HomeMy WebLinkAboutPermit Building 2002-8-5
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CITY OF SPRINGFIELD, OREGON
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Page 1 of 3
TRfiNS#: 01--0010179
DA iE : AU[, 05 2002
AMT RECO:2 $ 1289:97
CH{~NGE :
CASHIE~;; 061
1", ~ Job# 02-00884-01 I
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00884-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1941 Carter Ln Spr
Assessors Map#: 17032532
lot: Block: Addition:
Owner:
Address:
Tax lot #: 16200
Subdivision:
)
Robert Erick
1941 Carter Ln
Phone Number: 541-744-8136
City/State/Zip: Springfield, OR 97477
Addition Value: $47,594
Scope Of Work: Bedroom
9/25/2002 \\\t.~p~ -9409
t.~~\'?-.t. \t'?-.~\\ \<:> ~
C~. <:>\\~\,\.. ,\\\<:> ~t: ~t.~~44-8136
~()"\~ ~'?-.~\' ~~~t.'?-. ~~~~fJ
1~~\)'?-.\t.~~~1J~~. ,I 541-463-8007
~~\ ..\t.~C; ~ llt.'?-.~
"'/\ \J\ \'1\ '\ t'\ ~
lJ~ '\ l)\J -
Office Use po..~'{ ,
Quad Area: 2RNW land Use: Single Family Dwelling # Of Buildings: ' 1
# Of Units: Zoning Code: LDR Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: Heat s~~Gcte:;:~~all Heat
Water Heater: Range: ~~&.d~~~.e.)~~~8~~\
, ~. ~~~e~-~\
To request an inspection call the 24 hour recording at 726-3769. All insp~ctl0A~~~~~~~Dgf~~~?6~,:> 'Q'I
'a.m. will be made the same working day, inspections requested afte[\7~00~,rp,\~1I h""rr-rt~c;:l~f~.fQII6~ln~
. d ""\ \ OOY '\"(\~ ~9>\ , \'<'''' 0"
working ay. ,-\~.Y" \e':>~ ~e'(' \~'(O. SO' \e~~ 'O~
p.. \ '(\}\ re'(\\; :\ (.) \; (\,e \e\ . c-o.\'1.
R "d I ''f'\N ,/,\ v . (\() - - (".0" ~'(\e : -,,\\'1.
eqUlre nSP\@.c'K.(.g.~.v;2:(.)\) \ 0'O\-o.\"1~0\'6' :~,\'1 '"'O-I.l.'"
I B 'Id" "0\.'; <l. ~r,J "'-'I '(. \: U\'i. nn.b. n
UI mg. _ ~'" \} ~v ~\e O~ 2:v~
- After trenches are excavated. \~ ~9(.)''t 0 \~e ce e o'\e~\)(),~~
- To be made after all inslab building s&'rvL~\'e'c?u~Roie\%, '~_&rauit piping, and other equipment iterr
- Prior to decking. \}(i\'Oe Ce'(\\e\
- Prior to cover. '(\
- Prior to cover.
-Prior to Cover
-Prior to taping.
-When all required inspections have been approved arid the building is complete.
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Footing
Slab
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Contractor
Robert Erick
1941 Carter Ln, Springfield, OR 97477
David Lawler
2157 Ohio Street, Eugene, OR 97402
Robert Erick
1941 Carter Ln, Springfield, OR 97477
A & P Plumbing
PO Box 273, Eugene, OR 97402
Registration # Expiration Date
Phone
541-744-8136
146149
..#
I Job# 02-00884-01 I
Required Inspections
Electrical
Page 2 of 3
Rough Electrical
Electrical Service
Final Electrical
- Prior to cover. ,
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
- Prior to filling the trench.
- Prior to cover.
-When all plumbing work is complete.
Mechanical
Underground Plumbing
Rough Plumbing
Final Plumbing
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
'Comments:
Overlay District:
# of Street Trees:
land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner:
Urban Growth Boundary? 0 Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: 638 Accessory:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Flood Plain FEMA: zone x-white
# Of Stories: 1
Current Units: 1
Census Code: Does not apply
Height (feet): 13
Proposed Units:
Total:638
Fee
Paid On Receipt#
Plan Check
07/24/2002 10026
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
47.594
$233.32
$233.32
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
08/05/2002 10179
08/05/2002 10179
08/05/2002 10179
47,594
$358.95
$25.13
$28.72
$412.80
Minimum Electrical Permit Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Electrical
08/05/2002 10179
08/05/2002 10179
08/05/2002 10179
08/05/2002 10179
1
4
$.00
$63.00
$12,00
$5.25
,I
Fee
Job# 02-00884-01 Page 3 of 3
Paid On Receipt# Value/Quantity Fee Amount
Electrical
08/05/2002 10179 $6.00
$86.25
Plumbing
08/05/2002 10179 $.00
08/05/2002 10179 5 $70.00
08/05/2002 10179 $4.90
08/05/2002 10179 $5.60
$80.50
Mechanical
08/05/2002 10179 $39.00
08/05/2002 10179 $3.60
08/05/2002 10179 1 $6.00
08/05/2002 10179 $10.00
08/05/2002 10179 $3.15
$61.75
System Development
08/05/2002 10179 902 $254.36
08/05/2002 10179 $28.27
08/05/2002 10179 8 $176.72
08/05/2002 10179 8 $134.32
$593.67
Planning
08/05/2002 10179 1 $55.00
$55.00
$1,523.29
~
.
