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Home My WebLink AboutPermit Fire Damage Report 2009-6-25 CITY OF SPRINGFIELD' Building/Combination Permit . I[ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00756 ISSUED: 06/25/2009 APPLIED: 06/0112009 EXPIRES: 12/25/2009 VALUE: $li 129,000.00 Status Iss u ed '\ SITE ADDRESS: 523 39TH ST APT 2 ASSESSOR'S PARCEL NO.: 1702311403100 " Springfield TYPE OF WORK: Fire'Damage ,I TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Apt 2 & 3 Truss repair, Units 2 and 3 total gut, unit I remove ceiling( drywall) from water damage, and Replace ceiling heat with new mechanical system II REQUIRED PARKING Overlay Dist:, .' Tpt~l: # Street Trees Rqd:: \JileS 'Jq'(~p.9lcappeo: Paved Drive Rqd: \a.'-IJ le~leQO~'t,!,.Plnt: % of Lot Coverage: ~,OleQO~ '0'1 \'(\e \eS a.IEl S~z,_C)C)\' ~\\':.~~:2,s 'a.o~~;e \'(\OS~,\~'(\ 0 ~~~ Iu\e:.~'J I PUBLIC IMPROVEM^E:~If.S~I'J)~\:C)C)\ \,\~ '~09ie~;~ \e\~~~~;'\iO" ,.-' , d~ '0'0\0- NOW., ~o,\ ,01'-1' \\\a.'l Side.vhlk 1\"'\e\~" fJ,\. II' ,,'{ou ce," "u,1 'YP" z,?'fJ, 'I 009v., ,,\'(\e _ Ole",,,,,,?,?'''- i' Ca.ill"'" \01 \\'DOW~''Polits/Drains: rl\'oel ^\el IS II flU'" Ge.. ' Owner: JANSSEN DEBORAH K & DWIGHT A Address: 3208 LAKESIDE DR EUGENE OR 97401 I CONTRACTOR INFORMA T10N I Contractor J-.icense EHLERS CONSTRUCTION INC '1'lC)'i\~4231 BURRELL BROS ENTERPRISI0~t \S ~am6446 EHLERS C9NST~~SR~Il~t'i\~\\ C)'i\ 4231 DO~i}W~(~.JP'~I;.,IMt\) ~ 185065 \~~\S ?":;\l~\) i/>"h:tiniP,~G'iNFORMATlON I [:\\J\\\C) ~'Ct\) J o.\C)I.l. # of Units: C)~~t: '\)~ Vt:,# of Stories: Primary Occupancy Group: 'C ~'{ ~~Il Height of Structure, Secondary Occupancy Group: ~ Type of Heat: Primary Construction Type VN, Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type General Electrical Mechanical Plumbing I' DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: , Notes: Pa2e I of 3 i' ' Phone Number: 541-683-5496 ,I ': Expirati6n Date 'I 11/19/2010 08/20/2009 u 11119/20 I 0 I 01108/2011 Phone 541-689-6177 541-747-2724 541-556-5629 No Lot Siz~: Sq Ft I;t Floor: " Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup,fnt Load: CITY OF SPRINGFIELD' " Building/Combination Permit " Status Iss u ed PERMIT NO: COM2009-00756 ISSUED: 06/25/2009 APPLIED: 06(01/2009 EXPIRES: 12/25/2009 VALUE: Sir 129,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descri'?tion I Bid Amonnt Vse Bid Amonnt $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 129,000.00 I' Value" $129,00'0.00 " Date Calculated , Descriotion Tvpe of Construction 06/1 1/2009 Total Value of Project $129,000.00 I: fi'PtH.,~ $537.41 $84.00 $167.61 $69.84 $88.00 $68.00 $826.78 $36.00 $342.00 $36.00 Date Paid 6/11/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 :1 , Receibt Number 1200900000000000658 1200900000000000736 1200900000000000736 1200900000000000736 1200900000000000736 1200900000000000736 1200900000000000736 1200900000000000736 1200900000000000736 120Q900000000000736 Fee Description Plan Review Commllnd/Public -Mech Iss 2+ Appliances- + 12% State Surcharge + 5% Technology Fee Air Handling Vnit Vp to ]0,000 Bo'i1er/Comp Vp To 100,000 btu Building Permit Dryer Vent Fixture Vent Fan Amount Paid , 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. willlibe made the following work day. " ~Iirp,-lln\~np,..tion\l Paee 2 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-00756 ISSUED: 06/25/2009 APPLIED: 06/0112009 EXPIRES: 11/25/2009 VALUE: $11129,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " By signature, 1 state and agree, that 1 have carefully examined the completed application and do h~reby certify that all information hereon is true and correct, and I further certify that any and all work perfo~med 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 permission of the Community Servi~es Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections are requested at the prbper time, that each a:ddress is readable from the street, that the permit card is 10 . ed at e front of the property, and the approved set of plans will remain on the site at all times during con ction. , . ' c{: k ~;:> , . v C/ V~ Owner or Contractors Signature Date Page 3 of 3 StruchmlI NrmitApplication - 225 Fifth Street. Springfi~ld, OR 97477. PH(541)726,3753. FAX(541)726-3689 lii,~)R~F!AJ~fnllENiiJJj~J2~~'r I ChlMz,oo ~- ~o7s6 Permit no.: '/ I " I Dat!: bj I(a <; This permit is issued under OAR 918-460-0030. Permits expire if work.;s not started within 180 days of issuance or if work is '. _'_, 1; , suspended for 180 days. ' ,~~i~'{/J~,tJfQ~A~~7~~@yi;'8'.