HomeMy WebLinkAboutPermit Fire Damage Report 2009-1-21
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00048
ISSUED: 01/21/2009
APPLIED: 01/12/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:. 7236 GLACIER DR
ASSESSOR'S PARCEL NO.: 1802022102500
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owuer: NESKE-ROBINSON DANA S
Address: 7236 GLACIER DR
SPRINGFIELD OR 97478
'.CONTRACTOR INFORMA~~ON ,
Contractor Type
Electrical
Contractor
THORNTON ELECTRIC INC
License
116329
Expiration Date
08/2112010
Phone
541-686-4151
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou 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 Basemeut:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
_ REQUIRED PARKING'
Front yard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 SetY1I'r'E ' Paved Drive Rqd:
Rearyard a~l(.: % of Lot Coverage:
Solar Setb ~ PERMIT SHALL EXPIRE IF THE WORK
;~::ED~~~~ ~~I~rA~;A;~;Oc~'~b8MPROVEMENTS I
Street Im~U~e1JW.tMy PERIOD." -.
~~
'\~S
Total:
Haudicapped:
'Compact:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
NDjifi\(atip'n 9f!rtfJ. Thpsf! 'ljlf!s ~rf! ~'l.' {nJt"
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
cSlU~1!ltll€~r. (Note: the telephone
olf)lJber for tOI}.Or.eoon Utility Notification
~wnfPe'h~li'f,(l'V~60-332-2344) .
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
, _iliI~~X!~@lliil~i:R'
!
CITY OF I'lrK11'H_d"IELD.
Status.
Issued
Building/Combination Permit
PERMIT NO: COM2009-00048
ISSUED: 01/21/2009
APPLIED: 01/12/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
Total Value of Project
. Fe~~ P~i~ I
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
1/21/09
1/21/09
1/21/09
2200900000000000072
2200900000000000072
2200900000000000072
Total Amount Paid
$73.71
I Plan Reviews I
To Request al) inspection call the 24 honr 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. Re,!~iredI nspection. I
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature,! state and agree, that I have carefully examined the completed application and do hereby certify tbat 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, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety.
I further certify that ouly coutractors and employees who are iu 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 frout 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 of 2
City of Springfield
~~
.''",,,..,.._o..__-.;-";"....'
Electrical Authorization To Begin Work
E-mailedTo:rocky.thornton@gmail.com
Receipt # EC545259
1/18/20099:18:42 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
1~;'~,~t~_~:,:i,~#;;{:~~11~ty~{9f~vvR[~~-tr;~j,~ ~~~~'~-;:;\€it~:i:;,;~~~:
I 0 New construction [K] Addition/alteration/replacement
1"'''''''''-~'')111''.T~''"--'-----'- - ".'.'''w:.:-' '-.~"""'''''I
~,~~~.~~.~~ " _aL~~~~Q.r'!~I!i~:r,I,q,~~~~,\~~:-~ ?'~~-"'I,~;'i.rJ\:/
I [K] I or 2 family dwelling 0 Multi~family 0 Commercial/Industrial I
1!'~+.i;z'7.tt~~oiirsITE:iN!;.ORMATI6Nr,;ND:ll(iC)\TI6r::f-',"':,.,,?,{~~-9j-.~:1
'=10.'0'." .,'".. ..... ","."""~~,..""-....~_~"",,.,~,~~,,,~,,~,,",=_=,&8{&:l:;' c. ..~t{t-".-' '~.'~
I Job no.: I Job address: 7236 GLACIER DR I
ICit)'/StalerLIP: SPRINGFIELD,OR 97478-7442 1
!Suitefbldg.lllpl.no.: 1
I Project name: 1
Cross street/directions to job site:
I
!Tax map/parcel no.: 1802022102500 I
I!l'-'w~l d!~ESCRiP;fION':OFdWORK(>l(\~"i:~~,')'e;i!'{'~':1'r;,:.
,,'m~ ^,~ *" _ *" _""'~_=".~'_"'_''"-'_~~_','',', ,. "_!'"fl;~;r5(f+1$ft",,..,_. .'1>",,-__ '~_,
install temporal)' power pole
Subdivision:
ILot no,:
I Name: rocky thomton
IIJhone:
I Email:
I" , -....-. ...., ,..",,",<,~~-. ....-.-.-"'" ~'*'.... ... .-~ - .
:;.~1~~~~:~~~:~~~~h~1~~,~.~~~~9J~.!i<:;~:~~:~:~~~:~;':t'iW\r~~=t',1'~~_, :"-~'-~~~-
I Rusiness NamN nn~W ELECTRIC
ICon'act: Roc""l!iSC'i"-'
I. tRMJT SHALL EXPIRE IF THE WORK
Add"",. PO~"ImfW[ ! _ _ _
lC;tY/StateJZll"~~9~~4~'Dl:'h I"'" t-'tHMIT IS NOT
II'honc: (541)1J\:1]f~ ~ . ii '" I\Ktlf\lINWJED FOR
.' 80 ~AY f'_fi'h Tn
1 Email: rocky.thomton@gmal.com1: IUU.
j Metro lie. no,: 1 City lie. no.:
1 Supervising electrician's lie. no.: 3017S
\ Supervising electriehtnls name: ROCKLIN R THORNTON
I Fax:
Upon review and approval by your local Jurisdiction, your
permit will be e-maiied or faxed within one business day,
with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work,explres within 180
days if a pennlt Is not obtained.
