HomeMy WebLinkAboutPermit Building 2000-02-25Job# 00-00250-01 Pase 1 of ?Rnrustt o1*oooo?r5
DATE:FEE ?5 ?000
At,lT RE[D:? $ ]96.11
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IASHIER:05?
SPHIN(IFIELD
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RES!DENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safeff
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2411 00015th St Spr
AssessorsMap#: 17032433
Lot: Block: Addition:
Job Number: 00-00250-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02100
Subdivision:
ctrY oF SPRINGFIELD, OREGON
Owner: Ann and Joe Polanuk
Address: 2411 15th St
Scope Of Work: Family Room
Sewing Room and canning room
Phone Number:
Gity/State/Zip:
Addition
Springfield, OR97477
Value: $25,513
Gontractor Type
GeneralContr
Gontractor
Charles Cox
1360 Flintage Ave, Eugene, OR 97401
Registration # Expiration Date Phone
541-342-3910
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
1
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
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
Building
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
ShearWall Naiting
Framing
Wall lnsulation
Dryrvall
Final Building
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
FinalPlumbing
-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.
-\Men all required inspections have been approved and the building is complete.
Plumbing
-Prior to insulation or decking.
-Prior to cover or placement of concrete.
- Prior to cover.
-When all plumbing work is complete.
Job# 00-00250-01
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
tr
To Curb and Gutter
00/00/00 00:00 AM
Street lmprovement: Partially lmproved
Curb Cut?[ lmprovement Agr.?
San Sewer Depth (Ft):
Storm Sewer Available? f]
SpecialReq.:
Security Required:
Bond Begin DateTime: 00/00/00 00:00 AM
Special lnstructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [-:Wetlands?
Overlay District:
# of Street Trees
Land Use: Single Family Dwelling
Pave Driveway? i-
Journal numbers
1:
Comments:
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fil!:
Supplier:
Drainage:
Floodway FEMA: n/a
2
Additiona! Requirements:
t I Glenwood Area? [ ! Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
3:
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:Accessory:
# Of Stories: 1 Height (feet):
Gurrent Units: Proposed Units:1
Gensus Code: Does not apply
Total:
Fee Paid On Receip$ Value/Quantity Fee Amount
02t11t2000 563Residential Plan Check
Total Plan Check
$1 10.83
$110.83
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
02t25t2000
02125t2000
02t25t2000
725
725
725
25,513 $175.00
$12.25
$5.25
$192.50
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
02t25t2000
02t25t2000
02t25t2000
02t25t2000
725
725
725
725
1
$5.00
$10.00
$1.0s
$.45
$16.50
24,513
Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Residential- Single Family - Storm
Sanitary Sewer
SDC Administrative Fee
Total System Development
02t25t2000
02t25t2000
02t25t2000
352
2
725
725
725
$81 66
$96.54
$8^91
$187.11
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Signature
Checked By
Bob Barnhart
Steve Templin
AlWard
Wendy Stanley
Date Completed
02t16t2000
02t18t2000
02t22t2000
02125t2000
$506.94
a a
Date
Job# 00-00250-01
OBEGO'UCITY OF
ornlNur.eLu
The lollowing proiect as submitted has the tollowing
zoning, and does not require specific land use
approval qoP
225 FIFTE STREET
SP&INGFTELD, oREG0N 974P7te
Zoning
INSPECf,ION REQIIEST: 726d3'680 signature
0FFICE: 726-3759
1. TOCATION OF 5 r,
TJGAL DESCRTPTION
t +o 3 aqf s neloo
JOB
Pernits are non-transf er and expire
lf vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days.
2. COUTXECTOR INSTALI,ATION ONLT
Electrical Contractor
Address /" o ri,vt J 5,7 0'7
Cl ty pnone bt?.)54?
Supervisor License Number /t -5
Expiration Date to /at /D I
constr contr. Number d
THIS
Expiration Date
Signature of SuPervising Electrician
AI\IY 1
D.
Hodular.'Dvelling
200 amps or less
201 amps to 400 amPs
-
401 amps to.600 amps
-
601 anps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
c- Temoorarv Services or Feeders
N0Trc'Ellaiion, Alteration or Relocation
ty Job Nurnbe, o o -00 a5 6
3. COT{PIATE FBE SCffiDI'rc BELOS
A. Nev Residential-Single or
Hulti-FamilY Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Eome. or
s 8s.00
$ 1s.00
s s0.00
s 60.00
$100.00
$130.00
s300.00
$ 40.00
B)€sqrrr:$ 40.00
s ss.00
$ 80.00's see nB(aE6F
PEBiOD
E.
SUBTOTAL OF ABOVE
"1965tate Surcharge
32 Administrative Fee
TOTAL
&
TRANSh; 01-0001?26
DATE : I,IAY i5 IOOCI
Af1T HE[D:: $ 5fi.30
-ua PBRHIT APPLICATION.
rJi l
IHfII"IEE:
r,LJTtrE ' nEr}LJI l-tLI\ r UJ -/-ol
Sum
Ovners Name
Address Jtl I I t13L 57'
Ci ty 1, r Phone
OIINER INSTALT,ATION
Branch Circuits
New, Alteration or Extension Per Panel ./
orie circuit )- $ 3s.oo 3-5-10
Each AdditionalCircuit or vith ServiceTl
or Feeder Permit '1 $ 2.oo I-LCD
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
The lnstallation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0mers Signature:
s 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RECEIVED BY
5 4,7
KEUtsITT ff
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