HomeMy WebLinkAboutPermit Building 2002-5-3
New printed ~it copy for file - PIUIIJing
contractor change to Home Comfort. ~e original
permit for validated original. Change made 5/23/02
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225 Fifth Street
Springfield, OR 97477
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Page 1 of 4
I Job# 02-00307 -01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00307-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5975 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 22 Block: Addition:
Owner:
Address:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Hayden Enterprises
2622 SW Glacier Place #110
Phone Number: 541-923-6607
City/State/Zip:
Redmond, OR 97756
Value: $113,772
Scope Of Work: Single Family Residence
Brookfield
SFR same as 02-00300-01
NO HOOK-UP FOR SANITARY & STORM UNTIL INFRASTRUCTURE IS ACCEPTED BY THE
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Hayden Enterprises 92208 7/29/2003 541-923-6607
2622 SW Glacier Place #110, Redmond,
OR 97756
Christenson Electric Inc 458
111 SW Columbia St Ste 480, Portland,
OR 97201-5886
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Plumbing Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Electrical Contr
New
5/1/2003
503-241-4812
6/25/2003
541-345-2838
6/25/2003
541-345-2838
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.
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Required Inspections
I Buildinq
-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.
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
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Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
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I Job# 02-00307-01 I
Required Inspections
I Electrical
-When all electrical work is complete.
I Plumbinq
- 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.
- Prior to cover.
- When all mechanical work is complete.
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Page 2 of4
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?D 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:
o
8
To Storm Sewer
4
00/00/000000:00:00 .
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 0
3:
Land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. F, d)
I Main: 1420 Accessory:400
Flood Plain FEMA: 1166 of 2975
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
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,. Job# 02-00307-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check I
Same As Plan Review 05/03/2002 8832 1 $100.00
Total Plan Check $100.00
Building
Building Permit 05/03/2002 8832 113,772 $611.15
State Surcharge For Building Permit 05/03/2002 8832 $42.78
8% Building Administrative Fee 05/03/2002 8832 $48.89
Total Building $702.82
Electrical
Wiring Footage 1,000 Sq Ft or Less 05/03/2002 8832 1 $106.00
Wiring Footage Each Add'l 500 Sq Ft 05/03/2002 8832 2 $38.00
State Surcharge - Electricai 05/03/2002 8832 $10.08
8% Admin Fee - Electrical 05/03/2002 8832 $11.52
Total Electrical $165.60
Plumbing
Three Bathrooms 05/03/2002 8832 1 $306.00
State Surcharge - Plumbing 05/03/2002 8832 $21.42
8% Administrative Fee - Plumbing 05/03/2002 8832 $24.48
Total Plumbing $351.90
Mechanical
Hood and Exhaust 05/03/2002 8832 1 $9.00
8% Administrative Fee - Mechanical 05/03/2002 8832 $4.08
Less than 100,000 BTU 05/03/2002 8832 1 $12.00
Vent Fan to One Duct 05/03/2002 8832 4 $24.00
Dryer Vent 05/03/2002 8832 1 $6.00
Mechanical Issuance 05/03/2002 8832 $10.00
State Surcharge - Mechanical 05/03/2002 8832 $3.57
Total Mechanical $68.65
Svstem Development
Residential - Single Family - Storm 05/03/2002 8832 1,726 $471.09
Residential Improvement MWMC 05/03/2002 8832 1 $34.83
MWMC Administrative Fee 05/03/2002 8832 1 $10.00
SDC Administrative Fee 05/03/2002 8832 $128.32
Residential Sanitary MWMC 05/03/2002 8832 1 $332.86
Residential - Improvement 05/03/2002 8832 1 $659.76
Residential - Reimbursement 05/03/2002 8832 1 $155.13
Sanitary Sewer SDC Reimbursement 05/03/2002 8832 24 $512.88
Sanitary Sewer SDC Improvement 05/03/2002 8832 24 $389.76
Total System Development $2,694.63
Willamalane SDC
S.F. Residence - Willamalane 05/03/2002 8832 1 $1,000.00
Total Willamalane SDC $1,000.00
Plannina
Planning Plan Review 05/03/2002 8832 1 $55.00
Total Planning $55.00
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Fee
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type Checked By
Initial Review-Res Lisa Hopper
Engineering-Res Bob Kettwig
Planning-Res Sam Gollah
Structural-Res Tom Marx
Job# 02-00307-01
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Page 4 of 4
Value/Quantity Fee Amount
Paid On Receipt#
Permits w/o Srchg
05/03/2002 8832
1
$8.00
$8.00
$5,146.60
Date Completed
Comment
04/04/2002
04/16/2002
04/10/2002
04/12/2002
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 times during construction.
Signature
Date