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HomeMy WebLinkAboutPermit Fire Damage Report 2005-9-27 I, , 1rIr~. a.. '.~\ "m._' ' . L.II ): VI' ~rK1r'nJI' II!,LU BAing/Combination Permit PERMIT NO: COM2004-01558 ISSUED: 09/27/2005 APPLIED: 12/17/2004 EXPIRES: 03/27/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1452 PIEDMONT ST ASSESSOR'S PARCEL NO.: 1703253203700 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: Address: EASTON BREEZE A & JOHANNA B 1452 PIEDMONT ST SPRINGFIELD OR 97477 Phone Number: 741-1395 I CONTRA'6TOR INFORMATION' ~'(- Contractor ~~ ~ License TOMS PLU~~&.RVICE INC 159425 ~ $'~lmILDING INFORMATION I s..~~~~ # of Units: ~R ~r;;s Primary Occupancy Group: .;:y ~~ ~~ Secondary Occupancy Gr'l!!J''fSJ' '2J'f- . Primary Constr~c_~.~ The ~ i;:' ~ Secondary Cons~i~iF;' r;;s ~ #ofBedrooms~ ~~~~~({ IJ ~ R ~ fff ~'f- , " ~.~;~ ~- ~~. ....- G~ 'f- Contractor Type Plumbing Expiration Date 05/1212006 Phone 541-607-8879 b # of Stories: ~,o,~ :!::- Lot Size: Height of Structure R.;::,~ ,o~ s.q Ft 1st Floor: Type of Heat: ,1Zi"" !::' .;,. <::,<Sq"'t 2nd Floor: '", 0 ""v",., Water Type: ~ ,,1Zi<:5) ,,1Zi * ~q Fj Basement: Range Type: ."q; 0 fo'li.S:' ~Sq:Ft;,~arage/Carport "'- IZi ,.,,1Zi 0" ~1Zi S~ " Energy Path: ,'Ii ~ ~ ~..". :o!!' q. ~fOther: ' Sprinkled Building: -Q-'>., folZi J/a.O 1Zi"IZiOc1upant Load: ,,':JJ _0 .0 ."," ..r"'?""" ~'-'~. I DEVELOPMENT ~ORMAT.lON;~#ff'(/ .....v' ;'v f::-'" <::)'V q;-' \::: ~ ~ cf?CV ~" ,.,,1Zi' CJIZi " is' ". (g >$ Overla, ist:' ~~ <::,<::J _,0 ""1Zi0,,q; ~ ~ ~ -."n' fb-' Q]- . # Street 1(i:eetR,qiI: <::' (j IZi __'" -..: ~'.. e;: ... J ;) q" :.<::" ',," Paved Ilrix~'~dOl..O ~ <$- '" ~ % of Lot;,Coierage: ~10 ,,*. 1Zi(;;' '-$' r3i ;{f 'S)1Zi CJ <:l (j.~ REQUIRED PARKING Front yard Setback: ~ Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated n~__ 1 _r1 I.. . . . . CITY OF ~rK1r\iu1<mL1J Building/Combination Permit PERMIT NO: COM2004-01558 ISSUED: 09/27/2005 APPLIED: 12/1712004 EXPIRES: 03/27/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.s PaW Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $4.50 $3.15 $42.00 $3.00 9/27/05 9/27/05 9/27/05 9/27/05 2200500000000001342 2200500000000001342 2200500000000001342 2200500000000001342 Total Amount Paid $52.65 I Plan Reviews I 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 shall be done in accordanee with. the Ordlnanees 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 I . 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 tim(f)ri{js:on. ?~ cz- oc;- --- Owner or Contractors Signature Date Paee 2 of2 .' 225 Fifth Street . .~ <Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2004-0 1558 COM2004-01558 COM2004-01558 COM2004-01558 Payments: Type of Payment Check u u " 9/27/2005 . RECEIPT #: ~~~N'!"~. _ _ '... Wir' ~, I' . . ,~ ! ....' , _...,. c ..JlLty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001342 Description Fixture Minimum/Adjustment Plumbing + 7% Stale Surcharge + 10% Administrative Fee Paid By BREEZE EASTON Reeelved By jmp Page I of I Date: 09/27/2005 Item Total: Check Number Authorization Batch Number Number How Reeelved 475 In Person Payment Total: 9:26:22AM Amount Due 42,00 3.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65