HomeMy WebLinkAboutPermit Building 2001-03-16Job# 00-01 836-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page '1 of 3
SPRINGFIELD
an,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1925 00016th St Spr
AssessorsMap#: 17032524
Lot: Block: Addition
Job Number: 00-01 836-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 02100
Subdivision:
ctTY oF SPRINGFTELD, OREGON
Owner: Jeff Hendrickson
Address: 4145 Jasper Road
Scope Of Work: Garage
Contractor Type
GeneralContr
Phone Number:
City/State/Zip:
New
541-741-7587
Springfield, OR 97478
Value: $23,098
detached garage and small addition to home - not owner occupied
Garaoe dimensions redrrced to24'x 24'to meel sethack reo's.DB
Gontractor Registration # Expiration Date
Campell Electric
PO Box 264, Walterville, OR 97489
Phone
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: MDR
Bedrooms:
Range:
# Of Buildings: 2
Occupancy Group: Private Garage/Ci
Heat Source:
Sq. Footage: 180
To request an inspection call the 24 hour recording a1726-3769. 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
B
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling Insulation
Shear Wall Nailing
Framing
Drywall
FinalBuilding
-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 taping.
-when all required inspections have been approved and the building is complete
Electrical
Rough Electrical
Electrica! Service
Final Electrical
- Prior to cover.
-Must be approved to obtain permanent power
-When all electrical work is complete.
Mechanical I
Rough Gas
I
Job# 00-01836-01 Page 2 of 3
FinalGas
FinalMechanica!
Curbcut
Sidewalk
CC-GIose & Replace
CC-Standard
Required lnspections
Mechanical
-When allgas work is complete.
-When all mechanicalwork is complete
Public Works
-After forms are ereceted but prior to placement of concrete
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Street lmprovement: Fully lmproved Sidewalk Type:Setback - 5'
Curb Cut?f Improvement Agr.?[Additional ROW?
San Sewer Depth (Ft): 0 - 0 Size Of Line (in): 0
Storm Sewer Availabte? f Downspouts/Drains: To Curb and Gutter
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in): 0
Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
Special lnstructions: CLOSE EXISTING CURB CUT AND REPLACE WITH CURB & GUTTER
Other Utilities: Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: MDR
FloodPlain? [ Wetlands? [
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Panel 1142of2975
Journal numbers
1:
- Comments:
2=3
Planner: Liz Miller Additional Requirements
Urban Growth Boundary?[ Glenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: Zone X White FIood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups:Private Garage/Carp/Stor Dwelling
# Of Buildings: 2 # Of Stories:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main: 180 Accessory576 Total:756
Current Units:1
Census Code: Does not apply
Height (feet):
Proposed Units:1
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Additional Plan Check
Total Plan Check
1212912000
01112t2001
4140
4247
25,740
-7
$1 13.75
$-6.82
$106.93
Job# 00-01836-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildin
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
01t12t2001
0111212001
01t1212001
4247
4247
4247
23,098 $164.50
$11.52
$4.94
$180.96
Electrical
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
0110312001
0110312001
01t03t2001
01t03t2001
00041 58
00041 58
00041 58
00041 5B
1 $50.00
$24.00
$5.18
$2.22
$81.40
12
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
0311612001
0311612001
03t16t2001
03t16t2001
03t16t2001
0311612001
4692
4692
4692
4692
4692
4692
1
1
$2.00
$8.50
$.45
$4.50
$10.00
$1.05
$26.50
Public Works
New Curbcut
Curbcut Repair
Total Public Works
01t12t2001
01t12t2001
4247
4247
1
1
$60.00
$30.00
$90.00
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
01t12t2001
0111212001
4247
4247
1,348 $365.31
$18.27
$383.58
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Wendy Stanley
Steve Templin
Liz Miller
Date Completed
01t04t2001
01t10t2001
0111212001
$869.37
Comment
EXISTING CURBCUT MUST BE CLOSED
PRIOR TO FINALING PERMIT
Rear yard setback to garage showing only 5
feet. Called Jeff Hendrickson on 01110101.
Said he would be in to reduce footage of
garage on plans. LM
Structural-Res Don Moore 0111112001
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project 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
Signature Date
_
-
t OREGO'VCITY OF
approval Ln&
The tollowtng pro,ect as submitted has the tollowing
zonrng and*does not require specific land use
SPR FIELD
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home- or
Modular DvelIing
Service or Feeder
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amPs
-
401 amps to 600 amPs
-
60L amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnlY
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or fOOO vofTs
D. Branch Circuits
E
DAfE:JAN CI3 2001
Al'1T Ftt[D: I $ 81 .40
IHANGE:- IASHIER:00].
225 FITTE STREET
SPRINGFTEL,D, 0REGO}FI9
INSPECTION REQUEST t,-' r:r7 O6*3fi68' ut e
OFFICE: 726-3759
1 LOCATION
IJGAL DESCRI FTION
11 o3>s?6)- lo?)
JOB fiu4*<N QJ'^)
B.
