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HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-23 . . 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, . I Job# 00-01286-01 I . Page 2 of2 'r-l 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