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Home My WebLink AboutPermit Demolition 2001-02-13Job# 00-01725-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 2 SPF!NGFIELD h 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1337 00033rd St Spr AssessorsMap#: 17023034 Lot: Block: Addition: Job Number: 00-01725-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot #: 07300 Subdivision: crTY oF SPRINGFIELD, OREGOTU Owner: - Address: 1337 33rd Street Scope Of Work: Fire Damage Demolish MH and add-on Phone Number: City/State/Zip: Demolish Springfield, OR 97478 Value: $O Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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 working day. Required lnspections Building Electrical -See Plan Review and/or lnspectors Notes. I Demolition Special Fire Damage # Of Buildings: # Of Bedrooms: Handicap Access? Plu Sanitary Sewer Cap -Capped within five feet of the property line and capped with an approved material as required b Construction Types: Occupancy Groups: # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply (Sq. Feet) Accessory:Total: 9n UORK ;Nor' Jfi Main: Job# 00-01725-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Building Demolition State Surcharge For Building Permit Building Administrative Fee Total Building 0211312001 02t13t2001 02t13t2001 4434 4434 4434 1 $18.00 $1.26 $.54 $19.80 Minimum Plumbing Permit Fee State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbin 02t13t2001 0211312001 0211312001 4434 4434 4434 $15.00 $1.05 $.45 $16.s0 otal 4 Signature $36.30 Date TO: FROM: SUBJECT: Build'ing Department Springfield Fire Department Structural Damage to Bui'ldi ng FIRE DAMAGE REPORT OR ELECTRICAL HAZARD ),o!'$r COtl)S Ol FD-16 ll o>- 3 t, 71 o'l3Qr DAT.E: I F zz-oa -aAddress or location of bu'ilding I il?ja Name of or./ner i ^C,) Type of building D -nlt::f@t^tarehouse, etc.) Estimated value of buiiding Estimated 'loss to bui 1di ng Date of fire It ' Lz- od dot<) 7 Location of damage in bui'lding €,n+r.< *y^yty4_ (Roof, l^Jail, Exterior, Interior, etc.) Structural weakness as a resu'lt of the fire S/er (Burned rafters , Beams , Joi sts, etc . ) Additional pertinent'information EleCtrica'l Hazard ^^cr-\<A (ldi ri nq , 0utl ets , etc. ) cc S i gned STATE OF OREGON OFFICE A TE FTRE IIAXSTTAL 2000 OREGON AII INCIDEITTT xEBORIING SITSTEM FIREDET. AITR EocirnE INcrDEr.rr ALLINCIDET.ITS ;;8 DEpr. RESpoNDtNG-5pLi-0-gLLie,ld_Ei-fe__LaneDISTRTCTOFcorrNTv ^*Y+E8/hISUc ARRIVAL DATE DATEBACKIN TIMEBACKIN21_tSIAI-ARMDATE1t-1e..-o\ zr PRIMARY TYPE OF SITUATION FOUND: Or. fir b ltnohrc4 co.6 rhc tret of rrrc)f.k(Onc Rcport fr E clr Tvpc of Fircf 28 OTIIER TYPE OF SITUATION FOUND: 2C OTTIER TYPE OF SITUATION FOUND: Frcld 6:'Frld1:.Fic{d }:Ficld 3:Fictd 4:' Fiid5:SPECI,ALSTT'DIESgr&t usc) qlqT!AP t1,-ou CENSUSTRACT iTDISTRICT/ ZONE t ) i? 3t"L t INCIDENTADDRESS ( j.rrr ?2C Stqy TELEPIIONE L- | -57 DOBa OCCT PANT NAME (lrs( Ersq MI) c COMPANY/BUSINESS NAMESo^.s P^ry TEI.EPHONE () IX)B5 BT SINESS OWNER, NAME (ui. t6( MD zlP6 BUSINESS OWNER ADDRESS TEITPHONE( -)DOB7 