HomeMy WebLinkAboutPermit Building 2000-10-3
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I Job# 00-00763-01 I
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Page 1 of 4
TRANS~:01-0003357
DATE:OCT 03 2000
AMT RECD:2 $ 16.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Job Number: 00-00763-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 750 Old Orchard ln Spr
Assessors Map#: 17032343
lot: 128 Block: Addition:3RD
Owner:
Address:
Future B Inc.
Po Box 7425
Tax lot #: 02102
Subdivision:RIVER GLEN
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401-0017
New Value: $146,183
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Electrical Contr
landscape
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
ArTENTION:Uregon law requITes you Il"
1 024$5l1ow rules 1~l'<Irn{j0'01Y the Oreg~~_b\t~~%88
Notification Center. Those rules are sel Tom.
in OAR 952-001-001 0 through OAR 952-001-
1 02WSO. You ma9/6i~QQ\>copies of 5lt1l937~.B8
calling the center. (Note: the telephone
. r '1 ~.._-- - LI4:I:p'j 1\1......:':....",+:"-....
IIUlllUvl till. I....C)~9:... _:." \ .__...~_.
Office Use Center is i.ll(,\rJ-::l3:?-2344).
land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: lDR Occupancy Group: Dwelling
Bedrooms: 2 Heat Source:
Range: Sq. Footage: 1934
S.F.Residence
Contractor
Future B Inc.
Po Box 7425, EUgene, OR 97401-0017
Bob Fisher Electric Inc
180 Kingsbury Ave, Eugene, OR 97404
Centra-Flo Built in Vacuums
PO Box 416, Creswell, OR 97426
Hunter Irrigation and landscape
25226 Strawberry lane, Veneta, OR
97487
Jung Enterprises Inc
Po Box 66, Dexter, OR 97431
Jung Enterprises Inc
Po Box 66, Dexter, OR 97431
5RNW
1
(VN) Wood Frame
Registration #
36499
Expiration Date
5/18/2000
Phone
541-744-2660
96275
1/25/2002
541-689-7973
541-895-2355
To request an inspection call the 24 hour recording at 726-3769. All i'1sp'ections.r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:0'o'd.M~Will be made the following
working day. THISPERMITSHALLEXPIREIFTHEWORK
R . dl t' P.11T1-I()QI7I=nlll\lm::QTHIC:;Pf::I'lMITI~NnT
equlre nspec Ions
I Buildin!! fOMMENCED OR IS ABANDONED FOR
-Install ground rod at fooling, and call for inS'~'6t18{ilrrll'c'6Rj~aiQ,r:with footing and/or foundation i
-After trenches are excavated.
- After forms are erected but prior to concrete placement.
Verify Ground Rod
Footing
Foundation
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Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Hold Downs Installed
Final Building
Temporary Power
Rough Electrical
Electrical Service
low Voltage
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Backflow Device
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Curbcut
Sidewalk
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I Job# 00-00763-01 I
Required Inspections
I Building I
- 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.
Page 2 of 4
- 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 Plumbin!l
-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 device is installed but before backfilling trench.
- When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te!
-When all gas work is complete.
-When all mechanical work is complete.
I Public Works
- After forms are ereceted but prior to placement of concrete.
Street Improvement: Fully Improved
Curb Cut70 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
D
8
To Curb and Gutter
San Sewer Tee (in): 6
00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
CURBSIDE SIDEWALK ON RIVER KNOll WAY SETBACK SIDEWAl
Types Of Warning Devices Reqd.
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Zoning: lDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 00-00763-01
Overlay District:
# of Street Trees:
.
