HomeMy WebLinkAboutPermit Fire Damage Report 1980-3-31
1 Ir,ISPEf.rJON LINE
77;6- 37 69
Job Address
.
.
INFORlIATION UNt
726-3753
Sq. Ftg. I-lain
~q. Ftg. Access.
Sq. Ftg. Other
Ne" Add Alter Pep.
Fence_Demo _Change/Use
_Other
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CITY OF SPRINGFIELD
COIIBIilATION APPLICATION/PERMIT
EilERGY SOURCES:
Heat
\4ater Heater
Range
Valu, of l'lork:
10, <JQO."o
BuilriinQ Permit Info:
Family Residence With
~
1219 Piedmont Street
legal Description \ qCl m
II ()~ 7.f()4/
Pamela McGinnis
Owner
Address
Construction lender
Address
DESIGN ItAII
Primary
Structural
Electrical
11echanical
CONTRACTORS
Genera 1
Plumbina
Electrical
"lechan; ca 1
NO.
Describe Work(i.e.. Build Single
Attached Garaae'
1341 So. 8th Street
Cottage Grove, Or.
Phone
-;42-~SdL
Fire damage restoration.
(name)
Phone
(address)
(OhOM no..
(lies. no.)
(exoires)
(name) {address} (lics. no.) (exoires)
Excel Construction Co. 2610 W. 5th Ave., Eugene, Or. 10242
None
(ohane no.)
484-9888
Rexius
None
PLUJ.lBIrIG
ELECTRICAL
MECHAN I CAl
FFF r.HAR(;F' NO
/' Residence of
~ :20.:00 SQ. FT.
~~~ rHARr,~ NO.
I='I='F n-lARr,i="
::as:""
furnace/burner to
BTU's
Each single fixture
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
I and vent
Recessed wall
~nn~P hPntpr nnn vpnt
S.F. Residence
(l bath)
Duplex (1 bath) each
Additional bath
~Ja ter servi ce
Sewer
Storm Sewer
SERVICES
Temporary Construction
Change in existing
rp<;,idence
multifamily, COrml. or
lnnu<;,trinl
Appliance vent
seoa ra te
Stationary evap.
conler
Vent fan with
sinale duct
Vent system apart from I
heatinq or A.C.
Mechanical exhaust
hood and dtJct
Of
amps.
COMB.IIND. FEEDERS
Install/alter/relocate
di<;,trih. fpprlers
Wood stove/heater
Of
amps.
TOTAL CHARGES
ISSUANCF OF PFRrlIT
';lS:-== TOTAL CHARGES
TOTAL CHARGES
WHERE STATE L~W REQUIRES
shall not be valij until the
that tile Electrical work be done by an Electrical Contractor, the electrical portion of this perr.1it
label has been signed by an Electrical Supervisor and returned to the Building Oivis)on
I HAVE CAREFUllY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true
and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Oregon !Jertaining to the work described herein, and that rw OCCUPAHCY will be made
of any structure without the permission of the Guilding Division. I further certify that my registration with the Builder1s
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in com!Jliance with OP.S 701.055 will be used on this project.
J\{JJJI(~-R
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~ ~--'------..-
om 3/31/80
NAf.lE(please print) tii'bR€Y
Zone _E.:/
Fire Zone......J11"
Flood Plain
BUILDING PERfllT
Charges anc
Surcharges
PlU!1BING PERMIT
Charges and
Surcha rges
ELECTRICAL PERI~IT
Charges and
Surcharges
IIECHANICAl PERMIT
Charges and
Surcharges
S IG!IATURE
FO~ OFFICE USE DIlLY
Tyoe/Const. !l.W Un; ts~" ,pes. Sq. Ftg. t1ain
Bedrooms Occy load Sq. Ftg. Access
Stories I Occy Group R. ~ Sq. Ftg. Other
x
x
Value
Value
Value
x
TOTAL VALUATION Itt:),~.--
5~."O
------------
~.08
Plan Ck. Comm/lnd
65%/BldCl Pf!r Ff!P
Plan Ck. Res
30%/Bldo Per Fee
Is-. (f,O
Systems Development
Charqe (1.5%)
Fence
------------1 Demo
_____~~_o~_J Sidewalk
I. d><> I A/C Paying
I Curb Cut
I
ITotal Comb. Permit
I
'1 TOTAL
9.r..Q:!.
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COMBINATION APPlICATION/PERl1IT (CAP)
PERMIT VALIDATION
I
I. Applicant to furnish
A. Job Address
B. legal Description
1. example- Tax Lot 100. Lane County Map Reference
17 03 43
2. exam~le- lot I. Block 3, 2nd Addition to
Sprlngtield Estates
C. Name, etc. of owner and construction lenqer.
D. Energy Sources . - .,
1. examele- heat/electrical ceiling/or forced air Qas
2. examyle- waterheater{electrical/or solar
E. Square footage or valuation, etc. -
I. examole- 1250 sq. foot house, 500 sq. foot garage
2. example. if new project. check-new - if addition,
check add, etc.
