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Home My WebLink AboutPermit Building 2001-11-30225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 650 Kelly Blvd Spr AssessorsMap#: 17033414 Lot: Block: Job# 01-01221-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Page 1 of3 Job Numbe r: 01 -01221 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00603 Subdivision: SPRINGFIELD crTY oF SPRINGFTELD, OREGOI' Owner: Calvary Church Address: 1116 Centennial Blvd Scope Of Work: Foundation Only Phone Number: City/State/Zip: New 541-747-7125 Springfield, OR97477 Value: $2,500 Contractor Type GeneralContr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor A K Stickler Construction Co 36579 Alderbranch, Springfield, OR 97478 Land Use: Zoning Code Bedrooms: Range: Required !nspections Buildi -lnstallground rod at footing, and call for -After trenches are excavated. i\\vt Phone 541-741-0132 # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Baseboard Electric Sq. Footage: 960 Registration # 99489 1 RNW 1 (VN)Wood Frame Electric To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. f.t${ 9\{r,o .st Verify Ground Rod Footing Foundation Temporary Power Verify Ground Rod Underfloor Drain Water Line Sanitary Sewer Line Storm Sewer Line footing and/or foundation i -After forms are erected but e \\,e -Approval required prior -lnstall ground rod at \s Plum - Prior to cover or placement of concrete. -Prior to filling trench. - Prior to filling trench. - Prior to filling trench. Public Works SW-Curbside -After forms are erected but prior to placement of concrete ction with footing and/or foundation i Job# 01-01221-01 - Required lnspections Public Works CC-Standard -After forms are erected but prior to placement of concrete Page 2 of 3 Zoning: LDR FloodPlain? [ Wetlands? [ Overlay District: # of Street Trees:2 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Land Use: Single Family Dwelling Pave Driveway? g Panel 1142o12975 Journal numbers 1: 2: Comments: Planner: Urban Growth Boundary?[ Glenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? [ (Sq. Feet) Main: 960 Accessory: # Of Stories: 1 Height (feet): 17 Current Units: ProPosed Units:1 Census Code: New SF - detached Totat:960 Paid On Receipt# Vatue/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 1110212001 7162 2,500 $34.00 $34.00 Buildin Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1113012001 1113012001 11t3012001 7391 7391 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 - Electrical Total Electrical Electrical 11t3012001 1113012001 11t3012001 11t3012001 7391 7391 7391 7391 $.00 $50.00 $3.50 $4.00 $57.50 Plumbi Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing 1113012001 11t3012001 11t3012001 1113012001 11t30t2001 1113012001 $.oo $e.45 $45.00 $45.00 $45.00 $10.80 $15s.25 7391 7391 7391 7391 7391 7391 20 20 40 Fee I Job# 01-01221-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Public Works ln Lieu of Assessment ln Lieu of Assessment 151+ New Curbcut Total Public Works 11t30t2001 11t30t2001 1113012001 7391 7391 7391 8,250 498 1 $2,475.00 $74.70 $65.00 $2,614.70 Planninq 11t30t2001 7391 1Planning Plan Review Total Planning $50.00 $s0.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 11t30t2001 7391 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Checked By Lisa Hopper Date Completed 1110512001 $2,980.17 Comment Willamalane SDC's do not apply because this house is a Springfield lot to Springfield lot move. Date Engineering-Res Steve Templin 11t30t2001 SEE NOTES ON FRONT COVER OF PERMIT. Planning-Res Liz Miller 1110812001 waiting for call back from Aaron Stickler regarding height of structure Structural-Res Tom Max 1110812001 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 allwork 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. ll 'zo ^, Signature a MEMORANDUM CityofSpringfield January 8,2002 TO:Police Deparftnent Fire Departnent Springfield Utility Board FROM:Lisa Hopper, Building Safety Supervisor Community Services Division SIIBJECT: Structure Move Attached is an application and proposed route for a structure move scheduled for Sunday, Jauuary 20,2002. The move is scheduled to begin at7:00 