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HomeMy WebLinkAboutPermit Building 2002-08-02u. & SPRINGFIELD Job# 02-00889-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 02-00889-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 00806 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 1382 Wimbledon Pl Spr AssessorsMap#: 17033422 Lot: Block: Addition: crTY oF SPRTNGFIELD, OREGON Owner: Ron Sammons Address: 1382 Wimbledon Pl Scope Of Work: Garage Phone Number: City/State/Zip: New 541 -736-9090 Springfield, OR97477 Value: $4,704 Contractor Type GeneralContr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW (VN)Wood Frame Land Use: Zoning Gode Contractor Steven Doak 25909 Wildwood Rd, Veneta, OR 97487 Ron Sammons 1382 Wimbledon Pl, Springfield, OR 97477 Registration# Expiration Date Phone 541 -935-93634t1 \t 541-736-9090 ng # Of Buildings: 1 OccupancyGroup: PrivateGarage/Ce Heat 69650 Bedrooms: Range: To request an inspection call the 24 hour recording at726-3769. All inspection a.m. will be made the same working day, inspections requ ested after 7:00 o o\w Required lns -After trenches are excavated. -After forms are erected but prior to -Before covering sheathing with fin - Prior to cover. \e Sq. working day. Footing Foundation Shear Wall Nailing Framing Hold Downs lnstalled Final Building Buildin -When all required inspections have been approved and the building is complete Zoning: LDR FloodPlain? [] Wetlands? ! Journalnumberc 1= Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Job# 02-00889-01 Overlay District: # of Street Trees: Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? E 2:3: Additional Req uirements: i_] Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types(VN) Wood Frame Occupancy Groups: Private Garage/Carp/Stor # Of Buildings: 1 # Of Stories: 1 14 # Of Bedrooms: Handicap Access? Area (Sq Main: Current Units: Census Code: Does not apply Height (feet): Proposed Units Accessory220 Total220 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Residential Plan Check Total Plan Check 07t25t2002 08t05t2002 1 0037 10176 4,312 392 $44.46 $29.25 $73.71 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Buildin 0810512002 08t05t2002 08t05t2002 10176 10176 10176 4,704 $68.40 $4.79 $5.47 $78.66 System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 08t05t2002 08t05t2002 10176 10176 286 $80.65 $4.03 $84.68 Planning Planning Plan Review Total Planning 08t05t2002 10176 1 $s5.00 $55.00 Grand Tota! Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Lisa Hopper Virginia Jurasevich Ashley Deforest Date Gompleted 07t26t2002 07t31t2002 07t30t2002 Comment $292.05 Plan Check Type Structural-Res Checked By Bob Barnhart Job# 02-00889-01 Date Completed 08t01t2002 Page 3 of 3 Comment CALLED OWNER (RON) TO ESTABLTSH POROJECT COST, LEFT MESSAGE ON 7131102 Nf 2:40 P.M. PROJECT lS ON HOLD UNTIL RETURN PHONE CALL FROM OWNER ON COSTS pleted application and do 8'z- a z Date By signatu re, I state and agree that I have carefully examined the com hereby 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 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 alltimes during CL-/ Sign