HomeMy WebLinkAboutPermit Building 2002-6-5
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I Job# 02-00588-01 1
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SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00588-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6653 Jacobs Ln Spr
Assessors Map#: 17023411
Lot: 109 Block: Addition: 2nd
Tax Lot #: 14300
Subdivision: Levi Landing
Owner:
Address:
Bruce Wiechert Custom Homes Inc
Phone Number: 541-686-9458
3375 Park Hills Dr
City/State/Zip:
New
Eugene, OR 97405-5515
Value: $118,568
Scope Of Work: Single Family Residence
Registration # Expiration Date # requP.horiiiU to
1 01717 A1IEI9T16i2b02e\~~~~ IhE541~68'6"'-9i~~Yrth .'
tolloW r.ules a(j~~r. ThOse rules a~ ;5~.001" . '.-'
Notitica~~n ~~~ -001? \hrOU~~ ~ttt-.e rules bY.' ,
26624 in OAR 6/1b/2003btaln cOP'541-688,.B7:20e
0090i~~;t~;~;nter. ~Not~~~~~~ N';titication
ca \ . _.""Oregon , ^")
00460 .,urn6127/2003.s 1_Rnn-::l541~726-01 00
centen
Contractor Type
General Contr
Contractor
Bruce Wiechert Custom Homes Inc
3375 Park Hills Dr, Eugene. OR
97405-5515
Stoppani Electric
987 Fayette, Eugene, OR 97402
Comfort Flow Heating Co
1951 Don Street, Springfield. OR 97477
Steves Plumbing
PO Box 70553, Eugene. OR 97401
Electrical Contr
Mechanical Contr
Plumbing Contr
541-342-3765
65065
3/12/2004
nutltt: EXPIRl: It InL w3rt,
Office Use TKIS PERMIT SHALL PERMIT IS NOT
Land Use: Single F~~~ U~1t\~NOOE~ fOR
Zoning Code: LOR COMMENCED ~~~~~y"'~roup: Dwelling
Bedrooms: 3 ANY 180 DAY Pi&\~Qource: Forced Air Gas
Range: Gas Sq. Footage: 1468
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RNE
1
(VN) Wood Frame
Gas
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or:f9undation ir
-After trenches are excavated. ~
'-After forms are erected but prior to concrete placement. AJ ",,:;cj
- Prior to floor insulation or decking. [;J ~ ~
- Prior to decking. ';? C':' ~
. Prior to cover. g N ~ 0
- Before covering sheathing with finish materials. !:f1 ... z .,..
- Prior to cover. Fri ~ ~ ~ :5
;:0 ::D f'..J a
.. ::z:: -.J r'..3."'O
OQ- O~
1-'-1TICQ 0 I-..l.
/-..I... ~"".JGJ
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/0010000 00:00:00'
Special Instructions:
Other Utilities:
Project Supervisor:
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 Mechanical
SW.curbside
CC-Overwidth
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Page 2 of 5
I Job# 02-00588-01 I
Required Inspections
Building
- 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.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all mechanical work is complete.
I Public Works 1
-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:
Curbside - 5'
D
8
To Curb and Gutter
6
001001000000:00:00.
Types Of Warning Devices Reqd.
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I Job# 02-00588-01 I
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Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 1997-06-0142 2: 2002-05-0142 3:
Comments:Cily Engineer Determined Flood Plain - FEMA Elevation Cert. requirE
Overlay District: Floodplain Overlay
# of Street Trees: 3
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Planner: Jim Donovan
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See Above
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1468 Accessory~62
Fee
Residential Plan Check
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
Two Bathrooms
State Surcharge. Plumbing
8% Administrative Fee. Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100.000 BTU
Vent Fan to One Duct
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:1
Census Code: New SF - detached
Total :1930
r
Paid On Receipt#
Plan Check
05/20/2002 9140
118,568
$407.81
$407.81
Value/Quantity
Fee Amount
Building
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
118.568
$627.40
$43.92
$50.19
$721.51
Electrical
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
1
2
1
$.00
$106.00
$38.00
$50.00
$13.58
$15.52
$223.10
Plumbinll
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
1
$.00
$254.00
$17.78
$20.32
$292.10
Mechanical
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
06/05/2002 9413
1
1
$9.00
$4.00
$.00
$3.92
$12.00
$18.00
1
3
.
