HomeMy WebLinkAboutPermit Building 2002-11-18 (3)
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01304
ISSUED: 11/18/2002
APPLIED: 11/18/2002
EXPIRES: 05/19/2003
VALUE: $ 15,000.00
SITE ADDRESS: 4939 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333301722
Springfield TYPE OF
Fire Damage
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Fire damage
Owner: SOTO ROBERT V & DEBRA M
Address: 6830 SANTA ROSA CREEK RD CAMBRIA CA 93428
Contractor License
XXL INC 109867
BURRELL BROS ENTERPRISES INC IO\} \~136446
SOTO ROBERT V & DEBRA M A,\\(0:" \ 'U\~~~~.
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I BUILDING 'INFORMATIQN'I'O~
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Contractor Type
General
Electrical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Expiration Date Phone
11/09/2002
08/20/2003 541-747-2724
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
a""- ..._
FDEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: , Total:
# Street Trees Handicapped:
Paved Drive Rqd: 'fl..\'t. 'NO~~ompact:
ox. \r \p ~O\
% of Lp.~overage.:t..~\. 't."'~\p oC~~\\ \<2>
~01\\i . ~\, St\1'\ ,\,\\<2> 'f ~ \) rO~
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PUBLIC (!) 1~ '\)
CO N,\\~~ '\)J:\'{ ~t: 0 . Sidewalk Type:
J:\ ~ '{
Downspouts/Drains
1 of 3
.
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: COM2002-01304
ISSUED: 11/18/2002
APPLIED: 11/18/2002
EXPIRES: 05/19/2003
VALUE: $ 15,000.00
"
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Date Calculated
Value
Total Value of Project
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Temp Power 200 amps or less
Vent Fan
Exhaust Hoods
-Mechanical Issuance Fee-
Fixture
+ 7% State Surcharge
+ 8% Administrative Fee
Minimum/ Adj ustment Mechanical
Minimum/Adjustment Plumbing
Building Permit
Amount Paid
$3.50
$4.00
$50.00
$6.00
$9.00
$10.00
$14.00
$16.55
$18.91
$30.00
$31.00
$146.40
Total Amount
$339.36
I Fees Paid I
Date
11/18/02
11/18/02
11/18/02
11/25/02
11/25/02
.
11/25/02
11/25/02
11/25/02
11/25/02
11/25/02
11/25/02
11/25/02
Receipt Number
Received By
1200200000000000261
1200200000000000261
1200200000000000261
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
1200200000000000299
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I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Re~uired Inspections I
1 Temporary Electric: Approval required prior to Utility Company energizing pole.
2 Wall Insulation: Prior to cover.
3 Ceiling Insulation: Prior to cover.
4 Drywall: Prior to taping.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Rough Plumbing: Prior to cover and including required testing. .
7 Final Plumbing: When all plumbing work is complete.
8 Rough Mechanical: Prior to Cover
9 Final Mechanical: When all mechanical work is complete.
2 of 3
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: COM2002-01304
ISSUED: 11/18/2002
APPLIED: 11/18/2002
EXPIRES: 05/19/2003
VALUE: $ 15,000.00
By signature, I state and agree, that I have carefuUy 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 Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made ofany 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 wiD 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 during construction.
~~ Ltcr' j
Owner or Contractors ~gnature I
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