HomeMy WebLinkAboutPermit Building 2001-6-12
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Job# 00-01158-01
Page 1 of 3
I
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01158-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1105 E ,St Spr
Assessors Map#: 17033514
lot: Block: Addition:
Tax Lot #: 06400
Subdivision:
Owner:
Address:
Charles Dyas
11 05 E St
Phone Number:
City/State/Zip: Springfield, OR 97477
New Value: $10,564
Scope Of Work: Garage
detached garage
Contractor Type
General Contr
Contractor 'Registration # Expiration Date
Alpine Construction
2425 Stansby Way, Eugene, OR 97405
Phone
541-686-5431
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Office Use
land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 2
Occupancy Group: Accessory Structu
Heat Source:
Sq. Footage: 1224
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
working day.
Slab
Framing
Special
Required Inspections
I Building I
~ To be made after all inslab building service equipment, conduit piping, and other equipment iter
- Prior to cover. '
-See Plan Review and/or Inspectors Notes.
I Public Works I
-After forms are erected but prior to placement of concrete
SW-Setback
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/00 00:00 AM
Special Instructions:
Other Utilities:
I Job# 00-01,158-01 I
Sidewalk Type:
Additional ROW?
Page 2 of 3
Setback - 5' ,
o
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
To Curb and Gutter
00/00/00 00:00 AM
Noadditonal driveway width has been proposed under this permit. Additiol
Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: LDR
FloodPlain? D Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: Al Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Flood Plain FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 2
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 1224 Accessory576
# Of Stories: 1
Current Units: 1
Census Code: Does not apply
Height (feet):
Proposed Units:1
Total:1800
Fee
Paid On Receipt#
Plan Check
07/26/2000 2675
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
11,000
$56.23
$56.23
Garage/Carport
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
08/11/2000 2889
08/11/2000 2889
08/11/2000 2889
10,564
$86.50
$6.06
$2.60
$95.16
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
08/11/2000 2889
08/11/2000 ,2889
08/11/2000 2889 '
08/11/2000 2889
25
$.00
$1.75
$25.00
$.75
$27.50
Fee
Job# 00-01158-01
Paid On Receipt#
Public Works
06/12/2001 5775
Page 3 of 3
Value/Quantity Fee Amount
Sidewalk Repair
Total Public Works
$10.00
$10.00
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
System Development
08/11/2000 2889
08/11/2000 2889
792
$190.08
$9.50
$199.58
$388.47
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Wendy Stanley 07/27/2000
Engineering-Res Dennis Ernst 08/04/2000
Planning-Res AI Ward 08/09/2000
Structural-Res
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 construction.
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726-3753
~~
PERMIT NUMBER: (X)-O\l~~- ol
DATE ISSUED:
APPLICATION DATE:
SITE INFORMATION:
LOCATION OF WORK: ! /0 S t:. s +
APPLlCANTC~vl-..()s ~,
ADDRESS: / ( 05 8. gf-
CITY:.';()t1l1l/l<:6~ ~_ STATE: Ov
-r J '
SUBDIVISION:
OWNER:
ADDRESS:
PHONE
1V/-303V
TAX MAP:
ZIP: Q7lf17
TAX LOT:
PHONE:
CITY:
STATE:
ZIP:
REQUESTED PERMITS:
o SiDEWALK:................................................................................. $ 65.00......... = $
~:~::: S:E:w:r~.'.~.~~~~~.~.~~.~.~~..... ............: ........~~.~'.~.~. ~~ :...$10.00.......... :: 10, oc)
o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS
x.;...........$ 65.00... ....... = $
o MULTIPLE PERMIT DISCOUNT EA: ....(MAX 2) .. .............................$ 30.00........... = $ j-
(MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..QNlY
APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR!
TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
CONTRACTOR INFORI\IIATION:
CONTRACTOR:
ADDRESS:
CONTRACTOR REGISTRATION NO:
PROJECT SUPERVISOR:
PHONE:
EXPIRATION DATE:
PHONE:
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FORMED AND MADE
READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR INSPECTION,
CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7;00 A.M. WILL BE MADE THE
SAME DAY, REQUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN
AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE.
YOU ARE REQUIRED TO CAll
THE LANE UTILITIES COORDINATING COUNCil' 5
" ONE CALL NUMBER" '-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
AMOUNT RECEIVED:
RECEIPT NO:
DATE PAID; ,
RECEIVED BY:
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, applicable City Standard specifications and Drawings, and the laws of the State of Oregon pertaining to the work described
hereir:t. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used '
on thiS proJect.' , ,
The City may inspect the work site described in this permit at any time during a' one year period following the receipt by the City of notice of
completion of the described work and sp.ecify, at the City's sole discretion, any additional restoration work req,uired to return the site to a standard
acceptable to the City,. The permittee will be notified in writing of any work required and will have thirty days (30) from the date of the notice to
complete the work. Work not completed at the end of the thirty days will be performed by
the City and the costs will be billed, to the permittee. '"
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
,street, and the approved set of plans will remain on the site at all times during construction.
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