HomeMy WebLinkAboutPermit Fire Damage Report 2009-1-21
Status
Iss u ed
CITY OF SPRINGFIELD
, . Building/Combination Permit
PERMIT NO: COM2009-00092
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 08/1012009
VALUE:
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
Phone Number: 541-349-8687
I CONTRACTOR INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
Contractor License
EHLERS CONSTRUCTION INC 04231
BURRELL BRqSi~~:H;~mU~"S.;U~lCaw rBquH~4Mu to
COMMERCIAL,A1R IN..G!: aC!<:Jpteci by the 01!~Q,Q7~tility
DONN MERRIG:KfPlJUMBING,LLClose ruies1850.6~5. forth
'" vW' ,,~ , "'" ""'" m.~"~~ . "," '" <!~U01-
0090 I ,BUlLDlNG,INFORMATlON"1 b
' ,. ',' j es y
, calling the center: (Note: the telephone
number f&qfl~te'J'~~'on Utility Notification
R-3 CEMft!g~! or-~trJlY'ygIl2344).
, Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
11/19/2010
08/20/2009
12/18/2009
, 01/08/2011
Phone
541-689-6177
541-747-2724
541-461-4821
541-556-5629
Contractor Type
Genera'
Electrical
(Mechanical
Plumbing
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
M,Q,TiGEtoverage:
THIS PERMIT SHALL EXPIRE IF THE WORK
"";-'l\-';';~' IJJ~F;.F.F; -:-:Irs ::-:;':Hm:~: W'T
I~UBL~~IBANDONEDFOR
ANY 180 DAY PERIOD. Sidewalk Type:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Downspoutsmrains:
Notes:
Page I 00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Fixtu re
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000Sq Ft
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Exhaust Hoods
Vent Fan
Total Amount Paid
CITY VI' .srKll'lju.t'1J!,LD .
Building/Combination Permit
PERMIT NO: COM2009-00092
ISSUED: o l/2l/2009
APPLIED: 0l/2l/2009
EXPIRES: 08/10/2009
, VALUE:
I v aluatio~. Descrintio." I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
'. I Fpm &il.W
Amonnt Paid
Receipt Number
Date Paid
$23.64
$9.85
$55.00
$66.00
$76.00
$16.08
$6.70
$\34.00
$12.12
$5.05
$79.00
$\3.00
$9.00
1/21/09
1/21/09
1/21/09
1/21/09 .
1/21/09
2/9/09
2/9/09
219/09
2/10/09
2/10/09
2/10/09
2/10/09
2/10109
1200900000000000027
1200900000000000027
1200900000000000027
1200900000000000027
1200900000000000027
2200900000000000158
2200900000000000158
2200900000000000158
1200900000000000088
1200900000000000088
1200900000000000088
1200900000000000088
1200900000000000088
$505.44
I Plan Reviews I
To. Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day.
I Rpnllirp~ Tn".~ections I
Rough Plnmbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval reqnired prior to ntility company energizing service.
Rongh Mechanical: Prior to Cover
Page 2 of 3
_s;,~~~~I5I~:,~;: ,'!IIII}lJ!,,'~I.
" " . .'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00092
ISSUED: 01l2l!2009
APPLIED: 01l2l!2009
EXPIRES: 08/10/2009
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby 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, and
that NO OCCUPANCY will be made of any strnctnre 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 nsed on this project.
I further agree to ensure that all reqnired 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.
II /l ~ ,J ()n
~~ ~~ -~-'
Owner or Contractors Signature
Page 3 of 3
1- - 1(0 ,0 ~
Date
225 Fifth Street
Springfield, Oregon 97477
541"726-3759 Phone
Job/Journal Number
COM2009-000n
C0M2009-000n
COM2009-000n
COM2009-00092
COM2009-00092
Payments:
Type of Payment
Check
cReceilltl
RECEIPT #:
Description
1st Appliance
Vent Fan
Exhanst Hoods
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
EHLERS CONSTRUCTION INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000088
Date: 02/10/2009
Item Total:
Check Number Authorization
- Received By Batch Number Number How Received
djb
5365
In Person
Payment Total:
Page I of 1
10:48:20AM
Amount Due
79.00
9.00
13.00
5,05
12.12
$118.17
Amount Paid
$118.17
$118.17
2/1 0/2009