F. Building pennit information:
1. exa~le - construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. exam21e - convert single family residence into
- restaurant (change of use)
G. Value of "ork as defined in Section 303 (a) of.the
Structural Specialty CodEr .
H. DESIGN TEM1 AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contac~ appropriate
persons regarding design information or job site
corrections. etc.
II. Abbreyiated Plumbing, Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill.in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing. Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
fu 11 schedu 1 es
C. BUILDING DIVISION STAFF WIll FIll OUT All FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP. the label must be deliyered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is not authorized
to sign the electrical label. ---
III. Applicant to Sign and date
Whenever possible. the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit ;s issued.
"
V. FOR OFFICE USE ONLY
Permit Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
548 P/HS 7OA#MJ.6,<!r' /N'S~c;r/4N iPe-P>Oi!e?
.ew7'"<F'D <f-/-grO
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name ~N<'F .P"-E'!'i~A;-
s ignature ~ ~..--,.
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date <j~Z"~o
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
PUBLIC WORKS
April 1, 1980
346 MAIN STREET
726.3753
Ms. Pamela J. McGinnis
1219 Piedmont Street
Springfield, Oregon 97477
RE: Fire Damage Report on 1219 Piedmont
Street, Springfield, Oregon
Dear Ms. McGinnis:
Pursuant to a fire damage report received from the Springfield Fire Depart-
ment, the Building Division of the City of Springfield made an inspection
at 1219 Piedmont Street, Springfield, Oregon, on March 31, 1980.
The following items must be replaced to conform with adopted applicable
codes:
1. Replacement of all wiring that has been damaged by fire or extensive
heat.
2. Replacement of all electrical fixtures damaged by fire or heat.
3. Damaged electrical service panel shall be replaced.
4. All burnt rafters, studding, ceiling joists, and roof sheathing must
be replaced in southwest bedrooms.
5. All new construction must conform to current applicable codes - i.e.
habitable room light, egress and ventilation requirements, size and
span of rafters and joists, insulation, etc.
Permits must be obtained before work begins and all work must be accomplished
in accordance with applicable codes. Property for rent, lease or sale is re-
quired to be wired by a licensed electrical contractor. All work must be in-
spected and approved before a Certificate of Compliance will be' issued.
,
Sincerely,
\)~ <y~ ~""
Dave Puent
Building Inspector
DP/cp
CITY OF SPRINGFIELD, OREGON
Public Works
BUILDING DEPARTI1ENT
PW-ll
Inspector's Memo
JOB ADDRESS \ 'L \~ ~~, Q r"'-.. ~~ "'. '-\'
DATE ro- ~ \ - '80
TO:
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Phone 747-4221
INSPECTOR\) ~ ..,
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
PUBLIC WORKS
April 1, 1980
346MAIN STREET
726.3753
Ms. Pamela J. McGinnis
1219 Piedmont Street
Springfield, Oregon 97477
RE: Fire Damage Report on 1219 Piedmont
Street, Springfield, Oregon
Dear Ms. McGinnis:
Pursuant to a fire damage report received from the Springfield Fire Depart-
ment, the Building Division of the City of Springfield made an inspection
at 1219 Piedmont Street, Springfield, Oregon, on March 31, 1980.
The following items must be replaced to conform with adopted applicable
codes;
.
1. Replacement of all wiring that has been damaged by fire or extensive
heat.
2. Replacement of all electrical fixtures damaged by fire or heat.
3. Damaged electrical service panel shall be replaced.
4. All burnt rafters, studding, ceiling joists, and roof sheathing must
be replaced in southwest bedrooms.
5. All new construction must conform to current applicable codes - i.e.
habitable room light, egress and ventilation requirements, size and
span of rafters and joists, insulation, etc.
Permits must be obtained before work begins and all work must be accomplished
in accordance with applicable codes. Property for rent, lease or sale is re-
quired to be wired by a licensed electrical contractor. All work must be in-
spected and approved before a Certificate of Compliance will be issued.
Sincerely,
G~ Q~~'v-
Dave Puent
Building Inspector
DP/cp
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DEPARTMENT
OF
PUBLIC WORKS
RON CLARK
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rn-16
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: J-/,/- irO
TO: Bu il ding Depa rtmen t
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building I~ 1'1 ~~..,..,. _ ..,t. U-
Name of ol'lner r:.. -~~~ c'. '-?77 e~.',,,
Type of building ~t"..f,' 0(
(Dwelling. Store. Warehouse. etc.)
Estimated value of building $
Estimated loss to building $
Date of fire 3 - 7- frO
Location of damage in building &~. h. 4.....,.I~.. '4"0:.-.. ~~
~ t~
~ (Roof. Wal1~~~~',~nterior. etc.)
'S" S;l!' c:rC> ~
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Structural weakness as a result of the fire
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.
./ (Burned rafters, Beams. Joists. etc,)
Additional pertinent information
Electrical Hazard ~ / ~ .-4- "'~.1
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P---'~- ,
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(Wiring, Outlets, etc.)
SigneY~ ~_.
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