HomeMy WebLinkAboutPermit Fire Damage Report 1990-3-27
.. RESID~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
?26-3753
.
..
Job Loaation:
~ t i?J. /'1O..in-sf.
\ "D f~544-'1-
AsceS80rs Map #
Subdivision:
Rcce:.pt .'1-
..--...
I ( O() / .c:\
T"", Lot # c,:..i.. .1'/9
O\~
- d _...t l:Rn \).~
CAJner: \~J'l\\ n \-Q "- ~{\J\UJ-\4 / PAq - \ ~ \ \ '_,
Address:\Q\OV\ \'\'{\"t ~& ()r"",e:"'A\_E,LQlV_,
City: cc<y~-(~) \.~ Zip: C\\4\~
Q"M.,
n Additien
n R~odel UJ\~~~
':;e :;:::l:::ion 611 z 1 q 6
ContractoIl!''"\ . ~ . Arjclress
General\. J.\. Jt.LX\ Q..\C-/ .
, Plumbing
i~~:~~;~:ti.\l"l J\.UQ~rA y 00 rr\\ \'"
I Suoe.li'\ldn.;::l1g Electr;i.cian
Va lue
VSCD.cD
,
(})xct\
Lisd II
f
'*
~.
Siw.eMiYV _ -)
Date: . . (~ .6l...1') -L-f(
Bldrs Board Reg.
Phnnp
t\JI' lNSULATIONIVAPOR BARRIF:R INSPECTION:
~ To be m.7de after all insul:;.ti:m tr".d
. .' required vapor barr'ie1'B are in place
. .: but before any lath~ gypswn board 01'
wZ-Z covering is apptied, trnd before
'~y insulation 'is concealed.
,'.
1'\71 DRYWALL INSPE:CTION: To be made
~ after au' d.rywu, is in pZace~
but prior to any taping.
O MASONRY: Steel. location~ boiu1
beam3~ grouting or verticals in
accordance wi th U. 8. C. Section
241E.
O WOODSTOve: After installation is
ccmpletsd.
o
CURB & APPROACH AP80N: After forms
are erected but prior to pouring
ooncrete.
SIDEWALK & DRIVEWAY: For aZZ con-
crete paving within stpeet right-
of-LX:.Y~ to be made afte1' aZZ exca-
vating currplete & forn'! lJOrk & sub-
lxIse material in p~e.
)
Exti~..ces
It is the roesporuribiUty of ths permit holder to Bee that all. inopections are made at 'the proper tim8~ tr.at ~a(Jh ~eB8 is readab1.e
from ths streBt~ and that the permit aard is located at the front of the prcperty.
ABuitding Divicior: approved plan shalt. remain on thE Building Sits at all times.
PROCEDURE FOR INSPECTION RE.:QUEST;CALL 726-3769 (recordePJ state your City designated job nzm:ber~ job address~ type of i11.3pea~icn
roequcstcd ar.d. when you f.Jiz:L be ready for inspection~ Contractors or OI.mers name and phone number. Requests received before 7:00 a-:1
.>in be lltlde th< eame day, requeets mcde..ar..tszo 7:00 ~!.lin ~e rmde the nczt :x;rking day:'qDf'\r\ Q.-\
Your C1.ty Des1.gr.ated Job Number 10: \. )~C '-J
Reaui'1"P-d Tn.s'OP-cticn.q _.
O SITE INSPECTION: To be 11rIae alter'
excavation~ but prior to Set up of
forms.
O . UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is aovcred.
~
POOTING & FOUNDATION: To be nrule
after trenches are excavated and
forms are erected~ but prior to
pouring concret.e.
D. UNDSRGROUND PLUMBING" SEWER. W,1TE,t
DRAInAGE: To be nr:ui.e prior to fil-
.lir.g trenches.
:"V'I' UNDERFLOO~ & MECHANICAL:
~'To be ~to installation of
f1.oor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor ins~z.ation or
decking.
