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HomeMy WebLinkAboutPermit Building 2001-8-2 '", .. . . Page 1 of 3 TRANS#:01-0006323 DATE:AUG 02 2001 AMT RECD:2 $ 374.42 CHANGE: CASHIER:061 I Job# 01-00020-01 I 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00020-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 7797 McKenzie Hwy Spr Assessors Map#: 17023630 Lot: Block: Addition: Owner: Address: Tax Lot#: 01100 Subdivision: 4 't Norman Dolby 7797 1/2 McKenzie Highway Phone Number: 541-746-3165 City/State/Zip: Springfield, OR 97478 New Value: $26,323 Scope Of Work: Miscellaneous Contractor Type General Contr Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: add ition Contractor Norman Dolby 7797 1/2 McKenzie Highway, Springfield, OR 97478 Norman Dolby 7797 1/2 McKenzie Highway, Springfield, OR 97478 Registration # 78055 Expiration Date 11/19/2000 Phone 541-746-3165 NOTICE: 78055' MIT S1H1/A19/2000RE IFTH54~;\:J7."r 6-3165 THIS PER . LL t."!"'1 ...." n" AUTHORIZED UNDER THIS PERMIT IS NOT . ..- -. .-- --- COM~~:.=.:\t"t:u Uti 1;:1 I'\OMI'l:JU:":"~ . ........ 5RSE 1 (VN) Wood Frame Office Use ""-IV 1rr\ nAY P~PI0fJ. Single Family Dwelling' -#'Of Buildings: LOR Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 378 Land Use: Zoning Code: Bedrooms: Range: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made Ihe same working day, inspections requested after 7:00 a.m. will be made the following working day. Rough Electrical Final Electrical Rough Mechanical Final Mechanical Required Inspectio,p'sfENTION:uregol1'<1VV ''''<u;,w '__.:= I Electrical 10110\1, rules adopted by tile Oregon Utility _ Prior to cover. Notification Center. Tllose rules are set fOO~h - When all electrical work is complete. in OAR 952-001-001 0 through OAR 952-0 b- Me'" You may obtain copies of the rules y I Mechanical -'-;;]ln9 the center. (Note:.t~e tel~~ho~e - Prior 10 cover. number for the Oregon Utility Notlftcatlon -When all mechanical work is complete. Center is 1-800-332-2344). . .. 'toning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: I Job# 01-00020-01 I Overlay District: Urban Fringe # of Street Trees: 3: . Additional Requirements: Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary?~ Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction TypesWN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: 378 Accessory: Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Branch Circuits W/O Feeder or Service Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Residential - Single Family - Storm SDC Administrative Fee Total System Development Grand Total Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? 0 Flood Plain FEMA: Panel 1167 of 2975 # Of Stories: Current Units: 1 Census Code: Does not apply Height (feet): Proposed Units:l Total:378 Paid On Receipt# I Plan Check 01/08/2001 4192 Buildinll 08/02/2001 6323 08/02/2001 6323 08/02/2001 6323 Electrical 08/0212001 6323 08/02/2001 6323 08/02/2001 6323 08/02/2001 6323 Mechanical 08/02/2001 6323 08/02/2001 6323 08/02/2001 6323 08/02/2001 6323 08/0212001 6323 System Development 08/02/2001 6323 08/02/2001 6323 Value/Quantity I Fee Amount 26,323 $116.68 $116.68 26.323 $179.50 $12.57 $5.39 $197.46 2 1 $37.00 $2.00 $2.73 $1.17 $42.90 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 378 $102.44 $5.12 $107.56 $491.10 . . ,. Job# 01-00020-01 I Page 3 of 3 .plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley 01/17/2001 Engineering-Res Steve Templin 01/17/2001 Planning-Res Liz Miller 01/17/2001 Structural-Res Don Moore 01/24/2001 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 duri~;uctio~ r::J~ X-.::J _ 0/ Signature ~ Date