HomeMy WebLinkAboutPermit Building 2000-7-19
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I Job# OO..Q1029..Q1 I
Page 1 of 4
TRANS#:01-0002632
DATE:JUL 19 2000
AMI RECD:2 $ 6050.59
CHANGE:
CASHIER: 003
225 North Fifth Street
Springfield. OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01029-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 874 McKenzie Crest Dr Spr
Assessors Map#: 17032343
lot: 83 Block: Addition: 2nd
Tax lot #: 05700
Subdivision: River Glen
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Owner:
Address:
Anslow & Degeneault Inc
1953 Garden Avenue
Phone Number: 503-484-0070
City/State/Zip: Eugene. OR 97403
New Value: $247,651
Scope Of Work: Single Family Residence
Contractor
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Anslow & Degeneault Inc
1953 Garden Avenue, Eugene, OR
97403
Binns Electric Co
210 Wallis St Unit C, Eugene, OR
97402-5328
Mechanical Contr Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
single family residence
Registration #
49169
Expiration Date
10/16/2000
Phone
503-484-0070
73762
6/6/2001
541-687-1362
541-747-7445
Absolute Plumbing Services Inc
2487 Park Forest Dr, Eugene, OR
97405-1292
67664
7/11/2001
541-345-3055
2RNW
1
(VN) Wood Frame
Gas
Office Use
land Use: Single Family Dwelling
Zoning Code: lDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 3336
To request an inspection call the 24 hour recording at 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,
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Required Inspections
I Buildinll I
-Install 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,
- Prior to decking,
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
Underfloor Drain
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Mechanical
SW-Setback
CC-Standard
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I Job# 00-01029-01 I
Required Inspections
Building
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Page 2 of 4
-Prior to cover,
- Before covering sheathing with finish materials,
- Prior to cover. '
- Prior to Cover
-When all required inspections have been approved and the building is complete,
I Electrical I
-Approval requi~ed prior to SUB energizing pole,
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete,
PlumbinQ
- Prior to cover or placement of concrete,
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling !rench,
-When all plumbing work is complete,
I 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 tef
-When all mechanical work is complete.
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?O
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Setback - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 00-01029-01 I
Overlay District:
# of Street Trees: 2
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3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D' Glenwood Area? 0
Quantity Of Fill:
Supplier: '
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
I Main: 3336 AccessoryB36
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Flood Plain FEMA: n/a
Page 3 of4
Land Use: Single, Family Dwelling
Pave Driveway? 0
Accessory Structure
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:4172
Paid On Receipt#
Plan Check
06/29/2000 2391
Building
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
Electrical
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
Plumbing
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
Mechanical
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
Value/Quantity
247,651
247,651
1
7
1
1
1
1
1
4
1
Fee Amount
$497.90
$497.90
$766,00
$53.62
$22,98
$842.60
$85,00
$105,00
$40,00
$16.10
$6,90
$253.00
$,00
$192,50
$13.48
$5,78
$211.76
$4,50
$2.00
$,00
$,96
$6,00
$12,00
$4.50
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, I Job# 00.01029.01 I
Paid On Receipt#
Mechanical
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
1
Fee
Page 4 of 4
Value/Quantity Fee Amount
I
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
07/20/2000 2632
07/20/2000 2632
80
1
, Residential - Single Family - Storm
Residential - Single Family - Storm
'Sanitary Sewer
Residential Transportation
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1998
Total System Development
System Development
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
07/20/2000 2632
60
5,814
5,814
27
1
1
1
1
1
S,F, Residence '- Willamalane
Total Willamalane SDC
Grand Total
Willamalane sec
07/20/2000 2632
1
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
07/03/2000
07/07/2000
07/07/2000
07/14/2000
Engineering-Res
Planning-Res
Structural-Res
AlWard
Don Moore
$3,00
$10.00
$2,24
$45.20
$60,00
$60,00
$120.00
$1,348,73
$1,348,73
$1,303.29
$491,60
$491,60
$242,76
$22,05
$10,00
$170.38
$-10,78
$5,418.36
$1,000,00
$1,000.00
$8,388.82
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, 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,
~ A---I~ 7- 2()-2cJ9U
Signature'
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Date
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~O fOlIO
.J nll)O *1f1
'tJ/Jrov'QI](j'9/Jr.,
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, ........ <i.o
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, ?'e O'>i '*'9,/,":"Iitt""
225 FIFTH STREET-"" ~ "e "/)e/'''",I,
SPRINGFIELD, OREGoN"'-<lil41 %/";'0110,,,
INSPECTION REQUEST: 7 'l&~ 7 6 l:f ""e 11)g
OFFICE: 726-3759 ,,~
\~b~~IOOh~ ",
(.\ JOI\ DES~PT_HIN n. f\ -=\n'Z- "
<,'l"'b~}.f(OJ)'+ T~
Permits are non-transf~able and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor '"6111J'u6 /;t.E;c.:dlC-
Address 2., 0 tJ A-LL /.s iF c.:.
Ci ty IE tJc'G-AfG Phone & ~ 7- (3 be....
Supervisor License Number 364 ( - S
Expiration Date
/0-1-:2-001
Constr Contr. Number '7 37" Z.
Expiration Date , -?- - ~OO 1
Signat~r~ of s~ervising Electrician
~;f;~'
OvneL's Nam~~.L)\o ~t'\-eO. .a
Address \!\CO~ ~~~ ~
Ci ty WO!..1\.O-- Phone 4-R\; fYTI7)
OVNER ~STALLATION
The installation is being made on
property I ovp. which is not intended
for sale, lease or rent.
Owners Signature:
-----------------~----. ----------------
DATE: ' 7/~ CJO
RECEIPT <<: _ I "'16_
RECEIVED BY: ~~
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number m .()\ b2.C\ .of
COMPLETE FEE SCUEDULE BELOY
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
, thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
\
-'L
Services'or Feeders
Installation, Alterations
or Relocation:
uni t.
Cost
$ 85.00
$ 15.00
$ 40.00
Sum
ffi
I~
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less ,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 1(2
$ 55.00
$ 80.00
see "8" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5r. State Surcharge
3r. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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. 1'-'''' Willamalane
t,"1' Park & Recreation District Job. NO.Qt).O ID2..Q 'D(
,fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
,NAME:}~~r L).or ~~.n eat) I.f-
ADDRESS: ,q 50 ~f\Lr\ I tf,
LOCATION OF PROPOSED BUI1D!NG SITE: . , . ' ,
Street AddreR:B't1- tJ&t~1lW.- QJ-fR~ DVl\JQ...;
Plat Name: Ki \I~_ Tax Lot Number:
,
PHONE:~<&~'O()~()
STATE:1lL~IP: Q1403
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. SinnlA-Fl'Imilv DAtl'lched
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ ~.Oc)
B. SinnlA-Fl'Imilv Attl'lchAd,
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufaclured Home Pari<,
NO. OF UNITS
X $699 per unit c $
$ \ceo .00
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SOc-payer must furnIsh proof of rX
Willamalane Credit approval. See SDC Credit Worksheet. $ J'I
3. TOTAL WILLAMALANE NET SDC ASSESSED
~ (If SDC reduced for Credit)
, I~""" ()C)
$ .Y..A..A ./ .
\
j
7/ 2Ll/~
Date
Develop e I
City of Springfield