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 2
Handicap Access? D
rArea (Sq. Feet)
I Main: 1934 Accessory627
Fee
Residential Plan Check
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
Limited Energy - Residential
State Surcharge For Electrical Permit
State Surcharge For Electrical Permit
Electric Administrative Fee
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Plumbing Administrative Fee
Total Plumbing
Flood Plain FEMA: n/a
Page 3 of4
land Use: Single Family Dwelling
Pave Driveway? 0
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:l
Census Code: New SF - detached
Total:2561
Paid On Receipt# Value/Quantity
Plan Check I
05/19/2000 1802 146,183
Buildin!l
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
Electrical
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
08/16/2000 2942
06/02/2000 2001
08/16/2000 2942
06/02/2000 2001
08/16/2000 2942
Plumbin!l
06/02/2000 2001
10/03/2000 3357
06/02/2000 2001
06/02/2000 2001
10/03/2000 3357
10/03/2000 3357
06/02/2000 2001
10/03/2000 3357
Fee Amount
$350.19
$350.19
146,183
$538.75
$37.71
$16.16
$592.62
1
4
1
1
$85.00
$60.00
$40.00
$20.00
$12.95
$1.40
$5.55
$.60
$225.50
1
$.00
$5.00
$160.00
$11.20
$1.05
$10.00
$4.80
$.45
$192.50
1
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Fee
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Adminislralive Fee
SDC Administrative Fee
Property Annexed 1990
Total System Development
S.F. Residence - Willamalane
Total Willamalane sec
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Bob Barnhart
Steve Templin
Engineering-Res
Planning-Res
Structural-Res
AW
Wendy Stanley
Job# 00-00763-01 I
Paid On Receipl#
Mechanical
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
Public Works
06/02/2000 2001
06/02/2000 2001
System Development
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
06/02/2000 2001
Willamalane SDC
06/02/2000 2001
Date Completed
Comment
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Page 4 of 4
OS/22/2000
OS/24/2000
OS/25/2000
06/01/2000
Value/Quantity
1
1
1
3
1
1
160
1
3,576
20
1
1
1
1
15
1
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
approv~ set of plans will remain on the site at all times during construction.
f. ~
&ignature
Fee Amount
$4.50
$2.00
$.00
$.87
$6.00
$9.00
$4.50
$3.00
$10.00
$2.03
$41.90
$64.20
$60.00
$124.20
$829.63
$965.40
$491.60
$242.76
$22.05
$10.00
$126.76
$-26.25
$2,661.95
$1,000.00
$1,000.00
$5,188.86
/ t9_3-<!9eJ
Date
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SPRINGFIELD
BACKFLOV PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFICE: 726-3759
INSPECTION LINE: 726-3769
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JOB LOCATION: ?5~ (!JlLJ tJdt!.llA;(U'
. ASSESSORS MAP 3: 1703;Z..3.'-f3
OlINER: ~.<"-<- Li' ),1",..-<.--..5
TAX LOT 3: 02(0 Z-
ADDRESS: . -=> n tSo X 7 Ct' ? .:::;-
CITY: ~d. c--<=:71.le
PHONE II: 7LfC( - ?.?.hO
STATE: oL ZIP: C7740(
BACKFLOV PERMIT IS $15.00 + 1. 05 (STATE SURCHARGE) + $.45 (ADMIN. FEE) = $16.50
CONTRACTOR: ,l)uST<.",( I'..('/j"'..., (h_' a! .!A...", 0 SL"""/-
ADDRESS:7,<7-..:l C ;,/x';c_.4!'A'A'../ 1.-"" PHONE 3:
O~
CITY:
t/<,.;~
STATE:
THe..
.. '7 j .r-3.2/ ,,-
ZIP:
EXPIRES: 6'-y",,-f!)/
CONSTRUCTION CONTRACTORS REGISTRATION I: J /.???
BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE
BACKFLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION
(726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS
CORRECT.
.. _d4~,/
Sll'd'lpURE I'.: "-
/tJ-- 3-cC>
DATE
FOR OFFICE USE
----------------------------------~---------------------------------------------
DATE OF APPLICATION: /D03,o 0
RECEIPT 3: )'J '>7 ISSUED BY:
.j /_ .:>_('0
TOTAL AMOUNT COLLECTED: t?
JOB 3: 00 - 76 "3 -0 I
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