The URL can be used to link to this page

Home My WebLink AboutPermit Building 2001-06-29Job# 01-00574-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of4 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2258 00033rd St Spr AssessorsMap#: 17021934 Lot:26 Block: Addition: Job Number: 01 -00574-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04500 Subdivision : Ambleside Meadows ctTY oF SPRINGFIELD, OREGOI' Owner: Duane Knights Address: 1233Ken Ray Loop Scope Of Work: Single Family Residence Quad Area: # Of Units: Gonstr. Type: Water Heater: Phone Number: City/State/Zip: New 541-726-2960 Springfield, OR97477 Value: $168,439 Construct Single Family Residence and attached 3 car garage Overwidth drivewav reorrested- Office Use - 3RSC Land Use: 1 Zoning Code: LDR (VN)WoodFrame Bedrooms: Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 2178 To request an inspection call the 24 hour a.m. will be made the same working day, working day Site Verify Ground Rod Slab Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Underground Plumbing Rough Plumbing Water Line Sanitary Sewer Line Sanitary Sewer Cap FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical -To be made after excavation but prior to PERIOD -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -To be made after all inslab building service equipment, conduit piping, and other equipment iter - Prior to cover. -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have ATTE I'lTlONl : CIregon I a ing is complete.td tion Center Plum 952-001-0010 through OAR 952-001- -Prior to filling the trench -Prior to cover. -Prior to filling trench. -Prior to filling trench. OO9O. You maY obtain c opies of the rules bY calling the center. (Not e: the telePhone number for the Oregon Utility Notification Center is 1 -800-332-2344). -Capped within five feet of the property line and capped with an approved material as required b -When all plumbing work is complete. Mechanical -Prior to insulation or decking. - Prior to cover. THIS before 7:00 UNDERTHIS PERMIT WORK tS NOT OR IS ABANDONEI] FUN I Job# 01-00574-01 Gas Service FinalMechanica! SW-Gurbside CG-Overwidth Street lmprovement: Fully lmproved Gurb Gut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm SewerAvailable? f SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: 00/00/0000 00:00 AM Page 2 of 4 Required lnspections Mechanical -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -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 o 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain?Wetlands? [ Overlay District: # of Street Trees Land Use: Pave Driveway? Journal numbers 1=2001-06-123 2: 3: Comments:LDAP - wetland easment on property, building approx 65'away Planner: Liz Miller Urban Growth Boundary?! Gtenwood Area? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: FIood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:2178 Accessory914 # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units:1 Census Code: New SF - attached Total:3092 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 06/06/2001 0005702 168,439 $382.36 $382.36 Building Building Permit State Surcharge For Building Permit 0612912001 06129t2001 6024 6024 $588.25 $41.18 168,439 tr Job# 01-00574-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Buildi Building Administrative Fee Total Building 06t29t2001 6024 $17.65 $647.08 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 06t29t2001 0612912001 0612912001 06t29t2001 6024 6024 6024 6024 2 $.00 $320.00 $22.40 $9.60 $3s2.00 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical 3hp - - 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 0612912001 06t2912001 06t2912001 0612912001 0612912001 06t2912001 06t2912001 06t2912001 06129t2001 06t29t2001 6024 6024 6024 6024 6024 6024 6024 6024 6024 6024 1 1 $4.s0 $2.00 $.00 $.87 $6.00 $9.00 $4.50 $3.00 $10.00 $2.03 $41.90 1 3 1 1 Public Works New Sidewalk New Curbcut 2nd Driveway/Overwidth Appl Fee Temp Right of Way Use - Residential Multiple Permit Discount - 2nd Permit Total Public Works 0612912001 