HomeMy WebLinkAboutPermit Building 2002-5-8
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Job# 02-00489-01
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
CA8HIER~061
Job Number: 02-00489-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Owner:
Address:
Patrick Ewing
474 Brookdale Avenue
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New permit for Acce$ssory bldg. started.:'!~"('1t9~~{,gX:~ir~d Job No. 99-01310-01)
,:
Location Of Proposed Site: 474
Assessors Map#: 17032242
Lot: Block:
Scope Of Work: Accessory Bldg
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Patrick Ewing 541-726-2060
474 Brookdale Avenue, Springfield, OR
97477
. ,~~Ot?-'k
Office Use \~t. \r "'\\'\\:. \~ ~O'
Quad Area: . 5RNW Land Use: Si~tt:amiIJL %,,~~~~~
# Of Units: Zoning Code: \\~~ V~~"'" ~'\)t.~ "'\ ~~y Group: Accessory Structu
Constr. Type: (VN) Wood Frame Bedrooms: '"\\'\\",Q~\~ \l a" \S ~ eat Source:
Water Heater: ' Range: ~\S~&t.t..t.~!-~ Q~\\\Q'\)6q. Footage:
c,O\W'" \\~ U~. ~
To request an inspection call the 24 hour recording at 726-3-"'( ~Irinspections 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
working day.
Verify Ground Rod
Footing
Foundation . .
Drywall.
Final Building
Required Inspections
I Building I
-Install ground Tod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated, .
-After forms are erected but prior to concrete placement.
-Prior to taping.
-When all required inspections have been approved and the building is complete.
I Plumbing
-Prior to filling trench.
Storm Sewer Line
J
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Fee
Residential Plan Check
Total Plan Check
Job# 02-00489-01
Overlay District:
# of Street Trees:
3:
Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? D
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
I-Area (Sq. Feet)
Main: Accessory:240
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
Photocopy Fees
Total DepositlCopies/Mis
Grand Total
Plan Check Type
Engineering-Res
Structural-Res
Checked By
Pam Ownby
Don Moore
Flood Plain FEMA:
# Of Stories: 1
CUrrent Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:240
Paid On Receipt#
Plan Check
05/08/2002 8920
Building
05/08/2002 8920
05/08/2002 8920 .
05/08/2002 8920
Plumbing
05/08/2002 8920
05/08/2002 8920
05/08/2002 8920
05/08/2002 8920
DepositlCopies/Mis
05/08/2002 8920
Date Completed
Comment
Value/Quantity
Fee Amount
4,704
$44.46
$44.46
4,704
$68.40
$4.79
$5.47
$78.66
42
$.00
$3,15
$45,00
$3,60
$51.75
10
$5.25
$5.25
$180.12
05/01/2002
05/01/2002
approved by Virginia Jurasevich
r;, I . Job#02-00489-01 I Page 3 of 3
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 701.05.5 will be used on this project. I further agree to ensure that all requir~d inspections are
requested .at'fhe proper time, that the project address is readable from the street, that the permit card
is located the fron~Of the ~ro er! ~e approved set of plans will remain on the site at all times
durin nstruction. - , y ,
~/ 1kdiJ / . /,' '. 0< f3',.()z-
Signatu e U e. U .
Date