HomeMy WebLinkAboutPermit Building 2001-04-03SPRINGFIELD
Job# 01-00159-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 4
Job Number: 0'1 -001 59-01
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2064 00008th St Spr
AssessorsMap#: 17032613
Lot:4 Block: Addition:1
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 00700
Subdivision: Mimosa
ctTY oF sPRhtGFtELq OREaON
Owner: Allen Colburn
Address: 1178 Echo Hollow
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
541-51 7-3535
Eugene, OR 97402
Value: $113,568
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
Colburn Homes lnc
1178 Echo Hollow Rd, Eugene, OR
97402-1328
Rose Corporation
89976 Day Ln, Eugene, OR 97402-9415
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Fridlund Plumbing
X, Eugene, OR 97407
54431 9/30/00
Registration #
B7B3
Expiration Date
5121101
Phone
541 -689-6370
s41-686-0905
541-747-7445
541-746-9433
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Gas
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1487
To request an inspection call the 24 hour recording at726-3769. All 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 lnspections
Build
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor !nsulation
Ceiling lnsulation
Shear Wall Nailing
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking. ,i
-Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
rtior
Job# 01-00159-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
State Surcharge - Mechanical
Total Mechanical
0410312001 4832 $2.03
$41.90
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
0410312001
04t03t2001
04t03t2001
4832
4832
4832
1
1
1
$65.00
$65.00
$-30.00
$100.00
System Development
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Transportation SDC Reimbursement
Total System Development
04t03t2001
04103t2001
04t03t2001
04t0312001
04t03t2001
04t03t2001
0410312001
0410312001
04t0312001
2,855
21
1
1
1
1
21
$773.57
$446.25
$154.27
$285.91
$24.33
$10.00
$339.15
$134.48
$656.02
$2,823.98
4832
4832
4832
4832
4832
4832
4832
4832
4832 1
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
0410312001 4832 1 $1,000.00
$1,000.00
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitialReview-Res Lisa Hopper 0212612001
Engineering-Res Steve Templin 0212812001
Planning-Res Ruth Klein 0212812001
Structural-Res Tom Max 0310112001
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 allwork
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
approved set of plans will remain on the site at all times during construction.
!
$4,998.77
{- s -o/
Date
Framing
Walllnsulation
Drywall
FinalBuilding
Temporary Power
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
FinalMechanica!
SW-Curbside
CC-Standard
Street lmprovement: Fully lmproved
Curb Cut?f lmprovement Agr.?
San Sewer Depth (Ft): 6 - 4
Storm Sewer Avaitable? f
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/00 00:00 AM
Special lnstructions:
Other Utitities:
Project Supervisor:
Job# 01-00159-01 Page 2 oI 4
Required lnspections
Building
- Prior to cover.
-Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole
-Priortoinsrlatio#
- 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
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-When all gas work is complete.
-When all mechanicalwork is complete.
Public Works
-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:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
B
To Curb and Gutter
4
00/00/00 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? !
Journal numbers
1: 2;
Gomments:
Planner: Ruth Klein
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:2
3
Additional Requirements :
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Job# 01-00159-01 Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? g
Glenwood Area? [
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? [
(Sq. Feet)
Main: 1487 Accessory546
Accessory Structure
# Of Stories: 1 Height (feet): 1B
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2033
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
0212312001 0004539 1 13,568 $301.e3
$301.93
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0410312001
04t03t2001
04t03t2001
4832
4832
4832
1 13,568 $464.s0
$32.52
$13.94
$510.96
Electrical
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
04t03t2001
04t03t2001
04t03t2001
4832
4832
4832
$40.00
$2.80
$1.20
$44.00
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
0410312001
04t03t2001
04t03t2001
04t0312001
4832
4832
4832
4832
1
$.00
$160.00
$11.20
$4.80
$176.00
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical lssuance
Mechanical
4832
4832
4832
4832
4832
4832
4832
4832
4832
04t03t2001
04t0312001
04t0312001
0410312001
0410312001
0410312001
0410312001
04t0312001
04t0312001
1
1
$4.s0
$2.00
$.00
$.87
$6.00
$9.00
$4.50
$3.00
$10.00
1
3
1
1
1
€$
I
Willamalane
Job. No.- 6D lsl-41Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:5 n. bsvs-
ADDRESS:llTg ?-aj"t{a,, ) P=r*l STATE: &ZIP: q 140Z
LOCATION OF PROPOSED BUILDING SITE:
Street Address:&.0 8t*
Plat Name: )Y(i,,n c-,,-_ Tax Lot Numb er: llol- Jl" t7 0''a I o-t)
1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on lhe back.)
A. Sinqle-Family Detached
I{ Single Family home Manufactured home not in a park
No. oF UNITS Y x $1,ooo Per unit = $lgto, -
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Familv Aoartment
NO. OF UNITS X $692 Per unlt
D. Manufactured Home Park
X $699 per unlt $
$
$
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDC4ayer must {umlsh proot o[
Witlamalane Credit approval. See SOC Credit Wotkshoet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(t SDC reduced tor Credit)
D rvices Department
$ ldfo. -
$
$
City of td
Date
_01 r O(
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