HomeMy WebLinkAboutPermit Fire Damage Report 1988-02-22Date:€€.
#O.. RESID'\TIAL..
225 NortTr stt, iwnfPLrcATI,N /PERI/lrr
Springfield, Oregon 97477
BwLldi-ng oi.tsi. si.on
726-37 53
SPFI'rccFIELD
,/-frfr p* e6'
LDl,tttl
ft/
MechanticaL
Constmre?ion Lendet
SITE INSPECTION:
e-.arr;tlo",'b"t
tt ie the responaibility of the permit lodet to eee tltat aLL inspectiotrs ee nade at the p?ope! tine, that ecch ,zdd.ress is rensable
fran the at?eet, and, that the pez,nrtt catd ia Located at the frottt of tlte propertlt.*Suilding Dioision appro"^ed plan shell remain on tlp Building Site at aLL- times.-
PROCfuUPE FOR II,ISPEC?I9I!-RIO.UEE\rCALL726-3769(yecotder) state youn Citg desigrnted job ntonber, iob aCdress, tgpe of ir*pecli.cn
eadgforinspection,Contlactansoia,,","',,,nL"ipn"7nnumbel,.-RequestsreZeliZabZ7cre.?:00a'lt"ill be nade the sane dcy, ?equests nade aft* ?:00 on viLL be made the ne.ct uotking day,
fotme
ANDERSLAB PLUMBING. ELECTRICAL &
l4ECHLllICAL: To be nade befoz,e any
uotk is cotset,ed.
FOOffNc & F)UNDA?ICN: Io be tnade
@ e"'t"eltcG-ay e eacau at ed and
forns ate enected, but ptior to
pout'ing ccncreta.
ANDIRGROU!]D PLUMDINC, SEWR, W.4TER.
DEA|IAgE: ?o be made ptioz, to fiL-
@-66nehee.
UTIDERFLOOR PLUTiBINC & MECHANTCAL :
oy
floor insul,a,tion or decking.
POST AND BEAM: ?o be nade prior tofrsttTffiGn o7 floor itauT,ation or
deckinc.- *t -'i
RO TJGH PLUIB IItIG.' ELECTR f CAL & l,lECH--
ANICAL: No uork is to be co.^ered
,frliTthese inspections haue been
mad.e and approoeC.
EtPLPLACE: Prior to placirq facingmat;id; and before f"*ri"S inspe".-
tion.
PFAlIlq: ltust be requested after
app"ouat of rough plhrbing, e1ectui-cal & meclnnical. AL! z'oofing
braeing & chitmeys, ete. rntst be
; cornpleted. tto uork is to be con-
." cealed until this inspectLon lns|been mode anC apptotsed.
FTNAL PLUMBIIIG
PINAL MECHANICALut
FINAL ELECTRICAL
Iour Desier,ated {Number fs
INSULA?TON/VAPOR BARRTER IIISPEC?ION :
?o be made aftez, aLL insulaticn ald
required uapor bmriers @e in place
but before otg Lath, gypswn boarC or
tnLL couering is applied, cnd. before
oty insulation is eoncealed.
DEI.DLTTIA!! OR |.:OWD BUILDI|]CS
Sanilaty seuer capped at y,operQl Lire
Septic tutk putrped and. fi.Lled urith gz,axel
Final - Wen abcue itens ave ccrnpleted
and uhen Cqtclition is complete o? st"uc-
ture mooed and prenrLaes cleaneC up.
Mobile Hcnes
Blocking otd. Set-up
Plwnbing connections -- aarte! otd uatet
Electrical Connection - Bloeking, set-up
and plunbing connections tn;st be apprcaed
before requesting electrical inspectio,"t
Accessory BuilCirtg
Firnl - After pctches, ekirting, decks,
etc. dre completed.
To be nade after
pz-iar tc set up of
\\
f ,T;'I DRYilALL INSPICTION:
| / l;1ter-AT-fiyu;r.ns
-
but pnior. to cny tapi
Tc be made
in pl.ace,
ns.
