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Home My WebLink AboutPermit Building 2001-09-25SPRINGFIELD Job# 01-00895-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 3 Job Number: 01 -00895-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 04300 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 434 00033rd St Spr AssessorsMap#: 17023124 Lot:4300 Block: Addition: crTY oF SPRTNGFTELD, OREGOI' Owner: David & Lyla Campbell Address: 434 33rd Street Scope Of Work: Miscellaneous Dining room addition & porch Phone Number: City/State/Zip: New 541-746-7703 Springfield, OR97477 Value: $15,001 Gontractor Type GeneralContr Gontractor David Brundage PO Box 425, Walterville, OR 97489 Registration # Expiration Date Phone 541-543-3722 Quad Area: 3RNC # Of Units: Constr. Type: (VN)Wood Frame Water Heater: Office Use - Land Use: Zoning Code Bedrooms: Range: up: Dwelling ge: To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections requ working day. Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Final Building ested before 7:00 7:00 will be made the following 'q1 Required lnspections -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Building I Job# 01-00895-01 Page 2 of 3 Land Use: Pave Driveway? Zoning: LDR FloodPlain? [ Wetlands? [ Journa! numbers 1= Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Overlay District: # of Street Trees: 3: Additional Requirements: tr Gtenwood Area? ! Required Attachments: Source Locn: Material: Flood PIain FEMA: x-white 2 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? 1 (sq Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units Gensus Code:Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Hourly Plan Review Total Plan Check 08t17t2001 08t17t2001 6467 6467 15,001 $95.16 $.00 $95.16 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0912512001 0912512001 09t25t2001 6802 6802 6802 15,001 $146.40 $10.25 $11.71 $168.36 System Development Residential - Single Family - Storm SDC Administrative Fee Total System Development 0912s12001 0912512001 6802 6802 280 $76.44 $3.82 $80.26 Planning Planning Plan Review Total Planning $50.00 $50.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin Sam Gollah Tom Marx Date Completed 08t21t2001 0911812001 09t21t2001 0911112001 Comment $393.78 0912512001 6802 1 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 Date Job# 01-00895-01 n