BUILDTNGyMOBIIE PROPERTY OWNER NAME (l.rst tts., l,lD S7 + zlPE BT ILDING/Ir{OBIIJ PROPERTY OWNER ADDRESS DOB TEIJPITONE ()9 INCIDENT REPORTED BY (I5( T$( MI)s(+ A?10 INCIDENT REFORTED BY ADI'RESS o! NoNE MUTUALAID I O GI\IEN 2B RBCETVED ,OFAERIALAP?ARATT'S NESP(XDING , OFOTUERFIRESERVICE***91'3tl TOFRREpERSOI\INEL REiFONDING Cr,u lL lvor,a-t IOFENGINES IESFOITDIITIG3 ,2 TTPE OFACNON IAICEN (OGCKAIITTiAT AP?LY ) 3TtrForciblcEatry Tlporcsigarc 36trTrosport lsEE*riD8uistr 3l ORcsorc a2BH:[!E.,TD l6pVcotilarc 320E:cricatc 4ltrRcoowHazard 14 El8alrrasc 33 tr EMS 44 O Estab[sh Safc Arca 4T0DcconArca SsP€carch 34trProvidcPcrsoaocl {6 tr Dccon Pcoplc@uip 53 O Standby 74 g Canoclcd at Sccoe 450MonitorHazrrat 52trMovcUp T2trCancclcdEoroutc 43 trEvacuatc ;- . rl.* EQthcr ALLFIRES 4 tr Autooaic Eriogrtishing S)ttc@ 5 OWatcrC.rdcd Oo Initial Apparaas 8 O Grourd Clerrs W/ Equip /ttrdlOr AirSupport METBOD OF E'CINCI'TSEMEI\TT OassificdAbovc3 trPorablc DraftOr f OSclf-Edinguished 2trMakcshiftAids f$$/atcr zSpin Only 3trOassAExting 5EclassA/B/CExting 7A@2 4trClassBrcExdns. 6trqassDEring. 8OIIaloa 9 tr Coopresscd Air Foau I t tr Class B Foam/AFFF 13 tr Nonc tOOClassAFoasr 12OY/cttingAgcotWWatc( t4trOthcr 15 SPECIFICPROPERTY I,SE -).,.q\e 6r^.t', [\rott.^g UCENSEI STATEMYEARMAKEMODELsirlIAL:r/.iIRcnAFT T,r[" t EQUIPMENT INVOLVED IN TGNTNON Goqtct" tiDC D15 ROOM/AREA OF FIRE ORIGIN POWERSOURCE ItrEDGD 2OPORTABLE SERI,ALTEYEARMAKEMODEL 17 IGNTIONFACTOR MuliplcPcaoc Irrohrcd O Ed.dy 6tc66+) O rbrgory Usravlagca 0 UnrocadcdFcco o Nrdcrof Jwtaitcs: ,Gilc O hnAF rodC.,Grdcri! REe,r.{Rl6 It EITMAT{FACnOnS INVOLVEDIN IGMTION Alccp rou* 20Fsude Umciqr tr ITEM FIRSTIGNITED19 FOAM OFIIEAT OF IGNITION MATERIAL FIRST ICMTED lf,AS MADE OF Floc of Origia6mEsOnlv)3 treborccmrua 4 O ro FriSh20 I.Er.EL OFFIRE ORIGIN I OBcloeGto@d zpcror-ar-*r odo Mobib Pr,op<ty udCoucc .00 Ods .@ ZI ESflMATED VALT.IE Buildint "tf oo O ., Cootaas f-o oo o .* .@ .@ 6, aoa .@ 22 ESTIMATED LOSS -(c( 0o .oo I Iodo .oo o aUILD$G SIZE (Crod rba OdY) t oo-999SQFr ALL ,trrm-99rsQrT 40 rqoo- i9J99SQFr FT 60 Jo,sp-eerrgsQFr ?O rcqooo-4r.6oserr FIR\ s28ro0o-4 3 APPROXIMATE luLDtI{GdGE (t!Y6) ja NUMBEROFSNOruES_---- OUl[dr&Arocrat) t 2' STRUCTI'RETYPE fpBrdocdStructurc 3tr OpcnSmuurcNoIrdls) 4O AirSupportod Stucturc 5E Tcn( 60 OpcalT.dom(NoRoo0 7 O Undcrground Structurc 9 tr Typc of Structurc Not Class'd abor COITSTRUCIIONTYPE I B Stcct & Concrcrc. 34 tlr 2 O Protcaod Marcnry Ext & Wood lnt 3 O Unprotcctcd lvlasonry ExL & Wood hL aOPotcacd- StcclBldg. 5 O Uaprotcctcd Stccl Bldg 6OHcaryTimbcr 7 O Prorccrcd WoodEranrc 8pJnprotcctcd Wood Framc 9 O Tvpc Not Classcd Abovc lpdass A OrB (Non C-ombustibb: Mcal" Ti&i Composition) 20 Class CC.ompcition orhcparad, Mar't 1a5r5"1, ghinglcs) 3 O Ctasr C (IEa&d lod Us.d Wood Shioths) 4 B Unatatod wood Sbingls 5 tr Nonratcd RoofCortdog ( Canvas, Plastiq HorTar) 8 O SEuctErc Widout Roof 9 O RoofNot Classcd Abovc ROOFCOVERING 25 PRIMARY FACTOR CONTRIBUTING TO N.AME TRAVEL A^.r Lro[> 16cctD PRTMARY AVENI,E OF SMOKE TRAVEL fiTENT OF DAMAGECAASED