578
Payments
Type of Payment
Check
cRecelOt 1
RECEIPT #,
2200800000000000873
Date' 06/10/2008
Description
Furnace - up to 100,000 btu
MJUlmum/AdJustrnent Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
SUNSET HEATING AND AIR
INC
Item Total
Lheck Number AuthOrIzation
Received By Batch Number Number How Received
dJb 3152 In Person
Payment Total
Page I of I
I 55 OOPM
Amount Due
1400
3600
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
6/1 0/2008