HomeMy WebLinkAboutPermit Fire 2009-9-30
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CITY OF I'lrKll'1ilJ.t<mLJ)
Building/C<<;lmbination Permit
Status
Issued
"
PERMIT NO: <!:OM2009-0]455
ISSUED: 09/30/2009
APPLIED: 09/30/2009
EXPIRES: 03/30/20]0
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 431 35TH ST
ASSESSOR'S PARCEL NO.: 1702312411900
I'
Springfield TYPE OF WORK: Single Family Residence
Owner:
Address:
TYPE OF USE: Alte,:ration Residential
PROJECT DESCRIPTION: Fire Repair:)Njew.Rl>of including Engineered TrnsseSOR.~Placing Interior Gyp, Board,
MI 11,r: FTHEW RK ' ,
some Plumli, ani! Me~h. SHALL EXPIRE I , '
.' ,TUIC: Di=RI\l111 _ ___ "'T 1(' r\lnT
, UNDtK I nlu r '-, ,....' .-
AUXIER THOMAS EARL 8L'MWZIEZED R IS ABANDONED FOR
644 S 35TH ST COMMENCED 0
SPRINGFIELD OR 97478 AN':{ 180 DAY PERIOD,
Contractor Type
General
Plumbing
I. ~ONTRACTOR INFORMATION 1
Contractor License
BELFOR USA GROUP INC 146973
EUGENE EXCAVATION & PLUMBING INC 138003
BUILDING ,INFORMATION I
Expiration Date
"
02116/2011
07106/2011
Phone
541-726-9905
541-988-0868
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R3
U
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Euergy Path:
Sprinkled Building:
Lot sii~:
'I
Sq Ft 1st Floor:
Sq Ft i'ud Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
No
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, eli yOU to
I DEVELOPMENUNFORM:AiflON 1 Utility
1-\\ Il-'''''- d bvtne vlv~~m
folloW rules adopt\hOSe rules are set forth
Noti\QII.~rJay:Dist~r" n 'hrough O,lI,R 952-001-
in o.#,\~t!eet\TreeslR.9d:copies of the rules by
009\!,.av.edlDriv~~~~~~~Note', the te\e~hone
m'Y.';.iO~ IJot Goverage\)n Utility NotificatIOn
number for the. U~~~OO_332-2344),
('onter IS \ .
I REQUIRED PARKING
II
I Total:
Handicapped:
" Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
,Storm Sewer Available:
Special Instruction:
Sidewalk Type:
I'
Downspouts/Drains:
'I
!I
Notes:
Page I 01'3
Status
Issued.. .__,
CITY OF Sl'K1J....l..'l~LD
I
Building/Combination Permit
]1
,
PERMIT NO: GOM2009-0]455
ISSUED: 09/30/2009
APPLIED:' 09/30/2009
EXPIRES: 03/30/20]0
VALUE:. $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Va!"uMio~ Desc~iDtion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
50,000,00
Value
Date Calculated
Description
Total Value of Project
$50,000.00
$50,000,00
09/3012009
~ rtf>' ~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I 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.wil\ be made the following
work day. '
I 1?,~m~rf>rI l'\Wliftinn<.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Roof Sheathing
Final Building: After all required inspections have been requested aud approved aud the b~ilding is complete,
Rough Plumhing: Prior to cover and iucluding reqnired testing,
Final Plumbing: When all plumbiug work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: Wheu all mechanical work is complete,
'-
Pa2e 2 of3
CITY OF SPRINGFIELD
11
"
Building/Combination Permit
i'
Status
Iss u ed
PERMIT NO: GOM2009-0]455
ISSUED: 09/30/2009
APPLIED: 09/30/2009
EXPIRES: 0'3/30/2010
VALUE: $150,000.00
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone-. ,
541-726'3676 Fax
541-726-3769 Inspection Line
II
By signatnre, I state and agree, that I have carefully examiued the completed applicatiou aud do h~reby certify that all
information hereon is true aud correct, and I further certify that any and all work performed shall be done iu accordauce with
the Ordinances of the City of Spriugfield 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 permissiou of the Community Servi'~es Division, Building SafetY.
'I further certify that only contractors aud 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 .'ddress 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 construc~ion.
,
"
,I
9'- ?O-1?9
~~-;7~
Owner or Contractors Signature
Date
Pa2e 3 of 3
1~:';6EF'ARTMENf.:USE'ON[:;Y' 'I
r,"''''';~'' .. 7,. .".' , .. ',. ,,0. '".'._~ :-,..'"
