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Home My WebLink AboutPermit Building 2000-12-05Job#00-0 1 Page 1 of4 TBi1ruS# : 01- ACA].ai?* -. _ nATi:Dff rE :n*rfil,I Etf,0:t $ 4JSl,:j$ Il-lAi,i,lE: Tfif;HITfi;fi57RESIDENTIAL PERMIT CiW Of Springfietd Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6684 Simeon Dr Spr AssessorsMap#: 17023411 Lot: 32 Block: Addition: First Job Number: OO-O1 655-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02000 Subdivision : Levi Landing Owner: Dennis Minium Address: 8745 Thurston Road Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8495 Springfield, OR 97478 Value: $108,513 Has been rerouted as original house did not fit on lot a plan had wrong dimensions Contractor Type Electrical Contr Mechanical Contr Plumbing Contr Contractor Registration # Expiration Date Antone Electric 27514 Snyder Road, Junction City, OR 97448 Marshalls lnc 25790 12t23t2001 4110 Olympic St, Springfield, OR 97478-5620 Don Lewis Plumbing 33076 611012001 500 Greenfield Street, Eugene, OR 97404 Phone 541-688-4444 541-747-7445 541 -688-1 931 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN)Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat So urce: Forced Air Gas 1431 To request an inspection call the 24 hour recording at726-3769. AII 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 Verify Ground Rod Footing Foundation Post and Beam Floor lnsutation Ceiling lnsulation Shear Wall Nailing Framing Wall lnsulation Drywall -lnstallground.#pectioninconjuctionwithfootingand/orfoundationi -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. CITY OF OREGON 100-0 1655-0 Req uired lnspections Page 2 of 4 Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00 AM Final Buitding Verify Ground Rod Rough Electrical Electrical Service Final Electrical -When att required inspections have been approved and the buitding is comptete.t-Electrical -Prior to cover -lnstallground rod at footing, and call for inspection in conjuction with footing and/orfoundation i -.t!_ust be approved to obtain permanent power, -When all electrical work is complete. Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanica! Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut SW-Curbside Street lmprovement: Fully lmproved Curb Cut?lmprovement Agr.?[ San Sewer Depth (Ft): 6 - 4 Storm Sewer Availabte? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: - Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. pressure ter-When allgas work is complete. -When all mechanicalwork is complete. Plumbing -Prior to insulation or d ecking. - 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 Mechanical -After forms are ereceted 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: Types Of Warning Devices Reqd. Public Works l Job#00-0 1 655-0 1Zoning: LDR Floodptain? ! Weflands? Journalnumbers Planner: Liz Miller Urban GroMh Boundary? Quantity Of Fitt: Supplier: Drainage: Overlay District: # of Street Trees: page 3 of4 Land Use: Single Family Dwelling Pave Driyeway? n2 1: 2: 3: comments:LDAp not needed on this area of Levi Landing per Jim Donovan tr Gtenwood Area? [ Additional Requirements: Required Attachments: Source Locn: Material: Floodway FEMA: Panet 1 166 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? f (sq. Main: 1431 Accessory#83 Flood Plain FEMA:Zone X lt. gray Accessory Structure # Of Stories: 1 Height (feet): 1t Current Units:0 proposed Units:1 Census Code: New SF - attached Total:1914 Fee Paid On Receipt#Value/Quantity Fee Amount Plan Check Residential Plan Check Residential Plan Check Total Plan Check 11t09t2000 12t05t2000 3757 3970 107,983 530 $293.1s $1.36 $294.s1 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 12t05t2000 12t05t2000 12t05t2000 3970 3970 3970 108,513 $453.25 $31.73 $13.60 $498.58 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 12t05t2000 1210512000 1210512000 12t0512000 3970 3970 3970 3970 1 2 $85.00 $30.00 $8.05 $3.45 $126.50 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbing 12t05t2000 1210512000 1210512000 12105t2000 3970 3970 3970 3970 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent 1210512000 12t0512000 12t05t2000 1210512000 1210512000 12t05t2000 12t0512000 3970 3970 3970 3970 3970 3970 3970 1 1 $4.50 $2.00 $.00 $.74 $6.00 $9.00 $3.00 1 3 1 Job#00-0 1 655-01Fee Mechanical lssuance State Surcharge - Mechanical TotalMechanical Page 4 of4Paid On 12/0s/2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 12t05t2000 11t13t2000 11t28t2000 11t28t2000 11t27t2000 Value/euan Fee Amount $10.00 $1.72 $36.96 $60.00 $60.00 $120.00 Rece 3970 3970 New Sidewalk New Curbcut Total Public Works Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC MWMC Administrative Fee SDC Administrative Fee Total System Devetopment lnitial Review-Res Engineering-Res Planning-Res Structural-Res 3970 3970 62 1 3970 3970 3970 3970 3970 3970 $506.40 $997.20 $507.82 $28s.91 $10.00 $1 15.37 $2,422.70 2,110 20 1 1 1 Willamalane SDC S.F. Residence - Willamalane TotalWillamalane SDC 12t05t2000 3970 Grand Total Plan Gheck Type Checked By Date Completed Comment $1,000.00 $1,000.00 $4,675.25 Wendy Stanley Steve Templin Liz Miller Don Moore 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 inat any and all work performed shall be done in accordance with the Ordinances of the City of SpringfielO and tne 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 approved set of plans will remain on the site at all times during construction. Signature Date btPu tc Works Deve 1 t lNillamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET Job. No. 00-qep54l -l NAME:Dp,^^^r-- fil^fu ADDRESS: 3 Z LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat 1. DEVELOPMENT TYPE ype delinitions are on the A. Single-Family Detached L Single Family home _ Tax Lot Number:aNyu (check appropriate dwelling(s). sDC calcttlations and dwelling t back.) PHONE STATE: elqs !tr zrP: qt4>8 NO. OF UNITS X $1,000 Per unit = $lo B. Single-Family Attached C. Multi-Family APartment D. Manufactured Home Park NO- OF UNITS X $699 Per unlt WILLAMALANE SDC $ 2. SDC CREDIT (u appticaole) SDCAayermust-(umlsh proof ol Willamalane Credit approval' see CbC Credit WoksheeL $ 3. TOTAL WTLLAMALANE NET SDC ASSESSED $(t SDC reduced lor Credit) g _t, Date Manutactured home not in a Park 00, @ =$ =$ =$ oA City o( Depa(ment vq-T Itt t OREGONC'TY OF app(oval SPF|TNGFIELE, EI,ECTRICAL PERHIT APPTICATION Job Nunber 0O -O 1655:o I COHPI,ETE FEE SCEEDI'IIE BELOU Nev Residential-Single or HuIti-FamiIY Per dvelling unit' Service Included, ,a"rs Cost 225 FIYTE SIT.EET SPRrNGFrEL,D, OREGON 97 INSPECf,ION REQ(IEST: 7 0FFICE: 726-3759 4 Zoning 12-.J - dlD Authorized Signature 1 LOCATION OF 5 INSTALI..ATI C 3 A6egAl I.,EGAL DESCRIFIION t?o ]4 !t oao oo JOB DESCRIPTION ? 180 daYs - 2. CONTRAOTOR INSTALLATION ONLY Electrical Contractor Address Ci tY C Phone I frg l'.l'/'/ Supervisor License Number Expiration Date,TemoorarY Services or Feeders -illilii"ir";' eriur"tion or Relocation Services or Feeders Installation, Alterations or Relocation: 200 amPs or less 201 amPs to 400 amps - 401" amPs to 600 amPs - 601 ambs to 1000 gmPs- 0ver 1b00 amPs/volts - Reconnect OnIY SUBTOTAL OF ABOVE 77, State Surcharge 3'i aJministrative Fee TOTAL ^-&s 8s.00 u 5. t g ts.oo il: s 40.00 $ so.oo $ 60.00 s100.00 s130.00 $3oo.0o $ 40.00 a56vE- $ 2.00 er not included) Sum Permits are non-transferable and expire ii-"o.r. is not started vithin 180 days of issuance or rf vork is suspended for 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf 'd Ilome or Hodular Dvelling Service or Feeder B c Constr Contr' Number Expiration Date Signa of SuPerv I Elee cian 200 amps''or less $ 40'00 ;6i il;; i. aoo amPs - $ ::'oo 6;:.15i io ooo ;;; -- $ 8o'oo 0ver 600 .,p" o'-i6OO-uoIT= see "B" Branch CircuitsD Ovner Name Nev, Alteration or Extension Per Panel $ 35.00C*-"1Address€84 5:rn LAv\-One Circuit Each Additional-ti;.;ii or vith Service or Feeder Permit -Hiscellaneous (Service/ f eed -ei"t, installation Pu,no or irrigation ii"lzoutrine Lighting- Llilit.a EnergY/Res --=- iimited EnergY/Comm Phone ?{+-8'el?5 OVNER INSTALLATION rhe ins talIat ionnilnoil'f,"T"ti,3lu"u DroDerty I ovn v !"t'.rrl, lease or rent' 0sners Signature: Ci tY DATE: E $ 40.00 $ 40.00 s 20.00 s 36.00 5 RECEIVED tt5 & 3 rto Ls {1 L,C la BI