HomeMy WebLinkAboutPermit Building 2002-5-10
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225 Fifth Street
Springfield, OR 97477
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Page 1 of 5
I Job# 02-00351-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00351-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6801 Moses Pass Spr
Assessors Map#: 17023411
Lot: 41 Block: Addition: 2nd
Owner:
Address:
Tax Lot #: 07300
Subdivision: Levi Landing
Tom Wirfs Enterprises Inc
Po Box 237
Phone Number: 541-747-8704
City/State/Zip: Springfield, OR 97477
New Value: $137,383
Scope Of Work: Single Family Residence
Bonus room above garage shall remain unfinished (shell only).
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Tom Wirfs Enterprises Inc 32947 6/28/2004 541-747-8704
Po Box 237, Sprin9field. OR 97477
Electrical Contr Bills Electric 21351 4/28/2002 541-687-1851
3170 West11lh Street, Eugene, OR
Mechanical Contr Home Comfort Heating & Air Conditioning 184164 6/25/2003 541-345-2838
Po Box 24205, Eugene, OR 97402
Plumbing Contr Home Comfort Heating & Air Conditioning 184164 6/25/2003 541-345-2838
Po Box 24205, Eugene, OR 97402
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Gas
4RNE
1
(VN) Wood Frame
Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1726
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.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
I Building I
- To be made after excavation but prior to selling forms.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation if
.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.
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Wall Insulation
Drywall
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 02-00351-01 I
Required Inspections
Building
Page 2 of 5
-Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation iT
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
- 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.
-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
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
4
00/00/0000 00:00:00 .
Types Of Warning Devices Reqd.
,
.
I Job# 02-00351-01 I
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 1997-06-0142 2: 2002-03-0094 3:
Comments:City Engineer Determined Floodplain - FEMA Elevation Cert. RequirE
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: 1726 Accessory:440
Overlay District: Floodplain Overlay
# of Street Trees: 2
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Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements: LDAP Required
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Fee
Residential Plan Check
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
6% 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
6% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
6% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
6% Administrative Fee - Mechanical
Less than 100.000 BTU
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2166
Paid On Receipt#
Plan Check
05/10/2002 8961
03/26/2002 6435
Building
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
Electrical
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 8961
05/10/2002 6961
05/10/2002 6961
Plumbing
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
Mechanical
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
Value/Quantity
I
Fee Amount
137,363
1
$447.95
$100.00
$547.95
137,363
$669.15
$46.24
$55.13
$792.52
1
3
1
$.00
$106.00
$57.00
$50.00
$14.91
$17.04
$244.95
1
$.00
$254.00
$17.76
$20.32
$292.10
1
1
$9.00
$4.00
$.00
$4.66
$12.00
1
#
.
Fee
Vent Fan to One Duct
ApplianceVent (Not Covered in Schedule
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
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
SF Residence - Willamalane
Total Wi llama lane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Engineering-Res
Planning-Res
Lisa Hopper
Bob Kettwig
Liz Miller
Structural-Res
Tom Marx
Structural-Res
Don Moore
Structural-Res
Don Moore
Job# 02-00351-01
.
Page 4 of 5
Value/Quantity Fee Amount
Paid On Receipt#
Mechanical
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
2
1
1
1
$12.00
$9.00
$9.00
$6.00
$10.00
$4.27
$80.15
Public Works
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
50
1
1
$75.00
$75.00
$-30.00
$120.00
System Development
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
2,600
1
1
$709.80
$34.83
$10.00
$134.61
$332.86
$659.76
$155.13
$448.77
$341.04
$2,826.80
1
1
1
21
21
Willamalane SDC
05/10/2002 8961
1
$1,000.00
$1,000.00
Planning
05/10/2002 8961
1
$55.00
$55.00
Permits w/o Srchg
05/10/2002 8961
1
$8.00
$8.00
$5,967.47
Date Completed
Comment
04/02/2002
04/11/2002
04/07/2002
Needs to pick up LDAP. FEMA Elevation Cer!.
Required.
Not a "same-as". No bonus room info.
Kitchen relocated. roof framing incorrect for
bonus room. Applicant notified to resubmit w/
corrections 04/11/02 dim
Revised plans delivered by applicant w/o
counter review.
04/10/2002
04/12/2002
04/22/2002
.
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I Job# 02-00351-01 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 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 limes during construction.
