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HomeMy WebLinkAboutPermit Fire 2009-9-30 _~,,-\~g!i!Ii!';Q,;".lIllll . - ~~_;~.:'''' .~j).' ".';, ) \:::ij.Y:' ;\:' 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