0612912001 06t2912001 06t2912001 06t29t2001 6024 6024 6024 6024 6024 1 1 1 $65.00 $65.00 $30.00 $.00 $-30.00 $130.00 1 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1997 Transportation SDC Reimbursement Total System Development 0612912001 06t29t2001 0612912001 06t29t2001 0612912001 06t29t2001 06t29t2001 0612912001 0612912001 0612912001 4,515 22 1 1 1 1 22 $1,223.50 $355.30 $6s6.02 $285.91 $24.33 $10.00 $467.50 $157.90 $-18.82 $154.27 $3,315.91 6024 6024 6024 6024 6024 6024 6024 6024 6024 6024 33 1 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0612912001 6024 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Checked By Bob Barnhart Steve Templin Date Completed 06t07t2001 06t18t2001 Comment $5,869.25 Svstem Development Plan Gheck Type Planning-Res Structural-Res Job# 01-00574-01 Checked By Date Completed Comment Liz Miller 0611912001 Tom Max 0612612001 Page 4 of 4 {- zq - 0 / 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, th permit card is located at the front of the property, and the set of plans will at alltimes during construction. Signature Date 225FIFTH STREET JOB DESCRIPTION Permits are non-transferable and expire if work is not started lvithin 180 days ofissuance or ifwork is suspended for 2. CONTRACTOR INSTALLATION ONLY Electrical' Add The for' .ing project as subrnitted has the lollowing .d does nol re quire sPecilic land use q A. Nen'or LEGAL DESCRIPTI Multi-Family per drvelling unit. Service Included: Items B. 1000 sc1.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder Services or Feeders $ s0.00 $ l9.oo _ Cost $ 106.00 25 i City Date The propefi I olvn for sale. lease Phone '72b -2? D. Branch Circuits Ncrv Alteration or Exten One Circuit b n Each Additional Circuit- v or Feeder Permit s10n or with E. I\Iiscellaneous (Serrice/fceder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energv/Res Limited Energv/Comm Nlinimum Electric Permit Inspection Fee is S{5.00 * Surcharges 4. SUBTOTALOFABOYE 7%o State Surchrrge ,8fzo Administrative Fee'.2 d,J /ts TOTAL 40 r"---rFo )-o 4,* OFFICE: 726-3159 Date I. LOCATION OF Constr Contr. Nunrber_ Expiration Signirture of Supcn'isin g Electrician Orvners Signature: ELECTK]CAL PERM]T APPLICATION 200 arnps or less 201 amps to 400 amps {01 anrps to 600 an'tps 601 anrps 1o 1000 anips Over 1000 amps/volts Reconnect Only Installation, Alteration or Relocation 201 amps to 400 amps Over .10 I to 600 amps Or er 600 amps or 1000 volts see "B" above Supervisor. Srliqrifll :; i' ;, or'rrers N" " lg" f u,l kzfut/A $6e.00 $100.00 $43.00 The following Proiect as zoning, and approval. does not require specitic land use SPBINGFIELE, EI,ECTRICAT PERUIT APPLICATION city Job Nr^a". ol - ca\7/ -C I 3. COHPLETE FEE SCEEDUIJ BELOS A.Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Date 225 FTFTE SIREET sPRrNGrrELD, OREGoN 9 INSPECTION REQIIEST: OFFICE: 726-3759 1. LOCATION OP fl$f,ir"o Sisnature 726-3769 TION IJGAL DESCRIt-7A7_ |6YtoO I tems Cost s 8s.00 Sum JOB DESCFJPTION #o e 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder { s 1s.oo . $ 40.00 $ 35.00 $ 2.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIITRACTOR INSTALI..ATION ONIY Electrical Contractor Address Ci tv Supervisor Lic Expiration Dat Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect OnlY One Circuit Eaeh Additional Circuit or vith Service or Feeder Permit B r $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number Exp iration Date Signature of Supervising Electrician Ovners Name an& Address Ci Phone ?26'J74o OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. owners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 ,oi ;b" to 400 amps - $ ss.00 over 4b1 to 600 amps - $ 80.00 over 600 amps or fbOO voTIs see uB" aEiG- Branch Circui ts ; .- Nev, Alteration or Extension Per Panel c D E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Light ing- Limited Energy/Res _Limited Energy/Comm SUBTOTAL OF ABOVE 7% state Surcharge 32 Administrative Fee TOTAL 00 00 00 00 $ 40. s 40. $ 20. $ 36. i (:l t-4 Cl".RBCEIYED O Oo 5 5 1-Z =;x z <q N ).v (* ,' t