HomeMy WebLinkAboutPermit Building 2001-6-5
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I Job# 01-00425-01 I
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Page 1 of 3
TRANS#:01-0005667
DATE:JUN 05 2001
AMT RECD:2 $ 65.00
CHANGE:
CASHIER: 061
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SPRINGFIELD
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CITY OF SPRINGFIELD~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00425-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 868 River Knoll Way Spr
Assessors Map#: 17032343
Lot: Block: Addition:
Tax Lot #: 04300
Subdivision:
Owner:
Address:
David Horton
868 River Knoll Way
Phone Number: 541-485-0276
City/State/Zip: Springfield, OR 97477
New Value: $22,000
Scope Of Work: Miscellaneous
Enlarge existing patio and construct cover
Quad Area: 5RNW
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Accessory Structu
Heat Source:
Sq. Footage:
Footing
Foundation
Shear Wall Nailing
Framing
Special
Final Building
To request an inspection call the 24 hour recording at 726-3769. All inspedlibn;ntfq'U~sted before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m.,will.belmade,the ,foJlnW,i09F THE WORK
k. d I nlCl rc:nl" II Qnl"\L.L. L.;.^'t""1l L...
wor 'ng ay.
AUTHORIZED UNDER THIS PERMIT IS NOT
Required Inspections COMMENCED OR IS ABANDO~~u rUM
I BuildinR ANY 180 DAY PERIOD.
-After trenches are excavated.
- After forms are erected but prior to concrete placement.
- Before covering sheathing with finish materials.
- Prior to cover.
-See Plan Review and/or Inspectors Notes.
- When all required inspections have been approved and the building is complete.
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
Mechanical
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in 0/1.8 S::'2-G~'I-~ , ~11 'C'.,;\;S 01 Cl<l rules by
0090. You mal' Oo\al '0'.'0' tr9 telephOne
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caHii19 .,e ~ -' , Utwy No:lfica .on
numbar lor tile. Or32 :)11_3' 2-2344).
canter.s 1-BClU ,)
Rough Gas
Final Gas
-When all gas work is complete.
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Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 01-00425-01
Overlay District:
# of Street Trees:
3:
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Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory~60
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
Page 2 of 3
Land Use:
Pave Driveway? D
Flood Plain FEMA: Panel 1134 of 2975
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:460
Paid On Receipt#
Plan Check
04/26/2001 5072
Buildinll
05/15/2001 5374
05/15/2001 5374
05/15/2001 5374
Electrical
06/05/2001 5667
06/05/2001 5667
06/05/2001 5667
Mechanical
06/05/2001 5667
06/05/2001 5667
06/05/2001 5667
06/05/2001 5667
06/05/2001 5667
System Development
05/15/2001 5374
05/15/2001 5374
Value/Quantity
I
22,000
22,000
1
1
408
Fee Amount
$99.13
$99.13
$152.50
$10.68
$4.58
$167.76
$35.00
$2.45
$1.05
$38.50
$2.00
$13.00
$.45
$10.00
$1.05
$26.50
$110.57
$5.53
$116.10
$447.99
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Job# 01-00425-01 I Page 3 of 3
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Plan Check Type Checked By Date Completed Comment
Initial Review-Res Bob Barnhart 04/27/2001
Engineering-Res Steve Templin 05/14/2001
Planning-Res Liz Miller 05/08/2001
Structural-Res Tom Marx 05/09/2001
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 10 a ed atthe f~ont of he property, and the approved set of plans will remain on the site at all times
dur' g constr ction. V
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Date
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