~M~NTE~1?~F?:.R~9Y~~1~~;0H\1~~J;y~~t~~,~~b1 I This ~r~j.ect has final land-use approvaL I I Signature: I?ate: I This project has DEQ approval., I' I .. Signature: ' / Date: 1 Zoning approval verified: DYes D No I f Property is within flood plain: DYes D No' I ,: :r\1i/:',:.;y')IJ.e)l(CA'rEG<0RY:O~;YCor,rs;fRi.:iciii0N"":~i~1J:ii,Jiili!\t',i:di!:!1 l1l1l,':1,., r:iL", ,,/;::1.-, , _ ___~_,~___W>>" ,_ __,~.,_, __ __,______!i!iil!.. .LlW"IW;!,,,_ , 1~~.'.'..~~~.?:,i.~~,~~~.I."";w""","",,,.,,,.J_9.',G._.,_?,_.~5,r;n,.,,~, ,e",.~,t~,.".,.."';"o_,"""J,_, .gi.E~~,_,~~:',~~,_,:, ~-0',X'''':WiII !\0)1\'jii'j;tj(l!J.9i;l,~SI)TE:~1 Nf,9~N1....1J(')N'!t....N .D~IiQ_C....'I"IQN~ii;'~!;!\:t~-&c!" 1 Job site address: ,J::':~" ,~q *' s T I 1 City -Q?/U"'1.D... f r_ 1 State: Ot.- 1 ZIP:l1')t/)7 I I Subdivision: I Lot no.: I I Reference r7Dz..3((L{ 'I Taxlo! D3/0 0 I ,,' " i" ~~O:~ERtY;'QWN~~:'i;::,;' ;AI:'1\\; ".,"1 I Name:{)uJI '1/.;;[;' :-r-""-,^.-IS..._~ 1 I Address: ~ 2f~ Lb-k",-,r::. d.." 1 I City: ~ue1'~. I State:l'lK.- 1 ZIP: (7'10\ 1 I Phone:5({(b.P\' 'f'ZIq(,- Fax: - 1 I E-mail: .1 This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: I ' ),,'. CONTRAqrOR:,i~s,tAtl....TI9r"K.,;;;:_,,;,,;~';S,,;;,,j I Business name: 0~ l........':l fln......;-. 1 Address:iOP.,- PVlf>9--d,,~..... I City: evt',~ 1 Phone:~- t..}(f<;...&/~? 1 E-mail: 1 CCB license no,: t"Jlf'2.?' / 1 Print name: M "'-'K I.l..a.M~ Mnature: A~ _ ~/~ ~~",/~J 1~~;\\~~i,H;~~1~nif~'~"GQ~fr:BAG:t'6,~"~I.N,~.9RMArr:~QN'~~,~~iW~~J~t,;~J I Name CCB License Number PhoDe Number I I Electrical 'g/JIt~{ P,r!o~ I I Plumbing ~ILil-,AiI.."......d... I I Mecbanical ' f"lL.^", I 1 I I State:&1i 1 ZIP 'l7'fozJ Fax: STlI-bH-?,e;sS- I I I I I 'I 1"~~:~',;';::Gjt:~!rts~~~r~;;;~f&:p,~~~r~'~H~J)UU~.';l;J'j;:r~E":~~t'~f:,:~r~';~:~~17T>:;'\i I 1~'jJfM,~J.[~IfQ~{(jrt6fH{~tI~1I~ri~i;&f~1~t~;i~;liti~:7iK~j;2~rS~~}:H,~~~;:i~~~it:,1 " (a) Job description: Occupancy 1 I 1 1 1 ) I 1 I I", A <:IV O<'<-r . Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new D alteration (D) Foundation-only permit? Tota', valuation: D addition DYes DNo I : I I $ I I $$ 1 1 (e) Subtotal of fees above (20 tbrough 2d): 1 . 1~3",pi~;l'evi1f~~if'.;Si":>'Wfll1ill~~'''''''"~'itJi'':'1i!'~;2I'1',~}B~'''i1;-1I~1 '~('~;"'~la~Xr~v~~:.'(~-~~;:0!;;:;:~~~::~~r;;:~?';~~i:~tJ~H~ti~R~s3;~n ~~ (b) Fire and life safety (40% x permit fee [2a]): $ I (c) Subtotal of fees abnve (3a and 3)>)' $ 1 ['1{{M!~f~!!.~'rr~Q:t!'filtt~ttJ~)ij%1#~::;;"~~W/.t~~iJ&{~~;;;~~.f~H;,*;"~%;~~<fi$~(~:.j(~"Z~;1 1 (a) Seismic fee, 1% (.01 x permit fee][2a]): I $ I TOTAL fees and surchar'ges (2e+3c+4a): $' I (a) Permit fee (use valuation table): 1 (b) Investigative fee (equal to [2a]): I (c) Reinspection ($ per hour): ii ].(number of hours x fee per hour) ;~ 1 (d) Enter 12% surcharge (.12 x [2a+26+2c]): 225 Fifth- Street Springfield, Oregon 97477 ' 541-726-3759 Phone Job/Journal N~mber COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 COM2009-00756 Payments: Type of Payment Check cReceiotl RECEIPT #: 1200900000000000736 Description Building Permit Fixture -Meetilss 2+ Appliances- Boiler/Comp Up To 100,000 btu Vent Fan Dryer Vent Air Handling Unit Up to 10,000 + 12% State Surcharge + 5% Technology Fee Paid By EHLERS CONSTRUCTION INC Received By djb Check Number Batch Number : Page I of I City of Springfield Official Receipt , Development Services Department Public Works Department 1l , Date: 0645/2009 Item Total: Authorization Number 6364 , " How "Received In ~erson Payment Total: ]O:56:54AM' Amount Due 826,78 342,00 84,00 68,00 36,00 36,00 88.00 167,61 69,84 $],7]8.23 Amount Paid $1,718,23 $],7]8.23 6/25/2009