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Home My WebLink AboutPermit Building 2001-3-26 SPRINOFIELD ~ 225 North Fifth Street Springfield, OR 97477 . . I Job# 01-00170-01 I Page 1 of 4 TRANS#:01-0004770 DATE:MAR 26 2001 ANT RECD:2 $ 4663.64 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00170-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 485 Nicholas Dr Spr Assessors Map#: 17032212 Lot: 14 Block: Addition: Tax Lot #: 01900 Subdivision:Zachary Place Owner: Kelly King 1671 Sequoia Phone Number: 541-741-0460 City/State/Zip: Springfield, OR 97477 New Value: $113,875 Address: Scope Of Work: Single Family Residence Contractor Type Contractor Registration # Expiration Date Phone General Contr Kelly King 65401 2/27/2001 541-741-0460 1671 Sequoia, Springfield, OR 97477 Plumbing Contr Carte Plu~bing Inc 121387 3/24/2004 541-607-6945 Po Box 42044, Eugene, OR 97404 Office Use Land Use: Single Family Dwelling Zoning Code: LOR Bedrooms: 3 Range: Electric Quad Area: # Of Units: Constr. Type: Water Heater: 1RNW 1 (VN) Wood Frame Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Wall Heat Sq. Footage: 1508 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 Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Temporary Power Required Inspections I Building 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. - 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 Electrical I -Approval required prior to SUB energizing pole. Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Wood Stove Final Mechanical SW-Curbside CC-Standard . I Job# 01-00170-01 I . Required Inspections r-. PlumbinQ ---I -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. r- Mechanical --I - Prior to insulation or decking. - Prior to cover. -After installation. -When all mechanical work is complete. 1 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: 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: 00/00/0000 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Page 2 of 4 Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1 : Comments: Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? 0 2: 3: Planner: Ruth Klein Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: nla Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: nla . Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Feet) Main: 1508 Accessory!l83 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Wood stove Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk Sidewalk Repair New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC Job# 01-00170-01 I . Page 3 of 4 Accessory Structure # Of Stories: 1 Height (feet): 19 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1991 Paid On Receipt# Plan Check 02/27/2001 4558 Building 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 Electrical 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 Plumbing 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 Mechanical 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 l Public Works 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 System Development 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 Value/Quantity Fee Amount 113,875 $301.93 $301.93 113,875 $464.50 $32.52 $13.94 $510.96 1 $40.00 $2.80 $1.20 $44.00 1 $.00 $160.00 $11.20 $4.80 $176.00 1 $4.50 $.00 $.95 $9.00 $15.00 $3.00 $10.00 $2.21 $44.66 3 1,000 1 55 $65.00 $.00 $65.00 $-30.00 $100.00 1 1 2,880 20 1 1 1 $780.48 $425.00 $154.27 $285.91 $24.33 . Fee MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1999 Transportation SDC Reimbursement Total System Development S.F. Residence - Willama'ane Total Willamalane SDC Grand Total Plan Check Type Checked By Initial Review-Res Lisa Hopper Steve Templin Ruth Klein Tom Marx Engineering-Res Planning-Res Structural-Res Job# 01-00170-01 Paid On Receipt# System Development 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 03/26/2001 4770 Willamalane SDC 03/26/2001 4770 Date Completed Comment . Page 4 of 4 03/01/2001 03/07/2001 03/13/2001 03/13/2001 Value/Quantity Fee Amount 1 20 $10.00 $323.00 $132.76 $-3.75 $656.02 $2,788.02 25 1 1 $1,000.00 $1,000.00 $4,965.57 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. 1 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 se~s will remain on the site at all times during construction. C"~'Skc Signature , 3/2-,/01 Date . . P.?... WilIamalane · . t,,,,, Park & Recreation District Job. No. 0\ .l'Y)\\D. 0\ "'. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~oQ..\ ~{ '( ~ ADDRESS: \ \~ ~ ~f'C\\)()\('l ) LOCATION OF PROPOSED BUILDING SITE: Street Address: 4t;J..., c;..... ~ \. 0'nNr'\..f' tJ~ \~. Plat Name:~~t'\" I ",~rn_, Tax Lot Number: ntRO..1.\2.()\Q't4 1.DEVELPPMENT TYPE; (aheck approprlale dwelling(s). SOC calculaUons and dwelRrig l ytle dellnilions are on the back.) . PHONE: "11\\ .~) STATE: ~ ZIP: C\'1<\--'l . A. Sinole-FRmilv DetRched \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \.(X::t') ,00 B. .sinale-FRmil~AttRcheQ NO. OF UNITS X $924 per unit . -. $ C. .Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufaf1lqrerl ~me PR~ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ ..11"')(")(') ,CO 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of rl Willamalane Credit approval. See SOO Credit Wodcsheet. $ I,P. 3. TOTAL WILLAMALANE NEf SDC ASSESSED (If SDC reduced for Credil) \lffi) \ L ~p) Development s~~artment City of Springfield $ ltcO ,00 :? I '2..,~ I A / Date ' ...