Signature
Date
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00351-01 I
Page 1 of 5
TRANS#:01-0008961
DATE:MAY 10 2002
ANT RECD:2 $ 5867.47
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00351-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6801 Moses Pass Spr
Assessors Map#: 17023411
Lot: 41 Block: Addition: 2nd
Tax Lot #: 07300
Subdivision: Levi Landing
Owner:
Tom Wirfs Enterprises Inc
Po Box 237
Phone Number: 541-747-8704
~\O
City/State/Zip: \ll' Sprlhgfielc, OR 97477
,cO( Qof\ ".; '0"'1'
Scope Of Work: Single Family Residence New .,v.1l'l eO~e~ ~e\Value:\- $137,383
~U~e\:."6 '0'1 \'(\ ~\l\eS a: ~ '?J~?:\J; '0'1
.,,\ 1\01 . ~,)()\e ..,<:\se ~"Ol" 13 ~\l\e
Bonus room above garage sha!~[~main,H[1fin~h!1d\(:;!i~lhonlYb' \~ _n'(\of\e_^
\,0\\0.' '. of\ uV'.l\)1J '~n co\"~ .'(\13 \."'.'~\\\iC'3'"
Contractor ~1\iC'Q.\' ~7;[J() Registration' #XI\\Expiration Date
~o ~g:J ",'Q.'1" ,~~.\)'- '0\' o~~tl",
Tom Wirfs Enterprises Inc .~ 01" -{o\l ,.. 32947 eQ,of\ "".'2.6/28/2004
,-" \'(\0- eO\ f\C\"
Po Box 237, Springfield, OR 9Z4n'~\,f\g, \o~\~ . \-'C
ca: e~ .t>~ IS
Bills Electric (\\l~'o G'2~351 4/28/2002
3170 West 11th Street, Eugene, OR
Mechanical Contr Home Comfort Heating & Air Conditioning 184164 6/25/2003 I:J~~ 541-345-2838
Po Box 24205, Eugene, OR 97402 '\\\~ ~ ~I:J'\
Brenda Marlene Currier 103570 j.,?~~~('l1l \CZl ~ 541-895-3758
648 W Oregon Ave, Creswell, OR 97426 If.' c.""~\.\. ~..'-\\CZl '?~"'\~~ ~~
A~('..... '{1 0\" rP.- ,I' .,t'\,,"
. '. \ \ ^<:Q.."''' ,St:\v."r ...-01'>"-
Office . ~ \ v ~1.'\:.Q ~ \CZl r
Land Use: '\. ~~~~~~. # Of Buildings: 1
Zoning Code: \ ~ 'Ot;} ~~ Occupancy Group: Dwelling
Bedrooms: 3 \J \I-~'{ \ Heat Source: Forced Air Gas
Range: Gas Sq. Footage: 1726
Address:
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone
541-747-8704
541-687-1851
4RNE
1
(VN) Wood Frame
Gas
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.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
I Buildina I
- To be made after excavation but prior to setting forms.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation il
-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.
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Wall Insulation
Drywall
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
.
.
I Job# 02-00351-01 I
Required Inspections
Building
Page 2 of 5
.Prior to Cover
.Prior to taping.
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
.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.
-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
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
o
8
To Curb and Gutter
4
00/00/000000:00:00 .
Types Of Warning Devices Reqd.
.
I Job# 02~0351~1 I
'Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 1997-06-0142 2: 2002-03-0094 3:
Comments:City Engineer Determined Floodplain - FEMA Elevation Cert. RequirE
Overlay District: Floodplain Overlay
# of Street Trees: 2
.
Page 3 of 5
land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements: LDAP Required
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
iArea (Sq. Feet)
I Main: 1726 Accessory1440
Fee
Residential Plan Check
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
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): 20
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2166
r
Paid On Receipt#
Plan Check
05/10/2002 8961
03/28/2002 8435
BuildinQ
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
Electrical
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
Plumbing
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
Mechanical
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
05/10/2002 8961
Value/Quantity
Fee Amount
137,383
1
$447.95
$100.00
$547.95
137,383
$689.15
$48.24
$55.13
$792.52
1
3
1
$.00
$106.00
$57.00
$50.00
$14.91
$17.04
$244.95
1
$.00
$254.00
$17.78
$20.32
$292.10
1
1
$9.00
$4.00
$.00
$4.88
$12.00
1
.
r Fee
Vent Fan to One Duct
ApplianceVent (Not Covered in Schedule
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
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
Bob Kettwig
Liz Miller
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
Structural-Res
Don Moore
Structural-Res
Don Moore
Job# 02-00351-01 I
Paid On Receipt#
Mechanical
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
.
Page 4 of5
Value/Quantity Fee Amount
2
1
1
1
$12.00
$9.00
$9.00
$6.00
$10.00
$4.27
$60.15
Public Works
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
50
1
1
$75.00
$75.00
$-30.00
$120.00
System Development
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
05/10/2002 6961
2,600
1
1
$709.60
$34.63
$10.00
$134.61
$332.66
$659.76
$155.13
$446.77
$341.04
$2,826.60
1
1
1
21
21
Willamalane SDC
05/10/2002 6961
1
$1,000.00
$1,000.00
Planning
05/10/2002 6961
1
$55.00
$55.00
Permits w/o Srchg
05/10/2002 6961
J
1
$6.00
$8.00
$5,967.47
Date Completed
Comment
04/02/2002
04/11/2002
04/07/2002
Needs to pick up LDAP. FEMA Elevation Cert.
Required.
Not a "same-as". No bonus room info.
Kitchen relocated. roof framing incorrect for
bonus room. Applicant notified to resubmit w/
corrections 04/11/02 dim
Revised plans delivered by applicant w/o
counter review.
04/10/2002
04/12/2002
04/22/2002
· I Job# 02-00351-01 I . Page 5 of 5
j 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 10 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 pl~J remain on the site at all times during construction. I /
tZJ S-j/IJ/02-
Signature Date r