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HomeMy WebLinkAboutPermit Building 2002-5-8 \' Job# 02-00489-01 <, Page 1 of 3 ~. TRAN8~~n1-non89?n n."'';'-::. fl'A- C no.r tj.~:.:)~ UHit.;i".if du J:.UV!:".. AMT RECD~2 $ 180a12 CHANGE ~ 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 ~\O Brookdale Ave Spr '~~es'l~ \\~\\'l _(}.'S ,.~ v \I7\G.'r- . \2l-\I~ ~q-~d-r:9t ~se\ l:I~~OO Add"t' i'\t'::;' ~'r(S"~' bd'7\~ie, .-~,~ ,,( I 1?[\:O~e:":A 'O'!"'_ (H\~':~'{~IYIP.~o.s '0, .....\V'. AOr;;,"~ 0'0....' ~v. c:>. \V' e "'.,-(~~ \ P(,I!6'ne"NI,J'rt1~e~D~~i.1(J~26~?,(QGcr. o~ . r~\ \ ~~\}\ Ce~\" '\~' ~\e'" \e\~",cZJ.\'\ \0\\0 ~iCftyist'a~9Zi~:.CO ~9'P~~gf.lel~~'\6R 97477 'i..\~\C oFJt:\J..... 0'0\(. ~o ~\\\\1 \ ~ 6,), ~o O~ewO\) ~~'i e~\e~. ~O~ ~ ~~YI~{te: $4,704 \~ 0 '{ \'(\e C O~e Q'?) r;FJlJ ,.~\W~ ~O~ \'(\~, s '\ ,<o() . New permit for Acce$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