~ ROUGH PUfHBIlIG, Ef,ECTRICAL & MECH-
~ ANICAL: No :.JOrk is to be covered
.until- these inspections have beer.
made and approved.
D FI.~E:PLACE: Prior to placir.g facing
materiaZs and before framing inspec-
tion.
~
FRAJ!ING: Must be requeoted after
approval of rough plwrhing~ electri-
cal & mechanical. AU roOfing
bracing & chimncys~ eta. nr.lst be
. completcd. !lo work is to be con-
--=- cealed until this inspection has
. be~n made and approved.
o
o
PENCE: When compl.ete -- Provide
gates or movable sections through
P.U.E:.
I DEMOLITION OR ?fOVEr; BUILDIiIGS
~ Sani -:ary sewer capped at p~ope.rt'~ tir:e
~ Septia tank p-.;r,:ped and filZ-e~ lJ1ith gra~eZ
--, Pinal - ffhen above ite.7fs al"e comp!eted
~ and when demolition is compl.ete or stru~-
ture moved and premises cleaned up.
I Nobile Hcmes
':::J Blocking and Set-up
:::J Plumbing connections -- 8::t.Jer and Wa-:er
:::J Electrical Connection - Blocking~ set-up
and plumbing conr:ections nr.lst be approved
before requesting elec-:rical ins?ec~ion
~ AccesGol"'.i Bui ld::,ng
--, Final. - After F::Jrc1:es~ 8k"~rting~ decks~
.--J etc. are cample-:~d.
o
AU ppoject conditions~ such as the i.nstallation of stl'eet trees~ co::-rpl-eti..Jn of tite
required la.n.dsccpir.g~ etc. ~ must be satisfied before the BUILDING FIlIAL can be requestad.
.. ....,
~ FIIlAr. PLUl.!BIl/~
~ FIliAL f.1E[;HANICAL
~ FINAL E:LE:CTRICAL
[]
'fi9
PINAL BUILDING: The Final Building Inspection must be requested after the Final PZwnbing
Electriaal~ and Mechar:iaal Inspectiono have been made and approved.
o
'ALL NANHOLE:S AND CLE:ANOUTS MUST BE: ACCESSIBLE, ADJUST!rEIIT TO .~E:"f.t~DE:.AT 110 COST TO ::::.J Page 1 of 2
I JOB NO.
I Zona:
SOLAR ACCESS
Oooupanc" G.
LOTTYFE
Lot Sq. Ftg.
S ::;f 'lot CJVerag~
.'1 of Stories
Total Height
Topography
I
lITEM
I Main
I Cc:toace
I Carr>ort
I AcceSBoru
SQ.FTG
240
TOTAL VAWE
S.D.C.
(vct..ueJ
1.5 :r:
Building Permit
State Surcharge
Total Cha..."""gea
lITEM
Fi:rtures
IResidentiaZ (1 bath)
I Sani tary SezJeI'
I Water
/10. I FEE I
3 I '7 S"o I
I I
I I
I I
I I
I
I
I
I
PZwnbing pem t
State Surcharge
TotaZ Charoes
ITEM
I NO'1
I z-I
I I
I I
Res. Sa. fto.
NetJ/Extend Cil'c:u.its
Temporary Service
Ele~trical p~t
State Suraharqe
Total Charc:es
ITEM
I Furnace ETU' S
I Exhaust Hood
I Vent Pan
IWOodstOiJB
NC.
/
Permit Issuance
Mechanical Permit
lJ1,v.
State Surcharae
Total Charae[l
-- ElICROACHl.fENT --
I SeC'.iM.ttl DZP03it
I Storage
I Maint~e
I Pemrit
I
I CUrbouo
Tota l ChaNea
SidOLJaZk
Fence
I Electrical Label
I Mobile Home
Fi~L
~*
x
'2-5'
FEE
I
I
I .
I
I
I
I
I
22.50 I
I /./3 I
I ;2.3.4-5 ,.* NffT" JNc/.u(6) JV w7lrL eef,t;w,
Mechanical Permit
I
I
I
I
I
I .
I
I
I
I
I
I.
