HomeMy WebLinkAboutPermit Building 2001-8-2
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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).
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'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
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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