225 Fifth Streei. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726,3689
pent no,: C1- 1155
Dat",: 'i- 3e- --ect \
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 d~ys of issuance or if work is
suspeuded for 180 days, '
l~i:;:,~'~A;~i;~~-~~~&.:(~g,:G:A~,~:~:~:iy'g]7frM~~ttr~~Fi8@:v.]_~I~,fi;}t!it~~~~1
I ~~~~~~?eect has final land-use approvaL Date I ;t;i;~,j~U;%~j!~!:;qr:'~::f)~31,\'~~;1fEE~SGHE15u]':-~ft,(,r-';'j':'0l'1i;:r:~,i!,'?i'i;1
I T~is project has DEQ approval.. I fftIM~t~~I(Q~~~i~~t~[D]~#Q;fiii~i~i*k1~14~4i~ff~)i~;V5~~1~~~l;F.J"htf~t~~:~z:1
Signature: Date: (a) Job description:~L'E: ".A.~ 1L~Ar-:T1t... I
Zoning approval verified: DYes D No , 'I I Occupancy~ ;/i( "( R.ePt ACe- 1-0014
Property is within flood plain: DYes D No I I Construction type: ""J7Jl;:: '" '1II-c.A1.' PL.."f)11). I
1~#~1~~g:A.T~gQffY1QEJr<:::0]~fRTj.(;mf(:):~~~lf{QJI~~i'l~W& I Square feet I ~'rAl. MUll. I
l,!~,~,i.'~~,~;_,:":i~",..~,,n,~,:i~,'~,~~,""',"'~'_,,~",J,,9 G,"','~'~~,er~~,r~:~,':,',~'"c:"',',',',+:...~""L"g,,""~,_,~~~e,'~':_,~~JW:i'=",,,-',' I Cost per square foot: ~ ' I"
f~f':~A;b~!tl9B)(SI;rE.';.It'm..0RMATl9_Nli'ANql;L:0J;AT;IQN~~;'Il!f1lih::! lather information I
1 Job site address: /.j- 3/ fII 3'6 u.- 5-1-. I I Type of H,at: 1
1 CitY:SDr:"",-P,'",!rJ 1 State Or<. 1 ZIP I I I
1 Subdivi!ion: V I Lot no.-, ' \ 1 Energy pa,:; ., , 1
1 . 1 I D new .o.alteration D addition
Reference: Taxlot: I " I
I,,' , ,,", ","" "',' '~' (b) Foundation-only permit? DYes D No '
:> , " P,R0PER1Y0WNER," . '.; , .,
,c. .' I., ....., ," " '.', . ''-'. ~Total valuation: :: I $ '?~t~
1 Name. '- a u I' Co 4.,-, ~.'/I"'" /'kU.XUR ~M "Z''''B' "'I'-~"""";."'"''''''''ci''''W''SS",,''' -",.-"~,,,,,',,.-..-,.-,,,",,,, ."" ,,'0"~ . '-"1
I Address: Lj ~ ; "5 ~j);,. .c.-f ' I :::~j~_,}.H~~,IDg:"~~,e,sj,~~5:~~,~{:11~~..;'}!1r'~4i\fst~~,~~Wt;.:'i;'t:Lq:~}$~:jJH~^:i~tW:l::"ifii':~,,~
1 . ,/" ~ ,NcI' 0 ,'''' I .0, "-771 I (a) Permit fee (use valuation table): " ll"fb>'- ~
Clty.::;>pt.Ilc,T.,,1 ' State: <. ZIP.-,?, 1 " 1
1 Phon6fi)~ -~:at::f2- Fax: I (b) InvestigatIVe fee (equal to [2a]): Ii $
I (c) RemspectlOn ($ per hour): " I
I E-mail: (number of hours x fee per hour) 1: $
:::':~~~~~~~~":;_:~;;~"~ .!:~~~~1
I. . '" CONTRAC[0R JNS~~lATlQN' _~,- ..'y' $
I C/ 1\ I I (b) Fire and life safety (40% x permii',fee [2a]): $
Business name: u,.- I'l'ar'
I 1 1 (c) Subtotal of fees above (3a and 3b): $
I Address: 6 g 7 5,' /--,,,/ /,-)' I S -1-, . \~,~M!~!{i#"~19If~If~~rt4i:&~~;~1:~t~l$:ljB~fI~;'i,~~~Z~;iy,~~:~~'J~.st;};:~.j~t:1
City: :5 ;>r'n:; {!.'" I,} State: 0 Q I ZIP:?7't17 I (a) Seismicfee, 1% (.01 x permit fee'[2a]):
1 Phone:5'f1-7.1k"f'10<? Fax:9rl .~1-17,/;-'> $
1 'I n_ \, /.C'\ I I TOTAL fees and surcharges (2e+3c+4a): $
E-mal: UP!','~. H~~"/'.'rl<.-<;{<" JJS.bA-Ibr, Co,....." .
1 CCB license no.: Ilf--h 9 7~ I
I Print name: D.-~' lc H ,..,.,o'l'.rl:.c" I
I Signature ""V~ ~ I
1~~h~~~{t~!~~23:~{~St.'-~'::,G~N:mf{AGtt9R]I~__~,9RIVIAf:!QN~~~~~~l~J .
I Name CeB License Number I Phone Number I
I Electrical IP.'//..d S'-f"'I'c;-k
I Plumbing e.'.At:.FJJ1E CreAl IE"~P
I Mechanical ,R&-R:>IL- I 1
~
225 Fifth Street.', , .
, Spri,ngfie'id, Oregon 97477' ,
541-'726:3759 Phone
RECEIPT#:
Job/Journal Number
COM2009-0l455
COM2009-01455
COM2009-01455
COM2009'01455
COM2009-0l455
Description
Building Penn it
JstAppliance
Miscellaneous Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
/~. .
Payments:
Type of Payment Paid By ,
Check .BELFOR USA GROUP INC
cReceint 1
City of Springfield Official Receipt
Dev'elopm~nt Services Department
Public Works Department
3200900000000000684
Date: 09/~0/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How~Received
19145 klk In Person
Payment Total:
Page 1 of 1
2:26:35PM
Amount Due
465.25
79.00
58.00
30.11
72.27
$704,63
Amount Paid
$704.63
$704,63
9/3012009