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HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-2 , ~ 225 North Fifth Street Springfield, OR 97477 . . I Job# 00-00838.01 I Page 1 of 3 TRANS#:01-0002726 DATE:AUG 02 2000 AMT RECD:2 $ 767.22 CHANGE: CASHIER:059 CITY OF SPRINGFIELD? OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00838-01 Office: 726-3759 Inspection Line: 726-3769 MainSt ~ Location Of Proposed Site: 6838 Assessors Map#: 17023532 Lot: Block: Address: 3838 Main Street City/State/Zip: Springfield" OR 97478 Scope Of Work: Fire Damage Repair Value: $50,000 "TE{~T'OI,,'urE:l9on ,aw requil". YU",' r\ I'd b th Oregon Utlhl\ North Wall, roof structure. Sub pulled the\~v.rule~ adopte~~!..~ ~.,"~ "fI, set lop. \lotlllCa\lUII""""V" ,..--' DAB 952-00 1 Contractor .(] OARllllill~109AJOt~\Hll~{hS\~tRat6les b\ Phone 090-vl>"1./'Tlay obtain cQIi,e. U . Rose Corporation 0 ~q.'SthE center,l~6W!Me tel~~ho~e 541-686-0905 89976 Day Ln, Eugene, OR 97 402-9415callb1OQ lO~ the oregon Utility Notificatlor nllm af _ __...,,^A.t\ r'P'1""to!" l~ . .,..,.. ,. , Office Use Land Use:.i.. Single Family Dwelling Zoning Code: LDR Bedrooms: Range: Owner: Contractor Type Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Spr Tax Lot#: 05313 Subdivision: Addition: Unknown Phone Number: 541-000-0000 4RNE # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 ~ a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the fOIl,P.wnb . working day. ~\t'~'c. S~C5\ R 'd I t' CIl:.' ., c.,g?\?i _.-:c>.~\~ - equlre nspec IO~l! - <;'rII"~ ...Ll,\'=>' - .....\"v" '-' ,,~W~\ .~~., c?-'" O~'C.'v I BUlldlnll \ ~~'". 0~\)<- ",~\J -After trenches are excavated.' ;<;\-\O~\1.'C.\) nO~\S"''O -After forms are erected but prior to coilc~ete p.1'1ce'fnent.?-\O\), - Prior to decking, CO""~'" () \)","{?t:: - Prior to cover, "'~"{ ,\'2! - Prior to cover, - Prior to Cover - When all required inspections have been approved and the building is complete. Footing Foundation Floor Insulation Ceiling Insulation Framing Wall Insulation Final Building Temporary Power Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line I Electrical I -Approval required prior to SUB energizing pole. I Plumbinll -Prior to insulation or decking. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. . I Job# 00.00838-01 I . Page 2 of 3 Required Inspections I Plumbing I - When all plumbing work is complete. Mechanical Final Plumbing Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Fee Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Minimum Mechanical Permit Mechanical Administrative Fee Dryer Vent Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Building 08/02/2000 2726 08/02/2000 2726 08/02/2000 2726 Value/Quantity I Fee Amount 50,000 $283,00 $19,81 $8,49 $311.30 Electrical 06/08/2000 2085 06/08/2000 2085 06/08/2000 2085 1 $40,00 $2,80 $1,20 $44.00 Plumbinj:l 08/02/2000 2726 08/02/2000 2726 08/02/2000 2726 08/02/2000 2726 1 $,00 $160,00 $11,20 $4.80 $176.00 Mechanical 08/02/2000 2726 08/02/2000 2726 08/02/2000 2726 1 $12,00 $,45 $3,00 . Job# 00.00838-01 . Page 3 of 3 Value/Quantity Fee Amount Fee Paid On Receipt# Mechanical 08/02/2000 2726 08/02/2000 2726 $10.00 $1.05 $26.50 Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Sanitary Sewer SDC Administrative Fee Total System Development Grand Total By signature, 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. System Development 08/02/2000 2726 08/02/2000 2726 5 $241.35 $12.07 $253.42 $811.22 Signature Date