HomeMy WebLinkAboutPermit Fire Damage Report 2008-5-1
Status
Issued
225 FIfth Street, Spnngfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 ]nspectlOn Lone
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00333
ISSUED: 05/01/2008
APPLIED: 03/11/2008
EXPIRES: 02/19/2009
VALUE:
SITE ADDRESS ] 134 9TH ST
ASSESSOR'S PARCEL NO ]7032643]4000
Spnngfield TYPE OF WORK Fife Damage
PROJECT DESCRIPTION Fife Damage
Owner FARWELL JAMES E ]-3
Addres> 902 LARIAT DR
EUGENE OR 9740]
TYPE OF USE Repdlf
ResidentIal
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechamcal
Contractor
BURRELL BROS ENTERPRISES INC
DISCOUNT HV AC INC
LIcense
136446
]50959
ExpiratIon Date
08120/2009
04/0212010
Phone
54]-747-2724
54] -431-0800
BUILDING INFORMATION I
# of Umts
Pnmary Occupancy Group
Seconddry Occupancy Group
Pnmdl y Construchon Type
Secondary Construchon Type
# of Bedrooms
# 01 Stones
HeIght of St. ucture
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldong
R-3
VB
nla
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
I DEVELOPMENT I.NFORMATlON I
Front yard Setback
SIde I Setbdck
SIde 2 Setbdck
RearYdrd Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
I PUBLIC IMPROVEME~TS I
Street ImPA~ Oregon law reqUires you to
Storm Sem;K~!R.\,adoPted by the Oregon Ulility
SpecIal I \ltIltiP'nCenter Those rules are set forth
n \li~"52-o01-001 0 through OAR 952-001-
Notes 0090. You may obtain copies of the rules by
calling the center. (Note. the telephone
number for the Oregon Ulility Notllicalion
Center Is 1-800-332-2344).
Pa~e ] of 3
REQUIRED PARKING
Total.
Hdndlcapped
Compact
SIdewalk Type
DownspoutslDraons
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lone
I ValuatIOn Descrmtl,on I
DescriptIOn
Tvpe of Constructoon
$ Per Sq Ft
or multIplier
Square Footage
or B,d Amount
Total Value of Project
V~f1~ P~'iJ
Fee DescnptlOn
-Mechdnlcal1ssuance Fee-
+ 10% Admonlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 htu
MonlmumlAdJustment Mechamcal
+ 10% Admonlstratlve Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIfC
Add, Alter, Extend CIfC Ed Add
Amount P dId
Date P3Id
$20 00
$500
$600
$250
$1400
$36 00
$650
$780
$325
$50 00
$1500
5/1108
5/1108
5/1108
5/1108
5/1108
511108
8/19108
8/19108
8119/08
8119/08
8119/08
Total Amount P dId
$16605
Plan Reviews ,I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE:
CO M2008-00333
05/0112008
03/11/2008
02/19/2009
Value
Date Calculated
ReceIpt Number
1200800000000000422
1200800000000000422
1200800000000000422
1200800000000000422
1200800000000000422
1200800000000000422
2200800000000001259
2200800000000001259
2200800000000001259
2200800000000001259
2200800000000001259
To Request an mspection call the 24 hour recordmg at 726-3769. All mspections requested before 7'00
a m WIll be made the same workmg day, inspectIons requested after 7.00 a.m WIll be made the followmg
work day
~ I1'polllrprl Tn~.nrrt~
Rough Mechamcal Pnor to Cover
Fonal Mechamcal When all mechamcal work IS complete
Rough Electnc Pnor to Cover
Fonal Electnc When all electncal work IS complete
Paee 2 of 3
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00333
ISSUED: 05/01/2008
APPLIED 03/11/2008
EXPIRES. 02/19/2009
VALUE
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shdll be done 10 accordance wIth
the Ordmances 01 the CIty ot SprIngfield and the Laws 01 the State of Oregon pertdmmg to the work descrIbed herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn of the Commulllty ServIces DIvIsIon, Butldmg Safety
I further cerhfy that only contractors and employees who dre 10 comphance wIth ORS 701 005 WIll be used on thIs project
I further agree to ensure that all requll ed m.pectlOns are requested at the proper hme, that each add. ess IS readable from the
street, thdt the permIt card IS located at the front of the property, and the approved set of plans WIll remdm on the sIte at all
times durmg construction
Owner or Contractors Slgndture
Pa2e3 013
Date
CIty of Spnngfield
Electncal AuthonzatlOn To Begm Work
E-maJled To burrellbros@mtegraonhne com
ReceIpt # EC536390
811912008 10 56 05 AM
~
By Phone
Check on status of perm.t
(541)726-3753 or Emdll perm.tcenter@cl sprmgfield or us
I [K] I or 2 family dwclllllg
o Mulll-famlly
o Commercml / Industrial
I I FEE SCHEDULE
ID~cnptlon I Q~ I Ea lo~1
I RlSldelltl.l1 SINGL~- OR multl~famlly dwllhng umt Includes
attAched garage
!IOOOsqltorlcss I I I
I [a addl 500 sq ft or portion I
lllrnncd Energy
I-limited energy, n.sldentlal
(with above SQ ft)
I-Limited energy, mulufwmly
rcsldenual (with above SQ ft)
I-Limited energy commercIi!
