HomeMy WebLinkAboutPermit Building 2002-04-30SPRINGFIELD
Job# 02-00426-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Numbe r: 02-00426-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 00126
Subdivision: Caterbury
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2797 Viewmont Ave Spr
AssessorsMap#: 17032441
Lot:8 Block:2 Addition:
crTY oF SPRTNGFIELD, OREGON
Owner: Richard Wilcox
Address: 2797 Viewmont
Scope Of Work: Garage
Gontractor Type
GeneralContr
Garage
Contractor
Richard Wilcox
2797 Yiewmont, Springfield, OR 974
Office Use
2RNW
(VN) Wood Frame
Phone Number:
City/State/Zip:
New
541-747-2685
Springfield, OR97477
Value: $6,585
Land Use: Si
Zoning Gode: LDR
Bedrooms:
Range:
Phone
541-747-2685
# Of Buildings: 1
Occupancy Group: Private Garage/Cr
Heat Source:
\$
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection callthe 24hour recording at726-3769. All inspections
a.m. will be made the same working day, inspections requested after 7:00 a.m
working day.
Required
Sq.F
$o
s
$e\o(\6
\\;.e
Footing
Foundation
Shear Wall Nailing
Framing
FinalBuilding
-After trenches are excavated.
-After forms are erected but prior
-Before covering sheathing with
-Prior to cover.
-When all required inspections have the building is complete.
Buildi
Plu
Storm Sewer Line - Prior to filling trench.
Job# 02-00426-01 Page 2 of 3
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains: To Culvert-Provide Drainage P
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: 00/00/0000 00:00:00
Street lmprovement:
Curb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special !nstructions:
Other Utilities:
Project Supervisor:
00/00/0000 00:00:00
lmprovement Agr.?[
May connect with house roof drain if house system in good condition and a
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? Wetlands?
Overlay District: Urban Fringe
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway?
Panel 1 153 of 2975
Journa! numbers
1z 2:
Comments:
Planner:
Urban Growth Boundary?f- Gtenwood Area? [
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X Lt. Gray
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Gonstruction Types:(VN) Wood Frame
Occupancy Groups: Private Garage/Carp/Stor
# Of Buildings: I # Of Stories: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory336 Total:336
Current Units:
Census Code: Does not apply
Height (feet): 14
Proposed Units:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t12t2002 8596 6,585 $54.60
$54.60
Building
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
04t30t2002
04t30t2002
04t30t2002
8768
8768
8768
6,585 $84.00
$5.88
$6.72
$96.60
Plumbinq
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
04t30t2002
04t3012002
04t30t2002
04t30t2002
8768
8768
8768
8768
$.00
$4.1 3
$59.00
$4.72
$67.8s
60
Job# 02-00426-0'l Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
System Development
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
04t30t2002
04t30t2002
8768
8768
504 $137.59
$6.88
$144.47
Planning
04130t2002 8768Planning Plan Review
Total Planning
$55.00
$s5.00
Grand Tota!
Plan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 0411612002
Engineering-Res Dennis Ernst 0412912002
Planning-Res Liz Miller 0412412002
Structural-Res Tom Max 0412212002
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 ction
Signature
$418.52
t -to-oz
Date
1
*-
225 FIFTH STREET
SPzuNGFTELD, OREGON
iNSPECTION REQL-IEST:
OFFICE: 726-375t)
1. LOCATION OF INSq
97477
726-3769
ELE. .]AL PERMIT APPLICATION
z-oovz.
ULE BELOW
A. New Residcntial-Single or
Multi-Family per drvelling unit.
Sendce Includetl:
$ 106.00
LEGAL DESCRIPTION
tZO3 ZL1L/l Oo t Z 6
JOB DESCRIPTIONN rZs proiecf
00
approval.
Permits are non-transferable and expfo661ng
if u,ork is not started rvithin 9oyt Each Manufd Horne or
of issuzrnce or if rvork is Modular Drvelling
180 days.Authorized Signature
2. CONTRACTOR INSTALLATION ONLY B. Senices or Feeders
Electrical' Contractor
Phone
Expiration
scl. fi or portionLb& tl,'"."^f $ 19.00
Expiratron Date
Signature of Supcrlising Electrician
cltv'SFFub, Ol, Pho,,"-?-1-'?:z-0BS
OWNER INSTALLATION
The installation is being made on
properfi'I ou'n rvhich is not intended
lor slrle. Ieirse or rent.
or Extension Per Panel
$43.00
--
Each Additional Circuit or u,itli Serv'ice
orFeeclerPermit t/ $3.00 )L
E. I\{iscellaneous (Scn'ice/feetler not included)
-Each installation
Puurp or irrigation $50.00 _
Sign/Outline Lighting $50.00 _
Limited Energr,,ftes $2-5.00 _
Limited Energr,/Comm $45.00 _
N'Iinimunr Electric Permit Inspection Fee is S-15.00 * Surcharges
J. SUBTOTALOFABOVE
7o/" State Surchrrge
8%o Administrative Fee
7f5zf
Over
Oryners Signature
TOTAL s64
Items Cost Sum
amps
to 600 amps
to 1000 amps
Or.er 1000 amps/volts
Reconnect Onh,
$ 50.00
-L$6300 63
$125.00 _
$l63.oo _
$375.00 _
$ s0.00
$5o.oo _
$69.00 _
$1oo.oo _
$
or
citl-
Supcn'isor Licensc Nrunber
Constr Contr.
O*'ners N"*.
C. Temporarv Services or Feeders
Installirtion, Alteration or
200 amps or less
201 anrps to
Over -101
see
\$