HomeMy WebLinkAboutPermit Building 2000-9-15
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Job# 00-01341-01
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Page 1 of 3
TRANS#:Ol-0003222
DATE:SEP 15 2000
AMT RECD:2 $ 266.45
CHANGE:
CASHIER:061
SPRINGFIELD
~.
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01341-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 836 R St Spr
Assessors Map#: 17032613
lot: Block: Addition:
Tax lot #: 00312
Subdivision: Mimosa Park
Owner:
Address:
Bernard Hiatt
1218 13th Street
Phone Number: 541-726-1382
City/State/Zip: Springfield, OR 97477
New Value: $7,336
Scope Of Work: Storage Building
400sqf garden shed
Contractor Type
General Contr
Contractor Registration # Expiration Date
Bernard Hiatt
1218 13th Street, Springfield, OR 97477
Phone
541-726-1382
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: 1
Occupancy Group: Accessory Structu
Heat Source:
Sq. Footage:
To request an inspection call the 24hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:0NCOfrt0'ERe made the following
working day. THIS PERMIT SHALL EXPIRE IFTHE WORK
Street Improvement: Sidew~TvmlZED UNDER THIS PERMIT IS NOT
Curb Cut?D Improvement Agr.? D Additioo~m~ED OR IMBANDONED FOR
San Sewer Depth (Ft): Size OfArUYe1tJ6J3AY PERIOD.
Storm Sewer Available? 0 Downspouts/Drains: To Curb and Gutter
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in):
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Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/0010000 00:00 AM~.;"
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Special Instructions: '(mG-GE:E:-OOB-~ spaluao
Other Utilities: T~t~~S.~~~~t~J3\~~~il~~U
Project Supervisor: ~q s61nj atn JO S~!dOO U!BIQO ^BW nOA '0600
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11 no'; ~9JI"b9J i\J\l?' 'lo6::Hrn.I()IIl\I::I1J '"
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Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1:
Comments:
2:
I Job# 00-01341-01
Overlay District:
# of Street Trees:
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner: Ruth Klein
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet!
Main: Accessory!400
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Permanent: 200 Amps or less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
Flood Plain FEMA: n/a
Page 2 of 3
land Use: Single Family Dwelling
Pave Driveway? D
Garage/Shed
# Of Stories: 1 Height (feet): 12
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:400
Paid On Receipt#
Plan Check
09/05/2000 3106
Building
09/15/2000 3222
09/15/2000 3222
09/15/2000 3222
Electrical
09/15/2000 3222
09/15/2000 3222
09/15/2000 3222
09/15/2000 3222
Plumbing
09/15/2000 3222
09/15/2000 3222
09/15/2000 3222
09/15/2000 3222
System Development
09/15/2000 3222
09/15/2000 3222
Value/Quantity
Fee Amount
2,000
$21.45
$21.45
7,336
$68.50
$4.80
$2.06
$75.36
1
4
$50.00
$8.00
$4.06
$1.74
$63.80
10
$.00
$1.75
$25.00
$.75
$27.50
396
$95.04
$4.75
$99.79
$287.90
Page 3 of 3
Comment
NO PORTION OF STRUCTURE MAY
ENCROACH INTO PUBLIC UTILITY
EASEMENT
Planning-Res
Structural-Res
Ruth Klein
Don Moore
09/14/2000
09/07/2000
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. ~ () .. ~ '---:
,<~ _t?A/}/l ,1/.1. --I c:;f~ M r otJ
S~~ / , I Date