HomeMy WebLinkAboutPermit Building 2002-4-3
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I Job# 02-00096-01 I
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Page 1 of 3
TRANS#:01-000B496
DATE:APR 03 2002
AMT RECD:2 $ 1204.32
CHANGE:
CASHIER:061
SPRINQFIELD
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00096-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2812 Manor Dr Spr
Assessors Map#: 17032332
Lot: Block: Addition:
Tax Lot #: 01200
Subdivision:
*
Owner:
Carol Fairbourne
Phone Number: 541-746-3712
City/State/Zip: Springfield, OR 97477
Addition Value: $84,841
Address:
2812 Manor Dr
Scope Of Work: Single Family Residence
Garage addition with storage above
Contractor Type
General Contr
Contractor
Registration #
18222
Expiration Date
5/8/2003
Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
Jerry Tabor
,2833 Hayden Bridge Rd, Springfield, OR
97477 I\\Oi\CE: . _v1")'Cl1=IFiHEWOR!<
_ Office Ujie~D1=I'lM\\ ~\'1""'~Ri-\-I\SPERM\T\SNVI
""-lI"~17EDUNO ~'.u::ncOR
Land Use: iSin\lle't-amilbl(f~I~I)93/~.tmh:lulldJngs:
Zoning Code: !;QRlMENCE RIOO Occupancy Group:
Bedrooms: /l.NY 180 DAY PE . Heat Source:
Range: Sq. Footage: 1128
541-746-0179
Private Garage/C,
(VN) Wood Frame
To request an inspection call the 24 hour recording at 726-3769. 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
k. d . re~"ou 'v
wor Ing ay. laW (64,,11 , TtV
^"TTC.N~ON:OI~~Il" t\16 Oregon Utt','Or\h
Street Improvement: Fully Improved ""SI i\\!IJlin"" I 5 ale 5e
tolloW IU 'd"'^nt~;(rip.,5e IU e 1\.f\1l52-O01-.
Curb Cut?O Improvement Agr.?O Not\t\~1:ooWtlllo~g\1 at me rule511'l
San Sewer Depth (Ft): \nOA~~u""~' iB!!\(il1)j;:oPI~;'~te\ep\1One
oo9Q. {o~ \'ffa'9 ""'.j!'lote. ,II ~......fk"\\On
Storm Sewer Available? 0 - . ~R~'t1~8I\lJt\l\ty NI-G'\::litl) and Gutter
Special Req.: nu!Sli~_~8eaIUt:i344)'
Security Required: San Sewer Tee (in):
Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Types Of Warning Devices Reqd.
Project Supervisor:
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I Job# 02-00096-01 I
Overlay District: Urban Fringe
# of Street Trees:
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Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? 0
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'Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
,3:
Planner:
Urban Growth Boundary?0 Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1134 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Private Garage/Carp/Stor Dwelling
# Of Buildings: # Of Stories:
# Of Bedrooms: Current Units:
Handicap Access? D Census Code: Does not apply
rArea (Sq. Feet)
Main: 1128 AccessoryB94 Total:2022
Height (feet):
Proposed Units:
Fee
Paid On Receipt#
Plan Check
01/30/2002 7905
04/03/2002 8496
04/03/2002 8496
Value/Quantity
Fee Amount
Residential Plan Check
Additional Plan Check
Hourly Plan Review
Total Plan Check
90,655
-53
2
$344.86
$-15.21
$90.00
$419.65
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Buildinll
04/03/2002 8496
04/03/2002 8496
04/03/2002 8496
84,841
$507.15
$35.50
$40.57
. $583.22
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
System Development
04/03/2002 8496
04/03/2002 8496
1,731
$472.68
$23.63
$496.31
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Planninll
04/03/2002 8496
1
$50.00
.$50,00
$1,549.18
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
Liz Miller
01/31/2002
02/28/2002
Engineering-Res
Planning-Res
Not meeting rearyard setback.Talked to
contractor regarding front and rear property
line policy. He will talk to owners and get back
to me. LM
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Job# 02-00096-01 I
Date Completed
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Page 3 of 3
I
. Plan Check Type
Checked By
Comment
Planning-Res
Liz Miller
02/27/2002
Contract9r changed plans. Said inilial survey
was wrong rearlot line opposite of Manor is
12'.
Structural-Res
Don Moore
02/15/2002
15' setback at west side of property- bldg. to
be changed to accommodate.
Structural-Res
Don Moore
03/13/2002
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 ~nsure that all required inspections are requested at the proper time, that each
address is read.~~le from the-street, that the permit card is located at the front of the property, and the
rr~rov<<d s )~ tns ill remain on the site at all times during construction.
\.lVAJ\ ~;/;V'v ~ - 3, ~'0lR
Signatu(j
Date