HomeMy WebLinkAboutPermit Building 2002-09-06CITY
Status: Issued
225 Fifth Stree( SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: 02-01016-01ISSUED: 0910612002APPLIED: 0812212002
E)GIRES:YALUE: $ 148,778.00
SITE ADDRESS: 2288 00037th St Spr TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO. : 1702194306300
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 120, Subdivision: Ambleside, Addition: 1st, Land Use: Single Family Dwelling,
Zoning: LDR,
Owner: Town & Country Homes Inc
Address: 35920 Ellington Drive Springfield OR 97478
Phone Number: (541) 988-0335
Contractor Type
General
Electrical
Landscape
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Arailabh:
Special Instruction:
# of Stories:
Height of
Type of Heat:
I
21.00
Forced Air Gas
Gas
\t \b
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Ft Basement:
Ft Garage/Carport
Ft Other:
Impervious Surface Area:
Contractor License
Town & Country Homes Inc
Deans Electric
SCHELSKYS LANDSCAPE AI\D IRRIGATIOI633O
Comfort FIow Heating Co
Town & Country Homes Inc
Contractors Inc
Expiration Date
02t28t2003
Phone
(s41) 988-033s
(s41) e3s-s303
541-744-7135
(s4r) 726-0100
(s41) 988-033s
(s41) 607-8879
I
R-3
u-1
VN
3
Water Type:
Range Type:
Energy Path:
6,000
1,884
420
s.00
tr'ully Improved
yes
\t
overage:
Hillside
Yes
38.00
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
1
Curbside 5'
To Storm Sewer
PUBLIC IMPROVEMENTS
Notes:
l of 3
Status: Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
OF SPRIN FIELD
Buitding/C ombination Permit
PERMIT NO: 02-01016-01ISSUED: 0910612002APPLIED: 0812212002
E)GIRES:VALUE: $ 148,778.00
tr'ees Paid
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Amount Paid Date
Value Date Calculated
Received By
Fee Description
Residential Plan Check
Property Annexed 1979 or Befor
Multiple Permit Discount - 2nd
One to Four Outlets
State Surcharge - Mechanical
87o Administrative Fee - Mechan
Dryer Vent
Address Assignment
Gas Fireplace
Mechanical Issuance
Less than 100,000 BTU
State Surcharge - Electrical
87o Admin Fee - Electrical
State Surcharge - Plumbing
Vent tr'an to One Duct
87o Administrative Fee - Plumbi
Residential Improvement MWMC
Temporary: 200 Amps or Less
State Surcharge For Building P
Planning PIan Review
Wiring Footage Each Add'l 500
8% Building Administrative Fee
New Curbcut
Wiring Footage 1,000 Sq Ft or
SDC Administrative Fee
Residential - Reimbursement
Two Bathrooms
Residential Sanitary MWMC
Sanitary Sewer SDC Improvement
Sanitary Sewer SDC Reimburseme
Residential - Improvement
Building Permit
Residential - Single Family -
S.F. Residence - Willamalane
+ 77o State Surcharge
+ 87o Administrative Fee
Backllow Device
Minimum/Adj ustment Plumbing
Receipt Number
10385
10544
t0544
t0544
10544
10544
10544
10544
t0544
10544
10544
10544
10s44
10544
10544
10544
10544
10544
r0544
t0544
10s44
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
1200200000000000325
1200200000000000325
1200200000000000325
I 200200000000000325
$471.19
$-143.62
$-30.00
$4.00
$4.06
$4.64
$6.00
$8.00
$9.00
$10.00
$r2.00
$14.91
$17.04
$17.78
$18.00
$20.32
$34.83
$s0.00
$50.74
$5s.00
$s7.00
$s7.99
$7s.00
$106.00
$139.56
$160.87
$254.00
$332.86
$3s2.s9
$463.89
$709.81
$724.90
$869.97
$1,o0o.oo
$3.15
$3.60
$14.00
$31.00
8t22t02
9t6102
9t6t02
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2of3
Valuation Description
t-.<
Status: Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
Buitdin g/C ombination Permit
PERMIT NO: 02-01016-01ISSUED: 0910612002
APPLTED| 08t22t2002
EXPIRES:VALUE: $ 148,778.00
Total Amount $5,990.08
Plan Reviews
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
08t3012002
08t23t2002
08t27t2002
09t0612002
Appr
Appr
Appr
Appr
VJ
LH
AD
DM
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 Senices Division,
Building Safety. I further
used on this project.