The local building department may detennlne that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
1"-:-'#"'''~;'*~'''~~FEE.SCHEOUi.E4\,-''-'~::'1
'"~:~~;i~~i~-~,~,~>:a::tL'. '( .Qty.-"'.i~iR:~~~."-'1
I!RCShJClrtiufSINGEI<:~().I{M.riruiiiYfumil~~~~:.'.1
='''''''~'>.--w~;;;~' :t5n&"~,' '~, ,,"" ,'::r'~i
'attachcd'<g"u.rruflug"eEcii<:i ",,' ,_. ^,'. ,'0.,g/i!~.-, ",,0'_,'., '''' a"" ", "',~
~,-="'.--"""~' ..."", -,~~-,&!;,- ,-:y;~..('-"", ,', ~"'/" ,~~,,~ ',- .,. ,"
I 1,000 sq. ft. or less [41 I I
Ea. addl 500 sq, ft. or portion 1
- Limited energy, residential
(with above SQ. ft.)
I-Limited energy. multifamily
residential (with above SQ, ft)
- Limited energy, commercia.1 not oflcred online at this jurisdiction
(with above SQ. ft.)
- . Stand.alone limited energy,
residential
I - Stand-alone limited energy,
multi-familv
I . Stand-alone limited energy,
commercial
1;-~~n~Ic~~~9~St~]!rF1St~)liTI(or;~~Pi~i~.~E~ND/!?W:~!o~a~Ef~lf"->:-1
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
I~TEMPORARY;sen'iceS.ORferoers' insiuliliii~n~~alterujio~;;';',~-.'i:'~;'.t ~ I
~~@/(j'lrr,fl~ti'm~;,~tF:,:~~t'}-:1:"fI~f;_~.:1~j~fffV;~~~::::~:~.;
1200 amps or less [2] $63.001 $63.00 I
1201 amps to 400 amps 12] 1
140 I ampsto 599 amps [2] I I
1,~a;ri,E.~i":~iTC,,iHf~~~~~,~~,: ~ltc/~(g~)t':9,"~:~~~~~pEJ~]iz~~:i~:.~1
I A. Fee for branch circuits with ~ t
I service or feeder fee, each .
hranch cirI\lllTFNT1(lN, Orl aan law eaulres ou to
I I B. Fee r~mt{l ~~XID;.j1do8ted by tlie Orego Utility
1 ~;~~~:Nlillil~~g>n tsenter. Those lules are et forth
I Ica~:adJ",~Sffi2-001-U~lUl,~ruO~e~;, , -. ..
I I.M"ccliD.Q\l{,/'_Y9U,may,oDU:lIJl.~ fJw~'Y". ,,,..~-_. "'I
~_.., -.. ..... ",,"m' r ,,'~_. "'f,=!'t 1 ~r""I"";i'teIQrh offe ' , ..
I I serviccrCC!liii\~~llMl~:l~h;U~\ ~ - , :', ~1"J;i ,,~
II Each lTlall~OO~~I'n~ . 2 2'344)
dwell;ng, 5Orv;" an"'~ IS 1-800-3 - .
I r21
1 I Pump or irrigation circle [2] I
1 Sign or outline lighting [2]
I Signa. I C1fCU11(S) or ilmited- I
energy panel. alteration, or
extension 121
1~~~~-~.~ji~~1fE~t~~cf~:~,~~iji~~f~~,:1
1 I Subtotal I $63,00 1
I State Surcharge (12% of permit fee) $7.56 I
I City Of Springfield fees .1 $3.15 1
I TOl;\L PERMIT FEE I $73.71 I
. City QfSpringfield fees: 5% Technology Fee
(Default number of inspections allowed)
"
DATE PROCESSED:
This Authorization To Begin Work must be posted at the. 'Jb site until replac
PROCESSED BY:
~
225 F.ifth Street :iti:,ic'i;~!r,"';
"..,;; .,
Springfield'-Oregon9(477,. '
541-776-3759 PhOrid ;'(:' ,._
.'- ".
Job/Journal Number.
COM2Q09-QOQ48
COM2Q09-QQQ48
COM2QQ9-QQQ48
Paymeuts: .
Type of Payment
ONLINE CHGS
cReceintl
.:r
." I ........ ..'C ..'
!~CEIPr#: .
2200900000000000072
.,~:; ~'~~s~i~~ti-~n/f;.#,;.~t);~: "~'.
::::, ,Te,Dl? P2wer2.0Q amps or less
t i". + 5% Teclulology Fee
'. .'
.':.... +,12% State Surcharge
,,1'~.{..' .
.. \ ,\
P~idByi:;, ,,"':,: '.
ONLINE PERMIT CHGS
;'~, ?: .
1.. :.'./ >Y!~':l:'~j~\,
"; r:i~r' ;.v.' :;:< '.
-., ..';.,'
, ,..
,,' ~-
}:,
. (.::,
'. I 1 ~l) '!
,I,
"'" ."'. '...
, !""".. .....~.- ..,," ,.,~
'.'
I.
Received By
kr
Check Number
Batch Number
ONLINE
Page 1 of I
>. ;;:\::y~;, <.'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 0l/21/2009(,:(7:56:54AM
l.f,~~Mf:!tiniount Due
_f:%r:,;>'" 6~:~~
:.'.
7.56
$73.7]
Item Total: '
Authorization
Number How Received
Riverview Online
Electric
Payment Total: ,."
'-; .'Amount Paid
$73.71 .
',." ,t.'~:V;
I.':{:T;'
".
I'":;
i:" .'
., ,lk,,'."
$73.7]
1/21/20.09