HomeMy WebLinkAboutPermit Building 2001-12-20
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TRANS#; 01-000759:;
DATE: DEC 20 200J
AliT RECD:2 $ WI" '73
CHANGE:
CASHIER: 003
I Job# 01-01331-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01331-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6677 Moses Pass Spr
Assessors Map#: 17023411
Lot: 75 Block: Addition: 2nd
Owner:
Address:
Tax Lot #: 03200.
Subdivision: Levi Landing
Ed Lannoye
4536 Glacier Dr
Phone Number: 541-521-7006
City/State/Zip:
Springfield, OR 97478
Value: $141,691
Scope Of Work: Single Family Residence
SFR
Resubmitted new plot plan to reflect different lot and different address on 120701.DB
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
New
Contractor
Ed Lannoye
4536 Glacier Dr, Springfield, OR 97478
Steve Hauck Electric
828 S 46th Street, Springfield, OR 97478
Ed Lannoye
4536 Glacier Dr, Springfield, OR 97478
Ed Lannoye
4536 Glacier Dr, Springfield, OR 97478
Registration # Expiration Date
Phone
541-521-7006
147618
1/30/2003
541-741-1085
541-521-7006
541-521-7006
Office Use
4RNE
1
(VN) Wood Frame
Electric
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LOR
3
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Wall Heat
Sq. Footage: 1789
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.
Sanitary Sewer Line
SW-Curbside
CC-Standard
Required Inspections
I Plumbing I
- Prior to filling trench.
~- Public Works
-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.?D
San Sewer Depth (Ft): 6 4
Storm .Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
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I Job# 01-01331-01 I
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Curbside - 5'
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
o
8
To Curb and Gutter
San Sewer Tee (in): 6
00/00/000000:00 AM Bond End DateTime: 00/00/000000:00 AM
NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRA~
Project Supervisor:
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 1997-06-0142 2:
Types Of Warning Devices Reqd.
Overlay District: Floodplain Overlay
# of Street Trees: 2
Land Use: Single Family Dwelling
Pave Driveway? 0
Comments:special flood hazard area as designated by the city engineer. FEMJ!
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: see Jo. No. 1997-06-0142
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. r _,.j
I Main: 1789 Accessory~20
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
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
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2209
Paid On Receipt#
Plan Check
11/30/2001 7390
Value/Quantity
Fee Amount
141,691
$456.40
$456.40
BuildinQ
12/20/2001 7591
12/20/2001 7591
12/20/2001 7591
141,691
$702.15
$49.15
$56.17
$807.47
Electrical
12/20/2001 7591
12/20/2001 7591
12/20/2001 7591
12/20/2001 7591
12/20/2001 7591
1
3
1
$.00
$106.00
$57.00
$50.00
$14.91
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Job# 01-01331-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Administrative Fee - Electrical 12/20/2001 7591 $17.04
Total Electrical $244.95
Plumbing
Minimum Plumbing Permit Fee 12/20/2001 7591 $.00
Two Bathrooms 12/20/2001 7591 1 $254.00
State Surcharge - Plumbing 12/20/2001 7591 $17.78
Administrative Fee - Plumbing 12/20/2001 7591 $20.32
Total Plumbing $292.10
Mechanical
Hood and Exhaust 12/20/2001 7591 1 $9.00
Minimum Mechanical Permit 12/20/2001 7591 $12.00
Administrative Fee - Mechanical 12/20/2001 7591 $3.60
Vent Fan to One Duct 12/20/2001 7591 3 $18.00
Dryer Vent 12/20/2001 7591 1 $6.00
Mechanical Issuance 12/20/2001 7591 $10.00
State Surcharge - Mechanical 12/20/2001 7591 $3.15
Total Mechanical $61.75
Public Works
New Sidewalk 12/20/2001 7591 50 $65.00
New Curbcut 12/20/2001 7591 1 $65.00
Multiple Permit Discount - 2nd Permit 12/20/2001 7591 1 $-30.00
Total Public Works $100.00
System DeveloDment
Residential - Single Family - Storm 12/20/2001 7591 2,918 $796.61
Residential Improvement MWMC 12/20/2001 7591 1 $34.83
MWMC Administrative Fee 12/20/2001 7591 1 $10.00
SDC Administrative Fee 12/20/2001 7591 $137.07
Residential Sanitary MWMC 12/20/2001 7591 1 $332.86
Residential - Improvement 12/20/2001 7591 1 $659.76
Residential- Reimbursement 12/20/2001 7591 1 $155.13
Sanitary Sewer SDC Reimbursement 12/20/2001 7591 20 $427.40
Sanitary Sewer SDC Improvement 12/20/2001 7591 20 $324.80
Total System Development $2,878.46
Willamalane SDC
S.F. Residence - Willamalane 12/20/2001 7591 1 $1,000.00
Total Willamalane SDC $1,000.00
Planning
Planning Plan Review 12/20/2001 7591 1 $50.00
Total Planning $50.00
Permits w/o Srchg
Address Assignment 12/20/2001 7591 1 $8. 00
Total Permits w/o Srchg $8.00
Grand Total $5,899.13
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Lisa Hopper 12/03/2001
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.... . Job# 01-01331-01 I Page 4 of4
Plan Check Type Checked By Date Completed Comment
Initial Review-Res David Bowlsby 12/11/2001 Resubmitted new plot plan to reflect different
lot and different address on 120701.DB
Engineering-Res Steve Templin 12/18/2001 NO OCCUPANCY OR SEWER HOOKUP
UNTIL CITY ACCEPTS INFRASTRUCTURE
Planning-Res Liz Miller 12/14/2001
Structural-Res Don Moore 12/18/2001
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!l that a required inspections are requested at the proper time, that each
address is readable om t
~
approved set of p ns
L
Signatur~
ree1 at the permit card is located at the front of the property, and the
in- the site at all times during construction. /
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