T
MISQIIRI: Steel Location, bonddiffilgrouting or uev'ticals in
accotdqtce ?iLth U.B.C. Section
2415.
W)2DST)VE: After installation i,s
ccrtrpLeted.
CURB & A?PROACH APPON:ee erecteC but ptiot, to
cottct ete.
SIDEWALK & DRT',WAI: Eor aLL con-
e"et; pao@Giffi street night-
of-txA, to be made after aLL erca-
oating conelete & forn wrk & sub-
base matertal in place.
After forns
' pout"[rtg
il ?ENCE: ta4ten co,nplate -- Prooid.e
gates or nooable sections tht'ough
P, U. E.
ALL g,oject conditions, sueh as the installation of street trees, co:pletion of the
:: requ'f..red 'l,andscaping, etc., rmtst be satisfi.ed before the BUf LDINC FfltAL ean be requested-
/D\ ilNAL BaILDING: The ?inal Building fnspection mtst be requested after the Final Plwnbing
YJ Electnical, qtd. Meclanical fnspeetions hqlre been nade atd approtseC.
,lob Location:
Aesessore Map #a Lot #
Svbditsision:
Amet
Addtess:
,Dza b.oz<* ft*tn ,b
5-m riwa*'=.*-.
Descr"Lbe Hork:
Value asDate of 7-zz-a8
Ad&Lticn
RemoCel
Genet aL
ELeetrical
Y
w
*ALL I4ANHCLES AND CLEANOUTS I,IUST BE ACCESSIBLE, ADJUSNTET|I TO BE I,ADE /1.Y NO COST TO EUY Page 1 of 2
/
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tr
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7 ,rooorn ro "
/cga z
L.CO dJOB NO.
Zone:
SOLAR ACCESS REQ.-
?otaL
f HAW CAREFULLY EXAIIINED t?e eornpleted application fo? penrit, cnd do
herebg cettifA that aLL information het,eon is ttue atr.d. cotrect, cruC I
futtket, cet'tify that ang ard aLL uork pez,fotrned shall be dane in aeeoz,-
dance ,"tlth the 2ydinances of the City of Springfield, and. the La;;s of the* State of 1z,egon pertainino to the uotk Cesbyibbd herban, and ttut NO OCCU-
PANCY tlill be rmd.e of any sttuctur,e uithout permission of the Buitding Dt-oision. r fut'ther certify that only contracior.s and enplcyees uho a"b i,neonpliance uith ORS Z01.0SS uiLL be used on this project
2-*-AF
UAEE
z- 22 €y
Bedtooms:
Ene?du Sout ces TuoeLot Faces -
Setbaeks Ileat
Df House Caraqe Aceess.,later lleate-?
No?th
Eost FirepLace
South Woodstou'e
Iat Sq. Ftg.
% cf Lct Ccuerage_
# of Stoz.ies
LOT ?WE
_ fntericr
_ Cormer
_ Panlnndle
Cal-de-sac
Total Eeight
lopography West
-- Fees --
Building Vqlue & Permit
This permLt is gz.anted on the erpress condition thr.t the sdid_consttaction
slnll, in aLL respects, eonform to the }rdirnnce adopted Siy the City of
Springfield, incl.uding the Zoning Crdinance, regulating the ccnstraeticn
and. use of buildtnqs, and may be suspend.ed ov, reuokeC at cnA time upon oic-
Lation of dtA prcoisions of said 1ydir,ances.
TOTAL VALUE
x Va
,tB
S.D.C. 1.5 o
43
Building Pev,nrit
?otal Clnrges
State Date Paid
Signed:
Receipt #:
Plumbing Perrnit
No person slta'l.L consttuct, instal?., alter or clnnge dnA nea cr existing
plunbirq or dtainage sustetn in uhole or in patt, unless such person is ttp
Legal possessot, of a ualid plwnber's License, escept that a pe?son nag do
plwnbing uork to p?ope?tg uhich is otmed, Leased or operated by the dppli-
cant.
