HomeMy WebLinkAboutPermit Building 2002-6-27
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I Job# 02-00687-01 I
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Page 1 of2
TRANS#:01-0009754
DATE:JUN 27 2002
AMT RECD:1 $ 110.00
CHANGE:$ 3.25
CASHIER:001
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00687-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2655 Game Farm Rd Spr
Assessors Map#: 17032244
Lot: Block: Addition:
Tax Lot #: 06400
Subdivision:
Owner:
Darrell Zent
2655 Game Farm Rd
Phone Number: 541-988-9923
City/State/Zip: Springfield, OR 97477
Repair Value: $1,500
Address:
Scope Of Work: Single Family Residence
.fulbuild existing connecting roof structure
1:l;;'fIf;~.
Contractor TypiHI8:JjI!R"IIfl!pSHAll EXPIRE Registration # Expiration Date Phone
General Contr AUTIjOO.en~rUNDER TH/~ P IF THE WORK , . _.', .. _..' .~'-1~..541'98~:9923
COMM!l&JCi'OO1~A~A!l\~B~~aM.ld I~~OT i~:' _ : I iUll oi :icq:ea oy the Oregon Uti~lty
ANnWOAY P~RIQJl 'Otltll FOR ,~0tli'iGa\ion C9n~e:..~hose r~~e~~~e,,~e,;;';>n~~
InU1'"\I,~.J~-VVI-VV''''' .........-::J.. -..
Office Use Ju90. VOL' :nay obtain copies of the rules by
Land Use: Single Family:Dwelling3 C(#lbf'B'Uild..,~s: tele~ho~e
Zoning Code: LOR 1umberfor th'b?cfi'Pa'i1b~iG~o~W!i1catlon
Bedrooms: Cent(':-H~~t'S;;~'~c'~:~;j'HI.
Range: Sq. Footage:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
(VN) Wood Frame
To request an inspection call the 24 hour recordfng 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 following
working day.
Footing
Framing
Final Building
Required Inspections
Building J
-After trenches are excavated.
- Prior to cover.
- When all required inspections have been approved and the building is complete,
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Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 02-00687 -01 I
Overlay District: Urban Fringe
# of Street Trees:
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Page 2 of 2
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner:
Urban Growth Boundary? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
06/11/2002 9487
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
1,500
$29,25
$29.25
Garage/Carport
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
06/27/2002 9754
06/27/2002 9754
06/27/2002 9754
1,500
$45,00
$3.15
$3.60
$51.75
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Planning
06/27/2002 9754
1
$55.00
$55.00
$136.00
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Lisa Hopper
Denny Wright
06/12/2002
06/18/2002
Replacing an existing roof structure, no SDC
required.
Planning-Res
Structural-Res
Liz Miller
Bob Barnhart
06/17/2002
06/24/2002
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
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