I
I
I
I PeRMIT, wtttcti
I 81/ 71-f-5 e~t. Ct:N~.
: 3~.731 '/fJetP-rz!J//~_~iL /} /27/PVJ
/3CCl.'l4 ,. ~~2d fut~ - y.
Interior
Comer
Panhandle
eu!-de-sac
I Value
(PCJ(JO~
I
I
I
I I
I h.:?6'~1
I NJA I.
I
I
I
I.
I
5t?5P
2. ~.3
51.03
CHARGE
'P'2.~.o
2.2. ~f)
/ /~
23 .~.3
FEE
CHARGE
;z.z..~O
I
I
I
CHARCE
3t:!:!!-
j5()()
.75
/5".7S
t';;:.ge <:;
REQ.-
.
.
L-COC"l'
Ti-ipe/Cor...st:
BedI'ooms:
I Enerau So~U"ces
I Heat
1 Watep .4l?atp.p
I I RaY'.ge
II I Fireplace
Wood:; tOL'e
II
TU(l1]
t.
I Lot Faces -
I
I P.L.
North
Setbacks
House Carage
l Access.
I
i
i
,--
\
East
South
IWest
-- Fees
Building Value &
Pe r m i t
This pe1'1'1f':t ia gmnted on the express condition that the said construction
shall~ in aZl respects, conform to the Ordinance adopted by the City of
I Springfield, in.c!uding the Zoning (;lrdinance~ regul.ating the conotructicn
. and use of buitdings~ and m~y be suspended or revoked at cr.y time upon vic-
I lation of any provisions of said Ordinances.
Iplan Check Fee:
Date Paid:
IReceipt #:
ISi!l"ed:
~c:.. ,7 ~
Plumbing
Pe r m i t
No person shaZl construct, inBtalt~ atter or change any new or ex~8ting
plumbing 01' drainage system in whole or in part~ unless such person is the
legal possessor of a valid plumber's license~ except that a pe:-son may do
plumbing work to property which is OLJned~ leased or operated by the appLi-
cant.
Electrical
Permit
Where State LalJ requires tr.at the electrical lJOrk be done by an Electrical I
Cantractor~ the elect-rical portion of this permit shall roOt be va!id until
the label has been signed by the Electrical ~ontractor.
~}~~/7 :l>M_
L. ... ~
PLarilExamt-ner . 0.. -
~/2b~D
I HAVE CAREFULLY EXANINED the completed application for permit~ and do
hereby certify that aU inform:ztion hereon is true and corrcct~ and I
f'.trthel' certify that any am all lJOrk perfo~ed shall b9 do~e in accor-
dance :vith the Ol'din:1nces of the City of SpringfictdJ and th;: La'..:s of tha
State of Oreg::m pertaining to the wol'k desc1'ibcd herein, and that NO OCCU-
PANCY wilt be mlde of any structure witho:.t.t parmission of the Building Di-
vision. I fUl'ther certify that (7.1.ly contractol'S ar.d e.-npZ..;Jye~8 who al"e in
compliance with ORS 701.05E will. be used on this pl'oject
;#E:-i<: ~es NoT J Nd,..Lf[)E=- E./..i:t:mCAl-
s~ W ~-v!f:i>
.
.
.
'<1
Permit No: q()n'2~ ] ~ ) ,
Address: G!b J C\ r Y)O J 11
Issued b(?11})tJ "') Date: 3-~8 -90
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
,.
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
nN.. . ./
\NY L,K-J
V '2. A. L-J
I own. reside in, or will reside in the completed structure.
.
- ,
My general con.tractor is
Contractor registration number
,
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
, .
~dR '
J,/
,: B. W I will be my own general contractor.
""
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractorll Board. If I change my mind and ao hire a general
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse :' of this ~orm,{
f?,0,.;; 1'u ( rlP' A--t/h f /, 3. d. X- -90
-8ignailfre of Pedilit APPlfcan7 Date
CONSTRUCTION CONTRACTORS BOARD
0244J 10/24189
DU\.U .
