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HomeMy WebLinkAboutPermit Building 2002-04-29SPRINGFIELD Job# 01-01258-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 Job Number: 01-01258-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 07500 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 511 0001Oth St Spr Assessors Map#: 17033514 Lot: Block: Addition clTY oF SPRINGFIELD, OREGON Owner: Robert Flegel Address: 511 10th Street Scope Of Work: Fire Damage Contractor Type GeneralContr Electrical Contr Mechanical Contr Plumbing Contr Willamette Valley Restoration lnc Po Box 5064, Eugene, OR 97405 Plumb Crazy Plumbing lnc Po Box 901, Creswell, OR 97426 6t28t2003 116t2003 1 18870 6t28t2003 136547 813112003 Phone Number: City/State/Zip: Repair Springfield, OR97477 Value: $87,900 re. Repair of Date Phone 541-485-0575 541-683-8373 541 -485-0575 s41-895-4768 ,^ou\,.st?\1.1', 9et tof,r Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections working day. S Group: Dwelling uested a.m. willbe mad before 7:00 e the following Ceiling lnsulation Framing Walllnsulation Drywall Fire Damage Final Building Required lnspections Buildinq - Prior to cover. - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete Electrical Temporary Power -Approval required prior to SUB energizing pole D ,P Utility room - roof olumbino vents & Contractor Willamette Valley Po Box 5064, Eugene, 95910Crow Valley Electric PO Box 21705, Eugene, 180 \ar"Office Use Land Zoning Range:$a'J Rough Electrical Electrical Service Fire Damage Fina! Electrical Rough Plumbing Final Plumbing Rough Mechanical Final Mechanical Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: Job# 01-01258-01 Required lnspections Electrical - Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Plumbing - Prior to cover. -When all plumbing work is complete. Mechanical -Prior to cover. -When all mechanicalwork is complete Page 2 of 3 # Of Stories: Height (feet): Current Units:1 Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 02t1912002 0211912002 0211912002 8072 8072 8072 87,900 $518.85 $36.32 $41.51 $596.68 Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Electrical 1210512001 1210512001 1210512001 12t0512001 7418 7418 7418 7418 1 $.oo $50.00 $3.50 $4.00 $57.50 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Miscellaneous Plumbing 8% Administrative Fee - Plumbing Total Plumbing 04t12t2002 0411212002 04t1212002 0411212002 8595 8595 8595 8595 45 $.00 $3.15 $45.00 $3.60 $sl.75 Mechanical Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0412912002 0412912002 04t2912002 0412912002 04t29t2002 8751 8751 8751 8751 8751 $33.00 $3.60 $12.00 $10.00 $3.15 $61.7s Grand Total $767.68 1 Job# 01-01258-01 Page 3 of 3 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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 consgdtion. Signature SPRIiIGFIELD Job# 01-01258-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-01258-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 07500 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 511 0001Oth St Spr AssessorsMap#: 17033514 Lot: Block: Addition ctrY oF SPRINGFTELD, OREGOTV Owner: Robert Flegel Address: 511 10th Street Scope Of Work: Fire Damage Contractor Type GeneralContr Electrical Contr Phone Number: City/State/Zip: Repair Springfield, OR97477 Value: $87,900 Utility room - roof and attic, interior fire damage; Replace entire roof structure. Repair of olumbino vents & reolace fixtures. Contractor Registration # Expiration Date Phone Willamette Valley Restoration lnc 118870 612812003 541-485-0575 Po Box 5064, Eugene, OR 97405 Crow Valley Electric PO Box 21705, Eugene, OR 97402 9591 0 1t6t2003 -5,6bC83-8373 ., -,*o.,ol'"41:iiiijt'r-'I* Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - g,N iFrq Land Use: Zoning Code: Bedrooms: Range: Eyr. 1 To request an inspection callthe 24hour recording at726-3769. All in before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Ceiling lnsulation Framing Walllnsulation Drywall Fire Damage FinalBuilding Temporary Power Rough Electrical Fire Damage Final Electrical -Prior to cover. - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole - Prior to cover. -When all electrical work is complete. by the Buildinq Job# 01-01258-01 Required lnspections Plumbing -Prior to cover. -When all plumbing work is complete. Page 2 of 2 Rough Plumbing Final Plumbing Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Gurrent Units:1 Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 02t1912002 0211912002 02t1912002 8072 8072 8072 87,900 $518.85 $36.32 $41.51 $s96.68 Electrical Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 12t05t2001 1210512001 12t0512001 12t0512001 7418 7418 7418 7418 1 $.oo $50.00 $3.50 $4.00 $s7.s0 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Miscellaneous Plumbing 8% Administrative Fee - Plumbing Total Plumbing 04t1212002 04t12t2002 0411212002 0411212002 8595 8595 8595 8595 45 $.00 $3.15 $45.00 $3.60 $s1.75 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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 $705.93 Signature SPRINGFIELD Job# 01 -01258-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01 -01258-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 07500 Subdivision: V w$d6 \,tfl'o-"S 225 Ftflh Street Springfield, OR97477 Location Of Proposed Site: 511 0001Oth St Spr AssessorsMap#: 17033514 Lot: BIock: Addition ctTY oF