HomeMy WebLinkAboutPermit Building 2001-5-25
.
i
225 North Fifth Street
Springfield, OR 97477
.
-
Page 1 of3
I Job# 01-00264-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00264-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 510 Mansfield St Spr
Assessors Map#: 17032334
Lot: 15 Block: 5 Addition: 1 st
Tax Lot #: 05500
Subdivision: Royal Delle
~
Owner:
LARRY POLEN
2197 OLYMPIC STREET
City/State/Zip: SPRINGFIELD, OR 97477
Addition Value: $12,200
Address:
Scope Of Work: Bedroom
Phone Number: 541-746-6965
Bathroom remodel and bedroom expansion
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Drake & Company 01020330 8/8/00 541-344-2808
91411 Coburg Rd., Eugene, OR 97408
Electrical Contr Dells Electric 688-254-9
PO Box 25707, Eugene, OR 97402
Plumbing Contr John Riley Plumbing 55173 12/1/02 541-998-2812
25900 Hwy 36, CHESHIRE, OR 97419
(VN) Wood Frame
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LDR
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 122
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.
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Required Inspections
I Buildin!l
-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 Cover
-Prior to taping.
- When all required inspections have been approved and the building is complete.
.
;" . .
I Job# 01-00264-01 I
Required Inspections
Electrical
Rough Electrical -Prior to cover.
Final Electrical -When all electrical work is complete.
I Plumbin!l
UnderfJoor Plumbing -Prior to insulation or decking.
Rough Plumbing -Prior to cover.
Shower Pan
Final Plumbing -When all plumbing work is complete.
I Mechanical
UnderfJoor Mechanical - Prior to insulation or decking.
Rough Mechanical - Prior to cover.
Final Mechanical - When all mechanical work is complete.
Page 2 of 3
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: 122 Accessory:
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:122
Fee
Paid On Receipt#
Plan Check
03/20/2001
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
12,200
$64.03
$64.03
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildin!l
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
12,200
$98.50
$6.90
$2.96
$108.36
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Electrical
OS/25/2001 5537
OS/25/2001 5537
2
$37.00
$2.59
.
.
Job# 01-00264-01
.
Page 3 of 3
Value/Quantity Fee Amount
I
Fee
Paid On Receipt#
Electrical
OS/25/2001 5537
$1.11
$40.70
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbin!l
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
3
$.00
$30.00
$3.85
$25.00
$1.65
$60.50
20
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
04/02/2001 4814
1
$12.00
$.45
$3.00
$10.00
$1.05
$26.50
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
System Development
04/02/2001 4814
04/02/2001 4814
140
$37.94
$1.90
$39.84
$339.93
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
Ruth Klein
03/21/2001
03/23/2001
03/27/2001
03/26/2001
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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
ap~d= :i11 r~t all times during construction. < J ;) v1D I
Signature, Date I t