Fee
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
2nd Driveway/Overwidth Appl Fee
Multiple Permit Discount - 2nd Permit
Total Public Works
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
S.F. Residence. Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Engineering-Res
Planning-Res
Structural-Res
Denny Wright
Liz Miller
Don Moore
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Job# 02-00588-01 Page 4 of 5
Paid On Receipt# Value/Quantity Fee Amount
Mechanical
06/05/2002 9413 1 $6.00
06/05/2002 9413 $10.00
06/05/2002 9413 $3.43
$66.35
Public Works
06/05/2002 9413 110 $76.40
06/05/2002 9413 1 $75.00
OS/20/2002 9181 1 $35.00
06/05/2002 9413 1 $-30.00
$156.40
System Development
06/05/2002 9413 3,134 $855.58
06/05/2002 9413 1 $34.83
06/05/2002 9413 1 $10.00
06/05/2002 9413 $140.02
06/05/2002 9413 1 $332.86
06/05/2002 9413 1 $659.76
06/05/2002 9413 1 $155.13
06/05/2002 9413 20 $427.40
06/05/2002 9413 20 $324,80
$2,940.38
r Willamalane SDC
06/05/2002 9413 1 $1,000.00
$1,000.00
Planning
06/05/2002 9413 1 $55.00
$55.00
Permits w/o Srch!l
06/05/2002 9413 1 $8.00
$8.00
$5,870.65
Date Completed
Comment
05/21/2002
Assumption for heat source is gas because of
the gas fireplace shown on the floor plan. If
heat source Is other than forced air gas. please
change on heat source prior to issuance.
05/31/2002
05/30/2002
06/03/2002
Needs to pick up LDAP
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I Job# 02-00588-01 I Page 5 of 5
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 Communi Services Division. Building Safety. I further
certify that only contractors and employees w re' compliance with ORS 701.055 will be used on
this project.
I further agree tOrn ure that all requir Inspe Ions are requested at the proper time, that each
ad, dr~s~'s r. adabl rom1:h street at the permit card is located at the front of the property, and the In
arro d t of pi ns will ain n the site at all times during construction.
\ /J r; 5 /'\ L----
Signi'ture V vll . tel '-'
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Job: 02-00588-01
Address: 6653 Jacobs Ln
Owner: Bruce Wiechert Custom Homes Inc
Received: 5/20/2002
Unit: BLOG:
FEE DETAILS
Fees
Building
Subtotal
Building Permit Fees
Building Permit
Value/Quantity
118,568.00
SubTotal
Administrative Fee
Building Administrative Fee
8% Building Administrative Fee
SubTotal
Surcharge
Building Surcharge
State Surcharge For Building Permit
SubTotal
Total for Building
Electrical
Subtotal
Residential Per Unit Service Included
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary Service or Feeder
Temporary: 200 Amps or Less
Minimum Permit Fee
Minimum Electrical Permit Fee
SubTotal
1.00
2.00
1.00
Administrative Fee
Electric Administrative Fee
8% Admin Fee - Electrical
SubTotal
Surcharge
Electric Surcharge
State Surcharge - Electrical
SubTotal
Total for Electrical
Page 1 of 5
FLR:
Amount Due
627.40
627.40
50,19
50.19
43.92
43.92
721.51
106,00
38.00
50,00
194.00
15.52
15.52
13.58
13.58
223.10
Amount Paid
;41-1
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
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Job: 02-00588-01
Address: 6653 Jacobs Ln
Owner: Bruce Wiechert Custom Homes Inc
Received: 5/20/2002
Unit: BLOG:
FLR:
FEE DETAILS
Fees Value/Quantity Amount Due Amount Paid