SPRrNGFIELD, OREGOI' Owner: Robert Flegel Address: 511 'lOth Street Scope Of Work: Fire Damage Phone Number City/State/Zip: Repair Springfield, OR97477 Value: $87,900 Utility room, roof and attic interior fire damage Contractor Type General Contr Electrical Contr Contractor Willamette Valley Restoration lnc Po Box 5064, Eugene, OR 97405 Crow Valley Electric PO Box 21705, Eugene, OR 97402 Registration # 1 1 8870 Expiration Date 0612812003 Phone 541-485-0575 541 -683-83739591 0 01/06/2003 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: Dwelling To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 affilrPngn$rUEjnlpWl?gqr,r"s you toworking dav' follow rules adopt6o oytnr oregon utility Required tnspections i -emtdins - -l in oAR 952-001-0010 through oAR 952'001 - -Prior to cover. --'---'-e O09O' You may obtain copies of the rules by -Prior to cover. calling the center' (Note: the telephone -Prior to cover nurnberforthe Oregon Utility Notification -Prior to taping. Center is 1-800-332'2344')' -When all required inspections have been approved and the building is complete. Electrical Temporary Power Rough Electrical Fire Damage Final Electrical tI.IIg PERiIIIT SHALL EXPIRE IF THE WORK AUT}I0RIZED UNDER THIS PERMIT IS NOT CoMIIIENCED OR IS ABANDONED FOR ANY 1SO t)AY PERIOD. Geiling lnsulation Framing Walllnsulation Drywall Fire Damage Final Building -Approval required prior to SUB energizing polg, - _ _ -Prior to cover. l{flTl$El -When all electricalwork is complete. Job# 01-01258-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Page 2 of 2 Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: Paid On Receipt# Value/Quantity Fee Amount Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 02t19t2002 02t1912002 0211912002 8072 8072 8072 87,900 $518.85 $36.32 $41.51 $596.68 Electrical Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 12t0512001 1210512001 12t05t2001 12t05t2001 7418 7418 7418 7418 1 $.00 $50.00 $3.50 $4.00 $57.50 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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 n $654.18 2 ,/zZ*. Signature Dat{ / Fee DEVELOI'MI:N-| SL:I tVICE5 Ul.t,/tt i t MLt',t t February 20,2002 Lisa Hopper Building Safety Supervisor cc: Kaye Wilson Encl ,ilfi,::J5 l: ll: I I I S,lril,t l. SPT]'NGF'ELD, OR 97477 (54t) 726-375s FAX (s4t) 726-3689 www. ci. s pringl ield. or. us Robert Flegel 5l I l0th Street Springfield, Oregon 97477 Dear Mr. Flegel: !19t954-is a copy of the original permit for the fire damage repair to your residence at5l I l0'' Street, Springfield, Oregon. When the permits were obtained, we neglected to include the general contractors name on the permit. I am enclosing a copy of the permit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, CITY OF SPF FIELD,OREGON ?eo ol IItSpBCffgil REqSE$I :AutfiflSeg gf,tarure 0FEICE: 726-3759 ' .tti.cFlELO BI.ECITIC,AL PEAIfiT APPTICATION city Job t{nnberO i-otZ58-O OOilPIAf,E F8B SCEBI'I'IA EBIOS Nev Residential-Single or HuIti-Family per dvelling unit. Service fncluded:ftens Cost 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each l{anuf 'd Home or -Hodular Dvelling Seriice or Feeder $ 40.00 B. Serviees or Feeders The following proiect as submitted has the toliowrnozoning and does not require specific f"nJr." '" approval Zoni 225 YItTtr SmEEf, ii=rrSPRIUGEIEu), OREGO!|" 97 I 1. II}GATION OP5t I *e+ 3 A IAGAL DESCRIPTIOilt2n33t/q JOB Pernits are non-transferable and expireif vork is not started uithin 180 daysof issuance or if vork is suspended for 180 days. 2. qffTRACTOR INSTAUAIIOI{ O!{LY Electrical Con t rac,o, ('rf(X, \hful rddressh 6nX e as) ci Supervi Expiration Date, constr contr . *u*u", il- 3f|U Bxpi ration Date Installation, Alterations f,or Relocation: oTto o Sum -il *"n"" uu'u". tt|,l aS [',ta{yr /,,ruone;flfulsL}. 837 3 '200 amps 201 anps 401 anps 601 anps Over 1000 Reconnect or less to 4O0 ampsto 600 amps to 10@ amps aups/volts 0nIy $ s0.00 s 60.00 s100.00 $130.00 $300.00 s 40.00 of Supervising Electrician c D. Branch Circuits Nev, Alteration or Extension Per Pane1 one Circuit S 35.00 . Each Additional -Cireuit or uith Service or Feeder Pernit - S 2.OO E. Hiscellaneous (Service/feeder not included) Tenporary Services or Feeders Installationl Alteration or Relocation 200 anps'm less $ 40.00 0ver 4b1 to 6@ amirs - S 80.00 over 600 amps or 1000-75fts see nBn aEffi- -Each installation Puup or irrigation - Sign/Outline Light ing- Lioited EnergY/Res - Llnited EnergY/Conm Signa The installation is being made on roperty I ovn which is not in tended tor sale, lease or rent. Omers Signature: $ s s s 40 40 20 16 00 00 oo 00 ST'BTOTAL OF ABOVE 73 State Surcharge 3Z Adninlstrative PeeI}ATB: 5 57> Ovners Nane +(- s € r--r) Phone i ii i.j iijjili rD-16 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD Ot-dlZ S B -ol no335tvl ozSoo tt)r lotDATE: TO: FROM: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Address or location of building Name of otrner Type of building Estimated value of building Estimated loss to building Date of fire Location of damage in building )^ [=er\\r (Dwel I i ng,tore, lrlarehouse,tc 60 L brh sf EGEL ) o Q (Roof, hlall, Exterior, Interior, etc.) Structural weakness as a result of the fire \/(l-O0 zzr Rurned rafters, Beams, Joists, etc. ) Additionai pertinent information cc QO Ir h6A Signed h-.J-Electrical Hazard Zr"rl t\) (ttiring, 0utlets, etc. I rq(tr ^r< ()\ \c\3?t{o {