HomeMy WebLinkAboutPermit Building 2002-07-16SPRINGFTELD
Job# 02-00720-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
Job Numbe r: 02-007 20-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 04600
Subdivision: Fuschia Gardens
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1864 00009th St Spr
AssessorsMap#: 17032613
Lot:7 Block: Addition
clTY oF SPRTNGF7ELD, OREGO^'
Owner: Michael Hiatt Construction
Address: PO Box 02
Scope Of Work: Single Family Residence
SFR
Phone Number:
Gity/State/Zip:
New
541-896-3747
Vida, OR 97488
ue: $95,690
ration Date
6t28t2004
10t19t2003
Contractor Type
GeneralContr
ElectricalContr
Contractor
Michael Hiatt Construction
PO Box 02, Vida, OR 97488
Chinook Electric
Phone
541-896-3747
541461-2590
PO Box 42016, Eugene,
MechanicalContr Comfort Flow Heating Co
1951 Don Street, Springfield, O
6t27t2003 541-726-0100
541 -988-0868
Dwelling
rced Air Gas
1144
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Gas
Office Use
-
Land Use: Single Family
Zoning Code: LDR
Bedrooms: 3
Range: Gas
Eugene Excavation & Plumbing lnc
PO Box 40821, Eugene, OR 97403
1 38003 3t7
To request an inspection call the 24 hour recording at726-3769.
a.m. will be made the same working day, inspections requested
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
7:00
the following
.(.
Required lnspections
Building
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation it
-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
Job*
Electrical
Temporary Power -Approval required prior to SUB energizing pole
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.
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 allgas work is complete.
-When all mechanicalwork is complete.
Public Works
Drywall
FinalBuilding
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
SW-Setback
CC-Standard
Street lmprovement:
Curb Cut?[{]
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Fully lmproved
lmprovement Agr.?
6-4
00/00/0000 00:00:00
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Setback - 5'
B
To Curb and Gutter
b
00/00/0000 00:00:00
Page2 of 4
Required lnsPecttons
Buildi
-Prior to taping.
-When all required inspections have been approved and the building is complete
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Types Of Warning Devices Reqd.
Zoning: LDR
FtoodPlain? [ Wettands? [
Overlay District:
# of Street Trees:
Job# 02-00720-01 Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? g
Journalnumbers
1:
Comments:
Planner:
Urban Growth Boundary?[ Glenwood Area? !
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: ZoneX White and LT. gral
Add itional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:Panel 1 134 ol 2975
2
Gonstruction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? ,
Area (Sq.
Main:1144 AccessoryS28
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 22
Gurrent Units: Proposed Units:1
Gensus Gode: New SF - detached
Total:1672
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
06t17t2002 9598Residential Plan Check
Total Plan Gheck
95,690 $357.53
$357.53
Building
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
07t16t2002
07t1612002
07t16t2002
9946
9946
9946
95,690 $550.05
$38.50
$44.00
$632.55
Electrical
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
0711612002
07t16t2002
07t16t2002
07t16t2002
9946
9946
9946
9946
$.00
$50.00
$3.50
$4.00
$57.50
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
07t16t2002
07t16t2002
07t16t2002
07t16t2002
9946
9946
9946
9946
$.00
$254.00
$17.78
$20.32
$292.10
Mechanical
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
07t16t2002
07t16t2002
07t16t2002
07t1612002
07t16t2002
07t16t2002
07t16t2002
07t1612002
9946
9946
9946
9946
9946
9946
9946
9946
1
1
$9.00
$4.00
$.00
$4.64
$12.00
$18.00
$9.00
$6.00
1
3
1
1
1
3:
1
1
Job# 02-00720-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
07t1612002
07t16t2002
9946
9946
$10.00
$4.06
$76.70
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
0711612002
07t1612002
07116t2002
9946
9946
9946
35
1
1
$75.00
$75.00
$-30.00
$120.00
Residential - Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - I mprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
System Development
]
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07t16t2002 9946
07116t2002 9946
3,411
1
1
1
1
1
24
24
$931.20
$34.83
$10.00
$151.32
$332.86
$659.76
$1ss.13
$512.88
$389.76
$3,177.74
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
07t16t2002 9946 1 $1,000.00
$1,000.00
Planning
07t16t2002 9946Planning Plan Review
Total Planning
$55.00
$s5.00
Address Assignment
Total Permits Wo Srchg
Permits w/o Srchg
07116t2002 9946 $8.00
$8.00
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 0611812002
Engineering-Res Denny Wright 0612912002
Planning-Res Liz Miller 0612612002
Structural-Res Don Moore 0612812002
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
of plans will remain on the site at alltimes during construction
$5,777.12
approved
-'2.Czt6oz
1
1
PERMIT
FEE
Multi-Family per drvelling unit.
Service Included:
Items Cost
o
DES ON
Permits are non-transferable and expire
if rvork is not:started within 180 days
work is suspended for
2 On n rsf aI-LATION ON.l,&B
Address
City
Supervising Ele
OWNER
The
I olvn.
for sale, lease or rent.
)S
r8\u
, ORE GON 97rl
ob N
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mamrfd Horne or
;,. 201 amps to
$ r 06.00
$ r 9.00
$ 50.00
40i amps
nratro
601
D. Branch
Nerv or Extension
0r
Sign/Outline Ligltting
Limited Energ.v/Res
Limited Energv/Comm
1
,I. SUBTOTAL OF ABOVE
77o State Surchrtrge
870 Administrative Fee
$5o.oo _
s45.00
fi)
r)o
E not inclu
Nlinimum Electric Permit Inspection Fee is S-15'00 * Surcharges
I
'hong
TOTAL 5).s)
of issuance
180 days.
Supen'isor
Installution,
Relocation:
"B" aborre
rvith
LEG DES ON
Multi-Family per drvelling unit.
Included:
or less
Items Cost
$ 106.00
$ 50.00
t3
JOB DESCRIPTI
0,/l e€
Permits a
if work is
of issuance
180 days.
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feedar\o
,oeF\Y"*irN ,
1
work is suspended for
TALLATION ONLY B. Senices or I'eeders
aOU ppp$
201 amps
Superv ising Electrician
Electrical
Address
ration Date
c.t b te0
7Vo Sttfie Surcharge
8%o Administrative Fee
TOTAL
4
-0
Zontng
amps
amps/volts
Only
Sum
-L$leooiE
$$ 63.00
$ 75.00
$ 125.00c;a tu?pw-
Supen.isor License Nunber
Expiration
Constr Contr.
Orvners
C. Temporar-v Services or Feetlers :.
Installation, Alteration or Relocation
$ I63.00
$37s.00
$ 50.00
$s0.00
,$100.00
City |,tt/q ' ,' pnon* 7,r2
OWNER INSTALLATION
The installation is being made on
propert-y I olvn which is not intended
for sale, lease or rent.
Oryncrs Signature:
E. I\Iiscellaneous (Serrice/l'eeder not includetl)
-Each installation
Prrurp or irrigation $50.00
Sign/Outline Lighting $50.00
Limited Energv,&.es $25.00
Limited Energv-/Comm $+5.00
Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or u'ith Service
or Feeder Permit $ 3.00 _
I\'Iinimum Electric Permit Inspection Fec is SJ5.00 * Surcharges
t{1-10-or _llsL
Mte