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Residential - Single Family - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Tom Marx
07/25/2002
07/31/2002
07/30/2002
07/31/2002
Engineering-Res
Planning-Res
Structural-Res
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
appro~~ set of pla~swill remai~ on t~e~ite at all times during construction.
,Nri;~Aytf41f34(1])
Signature U
'g /5/ CYL-
. ,
Date
..
k
225 FIFTH STREET
SPRlNGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
CDl
ELECTRICAL PERMIT APPLICATION
City Job Number ();J - nu88t/- () I
3, CONWLETEFEESCHEDULEBELO\V
1. LOCATIONr?F INSTALLATION
.1!1!:L1 ((1 r-M;:X ( Gt~
Spv lAC\-h'eJ:.o\ OR 1703 Z5JZ
LEGAL 'DESCRIPTION 10+ 3 Blo~ 5
. I
N 0 I'~U ocR Se.umri Add ,+ivy) -fo ~()V'I,.,(}~dJ j tA..~
fll(.+~'14 teLo..-Md tv.. Book. 20 r'~ 't, ~~ Lo'VltTj
JOB DESCRIPTION Or~cVl Pl.L\- ~ec..vn::ll~ '-'I. 1000 ~~~ er less
t+ome~ o..r1d'; t-fDl) ~e... ~~s's~;itted h~~n~Jt~tional 500
'og PIUI"Vl 'peclflc Ian .
T\1e folloWI not require 5 sq. ft or portIOn
, ' and does
Permits are non-transferable ime1re?tJa.\re v<- thereof ~
if work is not started within l~~Pd~ys zoning _ ~-:> 1: cac1iManufd Home or
of issuance or if work is suspended for <3~<)"""-~ ~l\J~~~ar ~:ling
180 days, Date - Se J P Q der
, d S' gnature -
^ "thnnze I
2, CONTRACTOR INST ALLAT'ioN ONLY B. Services or Feeders
() L {- Installation, Alterations or
Electrical' Contractor ,,01'} > E.{c' /-;-1 (. Relocation:
(f){fj() sf,
Phone (; 1" - s'lrlf
A. New Residential-Single or
/ bw-o Multi-Family per dwelling unit.
Service Included:
Items Cost
Sm:n
$106,00
$ ]9,00
$ 50,00
Address Z I r)
City '[ '^1eJlli,..
200 amps or less
201 amps to 400 amps
40] amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
( $ 63.00
$ 75.00
$125.00
$163,00
\~~~,.3;~.'gg
'\~~ '<, (\
,'~\'\ .. \\"'"
l,., '(\oJ"
\~:..;,)
6>
Supervisor License Number L/ 7 V t.( J
Expiration Date It> --/) I - () y
Constr Contr. Number I tf b 1'17
Expiration Date () l7"'1. r ~vz...
C. Temporary Services or Fe
Installation, Alterati
--\
Signature of Supervising Electrician
$50.00
$69,00
$100.00
'#.2~
'~~,
I~~~O\%
D. Branch Circuits
.,.-
t:'r~c.k New Alteration or Extension Per Panel
R' j -~j^ ' -
Owners N amc _",ol:1P ~"..+" 7' ',' :;wpCO f" ',(,l
1"'\ I,
AddrcsslC)iH ( OJ--te...r- J Of)F .
c:.~ C' I \ ...,
City ...."'FVH"lO/,p 1. d Phone {SI'~I}lll(4 - 5?1?{P
....~
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
One Circuit
$43.00
~ ,", >'
J
Owners Signature:
,i14ph (UU prfr <e~t)
Ea. ch A?diti?I~,~I, Citcl;it~'?r. !yitti,~eS~."'i~O \
or'Feeder PermIt, .. ,'~,,~ ' ,':1:;"" $ 3.00
. . '.':'~,~l ~" . :~-~\'t~ .:\:~.~,.~' \ '
"E. \1\'iiscellaneolls (Servicelfeetlel' nQt.incluiled)
~. "" -' . .
" " -Each instqcllation '-. \ ~~ ' . . ;,
, ,~" ," '. '.' 1-' . '_.'~-. ',." ~
.,' ,."Pllmp,orirrigati,iJf! .;, "" $50.00
Sign/Outli'neLigl*ti!lg .', $50.00
,:_:'\:1Al1litccfEnergy/Res $25,00
. , 'Umited:E:i1etgy/Col1un $45,00
12-
..
