HomeMy WebLinkAboutPermit Fire Deferral Submitted 2009-4-28
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00048
ISSUED: 04/28/2009
APPLIED: 0l/12/2009
EXPIRES: 10/28/2009
VALUE: $ 70,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7236 GLACIER DR
ASSESSOR'S PARCEL NO,: 1802022102500
SPRINGFIETYPE OF WORK: Single Family Residence '
TYPE OF USE: Repair
PROJECT DESCRIPTION: Fire Damage Plans Required for new floors
Residential
Owner:
Address:
NESKE-ROBINSON DANA S
7236 GLACIER DR
SPRINGFIELD OR 97478
,~!!ENT!ON: Oregon law requires yOU to
. -." - :-......... ....vvjJ~c;u UY !lie vregon (j""I't
N","',--'-, ~ ,- . LI r y
in r~CONTRA'CTOR INFORM}\'f<ION,EI forth
, - -. - ...........~IJ .......rWl. ;:'v.!::.001-
0090, You may obtain copieo of th_ .' It' .
Contractor calling the center (N t ,t~Jacensel es ExptrattOn Date
. 0 e. ,~P t......l"')hone
MCKENZIE TA YtJO~ber for the Oregon UtilillvORMr~',' 11/09/2010
THORNTON ELECTRIC(\N.Qer is 1'800'332,Ea~~9'catlon 08/21/2010
TOMS PLUMBING SERVICE INC 159425 05/12/2010
Phone
747.5413
541-686-4151
541-607-8879
Contractor Type
General
Electrical
Plumbiug
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure ,;"
Type of Heat:
VB Water Type:
NOTICE Range Type:
THIS PER!<;r~~~I'&EXPIRE IF THE WORK
AUTHORI~!,[j'l.,k}ml!lri'1'/-\~sPERMIT l~aNOT
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback: '
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of 3
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Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fcc
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Furnace, lip to ] 00,000 btu
Plan Review Residenthll
Vent Fan
Total Amoullt Paid
Structural Review
04/14/2009
Initial Review
04/14/2009
Initial Review
04/23/2009
Structural Review
04/24/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00048
ISSUED: 04/28/2009
APPLIED: 01l12/2009
EXPIRES: 10/28/2009
, VALUE: $ 70,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
70,000,00
Value
Date Calculated
$70,000,00
$70,000,00
04/03/2009
Total Value of Project
F!IP., P~ilU
Amount Paid
Date Paid
,
Receipt Number
$7,56
$3.15
$63.00
$7,56
$3.]5
$63,00
$95,12
$39,63
$79,00
$562,65
$9,00
$ 13,00
$76,00
$17,00
$365,72
$36,00
2200900000000000072
2200900000000000072
2200900000000000072
]200900000000000159
1200900000000000159
]200900000000000159
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
]200900000000000307
1200900000000000307
]200900000000000307
1/21/09
1/21/09
1/21/09
3/5/09
3/5/09
3/5/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
4/28/09
$],440,54
I Plan Reviews I
04/14/2009
APP LLH
floor plans submitted as requested
by Robert Castile, forwarded to
Robert for review.
04/24/2009
APP LLH
Revisions
04/27/2009
APP CJC
Approved as uoted on plans / review
letter, Field inspection to verify code
compliance of unknon'lI issues as
they arc discovered by demolition,
Pa2e 2 of 3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00048
ISSUED: 04/28/2009
APPLIED: 0l/12/2009
EXPIRES: 10/2812009
VALUE: $ 70,000.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
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.
I Reouired Insnections I
Temporary Electric: Approval required prior to Utility Company energizing pole,
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish materials,
framing Inspection: Prior to cover and after all rough in inspections have been approved,
Wall Insulation: Prior to cover,
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping,
Undertloor Plumbing: Prior to insulation or decking,
Rough Plumbing: Prior to cover and including I'equired testing,
final Plumbing: When all plumbing work is complete,
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
final Electric: When all electrical work is complete,
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
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 Springlield 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 arc 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.
~(!, / f-Zf-2Jo9
foer or Contractors Signature Date
Pa2e 3 of 3
c
225 Fifth 'Strect
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,00048
COM2009-00048
COM2009,00048
COM2009-00048
COM2009,00048
COM2009.00048
COM2009,00048
COM2009,00048
COM2009-00048
COM2009,00048
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
Description
Plan Review Residential
Building Permit
Fixture
I sl Appliance
Furnace - up to 100,000 btu
Venl Fan
Exhaust Hoods
Dryer Vent
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
STEVE HAMILTON
City of Springfield Official Reccipt
Development Services Department
, Public Works Department
1200900000000000307
Date: 04/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number. How Received
CJC
018215 In Person
Payment Total:
Page 1 of 1
8:52:59AM
Amount Due
365,72
562,65
76,00
79,00
17,00
36,00
13,00
9,00
39,63
95,12
$1,293,\2
Amount Paid
$1,293,12
$1,293,\2
4/28/2009