BT26 FIRE SAPPRESSION EFFOErS CONFINED TO F.I-AME t tr Ob.icctof Origin 2tr Part of Roon/Arca of Origin 3 B Room of Origin 4tr Fire-racd C.onp. of Oddn 5 B Floor of Origin (Multi-floor Bldg.) 6lSuucturc of Origin 7b Bqood Sutcarrcof Origin 8B Non-firc DamagcReport ST{OKE I OObjcctof Origia 2 D Part of Roorn/Ara of Origin 3 0 Room of Gigin 4 O lire-retcd Comp. of Origin 5 O Floor of Origin (lr{ulti-floor Btdg) {!trmcrurc of Origin 7O BcSond Srucrurc of Orieia 9 O No DamagcofThis Ttpc EXfiINGUISEINGAGE}.IT t OObjcctofOrigin 2 trhrt of RoordArca of Odgin 3 O Room of C.igin 4 O Firc-ratcd Comp. of Origio 5 O Floc of Origin (Multi-floor Bldg) 6p6rucorcof Origin 7 tr Bcpnd Smrruc ofOrigln 9 B No DasEse of This Troc I OObjcaof Origin 2 O krt of Roon/Arca of Gigin 3 O Room ofOrigin 4 U ftE-ra&d Corap. of Origia 5 O Floor of Origia (Molti-tloor Bldg) 6g&ruc$rcof Origin ? 6 Bc5pod StrE€orrc ofOdgn 9 ONo DamagsofThisTlpc FIRECONTROL I rr er-rnrvrryrs I t osr*t I zog".t I g OCo-Ui*,ion Smoke/Hcar 4 O Spriaklcr/Watcr Ftow Alarm 5OSpcdd llazad SpRdcasc Devicc 5 0 Morc Theo Onc Tlpc B,cscnt 7 tr Carboa MoooxidcAlam 8BNoAlarmpcscot I B OdcrTypc of Alrm lrlcscnt 0 ilAbrm t nlaroum/nor Eportd AII.RMPOWER,ST'PPLY I OBaacryOnly 2BHardwirc Only 3 BPlugin 4O Hardwirc VBattcry 5 B PIug in w/ Battcr;r 6OMcdranical 7 O Multiplc Alarm & Pourer Sopplics AI.AXMPERFOR}'ANCE I tr In Room of Origin/Alcrtcd Ocarpaas 2 O Not in Room/Alcncd Occupans 3 O In Room of Otigir/Did Not Opcraa 4 O Not in Roora/Did Nor Opcratc 5 Ohescnt io Room/ErcToo Small 6 O Opcratcd/Not Faacin Discorrcry 7 O Opa'atcdlOccupants Failcd ro Aa I REISON FORAI.ARIIT FAILURE I I O [Iardwired PorptrSupply Failcd 2 O Impopcr lrstalladoa orPlaccrrrnt 3ODcfcaircAlarm 4 O lnadcqua& Maintcoancc 5 tr Badcry MissiDgorDiscooncctcd 6 O BaucryDschergcd 8 O No Alarm Faiturc 0OFailurc Uodacrmiocd z, sPRxIltIq.B,s'[tstEM TyPE lOWctPiFSl:m 2ODryltpcSyrcm 3ODdqcSy:nco atrPie-eaioo Sftcrn 5 O Cod. Ilry PiF & ?t?,.crioo Sli.or 6 O rOo.Off Spdn&Icr llcads 7E Opca llc.d Syrico,lvr.oual Cootrcl 8 ONoSpdnHcrftocctio O U BDe SJ6. tlutportcil(lrldclcradtrcd NI.,MBER, OF EEADS OPENED SFRINKTIR, PERFORIT&TNCE I O Opcatcd & Oooudlod/Ering:d Erc 2 O Opcrarcd & Not CotmuExriD& fire 3 O Shoqld h.rc Opcalcil Did DIor IOS)@ShEtOfi 2 O i\hEaoost AtEot o Coorol Ere 3 I Atrot Coold Nd, Itc..t FLc a Il Systcrn PqcatlEa.Too SqaI 8 tr No Equip in Rooo of Oigin Otr Fcrfomre ttorcporoa Daoagd Rom ofOdgln tONo$/eRihte 0 O Rc.soo f6 Fhihle tloqctca COMPLEIts FOR JwaniltvlFirc REIVIARK.S ,t t\I tbtrs 2, FOI..II)W I'PDWESTIGATION REQT'ESIEI' OSNO ITYES,WEOWILL ITYVESTIGAT l. OSFM }hG \-lace!p 3. OSP a. LoatPD6bcritr 9. OtDcrRroalAreacy p4hy f.;g 7vr-1r^or\ /|4d',g NT]MBEROF IN]T'RITS FINESERVICT OTIIER NAMBEROF TATAI.I7,ES FIRESERVICE OTEER 3I MEVIBER MAISNG REFORT 5.^ E*tl".-| NAME rTIIJ C-"1"ta--- DAZE /k z?-a<) 3alIrDmOIrlAL INIIORMAIION BY NAME TTTIT DATE SPBCIALOSFI}ISIIIIDY:ITIs&brcspccddryGdductorrcdiEcnlticsslsIltiEgeoor IrwstGcb? YES. NO. dcsqibcir reuar&s. Juv. #I Juv. #2 Jur#3 Juv. #4 Ase C:crdcr 2O{}ro(R200o)