HomeMy WebLinkAboutPermit Fire Damage Report 2008-12-26
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01739
ISSUED:
APPLIED: 12/05/2008
EXPIRES: 06/24/2009
VALUE:
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
SITE ADDRESS: 1664 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363103301
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owner: GRAZIER DEAN STEWART
Address: 1664 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR-INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2'009 .
Phone
541-747-2724
BUILDING fNFORMA T10N I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKlNG
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Sethack:
Solar Set hacks:
~~ ~
~~{Jj~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
. Compact:
NOTICE' I PUB. LIC IMPROVEMENTS I All t.N I fUN: uregon law requtres YOU,IO
, . I follow rules adopted by Ihe Oregon Utility
Street ImproTIM&.RffiMIT SHALL EXPIRE It. 1111:. UUUI\I\ NotiUuaooollOlUJfti\f, Those rules are set forth
JlIITI:lQ.ftllED UNDER THIS PERMIT IS NOT. In O,<\R 952-001-9.91 Q through OAR 952-001-
Stor~ sewer'}t'v\!'i1~Hr ED OR IS ABANDONED FOR' 009d:'''ro/J'Ri\lV'6I:ltaifl'topies of the rules by
SpeclallnstrC.Q~ C .' calling the center. (Note: the telephone
ANY 180 DAY PERIOD. . number for the Oregon Utility Notification
Notes: Center is 1-800-332-2344).
I Valuation Descriotion I
Description
Tv"e of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
CITY OF SPRll~trt<lJ'..L1J .
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: cOM2008-oi739
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/05/2008
06124/2009
. Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5.70
$6.84
$2.85
$57.00
12/24/08
12/24/08
12/24/08
12/24/08
1200800000000001246
1200800000000001246
1200800000000001246
1200800000000001246
Tutal Amount Paid
$72.39
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnections .
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will he made of'any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
.times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
I"
City of Springfield
,
.
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # .EC544011~
12/24/200810:25:49 AM
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Check on.status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I'. ""'-!fii""""_g=_'"""--,~-,,,-,,,,-- ..-" '~"""~"-"'" ""A. ","
.~Ti;.;r'p'4<~:']flHt'~;~~:u~~fa'!iX~..~~R'1-VYP.'3~.ci::~%~f",:':: ~~.Ii'::-;~ ~;;-_\..:."~,:..};~
I D New construction [XJ Addition/alteration/replacement
I [K] 1 or2 family dwelling D Mu]ti-family 0 Commercial/Industrial
1~~~'~i'!~];f:~~~_rg~1~l!iIl~]QftM~!{9N7A~plcJ?f~i!P~~_~='?.$i4is~if~1
IJob no.: [Job address: 1664 MAIN ST I
I City/StatcfLIP: SPRINGFIELD, OR 974774944 I
I SuiteJbldg.lapt.no.: I
I Project name: I
Cross street/directions 10 job site:
Subdivision:
ILot no.:
Tax map/parcel no.: ]703363]03301
~~"7~.::~~~:~;~~:~l'_'~~Effi.~J'~~T~:~QF!!9~RE~~7~i~~;;i~~;~~yt;~f7~?~;1
temporary power for house that burnt
7.l./:""':.~"r'.<'1
"":;;'\~'''lj~'~~
.,.",.......-,''?",.>''
I Name: Dean Glazier
I Phone: (541) 349-8657
[mail:
I Fax,
lEI. lic. no.: 20-442C I CCB lie. no.: 136446
I Business Name: Ntfll1C1!l-OS ENTERPRISES INC
ICon.oe., Jo,ho'JlH1l1l PERMIT SHALLEXPIRE IF THE WORK
IAdd"''' PO BOIlWTHORI7f=D UNDER THIS PERMIT IS NOT
ICHy/S'aterl-'p, ~;~==:~BANDONED FOR
[Phon" (541)747 ax, (541)7441047
1 Email: burre]lbr~s@integraonline.com
Il\Ietro lie, no.:
1 Supervising electrician's lie. no.: 4721S
1 Supervising electrician's name: JOSHUA J BURRELL
19ty Ii~._ no.:
Upon review and approval by your local jurisdiction, your
permit will be e.malied or faxed within one business day,
with Instructions' on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Ig;~~,::~;f:lirrr5:;;1FErS{BE~~(~~~~~~;r~::~:
lil~i;idenUai SINGLE~' O. R 'rllulti~rainil}'-'d-wclling;'u'n. it:: Includes l::.j:t::/
~:l(tlic_~:~d----g;.~~~;'f~0--~~-~~~~~;:EfJ]):~~l_~~1~~~~~~'j:~~
I 1.000 sq. ft. OTles, j I
I Ea. addl 500 sq, ft, or portion I
l:jjmite(jiE"e;'-~V:;"""P;~:'\"'.;t~?':::""W~"-~p?~e~';;i'~il~~~1
. "O~"'-_I ._"~,~'f.'I-:::_":L:'.",,,...., ._;1:",.t:i,~j.l4.-.~;;W",~~:'';j';;F:
I . Limited energy, residential
(with above Sq, tU
I . Limitcd energy, multifamily
residential (with above Sq. fn
I . Limited energy, commercia"1
(with above SQ. ft.) J .
