HomeMy WebLinkAboutPermit Building 2000-08-31SPBINGFIELD
Job# 00-01234-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
TRANS*:01-000307&
DATE:AUG ]1 TOCI*
AHT RECD:2 $ 848.59
IHANET:
IASHIER:061
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 532 00038th St Spr
AssessorsMap#: 17023133
Lot: Block: Addition:
Job Number: 00-01234-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 05700
Subdivision:
clTY oF sPRtrvGFtELq OREGON
Owner: Todd Hartshorn
Address: 532 38th St
Scope Of Work: Garage
Attached garage
Phone Number:
City/State/Zip:
New
541-747-3485
Springfield, OR 97478
Value: $14,525
Contractor Type
ElectricalContr
Contractor
Todd Hartshorn
532 38th St, Springfield, OR 97478
Registration # Expiration Date Phone
541-747-3485
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Accessory Structu
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording
a.m. will be made the same working day, inspection
working day.
Street lmprovement: Fully lmproved
at726-3769. All inspections requested before 7:00
r s req u ested aft e r (QQ g, Ut., Uit[ .Qn qp{ A S+g i@ eWUUyo u rr
follow rulesadopted theOregonUtility
fortt
Gurb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
lmprovement Agr.?!
00/00/00 00:00 AM
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:00/00/00 00:00 AM
rvpfigff$g$ng Devices Reqd.
THIS PERI\iltT SH&LL EXptBE tF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOH
ANY lSODAYPERIOD.
obtain rules
Size
f
Zoning:LDR
FloodPlain? [ Wettands? [
Journal numbers
1:
Comments:
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
2:
Additional Requirements:
tr Glenwood Area? [ Required Attachments:
Source Locn:
Materia!:
Flood Plain FEMA:nla
Job# 00-01234-01 Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway?
Overlay District:
# of Street Trees
3:
Construction Types(VN) Wood Frame
Occu pancy Grou ps:Accessory Structure
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory793
# Of Stories: 1 Height (feet): 15
Current Units: Proposed Units:
Census Gode: Does not apply
Total:793
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
0B/10/2000 2B7BResidential Plan Check
Tota! Plan Check
14,525 $71.83
$71.83
Buildins
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
08/31/2000
08/31/2000
0B/31/2000
3076
3076
3076
14,525 $1 10.50
$7.74
$3.32
$121.56
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
0B/31/2000
0B/31/2000
0B/31/2000
08/31/2000
3076
3076
3076
3076
1
5
$s0.00
$10.00
$4.20
$1.80
$56.00
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Plumbing
0B/31/2000
08/31/2000
0B/31/2000
08t31t2000
3076
3076
3076
3076
50
$.00
$1.75
$2s.00
$.75
$27.50
System Development
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
08/31/2000
0813112000
3076
3076
$603.36
$30.1 7
$633.53
Grand Total
2,514
$s20.42
Job# 00-01234-01 Page 3 of 3
Plan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 08/15/2000
Engineering-Res Steve Templin 0811712000
Planning-Res AW 0811712000
Structural-Res Don Moore 08/30/2000
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.ET,6r\
Signature Date