Loading...
HomeMy WebLinkAboutPermit Building 2001-03-23SPRINGFIELD Job# 01-00214-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 €n 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1428 OLYMPIC St Spr AssessorsMap#: 17032532 Lot: Block: Addition Job Number: 01 -00214-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 09500 Subdivision: ctrY oF SPRINGF7ELD, OREGON Owner: CAROL JAMES Address: 1428 OLYMPIC STREET Scope Of Work: Bathroom Contractor Type GeneralContr Phone Number: Gity/State/Zip: Addition 541-746-7400 SPRINGFIELD, OR 97477 Value: $16,719 Adding bathroom in existing bedroom, replacing bedroom with new and extending living room 4 feet, Contractor Registration # Expiration Date Phone pAT JOHNSON 84150 612912001 541-942-5451 32858 ENGLAND RD, CRESWELL, OR 97426 Quad Area: # Of Units: Gonstr. Type: Water Heater: 2RNW (VN)Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 197 To request an inspection call the 24 hour 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. Street lmprovement: Fully lmproved Setback - 5' Curb Cut?!lmprovement Agr.?[ San Sewer Depth (Ft): Storm Sewer Avaitable? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: To Curb and Gutter Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: FloodPlain?Wetlands? [ LDR Job# 01-00214-01 Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? E Journal numbers 1: Gomments: Planner:Ruth Klein Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a 2:3: Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups : Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? [ Area (Sq. Main: 197 Accessory: # Of Stories: Height (feet): 12 Current Units: Proposed Units: Census Code: Does not apply Total:197 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 03/09/2001 4641 16,719 $79.63 $79.63 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 03t23t2001 0312312001 0312312001 0004754 0004754 0004754 16,719 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0312312001 0312312001 03t2312001 0312312001 0004754 0004754 0004754 0004754 3 $.00 $30.00 $2.10 $.e0 $33.00 Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Alter/Add to ea Appl Unit or SYstem Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 0312312001 03t2312001 0312312001 0312312001 0312312001 0312312001 0004754 0004754 0004754 0004754 0004754 0004754 $.oo $.54 $3.00 $15.00 $10.00 $1.26 $2e.80 1 1 Develo Residential- Single Family - Storm Sanitary Sewer Sanitary Sewer SDC Reimbursement 0312312001 03t2312001 0312312001 0004754 0004754 0004754 1 7 7 $59.89 $148.75 $1 13.05 22 Overlay District: # of Street Trees: $122.50 $8.58 $3.68 $134.76 Job# 01-00214-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Develo SDC Administrative Fee Total System Development 0312312001 0004754 $16.08 $337.77 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res requested at the proper is located at the front of during nstruction Signature Ghecked By Lisa Hopper Steve Templin Ruth Klein Date Completed 0311212001 0311412001 0311612001 $614.96 By signature, I state and agree that I have carefully examined the completed application and do frereby certify that all information herein 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. 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 time, that the project address is readable from the Street, that the permit card the property, and the approved set of plans will remain on the site at all times Date s /ra/or Comment