HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-2
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225 North Fifth Street
Springfield, OR 97477
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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
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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.
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I Job# 00.00838-01 I
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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
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Job# 00.00838-01
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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