HomeMy WebLinkAboutPermit Building 2002-06-116PRINGFIELD
Job# 02-00581-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 02-00581-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04700
Subdivision:
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3910 E 00017th Ave Eug
AssessorsMap#: 17033443
Lot: Block: Addition:
h4deq,'
CITY OF SPRING,F|ELD, OREGON
Owner: Kevin OReilly
Address: 3910 E 17th Ave
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
Alteration
541-988-4375
Eugene, OR 97403
Value: $16,547
lnterior 2nd floor remodel & garage conversion.
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Kevin OReilly
3910 E 17th Ave, Eugene, OR 97403
Kevin OReilly
3910 E 17th Ave, Eugene, OR 97403
Ambassador Piping lnc
Po Box 70737, Eugene, OR 97401
Kevin OReilly
3910 E 17th Ave, Eugene,oR 97403
Office Use
5RSW Land Use: Single
Zoning Code: LDR
Bedrooms:
Range: Gas
Date Phone
541-9884375
541-988-4375
541-726-5723
541-988-4375
ling
Dwelling
(VN) Wood Frame
Gas
To request an inspection call the 24 hour
a.m. will be made the same working day,
working day
Floor lnsulation
Ceiling lnsulation
Framing
Wall lnsulation
Drywall
FinalBuilding
Buildinq
-Prior to decking
-Prior to cover.
-Prior to cover.
-Prior to Cover
-Prior to taping.
-When all required inspections have been approved and the building is complete.
Plumbing
#;
Rough Plumbing -Prior to cover.
Registration #
\%
s
12
Required lnspections
# Of Buildings:1
p\$
6L)J...(J ^q
Shower Pan
FinalPlumbing
Rough Gas
Rough Mechanical
FinalGas
FinalMechanica!
Zoning: LDR
FtoodPtain? [ Wetlands? [
Journalnumbers,l: 2:
Comments:
Job# 02-00581-01
Required lnspections
Plumbing
-When all plumbing work is complete.
Mechanical
-After line is installed and capped if not attached to an appliance.
-Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
Page 2 of 3
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Panel 1 141 ot2975
3
Planner:
Urban Growth Boundary?[ Glenwood Area? [
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X Lt. Gray
Add itional Requirements
Required Attachments:
Source Locn:
Materia!:
Flood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: I
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Accessory:
# Of Stories: 2 Height (feet): 23
Current Units:1 Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Additional Plan Check
Total Plan Gheck
05t16t2002
06t11t2002
91 08
9509
12,000
25
$79.95
$25.35
$10s.30
B
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
06t11t2002
06111t2002
06t1112002
9509
9509
9509
16,547 $162.00
$11.34
$12.96
$r86.30
Electrical
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
06t1112002
06t11t2002
06t1112002
06t11t2002
9509
9509
9509
9509
2
$.00
$46.00
$3.22
$3.68
$52.90
Plumbing
Minimum Plumbing Permit Fee 06t1112002 9509 $.00
Main:
Job# 02-00581-01 Page 3 of 3
Paid On Receipt# Value/Quantity Fee Amount
Plum
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
TotalPlumbing
06t1112002
06111t2002
06t1112002
9509
9509
9509
4 $56.00
$3.92
$4.48
$64.40
Mechanical
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
ApplianceVent (Not Covered in Schedule
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
06t11t2002
06t11t2002
06t1112002
06t11t2002
06t11t2002
06t11t2002
06t11t2002
9509
9509
9509
9509
9509
9509
9509
1 $4.00
$26.00
$3.60
$6.00
$9.00
$10.00
$3.1 5
$61.7s
1
1
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
l/^Q
Checked By
Lisa Hopper
Denny Wright
Liz Miller
Don Moore
Date Completed
05117t2002
05t30t2002
05t29t2002
06t05t2002
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project 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
d construction.
$470.65
Gomment
This property is in the UGB. They are
remodeling the existing 2nd floor, no new
impervious area being added. No SDC
charges.
This is a one-bedroom home. Smoke alarms
are to be installed accordingly.
Io O a--
Date
G
Fee
Signatureu (
LEGAL DESCRIPTIONl1D9'3LtL{3 O\7Oo
Multi-Family per drvelling unit.
Service Included:
Items Cost
$ r06.00
$ 19.00
d Horne or
$ 50.00
if r,vork
JOB ESCRTPTION
dt\
Permits are non-transferable
is not stzrrted rvithin ?oning
LL
*r *tr(
. q37f
i80 days
susperyffid
Authorized Signature Service or Feeder
ALLATION ONLY B. Services or Feeders
Installation,
Relocation:
200 amps or
201 amps to
401 amps
1 amps
er-r'ising Electrician
Address
Supewi
tion Date
'8,
E
D. Branch
{. SUBTOTALOFABOVE
7olo Stltte Surchttrgc
8 %o Atlministrativc Fcc
$+5.00
cction Fee is SJ5.00 * Surchirrges
4b6
TOTAL 5 ??o
225 FIFTH STREET
SPRI NGFIELD. OREGON 97+77
INSPECTION REQUEST : 726-31 69
oFFicE. 726-3759
ELE C,, JCAL PERM]T APPLICATION
city Job *u-n"r 0'2 {OS ' l
180 days.
Electrical Contrnctor
'Constr Contr.
OWNER INSTALLATTON
Thc instlllation is bcing tttltclc on
properfv* I olvn rvltich is not intended
lor slle. Ieasc or rent.
Orl lre rs Signuture:
':5
:,_
C. Temporary'
or
amps
or 1000 volts see
Panel
I
VL
3ZZ