HomeMy WebLinkAboutPermit Building 2001-11-02SPRINGFIELD
Job# 01-01088-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 01 -01 0BB-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01800
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2555 Wayside Ln Spr
Assessors Map#: 17032224
Lot:01800 BIock: Addition:
ctTY oF SPRINGFIELD, OREGOTV
Owner: Curtis Summers
Address: 2555 Wayside Lane
Scope Of Work: Single Family Residence
Addition to existing structure
Phone Number:
City/State/Zip:
Addition
541-747-8908
Springfield, OR97477
Value: $22,902
To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
SIab
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
FinalBuilding
Rough Electrical
Final Electrical
Zoning: LDR
FloodPlain?Wetlands? [
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? n
-Tobe,adeaft"ffiequipment,conduitpiping,andotherequipmentiter
-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.
Etectrical I
- Prior to cover.
-When all electricalwork is complete
6
2:3
Additional Requirements
tr Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Floodway FEMA: 1134 o12975 Flood Plain FEMA:X-White
Area (Sq.
Main:Accessory307
Job# 01-01088-01
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total:307
Page 2 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
1010312001 6896 22,902 $135.72
$13s.72
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
1110212001
1110212001
11t02t2001
71 69
7169
71 69
22,902 $208.80
$14.62
$16.70
$240.12
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
1110212001
11t02t2001
11t02t2001
1110212001
11t02t2001
71 69
71 69
71 69
7169
7169
1
4
$.00
$43.00
$12.00
$3.85
$4.40
$63.25
Residential - Single Family - Storm
SDC Administrative Fee
Tota! System Development
Devel ment
11t02t2001
11t02t2001
7169
71 69
1BB $51 .1 I
$2.56
$s3.75
Planning
11t0212001 7169 1Planning Plan Review
Total Planning
$50.00
$s0.00
Grand Total
Plan Check Type
lnitial Review-Res
$s42.84
Checked By Date Completed Comment
Bob Barnhart 1010412001
Engineering-Res Steve Templin 1011812001
Planning-Res Sam Gollah 1012212001
Structural-Res Tom Max 1012212001
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify 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 each
address is readable from the street, that the permit card is located at the front of the property, and the
plans will remain on the site at all times during constructionapprovedset of
ff/o 2" o I
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Job# 01-01088-01 Page 3 of 3
Signature Date
Z
LEGAL DESCRIPTION
l7o"> zzzcl
Autnoriued
C\Y
o/800
Multi-Family per drvelling unit.
Service Included:
Items Cost
JOB DESCRIPTIONN,
180 days.
Permits are non-transferable and expire
if work is not started rvithin 180 days
of issuance or if work is suspended for
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$ r06.00
$ r 9.00
$ 50.00
2 TALLATION ONLY B. Services or Feeders
Inst:rllation,
Relocation:
200 amps or
201 amps to
401 amps to
1 amps
Supervising Electrician
Over
D. Branch
Electrical
Address
Date
B
HL
Jcr
E
or rvith
not inclu
$25
$45
ection Fee is S45.00 +
-qr-
TOTAL FL
225 FIFTH STREET
SPzuNGFIELD. OREGON 97.T77
INSPECTION
OFFICE:
or
7o/" Stile Surcharge
87o Administrative Fee
Cih'-.',-
License
, Expiration
Orvners
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676 Fax
January 02,2004
Curtis Summers
2555 Wayside Lane
Springfield
Job Number:
Location:
oR 97477
01-01088-01
2555 Wayside Ln
Project:Lot: 01800, Land Use: Single FamilyDwelling, Zonrng: LDR, Addition
to existing structure
Dear Permit Holder:
The Springfield Building Safety Code Adminishative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at2555 Wayside Ln which is set to
expire on 112412004. Our records indicate that you have not requested an inspection within the past
five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you
are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If
you do not request an inspection prior to the expiration date, your permit(s) will expire and additional
permit fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor