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HomeMy WebLinkAboutPermit Building 2001-6-25 . 225 North Fifth Street Springfield, OR 97477 . . 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 .. rfl(.\l\{'" . I~;\\\" "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, . 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 . . 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 . 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: . 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 . . . 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 , -.- .' 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