HomeMy WebLinkAboutPermit Building 2002-2-6
..
..
I Job# 02-00104-01 I
.
...J
Page 1 of 2
TRANS#:Ol-0007960
DATE:FEB 06 2002
AMT RECD:2 $ 393.33
CHANGE:
CASHIER: 061
.;.~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00104-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 7295 Elderberry St Spr
Assessors Map#: . 18020221
Lot: Block: Addition:
Tax Lot #: 00700
Subdivision: McKenzie Hills
Owner:
Wyatt Ledbetter
581 S 71 st Street
Phone Number: 541-744-2372
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Single Family Residence
Renewal of existing permit #00-00648-01
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
. --
To request an inspection call the 24 hour recording at 726-376lOIftClipections requested before 7:00
a.m. will be made the same working day, inspections request~If@.eE~AY!'llI~lFfbe1fi:lJllQlllig
working day. AUTHORIZED UNDER THIS PERMIT IS NOT
Required Ins~~,\lI1!!j\j\"l:U un I~ ,,;:.;:.! ;S&: ;:8 :-':~
I BuildinQIl\IV 1Rn DAY PERIOD.
Final Building -When all required inspections have been approved and the building is complete.
I Electrical
-When all electrical work is complete.
Final Electrical
Rough Mechanical
Final Mechanical
I Plumbino llTEmoi~:Or"\l()n I!iW reqiJii6z, you.~?
- Prior to filling trench. f0iiow rules adopted by the Oregon Utllll~
- When all plumbing work is complete. Notification Center. Those rules are set forth
Mechanical in (j)"R 952-001-0010 through OAR 952-001-
. uullu You may obtain copies of the rules by
-Pnortocover... ailin thecenter.(Note:thetelephone
-When all mechamcal work IS complete. n~mt>irfortheOregon UtllilyNotiflcaliOn
Permits w/o Srchq I Center is 1-800-332-2344).
Storm Sewer Line
Final Plumbing
Permits Renewed
."-'
...
.~
.
Job# 02-00104-01 I
.
Page 2 of2
Construction Types~VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
IArea (Sq. Feet)
I Main: Accessory:
Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:
Fee
Paid On Receipt#
Electrical
02/06/2002 7960
02/06/2002 7960
02/06/2002 7960
02106/2002 7960
Value/Quantity
I
Fee Amount
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
1
$2.00
$43.00
$3.15
$3.60
$51.75
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Miscellaneous Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
02/06/2002 7960
02/06/2002 7960
02/06/2002 7960
02/06/2002 7960
02/06/2002 7960
25
45
$.00
$6.30
$45.00
$45.00
$7.20
$103.50
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
02106/2002 7960
02/06/2002 7960
02/06/2002 7960
02/06/2002 7960
1
$45.00
$3.60
$10.00
$3.15
$61.75
Renew Permit - Building
Total Permits w/o Srchg
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify 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 each
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.
~~ ~ 07--()6~(fZ
Signature" Date
Permits w/o Srchg
02/06/2002 7960
176
$176.33
$176.33
$393.33