Mechanical
Subtotal
HVAC new or replace
Less than 100,000 BTU 1.00 12,00
Vents
Hood and Exhaust 1,00 9.00
Vent Fan to One Duct 3.00 18.00
Dryer Vent 1.00 6.00
Gas Piping System
One to Four Outlets 1.00 4.00
Minimum Mechanical Permit Fee
Minimum Mechanical Permit
Mechanical Issuance Fee
Mechanical Issuance 10,00
SubTotal 1-'(\ 59.00 0.00
Administrative Fee
Mechanical Admin
8% Administrative Fee - Mechanical 3.92
SubTotal 3.92 0.00
Surcharge
Mechanical Surcharge
State Surcharge. Mechanical 3.43
SubTotal 3.43 0.00
Total for Mechanical 66.35 0.00
Permits w/o Srchg
Subtotal
Permit without Surcharge or Admin
Address Assignment 1.00 8,00
SubTotal 8.00 0.00
Total for Permits w/o Srchg 8.00 0.00
Page 2 of 5
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Job: 02-00588-01
Address: 6653 Jacobs Ln
Owner: Bruce Wiechert Custom Homes Inc
Received: 5/20/2002
Unit: BLOG:
FLR:
FEE DETAILS
Fees Value/Quantity Amount Due Amount Paid
Plan Check
Subtotal
Building Plan Check Fees
Residential Plan Check 118,568.00 407,81
SubTotal 0.00 407.81
Total for Plan Check 0.00 407.81
Planning
Subtotal
Planning Fees
Planning Plan Review 1.00 55.00
SubTotal 55.00 0.00
Total for Planning 55.00 0,00
Plumbing
Subtotal
New 1 or 2 Family Dwelling
Two Bathrooms 1.00 254.00
Minimum Permit Fee
Minimum Plumbing Permit Fee
SubTotal 254.00 0.00
Administrative Fee
Plumbing Administrative Fee
8% Administrative Fee - Plumbing 20,32
SubTotal 20.32 0.00
Surcharge
Plumbing Surcharge
State Surcharge - Plumbing 17.78
SubTotal 17.78 0.00
Total for Plumbing 292.10 0.00
Public Works
Subtotal
Public Works Permil
New Sidewalk 110.00 76.40
New Curbcut 1.00 75.00
Page 3 of 5
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Job: 02-00588.01
Address: 6653 Jacobs Ln
Owner: Bruce Wiechert Custom Homes Inc
Received: 5/20/2002
Unit: BLDG:
FEE DETAILS
Fees
Public Works
Subtotal
Public Works Permit
2nd Driveway/Overwidth Appl Fee
Multiple Permit Discount - 2nd Permit
SubTotal
Total for Public Works
Value/Quantity
FLR:
Amount Due
Amount Paid
1,00 35,00
1.00 -30.00
121.40 35.00
121.40 35.00
System Development
Subtotal
SDC . Storm Sewer
Residential - Single Family - Storm
SOC. Sanitary Sewer
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
SOC. Transportation
Residential - Reimbursement
Residential - Improvement
MWMC
3,134.00
20.00
20.00
1.00
1.00
Residential Improvement MWMC
Residential Sanitary MWMC
MWMC Administrative Fee
MWMC Administraiive Fee
System Development Admin Charges
SDC Administrative Fee
1.00
1.00
1,00
SubTotal
Total for System Development
Willamalane SDC
Subtotal
Willamalane Park and Recreation SDC
S.F. Residence - Willamalane 1,00
SubTotal
Total for Willamalane SDC
Grand Total:
Page 4 of 5
855.58
427.40
324,80
155,13
659.76
34,83
332.86
10.00
140.02
2,940.38 0.00
2,940.38 0.00
1,000.00
1,000.00
1,000.00
5,427.84
0.00
0.00
442.81
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Job: 02-00588-01
Address: 6653 Jacobs Ln
Owner: Bruce Wiechert Custom Homes Inc
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Received: 5/20/2002
Unit: BLDG:
Page 5 of 5
FLR:
III \ \ll't-.)<ll'rI<1.\ 6r leLlJ
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~;~G~~~GON 97477 .,~~~"
INSPECI10N REQUEST: 726-376~'" 0'<
OFFICE: 726-3759 rI> '/."" 0~ ('
',,<:' bO C
0"" 0 . .
