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HomeMy WebLinkAboutPermit Building 2000-07-26SPRINGFIELD Job# 00-01088-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Buitding Safety Page Job Number: 00-01088-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01300 Subdivision: of3 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 645 00008th St Spr Assessors Map#: 17033513 Lot: Block: Addition: clTY oF SPR7NGF7ELD, OREGO^ Owner: Carollee Berger Address: 89911 Greenwood Dr Scope Of Work: Single Family Residence new roof line on existing flat roof shed Phone Number: City/State/Zip: Alteration 541-896-3486 Leaburg, OR 97489 Value: $580 Contractor Type GeneralContr Contractor Ken Balley 185 46th, Springfield, OR 97478 Registration # Expiration Date Phone 541 -736-1 558 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNWH (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Accessory Structu Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769 a.m. will be rnade the same working day, inspections requested working day. Required Framing Final Building FinalPlumbing - Prior to cover. -When all required inspections have been -When"ll plurbi# lhoomter,(t{ote: NOTICE: THIS PERMTT SHALL EXPIRE IFTHE WORK ATJTHOBIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. youto .NOAR Centatls approved and the 1 is Job# 00-01088-01 Zoning: LDR Overlay District: Historic FloodPlain?Wetlands? [=l # of Street Trees: Journal numbers 'l: 2: 3: Comments:Lauren Lezell to review for compliance with Historical requirements , Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? E Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: nla Construction Types(VN) Wood Frame Occupancy Groups: Accessory Structure # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0711212000 2546Residential Plan Check Total Plan Check 580 $9.75 $e.7s Building Building Permit State Surcharge For Bullding Permit Building Administrative Fee Total Building 07t26t2000 0712612000 0712612000 2677 2677 2677 580 $15.00 $1.05 $.45 $16.s0 Plumbing Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Miscellaneous Plumbing Plumbing Ad ministrative Fee Total Plumbing 07t26t2000 0712612000 07t26t2000 0712612000 2677 2677 2677 2677 15 $.00 $1.05 $1s.00 $.45 $16.50 Grand Total Plan Check Type lnitial Revierv-Res Engineering-Res Planning-Res Structural-F.es Checked By Lisa Hopper Steve Templin AlWard Don Moore Date Completed 0711412000 07t24t2000 0712512000 07t2012000 Gomment $42.75 Job# 00-01088-0't Page 3 of 3 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 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 construction. /- Jb-a-? Signature Date