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HomeMy WebLinkAboutPermit Building 2001-2-21 ) ./ . . .'- ~ - -.--- , ~ I Job# 01.00029-03 I . Page 1 of2 TRANS#:01-0004505 DATE:FEB 21 2001 AMT RECD:2 $ 74.00 CHANGE: CASHIER: 010 ,.-.0. CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00029-03 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6813 Ivy St Spr Assessors Map#: 18020314 Lot: 69 Block: Addition: Scope Of Work: Single Family Residence LDAP This is a copy with a new Sequence Number. Owner: Address: Kris Johnson Construction 489 S 37th St Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Tax Lot #: 02600 Subdivision: South Hills Phone Number: 541-988-4977 City/State/Zip: Springfield, OR 97478 Value: $0 New Fill & excavation work on new SFR home Office Use Land Use: Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling 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 following working day, Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: 65 cy, Excavate: 100 cy Supplier: Marple Esc. Drainage: Floodway FEMA: n/a Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2001-01-0018 2: Comments: Overlay District: # of Street Trees: Land Use: Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Spfld Quarry 3/4 minus + sand Flood Plain FEMA: n/a Private Garage/Carp/Stor Height (feet): Proposed Units: # Of Stories: Current Units: Census Code: Does not apply Total: , \ . 1/ . Job# 01.00029-03 Paid On Receipt# LDAP/Gradin" 01/31/2001 01-4325 02/21/2001 0004501 02/21/2001 0004501 . Page 2 of2 Fee Value/Quantity Fee Amount Plan Review-LDAP/Gr: 51 to 100 cu yds LDAP/Grad Prmt: 101 to 1,000 cu yds Plan Review LDAP Miscellaneous Fee Total LDAP/Grading Grand Total 1 165 30 $50.00 $44.00 $30,00 $124.00 $124.00 " 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 OregDn 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. ./f:/L ;?-Z/---OJ Sigmlt7' Date