a.nr and is scheduled to be completed by 9:00 a.rl on that same date. This structure is an approximate 960 square foot residence that will be moved in one section. This structue is being moved from 1068 Centennial Blvd, Springfield, and is being relocated to 650 Kelly Blvd Springfreld. Ifyou have any concenr, please phone me at726-3790 as soon as possible so I can either get you the information that you need, or direct you to the appropriate person. Thank you!! cc: Sanipac US West TCI Cable 911 Dispatch US Postal Service NW Nanual Gas att lh CITY OF SPR oLt qtt zool lo; J) f{tJ{s65J5 DSl/ELOtutaNT gannceg oepefiyE rr 5reF(JAtslrul LU.!i{blrI_rvEft lrrtlIOFtELD r+A(*. ut .225nfiHSTqEET sPRrV6F?EtD, ffisn477 l54r)725-3WFNt*4r) 72d#t wvv.d.qd,19lieE.@.rr BUILDINGMOVINGPERMIT COMMUNITY SERVICES DIVISION CITYASSIGNED JOB}IUI,TBEK Byry sitptne bcfor, I cGr@ tb*tto rbovc infqnnirn is ht. rrtd canccq dlrt:ll ruquircd contacrs havc bccn mado ard.n6oriz*ioor obtahed.undcrstd lhat rh. miaimum drnc to procGss rhir pemrd Uocnu. of6c numbcr of agcncios nodfiod I StsucarcBoilg Movcd iooY Courty Rcfcrc,ncc Tar Lor BeingMocd 60 Lrtrc Reftrcarcc Trx l.ot pt-ox*,u* t1 -\\LE__Building Meiling Ccll PhoncNunbcc contmonRabmtio AO w Ccll Srrnc'k Coocatrml Phoac 9 Phomttumbcr: - -01-{ bto*utt ?"8 ?zro s5 Dec.riFim to bc Mottrgvtiior: ZY'Moving o l( Hcight oa # ofScc*ions Bclng Typc lcAl'tL SqurE ro*r., QtzD Uvhg Valua of Dilc of t- 2d- az acginn4.G 7 @po Dre o- Dcrcrbdor of hopo*a RurE (Plc*ettrcb lrP ultl rrltt orili!od t'itl dtrcctiond rrr!ryr] Ws*or C4 trrr t4,u!Ja-,k q'J €AIELL w tJrd+&€rk ,(- ta .1-6r.f--- a a a or FEES.PI,ANS,AND CHARGES:Pli|r!o I lDOvc!ottceidngpomit t intobuiHing rtc civ thGof Sprhgial0 thairorapplicurrshall: mplotplofrr foul&dmpt ! Suhrtt two of iiccopies ncrf,sitc.BroSubDit of rbc 8t a,oopies for iho rElooelcd buildingAltryplicrblcrtrdpcrrnitsh.llfeer ba pnid Fiorto rnorladrayAnvtdat'ot and Elt by0rcfty drys. /-?er- ud rgcncicr. Inlic PAGE 6Lgl/A7/2892 1.5:41. 5413448833 KLL I- 2 siEoio ol a- J a I, a %D (\\ D K e'D.t oe c. C) cs .h,?\ as A tll 33 fi(-( J \ s Y o 1Sf\ REH B\Oil+il'xd Se oc $a$ E*"t -..15! ,-tt\ o\ ; Gq. d N A 5 'r\tv $ a,s u P K $ N{- .tE .{ o _r ^.1o \ \ \t aA'IE)l'q'gI o_ b^ 50'-Pt a' ---t'' 9s Ifi .: t. li.ltf t,. I l. 6':7, -: €_ lun rlsr ..-:ts4 sl t- +. qo.'f FhiE = a sr I sl Sll't sr *a-v '12fi1 .. 14TH SrrqrH ST SI 5r r7?l{ rgrl| t--9-.1 C'l(r_ $, E l.ITH a ,,?!, i urH srat Ir ;. f e:re or ::i @'g -*tIzo n1E Fll- U ts1o EZ t5lrr tsYH : t ar,I F E.e r6lx 171t1 15IH I F b $tu, f::- l: 6., i: t.i )i z'rx 8s H I : I t dlx sr =ig I iq1c, c, SI F! sr 23lX lErx t6llt $ , >;- i @ F 22rO Sr I 2Ax sr l- I I (l' )ot Eil sr sl: ', iARn q)- HS; rE WE.-q{s Inf{€L(Y -2 B u tlll STe'--' A$;{ .- : I 5T t t"e '= srlI('IH 5r ',u, sH PL u <r 5r' 5r t .l tl .t.t I '! itri ri'.i t. D b1-..---: t \ :8lll lgllt ,8n{ 225 FIFTH STREET SPRINOFIELD. OREGON 97.177 INSPECTION REQUEST:'t 2(t -3'7 69 OFFICE: 726-3759 ELEL 1 RICAL PERMIT APPLICATION City Job Num 3. COMPLETEFEEST O\. CT#DULE B INS J DES Permits are non-transferable and started within 180 dq6iling and does not require if work is suspended/ilproval {t Zoning I\,07 A. Nen'Residential-Single or l Multi-Family per dryelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 Each Manufd Home or ng $ 106.00 $ t 9.00 $ 50^00 00 00 .00 .00 .00 00 Sum ls3 if work is not ofissuance or 180 days. AUTHOH e- 2. CONTRACTOR INSTALLAT Y SignattSeAuthon Electrical' Contractor f le- crs Installation, Alterations or Relocation: 200 arnps or less 201 amps to 400 amps. -t0l amps to 600 amps . Licensc Number ,? OA g S amps Orer 401 to amps Or"er 600 amps or 1000 volts "B" above D. Branch Circuits Neu' Alteration or Extensiorr Per Panel E. l\I iscellaneous (Sen'ice/feeder n o t inclu ded) One Circuit Eaeh Additional Circuit or rlith or Feeder Permit -Each installation S igrrl0utline Lighting Liildted Energy/Res Linrited Energy/Comm $43.00 -_. c--.:^^""J.Ds3oo 3L) h-tinimum Electric Permit Inspection Fee is 5{5.00 * Surcharges 4. SUBTOTALOFABOVE 77o State Surcharge 8Y, AtLninistratiye Fee Orvncrs Signature: TOTAL CO l. aaAror ,i $50.00 $-50,00 $25.00 _ $-15.00 _ not \Dto.35