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