HomeMy WebLinkAboutPermit Building 2001-6-25
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225 North Fifth Street
Springfield, OR 97477
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Page 1 of 4
TRANS#:01-0005946
DATE:JUN 25 2001
AMT RECD:2 $ 5394.50
CHANGE:
CASHIER: 061
I Job# 01-00542-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00542-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6880 Glacier Dr Spr
Assessors Map#: 18020311
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 01900
Subdivision:
Town & Country Homes Inc
35920 Ellington Drive
Phone Number: 541-988-0335
City/State/Zip: Springfield, OR 97478
New Value: $197,519
Scope Of Work: Single Family Residence
541-688-1931
, "s'l'ou\O
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"nO\\\"orr;l~~; ti~O oreg~~';o\ lo(\n
p..\lE-~ ac:.o~\e, ,.,!,)1,3sa cS2'OO~'
1 \IOVl ruleS ".\e\# Of-BUllcll,ngs:\4 I^S b'l'
o . n cep ... ~h,n\.IW .....'" 1"\1 ". .
LOR "-lotilica\\O .oo~,o\Occup'ancy,Group: oDwelllng
I' ,.., 952 _,~ 'S''1\J1V \eloll""v
In O(l:p ~a" o\Heat ource: 'l'catiO"
.1' ,IOU '" " .. I~U~"'" ...\_h'
Range: 0090, 1 "1'" cerSq: Footage:/ "2707
..~""n \.,'v _..onu" - ~. ...."'AA'.
\",u.'" - \ f tHO - O...,jo.,)&.o -
To request an inspection call the 24 hour recording at 726-3769. All insp~rO~S1req'Ge\"&~ before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a,ilCivill be made the following
working day,
Contractor Type
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
SFR
Contractor
Deans Electric
P,O, Box 2585, Eugene, OR
Don Lewis Plumbing 33076
500 Greenfield Street, Eugene, OR 97404
Registration #
3819S
Expiration Date
10/1/01
Phone
541-935-5303
6/10/01
4RSE
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms:
Required Inspections
I Building I
- To be made after excavation but prior to setting forms,
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated, NOTICE:
-After forms are erected but prior to concrete placemen~ALL EXPIRE IF THE WORK
-Prior to floor insulation or decking, THIS Pt:HMII ::> ERMIT IS NOT
-Prior to decking, AUTHORIZED UNDER THIS P
-Prior to cover, ('m~~~ENCED OR IS ABANDONED FOR
. Before covering sheathing with finish materials, RIOD
- Prior to cover. ANY 180 DAY PE .
-Prior to Cover
-Prior to taping.
- When all required inspections have been approved and the building is complete,
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Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Sanitary Sewer Cap
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
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Job# 01-00542-01 I
Page 2 of4
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 Plumbinq
-Prior to insulation or decking, '
-Prior to cover or placement of concrete,
- Prior to cover,
-Prior to filling trench,
-Prior to filling trench,
-Capped within five feet of the property line and capped with an approved material as required b
-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.
-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:
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:
Special Instructions:
Other Utilities:
Project Supervisor:
San Sewer Tee (in):
0010010000:00 AM Bond End DateTime:
STORM DRAINS TO CURB VIA DRAIN TILE
Curbside - 5'
o
8
To Curb and Gutter
6
00100100 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2001-05-0118 2:
Comments:LDAP in process
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
iArea (Sq. F "~t)
I Main: 2707 AccessoryFl91
Fee
Residential Plan Check
Hourly Plan Review
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
I Job# 01-00542-01
Overlay District:
# of Street Trees:
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Page 3 of 4
Land Use:
Pave Driveway? D
3:
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Panel 1167 of 2975
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code:New SF - attached
Total:3198
Paid On Receipt#
Plan Check
OS/29/2001 5555
06/25/2001 5946
Value/Quantity
197,519
1
Buildinll
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
197,519
Electrical
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
1
5
1
Plumbing
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
1
Mechanical
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
1
1
1
4
Fee Amount
$424_78
$40_00
$464.78
$653,50
$45,75
$19,61
$718,86
$85,00
$75,00
$40,00
$14.00
$6,00
$220,00
$,00
$192,50
$13.48
$5,78
$211,76
$4,50
$2,00
$,00
$,83
$6,00
$12,00
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Job# 01-00542-01
Paid On Receipt#
Mechanical
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
1
Fee
Page 4 of 4
Value/Quantity Fee Amount
I
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
63
1
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Property Annexed 1979 or Before
Transportation SDC Reimbursement
Total System Development
System Development
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
06/25/2001 5946
26
1
2,353
34
1
1
1
1
34
S,F, Residence - Willamalane
Total Willamalane SDC
Grand Total
Willamalane SDC
06/25/2001 5946
1
Plan Check Type Checked By Date Completed
Initial Review-Res Bob Barnhart OS/29/2001
Engineering-Res Steve Templin 06/07/2001
Planning-Res Liz Miller 06/11/2001
Structural-Res Tom Marx 06/12/2001
Structural-Res Don Moore 06/21/2001
Comment
Needs to pick up LDAP
$3,00
$10,00
$1,93
$40.26
$65,00
$65,00
$-30,00
$100,00
$637,73
$549,10
$656,02
$285,91
$24,33
$10,00
$722,50
$145,89
$-122,13
$154,27
$3,063,62
$1,000,00
$1,000,00,
( $5,819,28
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-.- .'
Revised
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' set of pl~ns)vill remain on the site at all times during construction. ~
h itU-- ~~. .:' v-----/ ~ - .:? \ -() J
Sign ture () Date