Y. WHffE COPY TO ISSUING AGENCY PERMIT FILE
\ "'\r .....P.lNK COPY TO APPLICANT
\.J.-A\ ctu ~.
~~ .\" . DO NOT WRITE IN THIS SPACE _I
\J ~ CONTROL ~. EXP.
NO. NO.
S~I(.{L~-n.-ld
I MO l DAY I YEAR I. DAVOF 0 Sun
rlC? WEEK
;;:::z ;2'6 . 6 10M"
INCIDENT ADDRESS
District of Incident
" L
'n
ST ATE OF OREGON FIRE REPORT_
ST ATE FIRE MARSHAL FIRE DEPT.
ALARM NO.
La..... _
o Sawr
County
o Tu~
12tTh"
o Fri
o W.d
0/f- / --::>..., t'\,.f d2' ;)\
3 OCCUPANT NAME (Lasl, Finit, MI)
~ t!14> /r, T
BUSINESS OWNER NAME (Last, Fint, MI)
s,(
::S6<?([~,r
ADDRESS
5 OWNER NAME (Last, First, Ml)
Ao7-7=.r/, ,qCO<~II':P
6 FIRE REPORT~ BY (Last, First. MI)
ADDRESS
t'c:(?/-?
ADDRESS
4 nr) 2).~ I
sr- '61 30';)g'
Dept. Responding .c::::::,-onr-;k5t--Ri? Id
ALARMTIME l ARRI\'ALTIME I TIMl:BACKIN J
SERVICE
6'7 "3 fo {'J /7 ~ '7' C '644.
ZIP r /CESNS,US(;TRA,CT I ~~LASS
,9''/'~f'J/) .........
DOB (optional) TELEPHONE
/l44,~A
METHOD or
ALARM
o Telephone Direc\ 0 Radio
o Municipal Alarm System 0 Verbal
o Private Alarm System 0 No Alarm Rec'd
lor ENGINES RESPONDED
@--9rnTieLine)
o \'okeSignalMuniAlarm
o Not Classified Above
8 IOFrlRESER\'ICEPE~ONNEL
RESPONDED ~
9 TYPE OF SITUATION FOUND
~ructureFire
o OtherProp.w/value
10 METHOD OF
EXTINGUiSHMENT
11 FIXED PROPERTY USE
. 4,rfr';0X
M Mm(iLE .1 YEAR
PROPERTY
12 ROOM/AREAOFFlREORlGIN
eed/''''~
E EQUIPMENT I YEAR
INVOLVED
IN IGNITION
13 IGNITION FACTOR
50
o Vf.V:t.f/J,-r 0
l.f. FORMOFHEATOFIGNITlON
?L~C rfA'(.
15 LEVELOFFIREORIGIN
~rfIdele\'elto9f~t
/e;---1.:;J ...~:-:: ~
008 (optional)
TELEPHONE
DOB(optional)
TELEPHONE
sf.
S-/,,'5':-~ ?~/-~9<1
, DOB (opt~MI) I TELEPHONE
Mutual Aid (extinguish or investiJatto only)
o Received 0 Given f] ./,,,
;2
l'OF AERIAL APPARATUS RESPONDED
o Other (List)
I ' OTHER VEHICLES RESPONDED
(donotindudePA's) I
o VehidrFire
o Brush, Grflu.uave$
o Trash,Rubbish
I TYPE OF ACTION TAKEN
~guish 0 Removed Hazard
o In\'estigation 0 SLandB)'
o Hand.laid hose/hydrant, sLandpipe
o Master Stream Device
o Nol Cll\$$ified Abcwe
o Automatic Ext. System
o Prr.connKt hose/tank only
~.connecthose/hydrant, standpipe
I PROPERTY COMPLEX (Uawlieable)
o Self.Extinguished
o Make-shiftaids
o Portable Extinguishrr
:.jl
I MAKE
I MODEL
EQUIPMENT INVOL\'ED IN IGNITION (Completto Line E)
I MAKE
MODEL
~x.H-rUiorl .r /)R..D ii7Pcz..opf;(Z.
