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Home My WebLink AboutPermit Building 2002-6-5 >' . I Job# 02-00443-01 I ., Page 1 of 4 TRANS#:01-0009410 DATE:JUN 05 2002 AMT RECD:2 $ 51.75 CHANGE: CASHIER:061 a;c SPRINGPIELD ~. CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00443-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6745 Jacob Ln Spr Assessors Map#: 17023411 Lot: 101 Block: Addition: 2nd Tax Lot #: 13500 Subdivision: Levi Landing Owner: Marce Fast 3642 Berkshire Street Phone Number: 541-344-9181 City/State/Zip: Eugene, OR 97401 New Value: $164,016 Address: Scope Of Work: Single Family Residence SFR Contractor Type General Contr Contractor Registration # Expiration Date Covert Enterprises Inc 82272 2/5/2~~"~ Po Box 26206, Eugene, OR 97 402-0464 \~ ,y..'t. \S ~'V\ Harris Irrigation 6933 ~\,,'t. ~b12~~ po box 1297, Springfield, OR 97477. ,'~\..\.. '\~S ~'V~'t.\) -f- :\ c.,<, -9- .:.;' ~~~\\) ~~';\S ~~ Land use:\y..\~Qj,i:\\~:,~~rrng # Of Buildings: 1 Zoning COdll~~ \)# Occupancy Group: Dwelling Bedrooms: C; ~ \'Or::. Heat Source: Forced Air Electric Range: ~ ectric Sq. Footage: 1959 .\u".""\"",, . 0"::1' \)\.,. ~,. To request an inspection call the 24 hour recording at 726-3769. All inspections requ~~teal5efO~'7.:001 a,m. will be made the same working day, inspections requested after 7:00 a.n\,Y"iil'bJl-:m~~dt-t~Jeao~~wlng working day, <<Fi/ '0";' 'is' ~~0 O'?-<(. 0 ~~ ~0 0~ 0~ R,0 l(\ ,'is' 'l(\O '0'" R 0 . - >;!i' ^'1 _~O ,,0; ," .,,<:;J ~\~ equlred Inspections QVO., l(\'- '0- 'I." .~'v .-"'.'" 1-..0" r::,'1 o~' l(\0~0~ I Building \~' _<\~ek,0~ ,r::,r::,'\ \'" v 0\0':s.\I.~ '.Do,. -Install ground rod at footing, and'Call:for,irispeCli6n:in\~0il]bcti6~~witmooting andlor foundation H \V . CF S" ~'l 1-..00' 0' \,'" -After trenches are excavated. ,;;.o~~ ~ C!i ~ (:i v0~ O~0~ ~w'5 -After forms are erected but prior to.f,6h~r~te'pl~Ce~~nt~ ,,'13 -Prior to floor insulation or decking. ~ r::,r::,9JIJ ~,,,,9J ~...o~ ~\e~' -Prior to decking, v ,;)~'O0 00 -Prior to cover. ~ - Before covering sheathing with finish materials, - Prior to cover. - Prior to Cover -Prior to taping, Phone 541-345-0703 Landscape 541-746-6444 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN) Wood Frame Electric Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Hold Downs Installed Final Building - When all required inspections have been approved and the building is complete. Temporary Power Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical . . I Job# 02-00443-01 I Required Inspections I Electrical I -Approval required prior to SUB energizing pole, 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 device is installed but before backfilling trench. -When all plumbing work is complete. I Mechanical -Prior to insulation or decking, - Prior to cover, - When all mechanical work is complete, Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Street Improvement: Fully Improved Curb Cut?~ Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? ~ Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: Page 2 of 4 Curbside - 5' o 8 To Curb and Gutter San Sewer Tee (in): 0010010000 00:00:00' Bond End DateTime: Need over width driveway permit for 30 foot wide driveway Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? ~ Wetlands? 0 Journal numbers 1: 1997-06-0142 2: 3: Comments City Engineer determined Floodplain - FEMA elevation Cert requirec Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: See above Overlay District: Floodplain Overlay # of Street Trees: 5 Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: 6 00/001000000:00:00 ' Land Use: Single Family Dwelling Pave Driveway? ~ . Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D rArea (Sq. Feet) Main: 1959 Accessory:912 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device 8% Administrative Fee - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Hood and Exhaust Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU 10,000 Cubic Feet or Less Vent Fan to One Duct Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut 2nd Driveway/Overwidth Appl Fee Encroachment Permit - Residential Total Public Works Job# 02-00443-01 I . Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 25 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2871 Paid On Receipt# Plan Check 04/17/2002 8631 Building 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 Electrical 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 Plumbing 05/09/2002 8931 06/05/2002 941 0 05/09/2002 8931 05/09/2002 8931 06/05/2002 9410 06/05/2002 9410 05/09/2002 8931 06/05/2002 9410 Mechanical 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 Public Works 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 Value/Quantity Page 3 of 4 Fee Amount 164,016 $504.99 $504.99 164,016 $776.90 $54,38 $62,15 $893.43 1 $.00 $50,00 $3,50 $4,00 $57.50 1 $,00 $31.00 $254.00 $17.78 $3,15 $14,00 $20,32 $3,60 $343.85 1 1 $9.00 $.00 $4.24 $12,00 $8.00 $18.00 $6.00 $10.00 $3.71 $70.95 1 1 3 1 180 1 1 1 $81.30 $75,00 $35,00 $120.00 $311.30 ~ . Job# 02-00443-01 I Paid On Receipt# System Development 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 05/09/2002 8931 . Page 4 of4 Value/Quantity Fee Amount Fee Residential - Single Family - Storm Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - Improvement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development 4,005 $1,093.37 1 $34.83 1 $10.00 $159.43 1 $332.86 1 $659.76 1 $155.13 24 $512.88 24 $389.76 $3,348.02 S.F, Residence - Willamalane Total Willamalane SDC Willamalane SDC 05/09/2002 8931 1 $1,000.00 $1,000.00 Planning Plan Review Total Planning Planninq 05/09/2002 8931 1 $55.00 $55.00 Address Assignment Total Permits wlo Srchg Grand Total Permits wlo Srchq 05/09/2002 8931 1 $8. 00 $8.00 $6,593.04 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Dennis Ernst 04/19/2002 05/02/2002 04/26/2002 04/23/2002 FEMA Elevation Cert required. Engineering-Res Planning-Res Structural-Res Liz Miller 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 the street, that the permit card is located at the front of the properly, and the approved set of plans will remain on the site at all times during construction. '1J?9/?J'~ of ",-lid Signature b-S.02. Date " ' . . . CITY OF SPRINGFIELD, OREGON ZZ5 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(54 I)7Z6-:~75g . FAX: (54 I)7Z6-g689 ~ ~ City Job Numb.,. ..~~ ~ Job Locatior .~ ~ Assessors Mar ..~ . ~ ~ Owner ~ < Addreso l~ ..~ ~ ~ ~~ ~ ~ ~ (!:J) ",~li > ,~ Q 5 ..~ I~ ~ ~ ~ ~ ~ ~ o ~ ~ ~ ~ City 62-00 L/L.{3,-O( f-,7l.() :TAc.oR I(OZ.~L{ II TRANS#:01-0009410 DATE:JUN 05 2002 AMT RECD:2 $ 51.75 CHANGE: CASHIER: 061 u! Tax Lot I SSOO /JJA-~ FIJS I "5 b'iZ &rt..l-;,.k~(2.e B-ACrc-NC Phonp :;'y'f- 9/g/ or2.... Zip <=;7'-(0/ Statp BAcKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee) Contractor Information Contractor J/A-{L 0." "" S'r r IC A. -!., v--.... / Addrf'oo?O e o,.c I? '77 Phon" \r\Q,.-+.7'f6 - b, Cf'lc( f) ~ '\'t-~ ~ -~~\ Cit" ~r (~ ~-t-, <=- I J State ~~J..(\ ~ 9-7'17'7 . L "-<}. / ~~'t-\ro 'Y~ ~~~ '( . Construcllon contractors Registration # _ .,('~. . ~ '\~t>.~~(;j Expires 66 SO 0 z.. ~".- o..~' _ \\~ wI.~ \lO.Y' <;~~~~~~~~~ ~~~~~. By signing this pennitlapplication, I agree tl~~~spection once the backflow prevention devise has been installed and is visible for in~t~n (726-3769). I also state that all infonnation on this pennitlapplication is correct. o",~ Il 00" 'I '0'i.~~ ,r..'(;o. ,,-v" ,,0<;\ ~'o.. ,,'-' O~e'" ",e Rl\)' _ .I;" e 'l>~e ".;.,'/:"-,,,y '--0 '? .,,-' ,..,'~ ,,'e"',IDat~'~(~ -' '-- .V' 0"'. ep v~' \V e 'v..... oo~\e -<,'(;0.0'<> 09>'(;0. ~.;;s:.e 'f;:o.o~. ~ c.'C-:,~\e'" ~e<;\\e~~\\) .;;s:.~~";'~~~e \~~~~\,C'l>\,o For:Om~~uSe\)' ~'O\'l>"~0"0'i.~~'l "#" _~,\,- _ o..\Jr _0.."4 "OI~' .....(\ _n..t')~ ,....- 01'-' '-{ol)" e crt," O~eY> ~\;I;" \<;\ Rl\)' , ~ ~ \'(;o.e. \"91 061"'\ " 0 ? \)\J ~\\~ ~,o~ 'e~\s V..J ~ C ",,'Oe rP.<;\' <;\V' V Checked for Historical Statuo Signatu~!rJ(]/i.NJ d. .:fad; ~ Date of Applicatior ~ Checked for Delinquenr':po Shared Drive (f:)IBuilding FonnslBackflow::'"_ __:':__I-02.doc