C
Expiration Date
ture of Supervisi Electrician
ELECTRICAT PERT{IT APPLICATION
City Job Nunbe .O oo tKsQo I
3. COHPI.,ETE FEE SCMDUI,E BELOS
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Zoning Z'oV-ol
,*")
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
s 60.00
s100. 00
$130.00
s300.00
s 40.00
Sum
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. COI{ITRACTOR INSTAII..ATION ONLT
Electricar contrac.o. C*r^r\z( E(.e';fnut-
Address P,0, 6al LUL{
Ci ty u/+\& v""'lV'Phone 7 qq -o7 O S-
Supervisor License Number 36Q G -S
Expiration Date o
Constr Contr. Number 7311[-
Temporary Services or Feeders
Insiallation, Alteration or Relocation
{
-
-u
$
$
$
s ee .tBrt a6ove
40.00
55.00
80.00
P
0wners Name F PfudcXt--r--
Address
Ci LN Phone
OVNER TION
Nev,Alteration or Extension Per Panel
One Circuit
Each Additionaf
Circuit or vith Service
or Feeder Permi t I 2-
$ 3s.00
s 2.00
Miscellaneous (Service/feeder not included)
-Eaeh instaflation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
32 Administrative Fee
TOTAL
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0rners Signature:
DATE:
s 40.00
s 40.00
$ 20.00
s 36.00
7RECETVED
5- o/5
n)
StsRINGFIELD
Job# 00-01836-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1925 00016th St Spr
AssessorsMap#: 17032524
Lot: Block: Addition:
Job Number: 00-01 836-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02100
Subdivision:
crTY oF SPRINGFIELD, OREGON
Owner: Jeff Hendrickson
Address: 4145 JasPer Road
Scope Of Work: Garage
Phone Number:
City/State/Zip:
New
541-741-7587
Springfield, OR 97478
Value: $23,098
detached garage and small addition to home - not owner occupied
Contractor Type
GeneralContr
Contractor
CampellElectric
PO Box 264, Walterville, OR 97489
Registration # Expiration Date Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: MDR
Bedrooms:
Range:
# Of Buildings: 2
Occupancy Group: Private Garage/Ci
Heat Source:
Sq. Footage: 180
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
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Framing
Drywall
Final Building
Rough Electrical
Electrical Service
Final Electrical
CC-Close & Replace
CC-Standard
Buildin
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
- Prior to decking.
- Prior to cover.
- Prior to cover.
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical I ,
Public Works
JtO
tility
h
NL
r952-001-
fi rulos bY
sphone
tification
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Ttrrc'DEtr)I,llTCUAl I trYPiF{E IFTHEWORK
-After trenches are excavated.
AUTHORIZED UNDERTh{IS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
Job# 00-01836-01 Page 2 of 3
Setback - 5'Street lmprovement: Fully lmproved
Curb Cut?f lmprovement Agr.?[
Sidewalk Type:
AdditionalROW?
San Sewer Depth (Ft): 0 - 0 Size Of Line (in): 0
Storm Sewer Available? f Downspouts/Drains: To Curb and Gutter
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in): 0
Bond Begin DateTime: OO/OO/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
Specia! lnstructions: CLOSE EXISTING CURB CUT AND REPLACE WITH CURB & GUTTER
Other Utilities: Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: MDR
FloodPlain? ! Wetlands? [
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Panel 1142o12975
3:
Planner: Liz Miller Additiona! Requirements:
Urban Growth Boundary?[ Glenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: Zone X White Flood Plain FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups:Private Garage/Carp/Stor Dwelling
# Of Buildings: 2 # Of Stories:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main: 180 Accessory720 Tota!:900
Current Units:1
Census Code: Does not apply
Height (feet):
Proposed Units:1
Fee Paid On Receipt# Value/Quantity Fee Amount
Residential Plan Check
Additional Plan Check
Total Plan Gheck
PIan Check
1212912000
0111212001
4140
4247
25,740
-7
$1 13.75
$-6.82
$106.93
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Tota! Building
01t12t2001
0111212001
0111212001
4247
4247
4247
23,098 $164.50
$11.52
$4.94
$180.96
Electrical
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
0110312001
0110312001
0110312001
00041 58
00041 58
00041 58
$50.00
$24.00
$5.18
12
Job# 00-01836-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Administrative Fee - Electrical
Total Electrical
0110312001 00041s8 $2.22
$81.40
Public Works
New Curbcut
Curbcut Repair
Total Public Works
0111212001
01t12t2001
4247
4247
1
1
$60.00
$30.00
$90.00
Residential - Single Family - Storm
SDC Administrative Fee
Tota! System Development
System Development
01t1212001
01t12t2001
4247
4247
1,348 $365.31
$18.27
$383.58
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Wendy Stanley
Steve Templin
Liz Miller
$842.87
Comment
EXISTING CURBCUT MUST BE CLOSED
PRIOR TO FINALING PERMIT
Rear yard setback to garage showing only 5
feet. Called Jeff Hendrickson on 01110101.
Said he would be in to reduce footage of
garage on plans. LM
o( tzo I
Date
Structural-Res Don Moore 0111112001
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project 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.
il Jto,\V
Signature TV-W
Date Completed
01t04t2001
0111012001
01t12t2001