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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( Lilo ^ f nl[^,,,, a-1