(With above sa fi)
I - Stand-alont.llInlted energy
n,sldenlld]
I - Stand-alone limited energy,
multi-family
I - Stand-alonc limited energy
commercial
I Senlces OR feeder!llPstdllatlon, alteratIOn, o\.l'D/OR relocatlOll
1200 amps or less I
I 20 I amps 10 400 amps I
]40 I amps to 599 amps I
I TEMPORARY senlcclt OR feeders installation, alter atlOR,
Al'.D/OR reloe.dloll
1200 amps or less I
I 20 I amps 10 400 amps I
I 40 I amps 10 599 amps I
I Branch CirCUIts -"NtW, nlteratlOn, OR e1:ten~lOn, per pand
I A rce for branch CULUlts \'.lth I I I
service or fecdcr fee each
bruoLh ClrcUlt
I B Fee for branch CUCUltS II
WIthout service or feeder fee,
first branch CirCUit
I e3Lh addl branch ClfCUlt 31
I Miscellaneous
I Service reconnect only
I Cach manuJactured or modular
d\\-clhng service and/or feeder
1 Pump or lrngdllOn circle
1 SIgn or outlme Iightmg
I ~Ignal clrcUlt(s) or llmued-
en(.rgy panel, alteral10n or
extensIOn
$50001
$15001
I
I
I
I
I
I
I
Sublotal $65 00 I
State Surcharge (I2%of~enmt fee) $780 I
Clt) Of S~nngfield fees'" $9 75 I
I roTA I I'EMIII lEE $8255 I
... City Of Spnngfield fees 10% AdmmlstratlOn Fee 5% Tcchnology Fee
$5000
TYPE OF WORK
10 New construction
lliJ Addltlon/altcratlOn/replaCLment
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
IJObnO [Job address 11349TIIST
IOtl/StatefLII' SI'RINGFIELD OR 97477-4001
1 ~U1te/bldgJapt no
[ProJect name
Cro~s slreet/dlrecllOn~ to Job site
I SubdivIsIOn
11 ax map/pdrcel no
I
ILot no
1703264314000
DESCRIPTION OF WORK
replug and SWitch home tnm out COM2008-00333
SITE CONTACT
I Name Ready Rooter
Il'hone (541) 501-0990
[fo..mall
IF,,,
CONTRACTOR
IFI he no 20-442C jCCBhc no 136446
I Busmess Name BURRell BROS CNTCRPRISES INC
I Contact Jo!.hua Burrell
[Address PO BOX 697
!clly/Slatertll' WAI TERVILl COR 974890697
Il'hone (541)7472724 IF., (541)7441047
I. mall burrLllbros@lI1lcgraonllnL com
1 !\tetro he no 1 ell) he no
I SupLrvlslng eleetnel.III's he no 4721 S
[Supenlsmg electrician's name JOSHUA J BURRELL
$5001
Upon review and approval by your local Jurisdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
ELECTRICAL PERMIT FEES
NOTE This AuthOrization To Begin Work expIres Within 180
days If a permit IS not obtained
The local bUlldmg department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
This AuthOrization To Begm Work must be posted at the Job site until replaced by a Permit
225 Fl~th Street
Sprmgfield, Oregon 97477
54] -726-3759 Phone
.~!'Ica'O'~ ;1iIt
'At,. -
~._:
Job/Journal Number
COM2008-00333
COM2008-00333
COM2008-00333
COM2008-00333
COM2008-00333
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
RECE]PT #.
220080000000000]259
Oescnptlon
Add, Alter, Extend ClfC
Add, Alter, Extend ClfC Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmtstrattve Fee
CIty of Spnngfield OfficIal Receipt
Development Servl~es Department
PublIc Works Department
Date. 08/]9/2008
Item Totat
Check Number AuthOrization
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
DDK
Page 1 of 1
ONLINE BURRELL Onlme
BROS
Payment Total
II 5937AM
Amount Due
5000
1500
325
780
650
$82 55
Amount Paid
$82 55
$82 55
8119/2008