HomeMy WebLinkAboutPermit Building 2001-03-27Job#0 1 -00216-01 Page 1 of 3
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Contractor TYPe
GeneralContr
ElectricalContr
h,
RESIDENTTAL PERMIT
CitY Of SPringfield
GommunitY Services Division
Building SafetY
Job Number: 01-0021 6-01
Office: 726-3759
lnspection Line: 726-3769
Location Of ProPosed Site:
Assessors MaP#: 18020521
Lot: Block:
Owner: Gilbert A Rodello
Address: 829 South 43rd Street
Scope Of Work: Garage
RV Garage
829 S 00043rd St SPr
Contractor
Gilbert A Rodello
829 South 43rd Street, Springfield, OR
97478
Gilbert A Rodello
829 South 43rd Street, Springfield, OR
97478
Addition:
Tax Lot#: 08900
Subdivision:
Phone Number: 541-747-1408
City/State/Zip: Springfield,OR97478
New Value: $19'Bo7
Registration # ExPiration Date Phone
541-747-1408
541-747-1408
Office Use
-
Quad Area: 3RSC
# Of Units:
Constr. TyPe: (VN) Wood Frame
Water Heater:
To request an inspection callthe 24 hour recording a1726-3769.. All inspections requested before 7:00
a.m. will be made tn" .rr" *orking day, inspectio-ns requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Buildinq
Land Use:
Zoning Gode:
Bedrooms:
Range:
Single FamilY Dwelling
LDR
Sq. Footage:
Accessory Structu
-To be made after all inslab building service equipment, conduit p
-Prior to cover,
iping, and other equipment iterSlab
Framing
FinalBuilding
Rough Electrical
Final Electrical
Storm Sewer Line
Drywell
-When all required inspections have been approved and the building
X) r-(,ti',
is complete
rrinetelephone
;tiJitvNotification
32-23M1.
- Prior to cover,
-When all electricalwork is complete.
Plumbin
- Prior to filling trench.
-Engineered Drywell is required.
t--
C'TY OF OREGON
Electrical ]
Street lmprovement:
Curb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
AC Mat
lmprovement Agr.?
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Job# 01-00216-01 Page 2 of 3
tr
To Drywell-Provide Drywell En
00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
STORM SEWER TO DRYWELL W OVERFLOW
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Gomments:
2:
Planner: Ruth Klein
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Glenwood Area? [
Additional Requirements
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Zone X (white)
Construction Types(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
(sq
Main:Accessoryl0B0
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:
Census Code: Does not apply
Total:1080
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
03/09/2001 4645Residential Plan Check
Total Plan Check
19,807
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildinq
03127t2001
03127t2001
03t27t2001
19,807 $140.50
$9.84
$4.22
$154.s6
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
0312712001
0312712001
03t27t2001
0312712001
$.00
$1.75
$25.00
$.75
$27.50
20
3:
$91.33
$91.33
Job# 01-00216-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
m Deve
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
0312712001
0312712001
1,080 $292.68
$14.63
$307.31
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Checked By
Lisa Hopper
Steve Templin
Ruth Klein
Date Completed
0311212001
03t1412001
03t19t2001
$580.70
Comment
This structure cannot exceed the height or
square footage of the residence. Owner
identified the residence as being 1200 square
feet and 20' in height, This proposed structure
is 1080 square feet and 19'9" in height.
Accessory structures cannot have a greater
square footage than the residence.
Z//a-t 27 floct/
Structural-Res Tom Max 0312312001
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
DateSignature