HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-23
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I Job# 00-01286-01 I
Page 1 of2
TRANS#:01-0002993
DATE:AUG 23 2000
AMT RECD:l $ 200.00
CHANGE: $ 71. 74
CASHIER:059
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01286-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2005 Marcola Rd Spr
Assessors Map#: 17032513
Lot: Block: Addition:
Tax Lot #: 00700
Subdivision:
~
"
Owner:
Address:
Realvest Corporation
1111 Main Street
Phone Number: 360-694-6000
City/State/Zip: Vancouver, WA 98660
Repair Value: $12,000
Scope Of Work: Fire Damage
Contractor Type
General Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Ehlers Construction Inc
2066112 Roosevelt Blvd, Eugene, OR
97402-2536
Registratio~9l'tExPiration Date
'lIS -C;,
4231 4% P(?~1~j19/2000
Co 0-9{>, 7Sft
4 ~4fB 'l:D U '4t.t. (:.
iVy. . Iv('", ~^~ :.t.o,~
'uuD 'va ''Y?J "<:/f:'
'4YPB ~/S4&.A I1/Sp~ lJ..t(?
1i(O.!iBUillllngs:9~,./; 11t0JY.'f
. 1,;"'" I :SA. '
Occupancy Gro:ypCi. 'vO.,
Heat Source: ~'
Sq. Footage:
Phone
541-689-6177
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
....,..
'0., It/V)'
To request an inspection call the 24 hour recording at 726-3769"(IP;I"insp'ec~ons requested before 7:00
a,m, will be made the same working day, inspections requeste~ttiey,0'OOI8J,Q~wlJ~ge made the following
working day, U090 099s. 'tiC9"QODle. I, q~
R . d I "",,,,."01. >;;'00, '91, ,..r;OYI" '''~,
equlre '1spe~IRns"q VII, 'v~ 'I.'U ~,'
., .""ttJ;5~l%. )I 00 0(1} fi r. r.e." IL',-,
I':' Buildinll "'f. ~'" (il,,, r.OIl 1119s oIOIj(l' "
," "19 Co 'llf;a ilr.& (III
- Prior to cover, . ,:",.' e. 0" f, (1\,10 ro'9s '409 $9/,,'1
- Prior to Cover ,n. ',C , ~gol) (e.'II)& 0'11}& 95<-0,0,."
-Prior to taping, "Y'):)"I~tl/111/ IElle rUl9s 1,
- When all required inspections have been approved andotht<l'JJj'F1gdS '8omplete,
'<lq ~,,;.'
I <<clo
I Mechanical I "
Ceiling Insulation
Wall Insulation
DrYwall
Final Building
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete,
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I Job# 00-01286-01 I
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Page 2 of2
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Buildinll
08/23/2000 2993
08/23/2000 2993
08/23/2000 2993
Value/Quantity
I
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
12,000
$92,50
$6.48
$2,78
$101.76
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
08/23/2000 2993
08/23/2000 2993
08/23/2000 2993
08/23/2000 2993
08/23/2000 2993
1
$4,50
$10.50
$.45
$10,00
$1,05
$26.50
Grand Total $128.26
By si9nature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon, I further state that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project 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,
~ _ 0- --::1- -L....a-- <6 - '2- "3 - 00
Signature
Date