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I Job# 02.Q0972.Q1 I
Page 1 of 5
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00972-01
225 Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6686 Moses Pass Spr
Assessors Map#: 17023411
Lot: 90 Block: Addition:
Owner:
Address:
Tax Lot #: 12400
Subdivision: Levi Landing
Bruce Wiechert Custom Homes Inc
3375 Park Hills Dr
Phone Number: 541-686-9458
City/StatelZip: Eugene. OR 97405-5515
New Value: $119,405
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Bruce Wiechert Custom Homes Inc
3375 Park Hills Dr, Eugene, OR
97405-5515
Stoppani Electric
987 Fayette, Eugene, OR 97402
Comfort Flow Heating Co
1951 Don Street, Springfield, OR 97477
Steves Plumbing
PO Box 70553, Eugene. OR 97401
Registration #
101717
Expiration Date
9/16/2002
Phone
541-686-9458
26624
6/10/2003
541-688-8720
00460
6/27/2003
541-726-0100
65065
3/12/2004
541-342-3765
4RNE
1
(VN) Wood Frame
Electric
- Office Use
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1520
To request an inspection call the 24 hour recording at 726-3769. All inspections requested befor~ roqnuITC" you Il'
a.m. will be made Ihe same working day, inspections requested after 7:00,a.m..will bem'ade,ttle follow. ing o"n Ut''''l''
. .,'11..0....- , db\lth~liI00 '1I,)
working day. I Ilow rules aoopte ,~ ~ 01 'mi.
o. Those rules are s , .'
R . d I . -. ..t~_......^r\ ~pnter. - . ~ .........,.. nn.
equlre nspecbons .'v....-. '0010In'ou\j,,\Jr''''--'-
. OAR95?'OO,- '. W b
I BuildinQ I' I Y :may oblain copies 01 Ihe ru - ..
. . Mgn. Ol . h lelephono
- To be made after excavation but prior to setting forms. i'h~ cenler. (Nole. Ie. ,. foP
-Install ground rod at footing, and call for inspectfo'Nlih'~~r!,Uii\\Pr:!WltbtfOcitiiigtaiiil7oHouriaation il
-After trenches are excavated. numoe ~ ,~.' . _.cnrV>3?-~34':).
,(.., I I
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
-Prior to decking. NOTICE:
. Prior to cover. THIS PERMIT SHALL EXPIRE IF THE WORK
-Before covering sheathing with finish material~UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Bolts Installed in
concrete
Hold Downs Installed
Vapor Barrier/Insulation
FEMA Certificate
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Overwidth
.
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I Job# 02.Q0972.Q1 I
Required Inspections
Buildinll
Page 2 of 5
- Prior to cover.
-Prior to Cover
-Prior to taping.
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildin!
- To be made after insulation and required vapor barriers are in place, but prior to any wall coverir
- Required prior to any occupancy
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
- Must be approved to obtain permanent power.
-When all electrical work is complete.
I Plumbinn
-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 filler cloth is installed. but prior to backfill.
- When all plumbing work is complete.
I 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 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.?D
San Sewer Depth (Ft): 5 3
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00:00 .
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:
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00:00 .
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? ~ Wetlands? 0
Journal numbers
1: 1997-06-0142 2: 2002-08-0259 3:
Comments:Subdivision and LDAP. City Engineer determined floodplain
.
I Job# 02.Q0972.Q1 I
.
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? ~
Overlay District:
# of Street Trees:
2
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See Above
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1520 Accessory:440
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% 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
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Backflow Prevention Device
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 18
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1960
Paid On Receipt#
Plan Check
08/12/2002 10268
Value/Quantity
Fee Amount
1
$100.00
$100.00
Building
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
119,405
$630.65
$44.15
$50.45
$725.25
Electrical
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
1
2
1
$.00
$106.00
$38.00
$50.00
$13.58
$15.52
$223.10
Plumbinq
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 1 0436
1
$.00
$254.00
$18.76
$14.00
$21.44
$308.20
1
Mechanical
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
1
1
$9.00
$4.00
$.00
$4.64
$12.00
1
.
Fee
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
2nd Driveway/Overwidth Appl Fee
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential- Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Liz Miller
Bob Barnhart
Engineering-Res
Planning-Res
Structural-Res
Job# 02.Q0972.Q1
Paid On Receipt#
Mechanical
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
Public Works
08/26/2002 10436
08/26/2002 1 0436
08/12/2002 10268
System Development
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
08/26/2002 10436
Willamalane SDC
08/26/2002 10436
Planning
08/26/2002 10436
Permits w/o Srchll
08/26/2002 10436
Date Completed
Comment
08/13/2002
08/15/2002
08/14/2002
08/19/2002
.
Page 4 of 5
Value/Quantity Fee Amount
3
1
1
30
1
1
2.803
1
1
1
1
1
20
20
1
1
1
$18.00
$9.00
$6.00
$10.00
$4.06
$76.70
$75.00
$75.00
$35.00
$185.00
$790.31
$34.83
$10.00
$140.81
$332.86
$709.81
$160.87
$441.80
$335.80
$2,957.09
$1.000.00
$1,000.00
$55.00
$55.00
$8.00
$8.00
$5,638.34
Needs to pick up LDAP. Currently processing
. I Job# 02.Q0972.Q1 I . 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 enSUr~h all required inspections are requested at the proper time, that each
address is readable fro t street, that the permit card is located at the front of the property, and the
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