HomeMy WebLinkAboutPermit Building 2002-5-3
New printed -'mit copy for file - Pl~ing
contractor change to Home Comfort. see original
permit for validated original. Change made 5/23/02
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I Job# 02-00308-01 I
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Page 1 of 4
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00308-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5983 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 21 Block: Addition:
Tax Lot #: 00507
Subdivision:Jasper Meadows
Owner:
Hayden Enterprises
2622 SW Glacier Place #110
Phone Number: 541-923-6607
City/State/Zip:
Redmond, OR 97756
Value: $113,772
Address:
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
New
Electrical Contr
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
5/1/2003
503-241-4812
6/25/2003
541-345-2838
6/25/2003
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RSE
1
(VN) Wood Frame
Electric
Office Use
Land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1420
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
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-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.
Street Improvement: Fully Improved
Curb Cut?O Improvement Agr.?O
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 0010010000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Zoning: LOR
FloodPlain? 0 Wetlands? ~
Journal numbers
1: 2000-01-0015 2:
Comments:Wetland Conservation Easement on lot
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Framing
Wall Insulation
Drywall
Final Building
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 Mechanical
Final Mechanical
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I Job# 02-00308-01 I
Required Inspections
Building
- 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.
-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 ali plumbing work is complete.
I Mechanical
- Prior to insulation or decking,
- Prior to cover.
-When all mechanical work is complete.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
o
8
To Storm Sewer
4
0010010000 00:00:00 .
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 0
Land Use: Single Family Dwelling
Pave Driveway? ~
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Flood Plain FEMA: 1166 of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
iArea (Sq. Feet)
I Main: 1420 Accessory:400
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
8% Administrative Fee - Mechanicai
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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
Job# 02-00308-01 I
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Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Paid On Receipt#
Plan Check
05/03/2002 8823
Buildinq
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
Electrical
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
Plumbing
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
Mechanical
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
System Development
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
05/03/2002 8823
Value/Quantity
Page 3 of 4
1
113,772
1
2
1
1
1
4
1
1,786
1
1
1
1
1
24
24
Fee Amount
$100.00
$100.00
$611.15
$42.78
$48.89
$702.82
$106,00
$38.00
$10.08
$11.52
$165.60
$306,00
$21.42
$24.48
$351.90
$9,00
$4.08
$12,00
$24.00
$6.00
$10,00
$3,57
$68.65
$487.47
$34.83
$10.00
$129.13
$332.86
$659.76
$155.13
$512.88
$389.76
$2,711.82
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Job# 02-00308-01
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Page 4 of 4
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Willamalane SDC
05/03/2002 8823
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S.F. Residence - Willamalane
Total Willamalane SDC
1 $1,000.00
$1,000.00
Planning Plan Review
Total Planning
Planning
05/03/2002 8823
1
$55.00
$55,00
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o Srchg
05/03/2002 8823
1
$8.00
$8.00
$5,163.79
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Liz Miller
04/04/2002
04/16/2002
04/11/2002
04/18/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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