HomeMy WebLinkAboutPermit Fire Damage Report 2005-9-27
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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'
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Contractor ~~ ~ License
TOMS PLU~~&.RVICE INC 159425
~ $'~lmILDING INFORMATION I
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# of Units: ~R ~r;;s
Primary Occupancy Group: .;:y ~~ ~~
Secondary Occupancy Gr'l!!J''fSJ' '2J'f- .
Primary Constr~c_~.~ The ~ i;:' ~
Secondary Cons~i~iF;' r;;s ~
#ofBedrooms~ ~~~~~({
IJ ~ R ~ fff ~'f-
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Contractor Type
Plumbing
Expiration Date
05/1212006
Phone
541-607-8879
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# of Stories: ~,o,~ :!::- Lot Size:
Height of Structure R.;::,~ ,o~ s.q Ft 1st Floor:
Type of Heat: ,1Zi"" !::' .;,. <::,<Sq"'t 2nd Floor:
'", 0 ""v",.,
Water Type: ~ ,,1Zi<:5) ,,1Zi * ~q Fj Basement:
Range Type: ."q; 0 fo'li.S:' ~Sq:Ft;,~arage/Carport
"'- IZi ,.,,1Zi 0" ~1Zi S~ "
Energy Path: ,'Ii ~ ~ ~..". :o!!' q. ~fOther: '
Sprinkled Building: -Q-'>., folZi J/a.O 1Zi"IZiOc1upant Load:
,,':JJ _0 .0 ."," ..r"'?""" ~'-'~.
I DEVELOPMENT ~ORMAT.lON;~#ff'(/
.....v' ;'v f::-'" <::)'V q;-' \::: ~ ~ cf?CV
~" ,.,,1Zi' CJIZi " is' ". (g >$
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
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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
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. 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.
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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
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9/27/2005
.
RECEIPT #:
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..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