I MATERIAL FIRST IGNITED WAS MADE OF
(' L.t) IN
o 10to19fH't b 30to.f.9fH't
o 20to29fH't 0 SOto70reet
J I Contentl
.00 LJ. ,('is I~ .00
.;
16
VALUE
3n,
i
~.
BOi~in6
o Q\'er 70 r~t
o ObjectlinF'light
Vehicle and Contentl
000.00 ;::). (JOD .9"
17 N~EROFSfoRIES B 2stories j B 5to6stories
:2:\. J story 3 to.f. stories 7to 12 stories
18 BUILDlNG AGE (In Years) I BUILDlNGSIZElGrndFlrOnlr) ...& lOOO-4999sqft
~ fJ 0 0.999 IlQ ft 0 5000.9999 SQ ft
19 CONSTRljcTION TYPE 0 Hea\'Y Timber U Unprotect. Steel Bldg
o Skel & Concrele, 3-4 hr. prot. 0 Protect. Stet'1 Bldg 0 Protect. Masonry Ell. & Wood Int.
EXTENT OF DAMAGE CONFINED TO: Flame Smoke DETECTOR PERFORMANCE
LOSS
o
MOBILE PROPERTY (Complete line M)
SERIAL'
I LICENSE,
'"
::to
00::
en'"
-It''
F~
"''''
..,,,,
-0
::C::c
t:5>
t"
t"
'"
::to
01;
en .
-It''
F~
",,,,
..,..,
-0
::C::c
t:5>
t"
t"
.00
'"
o
0::
'"
t"
'"
-l
'"
..,
o
::c
>
t"
t"
::t
o
en
-l
F
'"
..,
;a
'"
en
1 SERIAL' I VOLTAGE
/ POfl..iAiJ((:- fJeA-n.(~ D..J
U...sE: P'6~T t",f,"(."J, (.,,~i)
liTEM FIRST IGI'"ITED:
L-/J1IrlOflY
o Brlo....grd.level
o NotClassified
00"
o Undet.ennined
.00
.00
''7. ; TOTAL
L)4, ~t!'.l"
B 13to2.f.5tories
2Sto 495tories
o IO.OOO.19,999IlQft 0 SO.OOO.99,999&qft
o 20.000-.f.9.9995Qft 0 100,OOO-499.999IlQft
o Unprotect. MllSOfllY Ell. & Wood InL ~nproU'Cted Wood Fram~
o Protl:>cted Wood Frame 0 Not Classified Above
SPRIr>:KLER PERFORMANCE
, Theobjectoforifin 1 0 ,
2 Part of roorn or area of origin 2 0 2
20 3 Room of origin 3 0 3
. Fire.ratedcomp.oforifin . 0 .
S F'loor or origin S II.l--'s
6 Structure of origin 6 0 6
7 Ext.endrd be)'ond structure of origin 0
o
o
o
o
~~.
o
o
90
01
02
03
o .
Os
o 6
o 7 In room of origin-no toper. dead battery
o 8.-Not in room of origin-not oper. dead battery
!IJ-9 Nodetectorpres.ent 0 10 Undettonnined
No damage of the type IN/A)
In room oforigin-oper.
Not in roomoforigin-oper.
In rm of origin-not oper-firetoo small
I'ot in rmoforigin-not oper. fire too TomaU
In room of origin-not oper. polO.'rr diKonn~t
I'"ot in rm of origin-not oper. povo'er discon.
