HomeMy WebLinkAboutPermit Fire Damage Report 2008-11-25 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01709
ISSUED: 11/25/2008
APPLIED: 11/25/2008
EXPIRES: 05/25/2009
VALUE: $60,000.00
SITE ADDRESS: 433 4TH ST
ASSESSOR'S PARCEL NO.: 1703352409800
Springfield TYPE OF WORK: Apartment Bnilding
PROJECT DESCRIPTION: Repair fire-damaged roof/walls
TYPE OF USE: Repair
Residential
Owner: GROVER MATTHEW E & TISHA P
Address: PO BOX 154
CRESWELL OR 97426
Contractor Type
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
MCKENZIE TAYLOR 109867
COMPLETE ELECTRICAL INSTALLATION
ROUNDS PLUMBING 141736
BUILDING INFORMA TION ~
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronlyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
R3 Height of Structure
Type of Heat:
VB Water Type:
Range Type:
Energy Path:
ATTENTIOS!H'ink!l'drlJuil,diugfuires you Qbi
l.....J:_... ~..I~-: =-_..J:-;:~:: ~:... ~~.: :'. :~~" ~~f:!:,
Notill'DEV<ELOPMENlItlNlfO:RMM-lONol:h
in Okn ;:;l';J'::-uv I MUV I v lflruugri' UAM"8o;:::-uv1..
0090, You may obtain,copies of the rules by
calling theq,l;~fiI9~ '?I~tile: th~ telephone
number for~I~Jr~Ie1i!Ji~'tJ~~!y Notification
Cenl'e\vP.JIPSiYlS-!}92-'2344). '
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Expiration Date
11109/20 I 0
Phone
747-5413
541-225-7827
54 I -726-5448
03/09/20 I 0
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type: )
NOTICE: Downspouts/Drains: ' ft",v\
THIS PERMIT SHALL EXPIRE IF THE WORK P'II) ,
AUTHORIZED UNDER THIS PERMIT IS NOTA" ",D'~ -;\1 f; I.
COMMENCED OR IS ABANDONED FOR :?: . ,I I) 1.X'"'
ANY 180 DAY PERIOD." . , i: (01 \
, 'J \. ~t-
Page I of3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Constrnction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Bnilding Permit
Building Permit
Reversal- + 100/0 Administrativ
Reversal- + 12% State Snrchar
Reversal- + 5% Technology Fee
Reversal - Bnilding Permit
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee'
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Vent Fan
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01709
ISSUED: 11/25/2008
APPLIED: 11/25/2008
EXPIRES: 05/25/2009
VALUE: $ 60,000.00
I v aluation Des~riution 1
$ Per Sq Ft
,or multiplier
$1.00
Sqnare Footage
or Bid Amonnt
60,000.00
11/25/2008
Valne
Date Calcnlated
Total Value of Project
$60,000.00
$60,000.00
L.Fr' PlilU
Amonnt Paid
Date Paid
Receipt Number
$46.63
$46.63
$55.96
$55.96
$23.32
$23.32
$466.33
$466.33
$-46.63
$-55.96
$-23.32
$-466.33
$42.00
$23.90
$28.68
$11.95
$8.00
$22.00
$187.00
$6.00
$16.00
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
11/25/08
12/4/08
12/4/08
12/4/08
12/4/08
12/4/08
12/4/08
12/4/08
12/4/08
12/4/08
1200800000000001175
1200800000000001179
1200800000000001175
1200800000000001179
1200800000000001175
1200800000000001179
1200800000000001175
1200800000000001179
1200800000000001178
1200800000000001178
1200800000000001178
1200800000000001178
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
1200800000000001200
$937.77
1 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.
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01709
ISSUED: 11/25/2008
APPLIED: 11/25/2008
EXPIRES: 05/25/2009
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insnections I
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have, been requested and approved and the building is complete.
Rongh Plnmbing: Prior to cover and inclnding required testing.
Final Plnmbing: Wben all plumbing'work is complete;
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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 trne and correct, and I fnrther 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 llt 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 remain on the site at all
times d~rin~,ru:tio 1fJ'......{'
7w,(~ f I//d~ A 1'2 - 4- t:7;!3
Owner~r C~ntrac~rA{natnre Date
Page 3 of 3
City of Springfield Official Receipt
Development Services Department
,Public Works Department
225 Fifth. Street
Sp'fingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
COM2008-0 1709
Payments:
Type of Payment
CreditCard
cReceintl
"J;
.~!
f'
RECEIPT #:
1200800000000001200
Date: 12/04/2008
Description
Fixture
Vent Fan
Exhaust Hoods
-Mech Iss 2+ Appliances-
Dryer Vent
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE TAYLOR
Item Total:
<":hcck Number Authorization
Received By Batch Number Number How Received
cjc
3 14084 In Person
Payment Total:
Page I of 1
11 :48:52AM
Amount Due
187,00
16,00
22,00
42,00
8,00
6,00
11,95
28,68
23.90
$345.53
Amount Paid
$345,53
$345.53
12/4/2008