N0.FEE CHARGE
4>
f
*
-s-
Eirtures
Resilentia.L (1 bath)
Seuer
Plunbing Penrit
State
Ictal
ITEI,l NO EEE LflA fr1,I,
Res. So. ftq.
Neu/Eztend Cincuits 2az ..*ary*2=-se
Ianzpcz'ey Seytiee
*_:re
/. /3
Wheve State Lau requires t\tat the electrical uork be done by an Electu*ieal
Contraetor, the electricaL portion of this permit sltall not be oaliC untilthe Label lns been aigned by the Electuical Cont!,actor.
Eezmlt rl
Total
Electricql Permit
NC FEE ClIARCE
*
Mechqnicql Permit
fuhanst Hood
Vcodstooe
Vent Fan
PetmLt fssuanee
Meehanical Permit
-- ENCROACEMENT --
See,trtty Deposit
Storage
Maintenanee
Pezmit
Cuzbcut
Sida,talk
lence
EZeettieal Label
Mobile Honte
TOTAL AI,IOW? DUE:*/Zz. Zt Date
hprnee ETtl'S
?otal CTwraes
Sf,aLe,
--
Pl ann'i,ng & Devel opment
Job'No'@
JoB ADDRESS Qzo /,),
.. .;HT:T OF SPR,LIrTGFIEI,]
OFFICL OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street Date
22.81-TO
Bu'ilding Divis jon
CALL FoR -tH:r:[:-I NSPECTOR
IFOR: --- INSPECTI0N 726-3769 ORMATION:26-37 53 ***:k
4 n6,
JOB ADDRESS
)IT:T OF SPR,I\TGFIEI,:
OFFTCE OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street 0ate
J TO:
lannitg & Development Building Division
ob. No.
1-
6 i?l c*, l, , ,, a K cs t-o lt
2 o Ga l Oc-.
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Io-t
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CALL FOR REINSPECTION I NSPECTOR
,
**** CALL FOR. --. INSPECTION 726.3769 ..-- INFORMATiON:7 26-37 53 **rrrr
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BIO RTQUISI
February 1i, 19BB
F-76953 - 92A North 22nd St., Springfield
EXTERIOR OF DWELLING
Replace damaged exterior siding
Replace damaged rafters and ridge
Replace damaged plylood sheeting
Reolace darnaged roofing materia1
Rep'l ace damaged ce j I i ng joi st
End plate framing
INTERI0P. 0F Dt^IELLING
S.t,l. BEDROOM:T-T5- wind-ow
Sheetrock - tape and texture
Door and frame
Closet doors and framing
Replace damaged vra1l studs
N . !'l. BEDROOI4:3-TTr wI n?orv
Sheetrock - tape and texture
Door and frame
Stud fram'ing for closet and door
Closet doors and framing
BATHROOT{..
AAI-Ioor and frame
Glass for w'indow
Remove viny'l and repair floor as needed
HALL:
Remwe and replace damaged sheetrock
Tape and texture
MIDDLE BEDROOM:
GlassEF w'in?-ow
Add door and frame
Remove panel ing
S.E. BEDROOI'4:
Glass for w'indow
Add door and frame
PANTRY AND HALL:
m-il ace p'an doors
Replace framing as necessary
Texture walls and ceiling
UTILITY R00t'1:
KITCHEN:
nenrove damaged ceif ing
Add new sheetrock - taoe and texture
Repair and refinish kitchen cabinets
Replace g'lass slider
Remove vinyl and repair floor as needed
LIVING ROOM:
Replace glass in window
OTHER:
InstatI insuIation as needed
Paint interior throughoutinstall light fixtures as needed
Repl ace
Repai r s
glass w
heetroc
'indows and door
k cei f ing, tarre and texture
Add new 30" door and frame
_1 /_t
EVT-IGREEN LAND TITLE ,O.