.00
.00
.-
,~
.:><!l() .00
en
-l
::c
C
'"
-l
C
::c
'"
..,
;a
'"
en
o
Z
t"
-<
21 REMARKS Weathrr Conditions (optionall:
T,~^ Vt)~/L US <? rrI
22 Folio Up Inve. igalion Requested / I
Y-.!.L
Zl~
NY
() ( ...d /?....+G.1.G., ~I.edv:<-H~ 0 root."O"'"
CDII'<V I S' ~. f) ,:..(..~ '.x-; ....Q /", ~,.. '" 0-0
If}'es.whnwillim.AO''~~'a J
23 Numheroflnjuries
Fire Sel'.ice
-b- Otl",.B-
24 MrmberMakingRrporl ~_Q.~~ .-P,;!--e>7~~
25 AdditionallnfonnationbY-:e. ? U{ N(O f"J
I Numberofratalities
Fire Sel'.ire
Title ______ ~
.~--=<~t
Tit'. D~.(!'. f';<lf,
o SO stories or more
o SOQ,OOOsqft
10
20
3D
9 0
o 0 Undetermined or not reporWd
8 ~equipmrntpresenlIN/A)
Equipment operated
Equip. should have oper.-did not
Equip. prrsent fire too small tooper.
I'"otclassifirdabo,.e
Sprinklers Controlled Fire:
10fHeadsOpened
YES 0
NOD
~
Other
/'7"..
---.J
D.~
......;2- ,;:z >i".- 1\ <?
" D.~ . I,D
tl/J::JfJAlfJl. I L-?('-r 7
.
.
I N T E R 0 F F ICE
M E M 0 RAN DUM
Date:
From:
28-Dec-1989 08:45am GMT
Fire Station no. 2
FIRE2
Fire
Dept:
Tel Nc.:
Subject: DUPLEX FIRE 5513 MAIN
12-28-88
0735 HRS.
ENGINE 821
CAPT. SPEAR
ENG. STURGES
F.F. BURWELL
UPON ARRIVAL 821 LAYED 350' OF 2 1/2 HOSE FROM THE HYDRANT AT 55TH
& MAIN. PACKED UP, SET UP P.P. FAN, VENTLIATED REAR WINDOWS. ATTACED FIRE
WITH AN 1 3/4 PRE CONNECT. ASSISTED 841 WITH PRIMARY & SECONDARY SEARCH.
SEARCHED ATTIC FOR EXTENSION.
. /' ,--.' .-'
~,--r,;.....:...._
.
.
841 WAS FIRST ON THE SCENE. I OBSERVED SMOKE WITH NO FLAME. A BYSTANDER WAS
USING A GARDEN HOSE IN A WINDOW. I ASSUMED COMMAND AND ORDERED 821 TO LAY IN A 2
1/2 SUPPLY LINE. I ORDERED MY INGINEER TO PULL AND CHARGE R 1 3/4 . 803 RRRIVED
RND I PRSSED COMMRND. WHEN 821 RRRIVED I PRCKED UP AND ASSISTED IN PRIMARY
SEARCH RND MOP UP.
,
,
.
.
.
NARRATl VE
HOUSE FIRE 6613 MAIN STREET
Battalion Chief Highfill and Battalion Chief Stucky responded to a house fire
on the 28th of December 1989 at 6613 Mainn Street. The first arriving officer,
Captain Christiansen gave a report, assumed command and called for Engine 821 to
lay a supply line.
The supply line was laid across Main street to the south side, where the fire
was. I stopped 803 in the middle of the road and called for traffic control
immediately. Battalion Chief Stucky directed traffic until the arrival of the
police. I assumed command from Captain Christiansen and called for the PIO,
and SUB. A short time later I called for an investigator from the Fire
Prevention Bureau.
Forcible entry was made through the front door of the duplex, and the attack
line was advanced through the front door. Positive pressure was used in
conjunction with the interior attack. A primary search was made and nothing was
found. A short time later a se~ondary search was made, nothinQ was found.
A black dog exited from the interior of the house when forcible entry was made.
The fire was controlled with very little difficulty and was under control in s
short time.
The attic area was checked for extension but was found to be clear of any fire
progress. The electrical meter was pulled from this residence by Springfield
ut il Hy Board.
PIO Gartiz arrived and took charge of the media and assisted in the gathering
of information about the this incident.
Due to shift change, "CO Shift crew from Station four relieved the crew on
Engine 841. Command was passed to Acting Captain Esselstyn.
~ ~
"llkfA/
Gene H. Hig
Battalion ief