HomeMy WebLinkAboutPermit Building 2001-2-21
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I Job# 01.00029-03 I
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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:
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Job# 01.00029-03
Paid On Receipt#
LDAP/Gradin"
01/31/2001 01-4325
02/21/2001 0004501
02/21/2001 0004501
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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
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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.
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Sigmlt7' Date