HomeMy WebLinkAboutPermit Building 2010-11-8
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00676
IVR Number: 811192310689
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
11/08/2010
11/08/2010
155 ued
11/08/2010
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone:' 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or,us
EXPIRES:
VALUE:
05/07/2011
$2,500.00
SITE ADDRESS: 955 CLOVERLEAF LOOP, Springfield, OR 97477-1104
ASSESOR'S PARCEL NO: 1703223104600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Repair fire damage
Phone Number:
OWNER:
ADDRESS:
NICHOLS DAVID ALAN & KRISTINE LYNN
88608 ERMI BEE RD
SPRINGFIELD OR 97478
Fire Damage
Repair
Residential
CONTRACTOR INFORMA liON ,
Contractor Type
Mechanical Contractor
General Contractor
Contractor Name
ROBERT A SILLER & ROBERT E SILLER
ROBERT A SILLER & ROBERT E SILLER
lie Type
CCB
CCB
Lie No
114525
114525
Lie Exp
06f11f2012
06/11/2012
Phone
541--485-3377
541-485-3377
# of Units:
BUILDING INFORMA nON ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
o
Site Information
~
Engineered Fill:
FiIJ Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Repor.f\Requ'iFeI0N: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 11/8/2010 9:41:12AM
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
,.'.i
Page 1 of 4
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00676
IVR Number: 811192310689
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
11/08/2010
ISSUED:
APPLIED:
11/08/2010
11/08/2010
EXPIRES:
, VALUE:
05/07/2011
$2,500.00
SITE ADDRESS: 955 CLOVERLEAF LOOP. Springfield, OR 97477-1104
AssEsOR's PARCEL NO: 1703223104600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Fire Damage
Repair
Residential
PROJECT DESCRIPTION:
Repair fire damage
Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on str~cture
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvee of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Descriotion
Structural Building Permit Fee
First Appliance Fee
~tate of Oregon Surcharge (12% of applicc:ble fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$67.75
$79,00
$17,61
$7,34
$171.70
Date Paid
11/08/2010
11/08/2010
11/08/2010
11/08/2010
Receiot #
374826
374826
374826
374826
Springfield Building Permit
11/8/2010 9:41:12AM
Page2of4
5r~.:;.G:E~~
.~~
",","m", OREGON
CITY OF SPRINGFIEU::~
Building I Residential Permit
PERMIT NO: 811-SPR2010-00676
IVR Number: 811192310689
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
11/08/2010
11/08/2010
Issued
11/08/2010
EXPIRES:
VALUE:
05/07/2011
$2,500.00
SITE ADDRESS: 955 CLOVERLEAF LOOP, Springfield, OR 97477.1104
ASSESOR'S PARCEL NO: 1703223104600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Fire Damage
Repair
Residential
PROJECT DESCRIPTION:
Repair fire damage
Plan Review
I
DeDartment
Application Acceptance
Result
Over the Counter
Received
11/08/2010
Due Date ComDleted
11108/2010 11/08/2010
Permit Issuance
11/08/2010 11/0812010
Issued
11/08/2010
Reviewer
David Bowlsby
David Bowlsby
Structural Review 11/0812010 11108/2010 11/08/2010 Not Required
Comments: Over the counter permit
Planning'RevieW " . " .~: 11/08/2010.'-11/08/2010 '-.13/0812010,. 'Not Required,~N';~ , : ;Da~id, Bowlsby;,/!'.
m','c~nim~'n;T":Overthe,c~~~te~'perrr1ft, " ",,,,,' ~m ~''''';''~_''~''''_~~;: ~ - """".>!;,~.'"",=_'.; ~', ';,;;...,.,..T:_<,>'>,:~,~,~<',~~,,!.":"''j.''~. ,:~"",;"::>_' ',_ m~" ,t,:<
..~,., ':-
'~~. ., -..;_:t.~ ' "'"t>',,,,"".c ':'c",-, :;:-e, .. .~.'l"'" "'~'_~' \"/-f
';;}'-" ->
4'-'~
~,. . ',;' "
-.. ',',,'
'1';",:~"..;-;,
INSPECTIONS REQUIRED I
" ~.'..'\
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Wall Insulation: Prior to cover.
1430 Insulation Wall
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping. Lath/Plaster: To be made after aI/lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Firewall: Located and constructed according to plans.
1440 Insulation Ceiling
1540 Gypsum Board/Lath/Drywall
1550 Firewall
1999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
2300 Rough Mechanical
2999 Final Mechanical
Springfield Building Permit
11/8f2010 9:41:12AM
Page 3of4
SP~I.N..~.~IEL.~.D
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<)".".~
" ":' OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00676
IVR Number: 811192310689
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/08/2010
ISSUED:
APPLIED:
11/08/2010
11/08/2010
EXPIRES:
VALUE:
05/07/2011
$2,500.00
SITE ADDRESS: 955 CLOVERLEAF LOOP, Springfield, OR 97477-1104
ASSESOR'S PARCEL NO: 1703223104600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Fire Damage
Repair
Residential
PROJECT DESCRIPTION:
Repair fire damage
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 Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Communi~y 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 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. J
&~~4
Owner or Contractor Signature
/1/8/j(J
, /
Date
Springfield Building Permit
11/8/2010 9:41:12AM
Page 4 of4
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www.d.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00676
955 CLOVERLEAF LOOP
CITY OF SPRINGFIELD
225 Fijth 51
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield,or.us
RECEIPT NO: 2010000780 RECORD NO: 811-SPR20IO-00676 DATE: 11/08/2010
IOESCRIP:r10B~,;': _'~c, j?,~. .,:,';. ::::;<;.i21~'-!':, ::;;",: '.". :Acj::p\rN~~C.QOE ';'SS\t;~ ~~MQU~iEQ.Lt~;'
Struclural Building Permit Fee 224.00000-425602 $67.75
First Appliance Fee 224-00000-4~5604 $79.00
State of Oregon Surcharge (12% of applicable fees) 821-0.0000-215004 $17.61
Technology fee (5% of permit total) 100-00000-425605 $7.34
TOTAL DUE: $171.70
l ::P8YMENT'TYPE,::, .',.:r~A YQt~".';;cAsHIER;6B()\~us8X :';;'; ;c3~MMEBIts"~:: i:" ":;~"',,:;~';~ AMOU_N:r .PAID -.' .' . J
Cash
R Sillers Ent
$171.70
$171.70