HomeMy WebLinkAboutPermit Building 2001-4-2
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SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
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TRANS#:01-0004814
DATE:APR 02 2001
AMT RECD:2 $ 235.20
CHANGE:
CASHIER: 054
I Job# 01-00264-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00264-01
Office: 726-3759
Inspection Line: 726_3769~. .
Tax Lot #: 05500
Subdivision: Royal Delle
Location Of Proposed Site: 510 Mansfield St Spr
Assessors Map#: 17032334
Lot: 15 Block: 5 Addition: 1st
Owner:
Address:
Scope Of Work: Bedroom
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
LARRY POLEN
2197 OLYMPIC STREET
Phone Number: 541-746-6965
City/State/Zip: SPRINGFIELD, OR 97477
Addition Value: $12,200
Bathroom remodel and bedroom expansion
Contractor
Drake & Company
91411 Coburg Rd., Eugene, OR 97408
Dells Electric
PO Box 25707, Eugene, OR 97402
JOHN RILEY PLUMBING
2500 HIGHWAY 36, CHESHIRE, OR
97419
Registration #
01020330
Expiration Date
8/8/2000
Phone
541-344-2808
688-254-9
541-998-2812
Office Use
5RNW
Single Family Dwelling
LDR
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 122
(VN) Wood Frame
To request an inspection call the 24 hour recording at 726-3769. All inspections reguested before 7:00
a.m. will be made the same working day, inspections requested after 7:0Q~a:m.:W1IEbe made the following
working day. THIS PERMIT SHALL EXPIRE IFTHE WOR~.
_ _'___' ...".-'-'Tu,<::pI"I=lMITISNOI
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Required Inspections
I Buildin!!
-After trenches are excavated. ANY 180 DAY PERIOD.
-After forms are erected but prior to concrete placement._.. ' .-
P. t fl . I t' d k' AI 11::0' ,I'J ,.
- nor 0 oormsu a ,on or ec mg. II .' 1,1.' ..... "
-Pnor to deckmg. fo. OV. r ' .,
-Prior to cover. !\Iuhhc~.\IUI ',' " . . ..,'
_ Before covering sheathing with finish materials, 'n OAh ;:jCl~ 'lltIIU.~ '..,'
90 Y I n"1""'"
. Prior to cover. 00 . J .
.Prior to Cover calli,'( ,. .'
-Prior to taping. nwnb" oJ .'
-When all required inspections have been approved and the building is complete.
M.C' I nUl 11"-'-'" .....--
COMMENCED OR IS ABANDONED FOR
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Underfloor Plumbing
Rough Plumbing
Shower Pan
Final Plumbing
Job# 01-00264-01 I
Required Inspections
I Plumbin!l
-Prior to insulation or decking.
- Prior to cover.
Page 2 of 3
-When all plumbing work is complete.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: 122 Accessory:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: n/a
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:122
Fee
Paid On Receipt#
Plan Check
03/20/2001
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
12,200
$64.03
$64.03
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildin!l
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
12,200
$98.50
$6.90
$2.96
$108.36
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbin!l
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
3
$.00
$30.00
$3.85
$25.00
$1.65
$60.50
20
Minimum Mechanical Permit
Mechanical
04/02/2001 4814
$12.00
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Job# 01-00264-01
Page 3 of 3
Fee
Paid On Receipt#
Mechanical
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
Value/Quantity
Fee Amount
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$.45
$3.00
$10.00
$1.05
$26.50
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
System Development
04/02/2001 4814
04/02/2001 4814
140
$37.94
$1.90
$39.84
$299.23
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
Ruth Klein
03/21/2001
03/23/2001
03/27/2001
03/26/2001
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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 to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the property, and the
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