HomeMy WebLinkAboutPermit Building 2000-4-17
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I Job# 00-00525-01 I
Location Of Proposed Site: 3904 NORTH ST Spr
Assessors Map#: 18020611
Lot: 34 Block:
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Owner: Cozy Homea ~ ~ ~ < Phone Number: 541-747-8704
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Address: P.O. Box i?i:r rn 0 H? ::! City/S~t~Z.i!'6 c;Springfield, OR 97477
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Scope Of Work: Single Fall!lIym~f!I1cen New g 5' ~:n go ':-Value: $101,296
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P.o. Box-' ,!':pringfield, OR 97477 ..3 S fiji5 0 ~ '< ~
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Bills Elo.t~ i! ~ ..5'm51~ 2 g.: 4/28/00
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3170 W!l$11-tIi Avenue, Eugene, OR~ ~ fij :::: f2 ~ iB f
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Mechanical Contr Deans Electnc Inc f!5: ifl957~ m C "'0 6/20/00
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Po Box 2585, Eugene, OR 97402 ~ CIl :;. 00' s: ~
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BMC Plumbing 103570
648 W Oregon Ave, Creswell. OR 97426
225 North Fifth Street
Springfield, OR 97477
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
CITY OF SPRINGFIELD~ OREGON
TRANS#: 01-000127(
DATE:APR 17 200\
AHT RECD:2 $ 4358.1
CHANGE:
CASHIER: 05~
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00525-01
Office: 726-3759
Inspection Line: 726-3769
Addition:
Tax Lot #: 05700
Subdivision:Jasper Park
Phone
541-747-8704
541-341-8426
541-935-5303
1/1/01
541-895-3758
3RSC
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: 1335
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
Required Inspections
i-u-BUiidinll - '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.
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: 00/00/00 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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Wall Insulation
Drywall
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 Mechanical
Final Mechanical
Curbcut
Sidewalk
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I Job# 00-00525-01 I
Required Inspections
i----BuildinQ -- u1
Page 2 of 4
- 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.
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
I - PlumbfliQ-- --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.
-After gravel and filter cloth is installed, but prior to backfill.
-When all plumbing work is complete.
1--- uMechanical ----I
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
r - -Public Works - -I
-After forms are ereceted 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
6
00/00/00 00:00 AM
Types Of Warning Devices Reqd.
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
I Job# 00-00525-01 I
Overlay District:
# of Street Trees: 5
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Comments:2 paved 9x18 off-street parking spaces are required.
3:
Planner:
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
iArea (Sq. Feet)
I Main: 1335 Accessory~54
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Accessory Structure
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1789
Paid On Receipt#
Plan Check
04/17/2000 1270
Buildin!:!
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
Electrical
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
Plumbinll
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
Mechanical
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
Value/Quantity
Fee Amount
2
$80.00
$80.00
101,296
$437.50
$30.63
$13.13
$481.26
1
2
1
$85.00
$30.00
$40.00
$10.85
$4.65
$170.50
1
$.00
$160.00
$11.20
$4.80
$176.00
1
$4.50
$.00
$.59
$6.00
$6.00
$3.00
$10.00
1
2
1
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Job# 00-00525-01
Page 4 of4
Value/Quantity Fee Amount
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
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~i11 remain on the site at all times during construction. c; II 7 ~o
Signature Dale /
Fee
Paid On Receipt#
Mechanical
04/17/2000 1270
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
04/17/2000 1270
04/17/2000 1270
120
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
System Development
04/17/2000 1270
04/17/2000 1270
04/1712000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
04/17/2000 1270
8
2.544
18
1
1
1
1
Willamalane SDC
04/17/2000 1270
1
Checked By
Lisa Hopper
Steve Templin
AlWard
Date Completed
04/06/2000
04/07/2000
04/11/2000
$1.37
$31.46
$61.80
$60.00
$121.80
$590.09
$868.86
$491.60
$242.76
$22.05
$10.00
$109.39
$-37.66
$2,297.09
$1,000.00
$1,000.00
$4,358.11