HomeMy WebLinkAboutPermit Building 2002-5-28
,t,
Job# 02-00529-01
Page 1 of}cii\/,IC'#' r1 _',){,''111r:l!=;h
II\H, ~\Jit ,<J.L lJUV.f L.J.J
DATE~l"lAY 28 2002
AMT RECD;2 $ 115n72
CHANGE~
CASHIEf\: ~ 061
RESIDENTIAL PERMIT
City, Of Springfield
Community Services Division,
Building Safety
Job Number: 02-00529-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 885 Anderson Ln Spr
Assessors Map#: 17033311
Lot: Block: Addition:
Tax Lot #: 00701
Subdivision:
Owner:
Vern Benson
Phone Number: 541-688-8897
Address:
940 Highway 99 North
City/State/Zip:
Verify Ground Rod
Footing
Foundation
Post and Beam
Final Building
Eu~ne, OR 97402
~~~~Iue: $2,500
~*" ~ ~
.~, #,<<~ -
J":J'~
Contractor Type Contractor R~~~~ Expiration Date
General Contr Vern Benson ~~~ ~ ~~ 541-688-8897
940 Highway 99 North, Eugene, o.R ~ C3 ~~ ~ ~ S).
97402 A~'~\<:::> ~~<~
~~ '. ~ f~", c.~ '{....
~~~~;#~~
Land U~:# ~~)jamiIY Dwelling # Of Buildings: 1
Zoning COdEt>':~~ Occupancy Group: Dwelling
Bedrooms: ~ Heat SOHR;~~ "'-
o .~'\; ~.
Water Heater: Range: Sq. Fgot@:ge;..o ~
..Il ,., _, _C'\ \
. ,.,$-' r$?' c:>'" a;'V ~-,
To request an inspection call the 24 hour recording at 726-3769. All inspections requ~$<a),{~.~7000 0
a.m. .will be made the same working day, inspections requested after 7:00 a.m. Vv'~1J}6~.sn~€ieOlile~~II~~gJ?~
working day. ' . '0.5' '()~ 0 i;. ;:s:- 6' }..0~.~v'lj
-,~Q 0'6 00 0'>'1J 0 ....0 ~
R . d I t. d -"" ,c,<:, --, ~"IQ ",,0 ~ ......
equlre nspec Ions."..... ;..0"'- ~ . ('\, ~ 0'( . v .~ - ~'
. 0' Q)-v ~0 . ,'V c; ~0',~ dJ3
I . Building .;;<J""~0~ 00~ ~~~'0'\.~~.~0 ~":0:,fJ; . . .
-Install ground rod at footmg, and call fo(-<mspE!~J:ln@ Ccfl7l]~tf~ltlHootlng and/or foundation If
-After trenches are excavated. ~ ~o~'v~ OJ<t:>0; ~~ v0~ 0" "''O~'V
-After forms are erected but prior to con~r~;t~f{a~me~~ ~~0 ~.fJ
-Prior to floor insulation or decking. ~~O R>~' ~~Oj ~,o ~IQ
- When all required inspections have been ~pgro~~~lWd ft.1~ building is complete.
<:- .:s
Scope Of Work: Foundation, Only
Repair
Foundation only TM 050902
Phone
Quad Area:
# Of Units:
Constr. Type:
1RNW
(VN) Wood Frame
'Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 02-00529-01 I
Overlay District: Urban Fringe
# of Street Trees:
Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? D
3:
Planner:
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1141 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units: 1
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
05/09/2002 8935
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
2,500
$34.32
$34.32
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
OS/28/2002 9255
OS/28/2002 9255
OS/28/2002 9255
2,500
$52.80
$3.70
$4.22
$60.72
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Planning
OS/28/2002 9255
1
$55.00
$55.00
$150.04
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Lisa Hopper
05/13/2002
05/10/2002
Plot plan received 5/10/02, processed 5/13/02
No plot plan submitted. David Bowlsby will
contact owner to submit plot plan.
No SDC required.
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Denny Wright
Liz Miller
OS/22/2002
OS/22/2002
OS/23/2002
Don Moore
I Job# 02-00529-01 I Page 3 of 3
. 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.
"- ~--
-
s~:; 9--~2
Signature
Date