HomeMy WebLinkAboutPermit Fire 2010-8-18
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00078
IVR Number: 811118324000
www.cLspringfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726.3769
Fax: 541-726-3676
pe rmitcenter@ci.springfield,or,us
PROJECT STATUS: Issued
ISSUED: 8/18/10
APPLIED: 8/18/10.
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EXPIRES: 2/13/2011
VALUE: $21,724.00
SITE ADDRESS: 4867 C
ASSESOR'S PARCEL NO:
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Springfield
1702324100231
SCOPE: Fire Damage
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Fire damage
Phone Number:
OWNER:
ADDRESS:
EDWARDS IRVING P & JOYCE M
4867 C ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION I
Contractor Type
Contractor Name
BELFOR USA GROUP INC
"Lie Type
CCB
Bti![DING INFORMATION I
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# of Units: 0
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
AJTENTION: ~reaoogaw irle,~. ulreS.You t.O
Urnat, ..,.,~, I;.~ on UtIlity
follow rules a optea. y 1IJ.!;L .._.g ..-.' h
Notification Center. Those rules are set fort
in OAR 952-001-001 0 through OAR 952-001-
0090. You maY;!li.1:\trJ~1>ts1i>lle~Il}f,~~.lf!Ilffi~
calling the ca1~9f~Mdl~~~~\ldf~l1~e
number for t\1!'ll@a\l}cal sp.lllal\fdil~liIl1on:
Cente"'ilPipiilijO-Il~~1,\,t Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
.Structural Specialty Code Edition:
.~" i Site Inforin!3tiorf,', ~
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
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lic No
146973
lic Exp
02/16/2011
Phone
503-408-8880
lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
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NOTICE: Fl-P1RE ~f'T\\E v-JOR\("
..,. HIS PERtJ\li S\-I"''-\. 1\115 PERMIi IS NOT).
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'I. . COMME 100' .,,'''-,''.
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'8/1812010 9:01:12AM
Sprin~field Building Permit
Page 1 of 3
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."0.'.N~ OREGON
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
Building I ResidentililPermit
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www.ci.springfield.or.us
PERMIT NO: 811-SPR2010-00078
IVR Nliriiber: 8111'~ii324000
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permilcenter@ci .springfield. or. us
PROJECT STATUS: Issued
ISSUED: 8/18/10
APPLIED: 8/18/10
EXPIRES: 2/13/2011
VALUE: $21,724.00
SITE ADDRESS: 4867 C
ASSESOR'S PARCEL NO:
Springfield
1702324100231
SCOPE: Fire Damage
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION:
Fire damage
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DEVELOPMENT INFORMATION I
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay'Cist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS I
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Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
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Sidewalk Type:
Downspout/Drains:
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'=:_:Y~luati~n~Description ~
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Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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Amount Paid Date Paid Receiot #
$253.00 08/18/2010 299251
$9.00 08/18/2010 299251
$79.00 .;"1 08/18/2010 299251
$40:9?." ".. 08/18/2010 299251
$17.05'. --, 08/18/2010 299251
,_ ?;,,(;; i .=:~-:po _====o~~18i20i0-----29.925.2.==
$39.00 08/18/2010 299251
..~96--08Ti8/2010 299251
$2.90 08/18/2010 299251
$466,83
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Descriotion
Structural Building Permit Fee
Single-duct exhaust (bathrooms, toilet compartments, utili
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
:.echnology fee (5% of permit total)
Fixture
Balance of Minimum Plumbin!;!.Permit Fees
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Springfield Building Permit
':!t8/2010 9:01:12AM
Page 2 of 3
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
CITY OFSPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00078
IVR Number: 811118324000
permitcenter@ci.springfield.or.lJs
,
"
PROJECT STATUS: Issued
ISSUED:.8/18/10, "
APPLIED: 8/18/~0":;",,
{> EXPIRES: 2/13/2011
, VALUE: $21,724.00
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SITE ADDRESS: 4867 C
ASSESOR'S PARCEL NO:
Springfield
1702324100231
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SCOPE: Fire Damage
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Fire damage
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Deoartment
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Permit Issuance
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"",',," fA _Plan.R~'y:I~YV2::l:~~-,,;;42:::~:....:L-~~'::''' ~0.-\-!0,;,..,.:k.,;.;;;:,;:;';:;~~~t..~..i:J
Received
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
Due Date
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
Comolete Result
08/18/2010 Over the Counter
08/18/201 q' Over the Counter
08/18/2010. -Not,Required
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08/18/29J.Jl::_ -~9L~~_quifed...
08/18/?Qfo'''~~~ ""Noi':'Required
08/18/20:10 (:I'5u.1i" .
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INSPEC;rIONS REQUIRED ~
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter p~rmit
Inspections
1260 Framing,
1430 Insulation Wall
1440 Insulation Ceiling
1540 Gypsum Board/Lath/Drywall
1999 Final Building
2300 Rough Mechanical
2999 Final Mechanical
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3500 Rough Plumbing
3999 Final Plumbing
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 wc;>rk performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pe'rtaining to the work described herein. and that NO
OCCUPANCY will be made of any structure without permissfbn of;tti~.;'e6mlTiunity Services Division, Building Safety. I further
certify that only contractors and employees who are in coHipTIanc~~Q.lifFn~RS ';701,005 will be used on this project. I further agree
to ensure that all required inspections are requested at thelp't6pe~:tifufci,/that each address is readable from the street, that the
permit card is located at the front of the property, and the'1~'p:@ved~sei of plans will remain on the site at all times during
construction. -.--+. . .
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Owner or Contractor Signature
Date
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Springfield Building Permit
8/18/2010 9:01:12AM
Page 3 of 3
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~^ OREGON
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CITY OF SPRINGFIELD
225 Fifth $t
Springfield,OR 97477
541-726-3753
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TRANSACTION RECEIPT
www.cLspringfield.or.us
perm itcenter@ci.springfield.or.us
RECEIPT NO: 2010000076 RECORD NO: 81 I-SPR2010-00078 DATE: 08/18/2010
fDESC~'RTION, ' . '." >~" ., '~~~;;;oliii;,",-,d:~=';':~CCOUNTtCODE'-, ;", iL.~,A.ivl(:~UNfj:)_UE_d:.:-;..:._:.:.:J
SlrucIural Buildin~ PermiI Fee ,,:':~'_.:\1:Ji,,-,:324:00000-~25602 $253.00
Single-duel exhaust (bathrooms, toilet compartments,u!ii1iY'roomsj:,' 224-00000-425604 $9.00
First Appliance Fee'... 224-00000-425604 $79.00
State of Oregon Surcharge (12% of applicable fees) '," 821-00000-215004 $40.92
Technology fee (5% of permit total) 100-00000-425605 $17.05
Fixture 224-00000-425603 $19.00
Balance of Minimum Plumbing Permit Fees 224-00000-425603 $39.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 _____~6.96_
Technology fee (5% of permit total) 100-00000-425605 $2.90
TOTAL DUE: $466,83
~flIR~XMENfJcYe.gK<" ' R~:(o.R"o':E,,~HIER'DBoiM.SBY:;-..:C:OMMENTS:;!!C':;.r; _,::"';lLiIl.JL.',A._I'iIOU~Tj~AI[)::""LL.,,:::,:~
Check BELFOR USA GROUP INC $466,83
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