HomeMy WebLinkAboutPermit Building 2001-9-4
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Job# 01-00701-01
Page 1 of 4
TRANS#:Ol-0006588
DATE:SEP 04 2001
AMT RECD:2 $ 4899.32
CHANGE:
CASHIEr.:: 061
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00701-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 6964 Bluebell Way Spr
Assessors Map#: 17023533
lot: 7 Block: Addition:
Owner:
Address:
Tax lot #: 04601
Subdivision: Spruce Ridge
Richard Edgar
884 S. 69th Street
Phone Number: 541-988-1965
City/State/Zip: Springfield, OR 97478
New Value: $142,745
Scope Of Work: Single Family Residence
Contractor Registration # Expiration Date Phone
Richard Edgar 541-988-1965
884 S. 69th Street, Springfield, OR 97478 f.:~O?-.'f..
K & K Electric Inc 87202 4/30/~~~~ \f ,Y'~, \t@~\~t 41-2663
620 S 68Th PI, Springfield, OR r\\C1'f;:. ~t>-\..\.. € -r.\S ~~?-.W\ t(O?-.
97478-7306 ~O ;)~?-."'~\, S ~~~ ' ~O~V;.\)
Richard Edgar -,'0\'0 ~ ~\t.~\) '..J~ ~ \'0 t>-'O~~ 541-988-1965
884 S. 69th Street, Springfield, OR 97478 t>-'..J'~O r.-~C~\) 0 ~?-\O\).
Jim Morgan COw..\}."- 'Ot>-'{?
xx, Chiloquin, OR 97624 t>~~ "CO\)
Office Use
Quad Area: 4RSE land Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LOR Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: 3 Heat Source:
Water Heater: Range: Sq. Footage: 1931
_ _ _.. .:..._01'" \/nll tn
ATIENTION:oregon (ClVV I "'''I..... -- J ti'r I
To request an inspection call the 24 hour recording at 726-3761~'\.f\lllil8$P.~&!iP(l$jreli1ueste'dlffe'f8r~'7~bbh
'11 b d th k' d' t' tto:1J"'ft,uI1"O' .'11 h."~~ ~t&:.C> "'fc'.ITor.[
a.m. ':'1 e ma e e same wor rng ay, rnspec Ions reques eu.a 8&\l:e.:l\<\l~m: W,I JL:le ma\:let lie' 0 o'1JnfJ
workrng day. . ~Otl~~ 952-001-0010 through OAR 952-0 ~
. '~5~~ M_.. 1"""''' nhtain copies of the rules Y
ReqUired Inspections. (Note' the telelJ'IVI'<:i
, - 'l'-,... 010,0 center. i' ., r
I BuildinQI;C1I.:~ ~~_ ~'b~ the Oregon Utility Notlflca Ion
Site - To be made after excavation but ~Ni~r'tO~>>,imgrf.<2.rlif.lsOO-332-2344).
Footing -After trenches are excavated.
Foundation -After forms are erected but prior to concrete placement.
Post and Beam -Prior to floor insulation or decking.
Floor Insulation - Prior to decking.
Ceiling Insulation - Prior to cover.
Shear Wall Nailing - Before covering sheathing with finish materials.
Framing - Prior to cover.
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
SFR
-'i'
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
I Job# 01-00701-01 I
Required Inspections
Building
Page 2 of 4
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
-Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
-Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te!
- When all gas work is complete.
- When all mechanical work is complete.
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
ZOning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:LDAP complete
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
I Job# 01-00701-01 I
Overlay District:
# of Street Trees: 2
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Panel 1167 of 2975
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
. Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
-Area (Sq. Feet)
Main: 1931 Accessory!451
# Of Stories: 2 Height (feet): 24
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:2382
Paid On Receipt#
Plan Check
07/18/2001 6177
Value/Quantity
142,745
Building
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
142,745
Electrical
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
1
2
1
Plumbing,
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
Mechanical
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
1
1
1
4
1
Fee Amount
$344.34
$344.34
$529.75
$37.08
$15.89
$582.72
$85.00
$30.00
$40.00
$10.85
$4.65
$170.50
$.00
$306.00
$21.42
$9.18
$336.60
$4.50
$2.00
$.00
$.83
$6.00
$12.00
$3.00
Job# 01-00701-01 I
Paid On Receipt#
Mechanical
09/04/2001 6588
09/04/2001 6588
'tII' Fee
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential- Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Wi llama lane
Total Willamalane SDC
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Bob Barnhart
Eng ineering-Res
Planning-Res
Steve Templin
Liz Miller
Structural-Res
Tom Marx
Public Works
09/04/2001 6588
09/04/2001 6588
09/04/2001 6588
System Development
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
09/04/2001
6588
6588
6588
6588
6588
6588
6588
6588
6588
6588
WillamalaneSDC
09/04/2001 6588
Date Completed
07/20/2001
07/30/2001
08/08/2001
07/30/2001
Comment
Page 4 of 4
Value/Quantity
62
1
1
1,820
1
1
25
1
1
1
26
26
LDAP needs to be picked up
Fee Amount
$10.00
$1.93
$40.26
$65.00
$65.00
$-30.00
$100.00
$496.86
$34.83
$10.00
$127.11
$-125.17
$332.86
$659.76
$155.13
$555.62
$422.24
$2,669.24
$1,000.00
$1,000.00
$5,243.66
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify 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 'each
address is readable from the street, that the permit card is located at the front of the property, and the
'approv,q ed:et of ~ ~main on the site at all times during construction.
,. Ii-- / ~ /,-Y'-c)/
~JQ,{ature Date
/.: