HomeMy WebLinkAboutBuilding Fire Damage Report 2008-7-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01118
ISSUED. 07/29/2008
APPLIED. 07/25/2008
EXPIRES 01129/2009
VALUE' $ 5,00000
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1412 30TH ST
ASSESSOR'S PARCEL NO 1702303400300
Spnngfield TYPE OF WORK Fire Damage
TYPE OF USE
RepaIr
CommercIal
PROJECT DESCRIPTION FIre Damage
Owner
Address
JENKINS CALVIN JAMES
2161 DEBRA DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
General
Contractor
BRIGGS CONSTRUCTION CO
LIcense
97974
ExpiratIon Date
04/04/2009
Phone
541-746-7616
BUILDING INFORMATION 1
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BuIldmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENTlNFORMATlON 1
REQUIRED PARKING
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlstl
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
ATTENTION Ore 0
fn{I')", ...IM _ _, .9 n law requlre~ "(lit fn
I PVBLlC IMPROVEME;~~,."tlon Ceni:r"ih~~ me, Oregon Utility
II! 952;,~91-0Q.t. e ru es are set forth
0090 You 1i'hW~~ia'D&Pu9h OAR 952-001_
calling th"oWi'hjr:~gPI~s of the rules by
number for the 0 ~ ,!;'I P.fe telephone
Center IS ~~iOOO~3~~~~3~~t.'f'catlon
Total
HandIcapped
Compact
Street ImprovemW~'CE:
Storm Sewer A val'fflS' PE
speclallnstructIOI?UTHOR~~~ ~HAll EXPIRE IF THE WORK
Notes COMMENCED O~~~RA~~~60~~~'T IS NOT
ANY 180 DAY P~Rlnn FOR
1 ValuatIOn DescrmtIOn I
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mulhpher
Square Footage
or BId Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01118
ISSUED' 07/29/2008
APPLIED' 07/25/2008
EXPIRES 0112912009
VALUE' $ 5,000.00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Paull
Fee DescriptIOn
+ 10% AdmllllstralIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUIldmg PermIt
Amount PaId
Date Pa,d
ReceIpt Number
$757
$909
$379
$7574
7/29/08
7/29/08
7/29/08
7/29/08
1200800000000000822
1200800000000000822
1200800000000000822
1200800000000000822
Total Amount PaId
$96 19
I Plan Reviews I
To Request an IOspectlOn call the 24 hour recordlOg at 726-3769. AlllOspectIons requested before 7:00
a m. will be made the same working day, IOspectIons requested after 7:00 a m wIll be made the followlOg
work day.
I Reolllred fnsnectlOns 1
FramlOg InspectIOn Pllor to cover and after all rough m mspectlOns have been approved
Fmal BUIldmg After all reqUIred mspectlOns have been requested and approved and the bu,ldlOg IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and I further cerlIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws 01 the State of Oregon pertalOmg to the work descnbed herelO, and
that NO OCCVPANCY wIll be made of any structure WIthout permIssIOn 01 the Commumty ServIces DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 w,ll be used on thIS proJect
I further agree to ensure that all requIred mspectlOns are requested at the proper lime, that each address IS readable from the
street, that the permIt card I' located at the front of the property, and the approved set of plans w,ll remalO on the SIte at all
tunes dUl 109 constructIOn
Y /4j;j fJfj;/
~../2"; / "
Ow~r Contractors SIgnature
7-Jq 1)8
Date
Paee 2 00
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1118
COM2008-0 1118
COM2008-0 1118
COM2008-0 1118
Payments
Type of Payment
Cash
cRecemtl
RECEIPT #.
Description
BuIldmg PermIt
+ 5% 1 echnology Fee
+ 12% Slale Surcharge
+ 10% Admmlstratlve Fee
PaId By
BRIGGS CONSTRVCTlON
~ti1
CIty of Spnngfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
1200800000000000822
Date. 07/29/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
In Person
Payment Total
Page I of I
11 15 18AM
Amount Due
7574
379
909
757
$9619
Amount Paid
$9619
$9619
7/29/2008