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Home My WebLink AboutPermit Building 2002-6-20 hh'. ~ . Page 1 of4 TRANS#:01-0009670 DATE:JUN 20 2002 AMT RECD:2 $ 45.00 CHANGE: CASHIER:061 I Job# 02-00377 -01 I 225 Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00377-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 7277 Forsythia St Spr Assessors Map#: 18020221 Lot: 66 Block: Addition: ...:." V'_flJ.~_OIJ ,Pi"" Phone NUl)1lier/' ~,18~~12010~e ~ ,"~~"O~ e~ ~"" ,"$' "'~ _,,0 City/StatelZip: 0'" &pringfield~OR"97 4 78 . 0~' ;:,o\r .," 'S'~ ',e- ""e'~o~" Scope Of Work: Single Family Residence New~ p,'Ii- ~e'~'r;;;, c.o~:-.0Value:,$$131,831 .~<'V'-,~0 (j0 ,,\$ :-.<i>~ ~o YJ~'''dJf' 'r' .'o~ .,o~ s:P & e" o~ n,~<}' SFR same as 581 S 72nd Street 02-QO?!tlZQ~~'?; ~'I>"\e~ t"\,e<:$n.<:-"" '<2'v O?-' .J..o'.'S'''' ,~'O ..c," '-$' ,,'ll':::Registritii:,"~# Expiration Date ()'-' ']):0' 0" ~}'\.- C. i$'-'<J () "oS ~*- 1/30/2~GS-f:S ~'V'" 541-741-1085 ",XI- ~ ~ ~ #' ,-<-'VQ:. ~~ q,~~~ 'v <<J "'~~ ~($ ~~ ~ .q,~ Contractors Plumbing Service Inc lQ16~ C;) ~~ SBf15/2003 Po Box 7636, Eugene, OR 97401 JI.~"(,'~~\~ -\S 'VQ:."ro,'V'V' . ~'iJ~1.<i- '~~.fJ.. ';'::" To request an inspection call the 24 hour recording at 726- . s requested before 7:00 a.m. will be made the same working day, inspections request ~ ' .. will be made the following working day. ,,($ :f:-- " Required Inspectio~s I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking, - Prior to decking. - Prior to cover. - Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover -Prior to taping. Owner: Address: Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Hold Downs Installed Final Building ,-0' Tax Loi't~""01800 .~0~~'-r.'(,)'..A." . . Sulidlvlslon:McKenzle Hills ~,~. .v,...J ^ '" .(1'- '1('1 David Best 972 Cloverleaf Loop Contractor Phone 541-741-6201 David Best 972 Cloverleaf Loop, Springfield, OR 97478 Steve Hauck Electric 828 S 46th Street, Springfield, OR 97478 David Best 972 Cloverleaf Loop, Springfield, OR 97478 147618 541-741-6201 541-607-8879 - When all required inspections have been approved and the building is complete. , Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Special . . Page 2 of4 I Job# 02-00377-01 I Required Inspections 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. -After gravel and filter cloth is installed, but prior to backfill. -When all plumbing work is complete. I Mechanical -Prior to insulation or decking. - Prior to cover. -When all mechanical work is complete. I Reinsp/Hrly Insp I -See Plan Review and/or Inspectors Notes, or prior to cover if applicable. Sidewalk Type: Curbside - 5' Additional ROW? 0 Size Of Line (in): 8 Downspouts/Drains: To Curb and Gutter Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/000000:00:00' Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/000000:00:00 ' Special Instructions: Other Utilities: Project Supervisor: Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Sam Gollah Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Flood Plain FEMA: 1167 of 2975 . '/ Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D I. Area (Sq. Feet) I Main: 1578 Accessory:720 Fee Same As Plan Review Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Hood and Exhaust . Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent 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 Job# 02-00377-01 I . Page 3 014 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 24 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2298 Paid On Receipt# Value/Quantity Plan Check I 04/04/2002 8519 1 Fee Amount $100.00 $100.00 L Building 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 131,831 $669.65 $46.88 $53.57 $770.10 Electrical 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 1 3 1 $.00 $106.00 $57.00 $50.00 $14.91 $17.04 $244.95 Plumbing 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 1 $.00 $306.00 $21.42 $24.48 $351.90 Mechanical 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 1 $9.00 $.00 $3.60 $12.00 $18.00 $6,00 $10.00 $3.15 $61.75 1 3 1 Public Works 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 50 1 1 $75.00 $75.00 $-30.00 $120.00 System Development 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 3,260 1 1 $889.98 $34.83 $10.00 . 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 Job# 02-00377-01 Paid On Receipt# System Development 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 04/25/2002 8734 . Page 4 of4 Value/Quantity Fee Amount :/ Fee $142.67 27 $-131.82 1 $332.86 1 $659.76 1 $155.13 24 $512.88 24 $389.76 $2,996.05 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 04/25/2002 8734 1 $1,000.00 $1,000.00 Planning Plan Review Total Planning Planning 04/25/2002 8734 1 $55.00 $55.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 04/25/2002 8734 1 $8.00 $8.00 Reinspection Fee - Building Total Reinsp/Hrly Insp Grand Total Reinsp/Hrly Insp 06/20/2002 9670 1 $45.00 $45.00 $5,752.75 Plan Check Type Checked By Date Completed Comment Initial Review-Res Engineering-Res Planning-Res Structural-Res Lisa Hopper Bob Kettwig Sam Gollah 04/08/2002 04/23/2002 04/16/2002 04/16/2002 Tom Marx 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 e street, that the permit card is located at the front of the property, and the a~~lan III remain on :, site at all times during construction. , ~ ~ ~ 10 - 20- 6'2--- Signatufe.' Date