certi$ that only contractors and employees who are in compliance with ORS 701.005 will be
are requested at the proper time, that each address is readable from
the street, that the permit of the property, and the approved set ofplans will remain on the site
at all times
OJ
Owner or Contractors Signature
t-
Date
lnsnections
3 of 3
I further agree to ensure that all
225 FIFIH STREET . SPRINGFIELD, OR 97477 r PH:(541)726-3753 r FAX: (54i)726-3689
Cify Job Number oz-olot6'ctl
Job Location zZtE ,tt.37bS/.
Assessors a 0L t 3 Tax Lot o6loo
o 'rr- C o.^.*c SOwner
6Address
City
(1,et
/l state- oQ zip ?747r
BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee)
Contractor
Contracta r I nfornt oti o n
Scbelrkyt Landrcepe & Irrlgrflon, Inc.
eddr"rr__ o.B*,fus ' ". _* phorre 7q1- 7 1 3f..*-.---
City State-Zip
Construction Contractors Registration #( s=o o3
By signing this permit/application, I agree to call for an prevention
devise has been installed and is visible for inspection that all information on
this permit/application is correct.
lz Z o L
\t
For Office Use
Date of Application
Checked for Historical Status
t Z
Checked for
L o)
vr'
Shred Drive (T)/Building Forms/Bacldlow Preventionl -02.doc
CiTY OF,SP..
Job# 02-01016-01
SPR!NGrFIELD
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2288 00037th St Spr
AssessorsMap#: 17021943
Lot: 120 Block: Addition:1st
Page 1 of 5
Job Number: 02-01 016-01
Office: 726-3759
!nspection Line: 726-3769
Tax Lot#: 06300
Subdivision : Ambleside
ctTY oF SPRTNGFTELD, OREGOTV
Owner: Town & Country Homes lnc
Address: 35920 Ellington Drive
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
541-988-0335
Date Phone
541-988-03358t24t2003
6t20t2004 541-935-5303
8t15t2003 541 -607-8879
Sp
10$zeL
ss
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
Town & Country Homes lnc
35920 Ellington Drive, Springfield, OR
97478
Deans Electric
P.O. Box 2585, Eugene, OR
Comfort Flow Heating Co
1951 Don Street, Springfield, OR97477
Contractors Plumbing Service lnc
Po Box 7636, Eugene, OR 97401
99579
00460
101624
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
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 Gas
Sq. Footage: 1884
To request an inspection callthe 24hour recording a|726-3769. 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
Building
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
FIoor lnsulation
Ceiling lnsulation
Shear Wall Nailing
-To be made after excavation but prior to setting forms.
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-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.
d
Framing
Walllnsulation
Drywall
Vapor Barrier/lnsulation
FinalBuilding
Temporary Power
Rough Electrical
Electrica! Service
Final Electrica!
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
SW-Curbside
CC-Standard
Street lmprovement: Fully lmproved
Curb Cut?f tmprovement Agr.?
San Sewer Depth (Ft): 5 - 3
Storm Sewer Availabte? f
SpecialReq.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00
Special lnstructions:
Other Utilities:
Project Supervisor:
Job# 02-01016-01 Page 2 of 5
Required !nspections
- Prior to cover.
-Prior to Cover
-Prior to taping.
-To be made after insulation and required vapor barriers are in place, but prior to any wall coverir
-When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole.
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
Plumbins
-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.
-After gravel and filter cloth is installed, but prior to backfill
-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 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:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
I
To Storm Sewer
6
00/00/0000 00:00:00
Types Of Warning Devices Reqd.