I. LOCATION OF ~S N <'< O~<,~
'. ~S-?' J.r1 ~"" ,0
~"'A' (:oo~.:s
LEGAL DESCRIPTION ft'~
..LZ/JZ 34// ....:l j ,,'/,,1,0 ,
JOB DESCRIP~O,N ~ a::.tq?{)
_ ,,):.F"-#~l"'\ \'___~
Penni1.9 are non-1r.IIlSferablc and e"Pire
if worl< is not started within 180 days
of issuance or if worl< is suspended for
180 days.
U<>" U~.. U~
"!"lili 1 j: U~ t.il a.a 7 ~tsJb~~
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2. CONTRACl'OIUNST AI.LA TION ONLY
Elootrical Contructor. S'7V1"'1"tfN'/ C/F(E .
Address qE 7 ~4c... C(f,V .
City,_.~!/-.Ll-~<:Phono t,f,f -rf? .20
SupeIVisor Liocnse Number ,1.900..('_
ExpiratiollDalt: 10-( -o~ ,_
ConstrCorur. Number k -1q'';L~.
ExpirationDale '/0 -(-0'2....._
SigIUlture of Supervising Electridan
fa;; 1!:JCU-u '
OwnersName~~M? ,~
Address :s 3 7.r /M~4d
City ;;A4G1f.jJ:'_l'bOn~.L. ;",;v,2-
b@?--Jd!.s-g
OWNER INSTALLATION
The installation is being made on
property I own which is not inteJ1ded
for sale. lease or rent.
Ownen Signature:
~~ ::b
\o{)
C!.ERMIT APPUCATlOS
TRANS#~01'0009413
Job Number t) 2 -:005'" ~~TE?'{id( 05 2002
AMT RECD:2 $ 5427.84
CHANGE:
CASHIER: 011
A. New RDideadal-SiD&le or
Mulli-Fllmily per dWe!Iia& unit.
Sonic. .IJI<iudo:d:
Items Cosr Sum
1000 $(j.fl. or loss
Each additional 500
sq. ft or PortiOll
tlu:reof
Each Manufd Home or
Modular Dwelling
Service or Feeder
...l.. 5106.00 J.Q!.o ~
~ 5 19.00 ~,cP
5 SO.OO
B. Services Or FEeders
InnallalioD, Altention, or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amp$
Over 1000 amps/volts .
Reconnect Only
S 63.00_
$ 7S.oo_
5125.00
$163.00
5375.00
$ 50.00
c. Temporary Servic.. or F cede...
IastallalioD, Altentiou or RelucatioD
,-1. $50.00 :;J),ciJ
569.00
5100.00
200 amps 01 Ie..
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
lOB" above
D. Bruch Circuit>
New Alleratioo or Extension Per Panel
One Circuit S43.oo
Each AddiliOIlo1l Circuit or with Service
or Feeder Permit S 3.00
E. MisuJlaneolU (Servicrlfccdcr not iDcludcd)
-Each installation
Pump or irri~ation
SignIOutlilll: Lighring
Limited EuergylRes
Limited blcrgy/Comm
550.00
$50.00
525.00
$45.00
Millimwn EI<<tric Permit In.pecLiOD Fee i. $45.00 +
SW'chargC$
4. SUll'rOT AL OF ABOVE \q:\, (j)
7% Slllte Sur<harge l'1..'
8% Adminlitralive Fee :;) :05^
\~, 't.,
TOTAl, '2'2.~.\D