HomeMy WebLinkAboutPermit Fire Damage Report 2008-7-1
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00864
ISSUED: 07/0112008
APPLIED. 06/1612008
EXPIRES: 0110112009
VALUE. $ 45,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1520 W QUlNALT ST
ASSESSOR'S PARCEL NO 1703273200110
Springfield TYPE OF WORK Fire Damage
TYPE OF USE Repair
ReSldent..1
PROJECT DESCRIPTION FIre Damage
Owner MARUYAMA ALAN K & MAVIS
Address 1520 W QUINAL T AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumblllg
Contractor License
BELFOR USA GROUP INC 146973
BEAR MOUNTAIN ELECTRIC LLC 136298
EUGENE EXCAVATION & PLUMBING INC 138003
I BUILDING INFORMA nON,
ExpiratIOn Date
02/16/2009
08/06/2009
04/27/2009
Phone
54 I -726-9905
541-741-8844
54 I -988-0868
# of UOIts
Primary Occupdncy Group
Seconddry Occupdncy Group
Primary ConstrultlOn Type
Secondary ConstructlOlI Type
# of Bedrooms
R-3
U
VB
# of Stories Lot Size
Atf1!!W,Jl.(~tructure Sq Ft 1st Floor
fo,,~i1>eu~ffl~regon Jaw requIres you fiq Ft 2nd Floor
Not'~~~b ~~Pted by the Oregon UtilfliJI Ft Basement
In OJlA~e'J.; [~er Those rules are set f~Ft Garage/Carport
ooed'n "-I~ ~:001 0 through OAR 952-olmJoFt Other
call1tf,u ~'\; IR1QJ\\\\l..cop,es of IJ;w rules bycupant Load
. '" . Igr. IN.ote thA Jf""'rhnM
I DE{r'k'LOP_i~~~I[fi~~1:flcatJon
REQUIRED PARKING
Frontydrd Setback
S,de I Setback
Side 2 Setback
Rearyard Setback
Soldr Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
Total'
Handicapped
Compact
Street Improvements
Storm Sewer AVddable
Spec..1 InstructIOn
I PUBLIc.l~l'.ROVEMENTS I
""".. ~
T. S,dewalk Type
HIS PERMIT SHAll EXPmt~ Ii
~g~~E~~~~ ~NDER THIS PER~ ,~~
ANY 180 DAY PE~:~~BANDONED FOR
Notes
Page I of3
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\
Status
Issued
225 Filth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIlle
DescriptIOn Tvpe of ConstructIOn
Bid Amoullt Use BId Amount
Fee DescrIPtIOn
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
-Mechalllcal Issuallce Fee-
+ 10% AdmllllStrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg PermIt
Dryer Vent
Exhaust Hoods
Fixture
Mmllnum/Adlustment Mechalllcal
M.llImum/AdJustment Plumblllg
Total Amount Pdld
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00864
ISSUED: 07/0112008
APPLIED: 06/16/2008
EXPIRES' 0110112009
VALUE. $ 45,000 00
I Valuation Oescrmtion I
$ Per Sq Ft
or mulllpher
$100
Square Footage
or BId Amount
45,000 00
Value
Date Calculated
Total Value of ProJect
$45,000 00
$45,000 00
07/0112008
Fpp" Po"l.
Amount PaId
Date PaId
Receipt Number
$550
$660
$275
$55 00
$20 00
$4761
$57 14
$23 81
$376 14
$700
$1000
$48 00
$33 00
$200
6/18/08
6/18/08
6/18108
6/18/08
711108
711108
711108
711108
711108
711108
711108
711108
711108
711108
2200800000000000929
2200800000000000929
2200800000000000929
2200800000000000929
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
1200800000000000723
$694 55
I Plan RevIews ,I
To Request an mspectlOn 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 will be made the folloWIng
work day.
I !?PIIl/,\,rpfl In',nprt~
Temporary Electric Approval required prior to Uhhty Company energIZIng pole
Framlllg InspectIOn Prior to cover and after all rough III IllspectlOns have been approved
Wall IlIsuldtlOn Prior to cover
Cellmg Insulation Prior to cover
FIlldl BUlldmg Alter all reqUIred IllspectlOns have been requested and approved alld the bUlldlllg IS complete
Paee 2 of3
-~
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Rough Plumbmg Prior to cover and mcludmg reqUired testmg
Fmal Plumbmg When all plumbmg work IS complete
Rough Mechdlllcal PrIOr to Cover
Fmal Mechalllcal When all mechaOlcal work IS complete
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2008-00864
ISSUED: 07/0112008
APPLIED. 06/16/2008
EXPIRES: 0110112009
VALUE: $ 45,000,00
By SIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby cerhfy thdt all
mformatlOlI hereon IS true and correct, and I further cerhfy that allY alld all work performed shall be done m accordance WIth
the Ordmances of the City of Sprmgfield and the Laws 01 the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made of any structure Without permISsIOn of the Commulllty ServIces DIVIsIOn, BUlldmg Safety
I lurther cerhfy thdt only COlltractors and employees who are m comphance WIth ORS 701 005 will be used on thIs project
I lurther agree to ensure that all requIred mspectlOns are requested at the proper hme, that each address IS readable Irom the
street, that the permit card IS located at the front of e property, and the approved set of plans will remam on the sIte at all
tImes dur~ / /
Ow.., o.c:;", ",.'" ",."o~
Pa2e 3 of3
D"'?/ ;/C! ~
225 FIfth Street
Sprmgfield, O'regon 97477
541-726-3759 Phone
~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
COM2008-00864
Payments
Type of Payment
Check
cReccmt 1
RECEIPT #
1200800000000000723
Date' 07/0112008
DescriptIOn
BUlldlllg Permit
FIxture
MlmmumlAdJustment Plumblllg
Exhaust Hoods
Dryer Vent
MllllmumlAdJustment Mechamcal
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
, 10% AdmllllStratlve Fee
Paid By
BELFOR USA GROUP INC
Item Total
Check Number Authorization
Received By Batch Number Number How Received
DJB
19092
In Person
Payment Total
Page 1 of 1
14151PM
Amount Due
37614
4800
200
10 00
700
3300
2000
2381
5714
4761
$624 70
Amount Paid
$624 70
$624 70
7/1/2008