HomeMy WebLinkAboutPermit Fire Damage Report 2004-3-3
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. CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: 00-00567-01
ISSUED: 03/03/2004
APPLIED: 04/13/2000
EXPIRES: 09/03/2004
VALUE: $ 58,971.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6053 Main St
ASSESSOR'S PARCEL NO.: 1702343301300
Spr
TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair fire damaged flooring, windows, bath fixtures siding etc
Residential
Owner: Larry Farris
Address: 3424 Virginia Springfield OR 97478
Phone Number: (541) 744-2087
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
C & SElectric Inc
Crane Plumbing Co
License
Expiration Date Phone
(541) 741-2236
(541) 744-0300
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BUILDING INFORMATION I
# of Units: <!7
Primary Occupancy Group: R-3~~ ~
Secondary Occupancy Group: ~ '2>~
Primary Construction Type ~ ~~ " ~
Secondary Construction Type: ~ ~~~ :v <<.
# of Bedrooms: #~ '2><<' <;J.;ff
,'v~~;#5
~'~~v
SETBACKS$' : ~<<-\'0'0'
..$Jv,~ ~:v ~
Front yard S,<<;,t~a"k;!Y # 8 .:"" <<.
Side I Setba~ll~ ~ ~ <:::>~
Side 2 Setback~ .j{- _~ ~
"f '0"'" '"
Rearyard Setback: '-' ;j:-
Solar Setbacks: "f
Street Improvements:
Storm Sewer Available:
Special Instruction:
Lot Size:
SqFt 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
>:>....0;:\ Sq Ft Other:
-\0. ,;f'- ~ Impervious Surface Area:
_c:> 'V ,0_
I DEVELOPMENT lNFORMA1'io1i'l~ c:>"'~'].."~-e;,"
~' V e;,'V0OJ ...S-0 ~0 ~REQUlREDPARKING
,,'I>' ",,0 ~0 ~ 0 ~o ',0
Overlay Dist: ....O~:Q-\" 0 ...v "" 0 ~ >:S' ~0~ "vii' Total:
# Street Trees~R!ld: oCj 0>:><:$ e;, 0 .....0 O~ Handicapped:
(1' ,<J ",,<:, ~ ,0 0 ~
Paved Drive l~!jd: >:S' O~~ ,>:S' _\ r,.'i>:" Compact:
,,,0' l~ ...0...' ,,<::J C; ~0' .~...., n"
% of'lJOt~ovciagef.l 1F ,~O -0" a;'1,
,00-...~ ~CJ~ f::>"- (p" 0...:--: O~ ~':c'
_ _"" '.0 _S::S .-l ~'1 ,o~ ~<::"
I PUBLi<i>i~piiQVi:Mli~is'l~c. "l
"'- 0' '~ - ~ r'
~ Rl<::J' ~'" ...,O? Sidewalk Type:
')~ vt/f ~"Q0 (r Downspoutsillrains:
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
,.
Notes:
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Paee I of3
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Status
Issued
~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
"t.
Fee Description
Administrative Fee - Plumbing
Building Administrative Fee
Building Permit
Minimum Plumhing Permit Fee
State Surcharge - Plumbing
State Surcharge For Building P
Residential Plan Check
Building Administrative Fee
Building Permit
Residential - Single Family -
SDC Administrative Fee
State Surcharge For Building P
Administrative Fee - Electrica
Permanent: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Plumbing
Number of Fixtures
Sanitary Sewer
SDC Administrative Fee
State Surcharge - Plumbing
Administrative Fee - Electrica
Branch Circuits W/O Feeder or
State Surcharge - Electrical
Administrative Fee - Mechanica
Administrative Fee - Plumbing
Less than 100,000 BTU
Mechanical Issuance
Minimum Mechanical Permit
One to Four Outlets ,
State Surcharge - Mechanical
State Surcharge - Plumbing
Storm Sewer Footage
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Renew Building Permit
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. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: 00-00567-01
ISSUED: 03/03/2004
APPLIED: 04/13/2000
EXPIRES: 09/03/2004
VALUE: $ 58,971.00
I Valuation Oescrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
L.Fpp< p"ilU
Amount Paid
Date Paid
Receipt Number
$0.45
$5.79
$193.00
$15.00
$1.05
$13.51
$122.53
$5.66
$188.50
$77.95
$3.90
$13.20
$1.50
$50.00
$3.50
$0.60
$20.00
$193,08
$9.65
$1.40
$1.71
$57.00
$3.99
$0.45
$1.65
$6.00
$10.00
$7.00
$2.00
$1.05
$3.85
$55.00
$10.00
$13.50
$3.15
$45.00
4/13/00
4/13/00
4/13/00
4/13/00
4/13/00
4/13/00
10/25/00
1I/13/00
1I/13/00
1I/13/00
11113/00
1I/13/00
1I/16/00
1I/16/00
1l/16/00
12/19/00
12/19/00
12/19/00
12/19/00
12/19/00
3/22/01
3/22/01
3/22/01
5/16/01
5/16/01
5/16/01
5/16/01
5/16/01
5/16/01
5/16/01
5/16/01
5/16/01
3/3/04
3/3/04
3/3/04
3/3/04
1240
1240
1240
1240
1240
1240
3601
3763
3763
3763
3763
3763
3811
3811
3811
4076
4076
4076
4076
4076
4745
4745
4745
5396
5396
5396
5396
5396.
5396
5396
5396
5396
2200400000000000204
2200400000000000204
2200400000000000204
2200400000000000204
Paee 2 00
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. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: 00-00567-01
ISSUED: 03/03/2004
APPLIED: 04/13/2000
EXPIRES: 09/03/2004
VALUE:. $ 58,971.00
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I
Status
Issued
'i
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Renew Mechanical Permit
Renew Plumhing Permit
$45.00
$45.00
3/3/04
3/3/04
2200400000000000204
2200400000000000204
Total Amount Paid
$1,231.62
Plan Reviews I
'0
Enl!ineerinl!-Res
Initial Review-Res
1lI03/2000
1lI08/2000
Appr ST
Appr WS
Approved pending planning
approval. Cannot go out the door
without a signature from planning
on the plans.
New Addition needs to be set back
10 feet from west side property line.
Dedicated right of way on side for
South 60th Place.
check conar tie requirements
Planninl!-Res
1lI07l2000
Appr LM
Structural-Res
1lI08/2000
Appr WS
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
.y
I Relluired Tnsnection'lj
I Final Building: After all required inspections have been requested and approved and the building is complete.
2 Final Plumbing: When all plumhing work is complete.
3 Final Mechanical: When all mechanical work is complete.
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 shan 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 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.
iJJAridL ~/1~iJ
8)3/04--
Owner or Contractors Signature
Date
Pal!e 3 00
225 Fifth &lreet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
00-00567-01
00-00567-01
00-00567-01
00-00567-01
00-00567-01
00-00567-01
Payments:
Type of Paymeot
Check
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Receipt #: 2200400000000000204
Description
Renew Building Pcrmit
Rencw Plumbing Permit
-Mechanical Issuance Fec-
+ 7% State Surcharge
+ t 0% Administrative Fee
Renew Mechanical Permit
Paid By
CAPITAL GROUP LTD
Received By
jmp
Check Number
Batch Number Authorization Number
1290
City of Springfield'Offici.al R'';ceipt
Development Services Department
Public Works Department
Date: 03/03/2004 3:33:36PM
Amount Paid
Item Total:
45,00
45,00
10,00
3.15
13.50
45,00
$161.65
How Received
In Person
Payment Total:
Amount Paid
.
$161.65
$161.65
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