1317 N. 18th . P.O. Box 931 ' Springfield' OR 97477
741-1981
LOT BOOK SERVICE ELT-B B I 5
'ocroBER Lt 1987
CITY OF SPRINGFIELD
PLANNING DEPARTMENT
225 NORTH A STREET
SPRINGFIELD, OR 97477
ATTN: JACKIE MURDOCH
We have searched our Tract Indices as to the property described:
Beginning at a point 875 feet North and 1815 feet South B9o 301
West of the Northeast corner of the James A. Ebbert Donation Land
CIaim No. 74, Township L7 South, Range 3 West, Willamette
Mer idian, thence North 65. 00 feet, thence South 89 " 30' West
125.00 feet, thence South 65.00 feet, thence North 89" 30' East
125.00 feet to the place of beginni.g, in Lane County, Oregon.
"c )4 ?
*
and
We
as of September 29, L987, at 5:00 o'cIock, p.m.:
find that the last deed of record runs to:
GERRY L. KEPHART
as tenants
and RAELDA A. KEPHART
by the entirety
We also findprior to the
the following apparent incumbrances within ten years
effective date hereof:
1. Mortgag€, including the terms and provisions thereof, executedby Jerry O. Blackmore and Merrilyn G. Blackmore, husband and
wife, to The State of Oregon, by and through the Director of
Veterans' Affairs, dated November 22, L977, recorded November 23,1977, Reel 874, Reception tlo. 77 75151, Official Records of Lane
County, Oregon, given to secure payment of a Note for $29,200.00.Gerry L. Kephart and Raelda A. Kephart, husband and wife,
assumed said Mortgage by Assumption Agreement recorded August 29,1986, Reel 1416, Reception No. 86 33582, Lane County Oregon
Record s .suit to foreclose the subject Mortgage was filed June L7,I987, Lane County Circuit Court Case No. 16 87 05280.
CONTINUED
ELT-8816
PAGE 2
3. Judgment against Gerry Lee Kephart in favor of The
Oregon, Department of Human Resources, entered December
Lane County Circuit Court Case irto. L7 80 11606, in the
$1, 200. 00.
State of22, I980,
amount of
We also find the following unpaid taxes and city liens:
4. Taxes, Serial No. 17 03 36 L2 07700, Code 19-00, Account No.
32L107, I987-BB, $1,159.69, due and payable.
This is not a title report, since no examination has been made of
the title to the above described property. Our search for
apparent incumbrances was limited to our Tract Indices, and
therefore above listings do not include additional matters which
might have been disclosed by an examination of the record title.
The liability in connection with this Lot Book Service is
expressly limited to the sum paid therefore, and the issuing
company will not otherwise be responsible for errors and
omissions therein. The charge for this service will not include
supplemental reports.
EVERGREEN TITL
BY:
We have also searched our General Index for judgments and state
and federal tax Iiens against the above-named grantees and find
the following:
2. Judgment for child support, against Gerry L. Kephart in favor
of Cynthia C. Kephart, entered February 5, L982, Lane County
Circuit Court Case No.15 81 01953, in the amount of $100.00 per
month.
m-l5
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FIRE DAMA.GE REPORT
OR
ELECTRICAL HAZARD
TO:
FROM:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
DATE: 8 -,r-27
(-\
44o
Address or location of bui'lding qN 2z -rj >n
Name of or.,ner
Type of building fu*, .EJ
Estimated value of building
Estimated 'loss to bui ldi no
o
$
Date of fire 8- y-nl
-6lb
Locatjon of damage 'in bui'lding
(Roof, Wal I , Exterior, Interior, etc. )
Structural weakness as a result of the fire
(Burned rafters, Beams, "loists, etc. )
Add'itional pertinent information
Electrical llazard l&;.a q:.rqA-e "
(tJi ri nq , 0ut'l ets , etc . )
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