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