HomeMy WebLinkAboutPermit Building 2003-1-6
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: COM2002-01358
ISSUED: 01106/2003
APPLIED: 12/09/2002
EXPIRES: 07/06/2003
VALUE: $ 50,000.00
SITE ADDRESS: 1630 I ST
ASSESSOR'S PARCEL NO.: 1703362104400
Springfield TYPE OF
Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Fire damage - replace roof trusses, sheet rock, ceiling insul,
Repair
Residential
Owner: DAMON RAPPLEYEA
Address: 32914 CHURCH RD WARREN OR 97053
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
I CONTRACTOR INFORMATION.
Contractor o~\~ License
ROBERT SCOTT BASH ~,\e~ ~ \)~{\.~<'-'{\ 134654
DAMON RAPPLEYE:"<~~f~ ~':~.~\.
N ' ION
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# of Buildings: ~\O 'l>-eo~ ~~~ ~'P~JAj.)~\~e~ \<:p0
Primary Occupancy Group:~~~ ~e~ (je~~~~"\~~1irr~ ~O'~
Secondary Occupancy ~ ~O~ (.~o~ sj)\' \'O,~~~,-~l~"\.
Yrimary Construction Type \0 ~~\c'lf. ~ ~'\ 0 ~e~~"f~~
Secondary Construction ~O O~<?\ --{O~ ~ 0cf.J~ ~~f.Ype:
# of Bedrooms: .~, f'\~(). .~~ ~~e~~tlmy Path:
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Ci f''()'U (".e~
\' I DEVELOPMENT INFORMATION.
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Overlay Dist: \T \\\~ ~ ~r;::,\
# Street Trees c.j..~\~<t. ~,,~\\ ~ r;::,,,
rved DS<<~rtq'd~\\\<O \> ~~T..'O T
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I, ~~~NlENTSI
Contractor Type
General
Owner
Expiration Date
06/08/2003
Phone
541-726-5896
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
Street
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downs pou ts/Drains
Notes:
I Valuation Description I
Desc ription
Type of Construction
$ Per Sq Ft
Square Footae:e
Value
Date Calculated
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Demolition
Sanitary or Storm Sewer Cap
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum! Adjustment Mechanical
Total Amount
Planninl! Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01358
ISSUED: 01106/2003
APPLIED: 12/09/2002
EXPIRES: 07/06/2003
VALUE: $ 50,000.00
Total Value of Project
I Fees Paid I
Amount Paid
Date
Receipt Number
$6.30
$7.20
$45.00
$45.00
$10.00
$51.37
$35.96
$370.65
$98.00
$45.00
12/9/02
12/9/02
12/9/02
12/9/02
1/6/03
1/6/03
1/6/03
1/6/03
1/6/03
1/6/03
1200200000000000360
1200200000000000360
1200200000000000360
1200200000000000360
1200200000000000495
1200200000000000495
1200200000000000495
1200200000000000495
1200200000000000495
1200200000000000495
$714.48
Plan Reviews I
12/09/2002
12/09/2002
APP KG
No historic value per Kitti Gale
120902. db
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.
, Reouired Insoections I
1 Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all debris is removed from the site.
2 Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Wall Insulation: Prior to cover.
5 Ceiling Insulation: Prior to cover.
6 Drywall: Prior to taping.
7 Final Building: After all required inspections have been requested and approved and the building is complete.
8 Rough Plumbing: Prior to cover and including required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Rough Mechanical: Prior to Cover
11 Final Mechanical: When all mechanical work is complete.
12 Underfloor Plumbing: Prior to insulation or decking.
2 of 3
Status:
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2002-01358
ISSUED: 01106/2003
APPLIED: 12/09/2002
EXPIRES: 07/06/2003
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofthe City of Springfield 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 permission of the Community 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
atalI~3-~;tction. / / ~ It? ?
[,... J/) I /
Owner or Contractors Signature Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-01358
COM2002-01358
COM2002-01358
COM2002-01358
COM2002-01358
COM2002-01358
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000495
Date: 0110612003
Description
Building Permit
Fixture
-Mechanical Issuance Fee-
Minimum! Adj ustrnent Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
PACIFIC FIRE AND FLOOD
djb
Page 1 of 1
.
1/6/2003
10:27:51AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
370.65
98.00
10.00
45.00
35.96
51.37
L'ine Item Total:
$610.98
How Received
Amount Paid
In Person
610.98
$610.98
Payment Total:
cReceiptrpt