HomeMy WebLinkAboutPermit Building 2001-11-30
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TRANS#:01-0007391
DATE:NDV 30 2001
AHT RECD:2 $ 2946.17
CHANGE:
CASHIER:061
Jab# 01-01221-01
225 Narth Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Cammunity Services Divisian
Building Safety
Job Number: 01-01221-01
Office: 726-3759
Inspection Line: 726-3769
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Locatian Of Proposed Site: 650 Kelly Blvd Spr
Assessors Map#: 17033414
Lot: Block: Addition:
Tax Lot #:
Subdivision:
00603
Owner:
Calvary Church
1116 Centennial Blvd
Phone Number: 541-747-7125
City/State/Zip: Springfield, OR 97477
New Value: $2,500
Address:
Scope Of Work: Faundatian Only
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Contractor Type
General Cantr
. Registration # E~x~~(lJ't:{late Phone
99489~-''-.. ~~ifT..?&.lYi~O 541-741-0132
~-l...f?-{?l f(,.((o.~\ rf)((o.
., \..~- ~'bf? ~v:
:t.. ji'\>V ."~ )"'O~
Offl.c;,~e . ~J' .J.~v\ r/P~~-
~ ~<c,'<' .&5> Qo.. ,'b
Land Use: ~'SIn~~~t!Y-'Dw&!!Jng # Of Buildings: 1
Zoning COde:~~~<c,~CJ ;:l.,?<c,~ Occupancy Group: Dwelljng
Bedrooms: ~O~ <ofJO'f. Heat Source: Basebaard Electric
Range: EI~i~ Sq. Foot~ge: 960
Contractor
A K Stickler Canstructian Ca
36579 Alderbranch, Springfield, OR
97478
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1RNW
1
(VN) Woad Frame
Electric
Ta request an inspectian call the 24 haur recarding at 726-3769. All inspectians requested befare 7:00
a.m. will be made the same working day, inspectians requested after 7:00 a.m. will be made the fallawing
warking day.
Verify Ground Rod
Footing
Foundation
Temporary Power
Verify Ground Rod
Underflaor Drain
Water Line
Sanitary Sewer Line
Storm Sewer Line
SW-Curbside
/0)\0
Required Inspections ",,:....'o!OV:.:...~....'\\
\~~ <:iJO{\ \\0"
I Building I {\ ",'l'l 13 0\13 ~e sa "fJO\'
-Install graund rad at faating, and cal.l.!?flins~~l\i ~\l\e'il~qCila~\'&triaating and/or faundatian i
-After trenches are excavated;~..\\\O' 0-<:-O~'I ~ose /O)<:iJ"" 0 ~ <<,13 ~ o{\e
-After farms are erected b~trpri6r~~~~~w~ 0 \e\e~~C0-i).o{\
'I)\~~\\I>~ I:J....'-\j \{\ CO 0.\",,13 ~oi).\~
I ElI~~.j'~ .;1 h'o\~\. ~o'l \)\~\~ ~..,.
-Appraval required priar ta\'S~5liZJ1ia~W.~e<:iJO'\\ r?,'?J'l-''''
-Install ground rad at faating~C~~~~~~i~lll'rA':anjUctian with foating and/ar faundatian i
'r~'i. 0~ \0 \13\ ,s
I Plumbl(\\f\''O ('jl\j'
- Priar ta caver ar placement af concrete.
-Priar ta filling trench.
-Priar ta filling trench.
-Priar ta filling trench.
I Public Works I
-After farms are erected but priar ta placement af cancrete
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I Job# 01-01221-01 I
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Page 2 of 3
CC-5tandard
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
Land Use: Single Family Dwelling
Pave Driveway? [?]
3:
Planner:
Urban Growth Boundary?O Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1142 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 2
Handicap Access? 0
rArea (Sq. r, , I)
Main: 960 Accessory:
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:960
Fee
Paid On Receipt#
Plan Check
11/02/2001 7162
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
2.500
$34.00
$34.00
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
2,500
$52.80
$3.70
$4.22
$60.72
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrjcal
Total Electrical
Electrical
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
1
$.00
$50.00
$3.50
$4.00
$57.50
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
20
20
40
$.00
$9.45
$45.00
$45.00
$45.00
$10.80
$155.25
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Fee
In Lieu of Assessment
In Lieu of Assessment 151 +
New Curbcut
Total Public Works
Plannjng Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
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Checked By
Lisa Hopper
Steve Templin
Liz Miller
Tom Marx
Job# 01-01221-01
Paid On Receipt#
I Public Works
11/30/2001 7391
11/30/2001 7391
11/30/2001 7391
Planning
11/30/2001 7391
Permits w/o Srchg
11/30/2001 7391
Date Completed
Comment
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Page 3 of 3
Value/Quantity Fee Amount
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8.250 $2,475.00
498 $74.70
1 $65.00
$2,614.70
1
$50.00
$50.00
1
$8.00
$8.00
$2,980.17
11/05/2001
Willamalane SDC's do not apply because this
house is a Springfield lot to Springfield lot
move.
11/30/2001
SEE NOTES ON FRONT COVER OF
PERMIT.
11/08/2001
waiting for call back from Aaron Stickler
regarding height of structure
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is Irue 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
during,construction"') .
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Signature
11/08/2001
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Date