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 {