HomeMy WebLinkAboutPermit Fire Damage Report 2008-7-24
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00979
ISSUED 07/24/2008
APPLIED 07/02/2008
EXPIRES' 01/24/2009
VALUE' $ 11,14300
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 572 55TH ST
ASSESSOR'S PARCEL NO 1702331301101
Sprmgfield TYPE OF WORK Fire Damdge
TYPE OF USE
Repair
ReSidentIal
PROJECT DESCRIPTION FIre damage
Owner KNERL RAYMOND C & KRISTI C
Address 572 N 55TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
ElectrIcal
Contractor
PACIFIC FIRE & FLOOD INC
SPRINTER ELECTRIC INC
License
173615
174458
ExpIratIon Date
12/28/2008
02/20/2009
Phone
541-726-5896
541-743-1213
BUILDING INFORMA TION I
VB
# of StorIes
HeIght 01 Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
# of UOltS
PrImary Occupancy Group
Seconddry Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
nla
I DEVELOPMENT INFORMATION I
Front yard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverdge
REQUIRED PARKING
Total
HandIcapped
Compact
Sli eet Improvements
Storm Sewer AvaIlaIlllQ"', 'P>~
,/ .
SpecIal Instruclion "',i/S PE .
, 'T '(1" RMIT SHALL E
' - :~~~ U'JDER T~;'RE IF THE WORK
'. ,,( S PERMIT IS N
' ~rA"JOI"cn r OT
'L..l OR
I PUBLIC IMPROVEMENTS I" I cNTION Orp""r I"'" r
~"ow rules adol ,t.. 1 '\
Notlflc&I?~~'t'\!~lTyp~
OlnO~AR il~Mi~'oGts/DI ams
00 VOu mal' Out.
callmg the cen,cr I
number for the C r ,
Center 15 I "w 0" I
eI;11
r<'llr'.... V(ll) to
, L'llfty
'" fOlth
,n, 001.
by
D
Notes
t..... J-dn
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00979
ISSUED' 07/24/2008
APPLIED. 07/02/2008
EXPIRES: 01/24/2009
VALUE: $ 11,143.00
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescriDtJon I
DescriptIOn Tvpe of ConstructIOn
BId Amount Use BId Amount
$ Per Sq Ft
or multIplIer
$100
Square Footage
or BId Amount
11,14300
Value
Date Calculated
Total Value of ProJect
$11,143 00
$11,14300
07/24/2008
Fpp<, P'WIJ
Fee DescrIptIOn
+ 10% Admmlstratlve Fee
+ 12% St.te Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Buddmg PermIt
Amount PaId
Date PaId
ReceIpt Number
$550
$660
$275
$55 00
$13 58
$1630
$679
$13580
7/2/08
7/2/08
7/2/08
7/2/08
7/24/08
7/24/08
7/24/08
7/24/08
3200800000000000459
3200800000000000459
3200800000000000459
3200800000000000459
2200800000000001141
2200800000000001141
2200800000000001141
2200800000000001141
Total Amount PaId
$24232
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7'00
a m WIll be made the same workmg day, mspectlOns requested after 700 a m wIll be made the followmg
work day.
~ Rfol"r~" Tm,?prt.&lllli.l
Temporary ElectriC Approval reqUIred prior to UtilIty Company energIZIng pole
WalllnsulatlOn Prior to cover
Celhng Insulation Prior to cover
Frammg Inspection Prior to cover and after all rough m mspectlOns have been dpproved
Fmal Buddmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Paee 2 of 3
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00979
ISSUED. 07/24/2008
APPLIED: 07/02/2008
EXPIRES. 01/24/2009
VALUE' $ 11,143.00
225 F,fth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 ]nspechon Line
By sIgnature, ] state and agree, that] have carefully examined the completed apphcatlOn and do hereby cerhfy that all
mformatlOn bereon IS true and correct, and] further cerhly that .ny .nd all work pel formed sh.1I be done 10 accordance WIth
the Ordmances ofthe CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of any structure without permISSIOn of the CommuDlty ServIces DIvIsIOn, Bulldmg Salety
I further cerhfy that only contractors and employees who are 10 comphance wIth ORS 701 005 will be used on thIs project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper hme, that each 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 remam on the sIte at all
hmes dUnn~jOnstructlOn . / /
Y1A.-tA _ /~A//7.M--- 7 - ;UI ~ () 'K
Owner or 6;ntr:&1 s s.gn'&e Date
Page 3 of3
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008,00979
COM2008,00979
COM2008-00979
COM2008,00979
Payments
Type of Payment
Check
cRecelOtl
RECEIPT #:
DescnptlOn
BUlldmg Penn It
+ 5% Technology Pee
+ 12% State Surcharge
+ 10% Admmlstralive Pee
PaId By
PACIFIC FIRE AND FLOOD
INe
CIty of SprIngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001141
Date' 07/24/2008
1001 58AM
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
Amount Due
13580
679
1630
1358
$172 47
Amount PaId
dim
$ I 72 47
12416
In Person
Payment Total
$172 47
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7/24/2008