Buildinq
Job# 02-01016-01
Zoning: LDR Overlay District: Hillside Development
FloodPlain? [ Wetlands? ! # of Street Trees: 2
Journal numbers
1:02-101603 2: 3:
Comments:Eng. determined unstable soils
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway?
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
[] Glenwood Area? [_,] Required Attachments:
Source Locn:
Material:
FIood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? f-l
Area (Sq. Feet)
Main: 1884 Accessory42O
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 21
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2304
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Check
Residential Plan Check
Total Plan Check
08t22t2002 10385 148,778 $471 .1 9
$471.19
Building
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
0910612002
09t06t2002
09t06t2002
10544
10544
10544
148,778 $724.90
$50.74
$57.99
$833.63
Electrical
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
09106t2002
09t06t2002
09t06t2002
0910612002
09t06t2002
09t06t2002
10544
10544
10544
10544
10544
10544
1
3
1
$.00
$106.00
$57.00
$50.00
$14 91
$17.04
$244.95
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
09t06t2002
09t06t2002
09t06t2002
09t06t2002
10544
10544
10544
10544
1
$.oo
$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
09106t2002
09t06t2002
09t0612002
09106t2002
09t06t2002
09106t2002
10544
10544
10544
10544
10544
10544
1
3
$9.00
$4.00
$.00
$4.64
$12.00
$18.00
1
1
Job# 02-01016-01 Page 4 of 5
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanica!
Gas Fireplace
Dryer Vent
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
09t06t2002
09/06/2002
09t06t2002
09t06t2002
10544
10544
10544
10544
1
1
$9.00
$6.00
$10.00
$4.06
$76.70
Public Works
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
09t06t2002
09t0612002
09t06t2002
10544
10544
10544
Jb
1
1
$75.00
$75.00
$-30.00
$120.00
System Development
Residential- Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Propefi Annexed 1979 or Before
Propefi Annexed 1982
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
09/06/2002
09t0612002
09t0612002
09t06t2002
09t06t2002
09t06t2002
09t06t2002
09t0612002
09t06t2002
09t06t2002
09t0612002
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
10544
$869.97
$34.83
$10.00
$139.56
$-143.62
$.00
$332.86
$709.81
$160.87
$463.89
$352.59
$2,930.76
,085
1
1
29
3
1
1
1
21
21
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
09t06t2002 10544 1 $1,000.00
$1,ooo.o0
Planning
09t0612002 10544 1Planning Plan Review
TotalPlanning
$5s.00
$s5.00
Address Assignment
Total Permits w/o Srchg
Permits w/o Srchg
09t06t2002 10544 1 $8.00
$8.00
Grand Total
Plan Gheck Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
$6,032.33
Checked By
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Don Moore
Date Completed
08t2312002
08t30t2002
08t27t2002
09t0612002
Comment
Job# 02-01016-01 Page 5 of 5
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
is readable from the street, that the permit card is located at the front of the property, and the
of on the site at alltimes during construction./t/o-i#7
FIFTH
OREGON
Permits are
if lvork is not rvithin 180
of issuance
180 da1's.
rvork is suspended for
Electrical'
ration
The installation
,'ri'", . propert-y- I oim rvhich is not
lease or rent.
lTJCAL APPLI
Multi-Family per dwelling unit.
Serryicc Iucluded:
Items Cost
1000 sq.ft. orless
Etrch additional 500
sq. ft or portion
tirereof
Each Manufd Home or
lvlodular Du'elling
Senice or Feeder
B. Services or Feeders
Instirllrttion,
Relocltion:
200 amps or less'
201 amps to 400
401 amps
1 arnps
Over amps
-Eacli installation
Pump or irrigation'l .
Sign/Outline Lighting
Limited Energl',Res
Liurited Energr/Comm
Nlinimum Electric Permit In
4. SUBTOTALOFABOVE
7% Strtte Surchitrge
87o Administratiye Fce
I $106.00
,5 $ r9.oo
$ 50.00
L{gg
D
E
_ s5o
--
s5o
_ s25
-
s-t5
00
00
00
00
. Orvncrs Signature:
TOTAL
spection Fec is S15.00 + Srrrch irrge s
G)
for sale.