I' l',_,t
\:'
:Minimum Electric Pumit Inspection Fee is 545.00 + Surcharges
7~
S-zs
boO
,-
<66~
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fce
'I i.-'
I 1),lf
TOTAL
LEGAL DESCRIPTION
170~ ZS-33 0 9200
, 1 ~ !:,"T1itted has the following
The following prolAC', a, SlI , ' , nd use
JOB DESCRIPTION zon~ inn d~ no. t6\.!LlllC "..ec'%6~ sq.ft. or less
'..t] ~ :s:t;::'-4../~r'$~aIu...&T 1- Q {l, Each addition~l 500
r p~mg - j L"'O sq. tt or portion ,
Permits are non-transferable a~ae€'{~__ <;5_ r
if work is not started withinlS'O liays Each l\A::lnllfd..Home or
of issuance or if work is suspent'i'eU'flHbU ::.,gnawlb Modular Dwelling
ISO days, Service or Feeder
t.;
"
225 FIFTH STREET
SPRINGFIELD, OREGON97477 ';"
INSPECTION REQUEST:726~3 ~69
,OFFICE:.V726..;3 759;::
1. LOCATI9N.oFINSTALLA.TI6~ : ~<
\^it>" C-~ r:~ ~
2. CONTRACTO~lifG6Ilt~tEe~~le~RVICE
Electrical" Contract~O. BOX 2237
t:tJGENt, OR 97402
Address .'
City
;1'-'
~hon~:{b
SuperVisor Licen~e Number (.3q~.:s
~>\;,':\'< ,,'..., it; ',,: <.,,:'., ~> ':\:\t';'-
~~~iration Date 10:- I",~ 0$
'Constr Con,:!.~umber;. "~~ ~,n61
"Signature of ,Supervising Electrician
Address'
City
, Phone~
. ,
OWNERINSTALLATION'
The instaIlationis being Il1ade on
. property) o\vn which is ngt intended
for sale, . lease 6r rent. " .,
'/
~ ,t~
.'. Owners Signature:
TgO: \.13THCijJil"
l-- ," 1.J~ ^_~ WV*<.:J
: 39 Nt1H:J,
06"ZS $ G:G:J3H lWl;j
600G'i::O'8ftti:3J.l;jQ
lc-c,yr,(\ -rr"i+'''''.lW' I ,
o~L ,~UU-~J~*~~v~l
~
ELECTRICAL PERMIT APPLICATION
. ,< "., .
, City Job NumbcrO'Z .. 00 tf.2; '} -0/'
,3.' COMPLETE FEE SCHEDULE BELOW
"
,
A. NewResidenti:ll-Singie or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sm:n
$106,00
$ 19.00
$ 50.00
B. Sel-vices or Feeders .,
Installation, Alterations 6T
Relocation:
200 amps or less'
201 amps to 400 aniffis
401 amps to 600 amps
601 amps t6 1000 anlps
(Ner 1 000 arnps/v91~
R~connect Onl)' /;;,,;
$ 63,00
$75.00
$125.00
$163.06'
$375.00
$50.00 '
200 amps or less .,'
" .' ,201 amps t6 400 amps
~Over 401 to 600 amps . "
(NeT 600 amps .or 1000 voltssee/'
"B" above ..,,, ,
D. Branch dr~~its
.. ,
New Alteration orE~tension Per Pane
. ... ~~\.\. ~~~~\\~~, ~~<~ DC
J~~ *\1e~i~ tea
,,~\1n o\\\S ~e~\'i~$ 3.00_~ it() ,
, ...' "', ~ct: 'o~.P"\QU. ." " ' '
E. Miscen~ ."'. I~!f~l!'dcr not inc~g~1b .'
-E~~'lllqlatIOn'i'" !eqUi~eS . t;\il\l, '
PU,.mp os,tr~<!t..'\!)1f\la~1l ,."o~.agon U. : ~,$.s\~.00
-\'(,f". 'b"t\,":i s~.,;',)I'
, I $jgID'OuLlitlfQ'htglltHlg u'ec:. ~Je ~ ~b'i{lOO . ,
;~~\~J;>~Jti,i:f[<PJ!1u \-' ~~ose f h O{\f\ 9tit:P !2~DO
"'-'.,ILij1i;it8', ~~w-m1ffioU~l ~ ~ne "U\"'$45~OO
\'~,,;:;\\ ,~J" ."I'l",./ "COpieS 0 > hof\G
.,;, Qj.\iii 9....'\.......'1 ob\~lf\, ,;,,: t:~ te\~?' .,... +'an
MlnIl1J.\lm E1ee..tIllerp.ermltrIn~p'Cctro~ Fee",s\$;4,:'I~~O + Surcharges
CYJt.lu. . " .' heC&lfll'61" , U\~\\W ,'4~' ,
('.;\\\\'09 ~,. dhl" !1re~on t'j"'? '/3tJ~::)' 4 L ~
4. SUBTO,[A,bi.()t'''J\'BOYEI'''O~0..J-u-~ \Q
""\X~"J""" +r" \5 ~"'U" . _"'\..D
7% S'tlite Su.t:1ha1r:ge ' '- ~ ..--
8% Administrative Fee 03- b1S'
TOTAL
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