HomeMy WebLinkAboutPermit Fire Damage Report 2008-11-25
Status
Issued
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2008-01709
ISSUED: 11/25/2008
APPLIED: 11/25/2008
EXPIRES: OS/25/2009
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 433 4TH ST
ASSESSOR'S PARCEL NO.: 1703352409800
Springfield TYPE OF WORK: Apartment Bnilding
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair fire~damaged roof/walls
Owner: GROVER MATTHEW E & T1SHA P
Address: PO BOX 154 '
CRESWELL OR 97426
1 CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor f",'",:,o"i~/'~~I' (\,.,,,,.,~ I~W r~bicense)u toExpiration Date
MCKENZIE TAYLOR ,; ..' l '! lh~ 1098_670 Utility IlI09/2010
COMPLETE ELECTRICAL INSTALi;;ATlON!es are set forth
ROUNDS PLUMBING' . ,( , I); I J li1ruWJrl~iY736i52-001- 03/09/2010
. .. . ., , . ..
, .~~..,.~. ....v.... /oJ'
I BUlLDIl':G INFORMA11ION'Iephone
liiol,'...... _ " _ ..:..dJ;,;~p..fd Uilllty Notification
#.or.Stories: ,800,332,2344),
Height of Structure
Type of Heat:
Water Type:
Range Type:
. Energy Path:
Sprinkled Building:
Phone
747-5413
541-225,7827
54 I -726-5448
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R3
Lot Size:
Sq Ft 1st Floor:
Sq ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
; I DEVELOPMENT IN~O~TION I
diJ Ilvl:.
THIS PER~~MhljA'disfiXP/RE IF THE WORK
AUTHORIZl#!Sm~tljfA,.rsrRijq?ERMIT IS NOT
COMMENCel!Y6m{jvAiWl~DONED FOR
, ANY 180 D;Wqf~jqft5l9.verage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.1 PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I 01'3
Status
Issued
CITY OF SPRINul'lJ<..LD
Building/Combination Permit
PERMIT NO: COM2008-01709
ISSUED; 11/2512008
APPLIED: 1I/25/2008
EXPIRES: OS/2512009
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'541-726-3769 Inspection Line
I V ~Iuation Oesc';i,'1fion ,
, Description Tvpe of Construction
Bid Amonnt Use Bid Amonnt
$ Per Sq Ft
or mnltiplier
$1.00
Sqnare Footage
or Bid Amonnt
60,000.00
Valne
Date Calcnlated
Total Valne of Project
$60,000.00
$60,000,00
11/25/2008
Fpp< p~;,j .
r, lIIilIW
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge '
+ 5% Technology Fee
Bnilding Permit
\
Total Amonnt Paid
Amonnt Paid
Date Paid
Receipt Nnmher
$46.63
$55,96
$23,32
$466.33
H/25/08
11/25/08
H/25/08
11/25/08
1200800000000001175
1200800000000001175
1200800000000001175
1200800000000001175
$592,24
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.
L-J?Po,.ril'~.d.Jnsnections ,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Shear Wall Nailing: Before covering sheathing with tinish materials.
Final Bnilding: After all reqnired inspections have heen reqnested and approved and the bnilding is complete.
Rongh Plnmbing: Prior to cover and inclnding reqnired testing,
Final Plnmbing: When all plnmbing work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I709
ISSUED: 11/2512008
APPLIED: 11/2512008
EXPIRES: 05/2512009
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
By signatnre, 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 Springfieid and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any strncture without permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.00'5 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 durin7lfJr~ctil'~")'
'~t4~: ~y )/-2S'-t?g'
Owner J. Contractors g.lat~re Date
;
Paee 3 of 3
CHV OF SPRINGFIELD
DfVELOPMEtmiL SVC. DEPT.
225 5TH STREEi
SPRINGFIELD, OR 91il77
(Sil1) 126-3191
Sale
10: 1009
Merchal'lt:10GllG68
11/25/GB
VISA
...
CW2 Code:
Appr Code: 215291
Mal:
11:~9:55
Exp: 09110 '
Invoice~: 2
$529,24/
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number
C0M2008-0 1709
C0M2008-01709
C0M2008'01709
C0M2008,01709
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge'
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard '
Paid By
MCKENZIE TAYLOR
/,
JD, "" Sal;~LJ t,\1
M~rchant: 10011668 (r;
, VIs!"" V~"Dt' ",,,,,"
__ Exp:BS/1i
CM Cooe:
Appr Code: 906293
CITY OF SPRINGFIELD
DEVELOPMENTAl svc. DEPT.
2255111 STREET
SPRINGFIELD, OR 971177
(541) 126-3191
InvoiceU:
Tolal:
I a9rE"e to paY abO\/e total amount
accordiMl to card issuer" a9re~ment
(Merchanta9reeOIl:ntifcreditvoucherl
L___________
Her-chantCoPY
1WWK YOU
1200800000000001179
_ Check Number
Received By Batch Number
cjc
.
~.
1
$ 63,00
"
City of SpringfieldOfflcial Receipt
Development Services Department
Public Works Department
. Date: 11/25/2008
Item Total:
Authorization
Number How Received
215291 In Person
Payment Total:
3:39:34PM
Amount Due
466,33
23,32
55,96
46,63
$592.24
Amount Paid
$592.24
$592.24