I - Stand-alone limited energy,
residential
I - S~nd-a.lone limited energy,
multI-famIly "
. Stand-alone limited encrgy,
commercial
[~eifcfr~'~e~e~;i~:~tp-~~a~~n;]I.i~.t~~~~~!l!:g[J;~I~~.t~?r.:.~ _1~,1
1200 amps or less
1 20 I amps to 400 amps
140 I amps to 599 amps
I~TE;rt..j.P.9~~.~Y~~~rV.jIC?!O.~~;$ftd..C'~: itl...~..'t.~~.~.io.JJ!.' ~~.!g~ii~~N~ir;1.".,~~;'~:.f.'~....1
:1l'R(9J!~r~~0~~!WiID~t:;.;.>;~* '~.~;:y~,.:J'".;.g~::};:'r~~JJ1~:;<:!.; ',."':
I ZOO amp,oT 1m II $57.00 $57.001
1 20 I amps to 400 amps 1
I 140 I ampSlo 599 omps I I
1 1'!l~~i5~,j_ci~ui'ts"?N~lWali~~a~i?'~,~9~:c~'ie!_I'si,~'~:rii~!~~'~~I':~:'}.1~ '", 4J
~: I :~_{5;r::b~i:gollaw reg~lreS voul to I
: I~~~~~~~~~~;!~~~'II
.' ~1~~~gftW,~itw.;'6:Rt9r. -'~lgr9:-ihtiei~tiif~~>._.,
Se ""In I Jtilitv Nntifi~ ,",fill. 1
Each manufac~.wotWl:lf . -". I
dwelling. servi~'if!!Mj\'f~~el-a' 10-332-2: i44).
1 Pump or irrigation circle I
I Sign or outline lighting I
I Signal circuit(s) or limited- I
energy pane], alteration, or
extension.
1-1_~~~;,.s ~~~;~','1~~,[~2!~_C~1<l PE'~_M~t f.~~~~~~*~~-:;<-: .".1
I Subtotal $57.00 J
I State Surcharge (12% of permit fee) $6,84 I
I City Of Springfield fees" $8,55 j
l TOTAL PERMIT FEE $72,39 I
.. City Of Springfield fees: 10% Administration Fee; 5% Techno]ogy Fee
The local building department may detennine that an
Authorization To Begin Work Is null and void if it does not
meet applicable land use laws and local ordinances. '\ T\0tQ... -j n Il2 a
COM: 17.1 IU) . " 1
RCPT#:. \;.:)rffY I 8LJ Lo
. .. . """PROCES~I~41[)p,
This Authorization To Begin Work must be posted at the jo j site until replac i:f .. y ~ 1jef~i~ ,,--
PROCESSED BY: .. ,M .P 'J/
,
225Fifth Street
Springfield, Oregon 97477
541-h6-3759 Phone
Job/Journal Number
COM2008-0 1739
COM2008-0 1739
COM2008-0 1739
COM2008-0 1739
Payments:
Type of Payment
ONLINE CHGS
.-j
cReccint I
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
1200800000000001246
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/24/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLINE BURRELL Online
BROS
Payment Total:
10:40:40AM
Amount Due
57.00
2.85
6.84
5.70
$72.39
Amount Paid
$72.39
$72.39
12/24/2008