HomeMy WebLinkAboutPermit Fire Damage Report 2009-7-22
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01048
ISSUED: 07/2212009
APPLIED: 0712012009
EXPIRES: 01/2912010
VALUE: $ 25,000.00
Issued
SITE ADDRESS: 1480 ]6TH ST APT 3
ASSESSOR'S PARCEL NO.: ]703253102200
Springlield TYPE OF WORK: Apaifment Building
PROJECT DESCRIPTION: lire damage
TYPE OF USE: Remodel
Commercial
Owner: NORTH GATE VILLA LLC
Address: 1328 LAS PULGAS RD
PACIFIC PALISADES CA 90272
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contr'actor License
, .~
XXL INC W requires 109~67
gall \a 1,-\-,I.t'f
JEM ELECTRH=\Ir:-',QN: Ore d by t"e OregO\I6123<;"
f>,1 II.-' d "te" --i'oft..
XXL INC lollow ru\es~~,,~;, Tnose rules are l~~~(~31-
TOMS PLI,(M~.\!~t(i;'SERy'I~,E;,I\'1,~rougn o,,~ },?,'!t!.2';;m/
In OAK ~i~ Bui~DING 'INFORMA:if1(iJN', "e
0090., '''t\1'e' celll"" ,-- Ut'rty NOllllv,,,lon
calling ,," ",,"oc:on 1\ )
mber tor #, of STones: _332.-2.344 .
RPu cenmiiihfo~'S-iructure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Expiration Date
11/09i20 I 0
09/07i2010
11109/2010
05/12/20]0
Phone
541-747-5413
541-729-1074
541-747-5413
541-607-8879
No
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft B~sement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
, . , REQUIRED PARKING
Overlay Dist: f i\-\~ 'NO"~.'Total:
tt~~rees ~~\.\. f)(..?,"'E 'RNI\i \s WJi" Handicapped:
{llr~d;il.~"A\R : DER 1\-\\S?E EO fO?,Compact:
~u'l'l!.\'l\,-gLv.ilr o?- \S ~\)~~Oo~
,..nM\IJ\E~CE\], nt:Q\('\\].
I PUBLIQJ.IIM~~gfi~t~TS I
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback: ,
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of 3
Sidewalk Type:
DownspoutslDrai"s:
Status
Issued
CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-01048
ISSUED: 07/22/2009
APPLIED: 07/20/2009
EXPIRES: ,01/29/2010
VALUE: $25,000.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
DescriPtion Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
25,000.00
Value
Date Calculated
Total Value of Project
$25,000.00
$25,000.00
07/29/2009
Ppp., P~ilLJ
$7.56
$3.15
$63.00
$50.31
$20.96
$79.00
$282.25
$19.00
$39.00
Date Paid
7/22/09
7/22/09
7/22109
7/29/09
7129109
7/29/09
7/29109
7129/09
7129/09
Receipt Number
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
Minimum/Adjustment Plumbing
Amount Paid
1200900000000000826
1200900000000000826
1200900000000000826
2200900000000000856
2200900000000000856
2200900000000000856
2200900000000000856
2200900000000000856
2200900000000000856
Total Amount Paid
$564.23
I Plan Reviews I
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. will 'be made the following
work day.
1, Rponirprlln",.nprtiow
Temporary Electric: Approval required prior to Utility Company energizing pole.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Rougb Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is cO~lplete.
Pa2e 2 of3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01048
ISSUED:. 07/22/2009
APPLIED: 07/20/2009
EXPIRES: 01/29/2010
VALUE:' $ 25,000.00
225 Fifth Street, Springlield,' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building 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 shaU'be done in. accordance with
the Ordinances of the City of Springlield 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 Servkes Division, Building Safety.
I further certify that only contractors and employees who are'in compliance with ORS 701.005 wilI,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, "
~;1~
7-2'l-20()9
~,c..",",.~ ""'U
Date
Pa2e 3 of3
225 Fifth St,reet
Spririgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
PulJlic Works Department
Job/Journal Number
COM2009-0 I 048
COM2009-0 I 048
COM2009-0 I 048
COM2009-01048
COM2009-01048
COM2009-0 I 048
Payments:
Type of Payment
CreditCard
. cReceintl
RECEIPT #:
2200900000000000856
Date: 07/29/2009
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
STEVE HAMIL TON
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
119282 In Person
Payment Total:
Page I of I
9:29:18AM
Amount Duc"
282.25
19,00
39,00
79,00
20.96
50.31
$490.52
Amoun~ Paid
$490,52
$490.52
7/29/2009