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HomeMy WebLinkAboutPermit Building 2000-9-15 -~ - ',. ,.- Job# 00-01341-01 .' 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): ...-~, Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/0010000 00:00 AM~.;" ~,;, " 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 . . LOo-~S6 ~~o ~DnOJtn muu-"UU-G~tHjVU U! IUOJ leSaJB selOJ asoql'JelUao UO!lBO!J!lON ~llllln uo6aJO aln ^Q paldop-e salOJ MOllO! 11 no'; ~9JI"b9J i\J\l?' 'lo6::Hrn.I()IIl\I::I1J '" ''4 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