HomeMy WebLinkAboutPermit Building 2000-04-21SPRtNGFtEL4 OREGONOFCITY
SPR!NGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of ProPosed Site: 960
AssessorsMaP#: 17033612
Lot: Block:
J ob#00 -00504-01
00020TH ST SPr
Addition:
Page 1 of3
1661,1$$:01-00011?0
DATE:APR ?T 2OOO
AtlT REID:Z $ 68.?o
CHAI,{EE:
IASHiER:05?
RESIDENTIAL PERMIT
CitY Of SPringfield
CommunitY Services Division
Building SafetY
Job Number: 00-00504-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03300
Subdivision:
Owner: Elmina Mike
Address: 960 20TH
Scope Of Work: CarPort
NEW CARPORT
Phone Number: 744-BBB-4
City/State/Zip: SPRINGF|ELD,OR97477
Alteration value: $6'300
AND INSTALL TRUSS SYSTEM OVER FLAT ROOF
, ,i.Registration # ExPiration Date Phone
744-B8B-4
b;,
Dwelling # Of Buildings: 1
Occupancy GrouP: Accessory Structu
Heat Source:
Sq. Footage:
Contractor TYPe
GeneralContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
wrub*:v:Ut
egr.lr
Elmina
960
2RNW
tion r-1iC ybi
0 Yr.(J o ttsLt
the
tor
+njr:,.
(VN) Wood Fiame
Range:
To reouest andnsoection callthe 24
a.r. *itt be nlgbl/mfrEflne working
wo rki ns o^t ill}y rt^o,-
hour recording at726-3769. All inspections requested before 7:00
day, inspections requested after 7:00 a.m. will be made the following
Required lnspections
Build
inspections have been approved and the building is complete
qf,(
Frami
Final
Storm Sewer Line
FinalPlumbing
Plumbing
-Prior to filling trench.
-When all plumbing work is complete.
t80
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Job#
Overlay District:
# of Street Trees:
Page 2 of 3
Land Use: S\ng\e Famt\y Dwe\\ing
Pave Driveway?
3
Additional Requirements:
I Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
# Of Stories:
Current Units:1
Census Code:Does not apply
Height (feet): 14
Proposed Units:
Area (Sq
Main:Accessoryl20
Fee
Tota!:120
Paid On Receipt#
Residential Plan Check
Total Plan Check
04t21t2000 1320
Value/Quantity Fee Amount
6,300 $40.63
$40.63
c heck
Buildin
Building Permit
State Surcharge For Building permit
Building Administrative Fee
Total Building
Minimum Plumbing permit Fee
Number of Fixtures
State Srrcharge For plumbing permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Residential- Single Family _ Storm
SDC Administrative Fee
Total System Development
Grand Total
Plan Gheck Type
tnitaal Review_Res
Engineering-Res
Planning-Res
Structural-Res
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
04t21t2000
1320
1320
1320
1320
1320
1320
1320
1320
1320
1320
Date Completed
04t04t2000
04/06/2000
04t14t2000
04t13/2000
6,300 $62.50
$4.38
$1.88
$68.76
$.oo
$10.00
$2.45
$25.00
$1.0s
$38.50
$84.45
$4.22
$88.67
20
364
Checked By
Lisa Hopper
Steve Templin
AlWard
Don Moore
Plumbi
Develo
$236.56
//
1
Job# 00-00504-01 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
during construction.
Signature Date