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Home My WebLink AboutPermit Building 2000-11-30 , . ~ 225 North Fifth Street Springfield, OR 97477 . .. I Job# 00-01683-01 I Page 1 oftRANS#: 01-0003903 DATE:NOV 30 2000 AMT RECD:2 $ 4746.83 CHANGE: CASHIER: 061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01683-01 Office: 726-3759 Inspection Line: 726-3769 Location o'f Proposed Site: 789 O,ld Orchard Ln Spr Assessors Map#: 17032343 Lot: 113 Block: Addition: 3rd Owner: Address: Tax Lot #: 02102 Subdivision:River Glen Future B Inc Po Box 7425 Phone Number: 541-744-2660 City/StatelZip: Eugene, OR 97401-0017 New Value: $134,221 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Registration # 36499 Expiration Date 5/18/00 Phone 541-744-2660 Future B Inc Po Box 7425, Eugene, OR 97401-0017 Bob Fisher Electric 'nc 180 Kingsbury Ave, Eugene, OR 97404 Rolfs Heating PO Box 66, Dexter, OR 97431 CUSTOM PLUMBING P,O, Box 66, Dexter, OR 97431 96275 1/25/02 541-689-7973 5RNW 1 (VN) Wood Frame Gas 541-741-0002 . . "-...............~.-l. '0 .._'\._...-' .......__.......- _'0 ._ 'J '-' I L Al1~I~' ......""".~.;.. ......, "'-.~ .I .,' follow i'l'1~;~ ':cloOlz~ 'wtllc Or:Jr5'11}4~5N'h46 NodilcGli()(; Com",.. IlluSl:, u\lJ~ ,\b ~all:m . ",', '-" "Jd'n',_llll'lIl ;hrnuah OAti 952-001- Office Use '~'-30' Yuu ,113\1 oht1'1ir, ';'lpi,~,' at tno fUt3:> uy . v~... :1;.. .... ~..~l.. ",\l,;HJ:~nJt:JIJphone Single Famlly'(;)welhng' v.# Of BUII<!mgs; ~J~'tification U b.&r TU ~;I-' dl~.H)11 :.J~.,,1~ I v LDR n ill v , Occupancy,G(oul!' Dwelling ,....~;,.~ . '-,~. .1~vv':'._""" T). . 3 v., Heat Source: Forced Air Gas Gas Sq. Footage: 1802 Land Use: Zoning Code: Bedrooms: Range: 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 !;\1I'~,'ii"M"'r;::. Required Inspections I Building I THIS PERMIT SHALL EXPIRE IFTHEWOR,.< -Install ground rod at footing, and call for inspeclicinlih~ccinjiiCti6niWfiRTooiingr:acli"di(\tfo~h'Jation -After trenches are excavated. COMI\iiENCEDOR IS ABANDONED FOR -After forms are erected but pliorto concrete placement.DAYPERIOD - Prior to floor insulation or decking. AI~ Y I tlV . - Prior to decking. - Prior to cover. - Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover Street Improvement: Fully Improved Curb Cut?E] Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 2] Special Req.: Security Required: Bond Begin DateTime: 00100/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical . . Job# 00-01683-01 Required Inspections I Building - Prior to taping. - When all required inspections have been approved and the building is complete, Page 2 of4 Electrical - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing -Priorto 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. -After line is installed and capped if not attached to an appliance, - 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. Sidewalk Type: Additional ROW? Size Of Line (in): DownspoutslDrains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Setback - 5' D 8 To Curb and Gutter 6 00/00/00 00:00 AM Types Of Warning Devices Reqd. . Zoning: LDR FloodPlain? D Wetlands? 0 Journal numbers 1 : Comments 2: I Job# 00-01683-01 I o'verlay District: # of Street Trees: 3 . 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D rArea (Sq. Feet) Main: 1802 Accessoryll76 Fee Residential Plan Check Total Plan Check Building Pem1it State Surcharge For Building Pem1~ Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Pem1it Electric Administrative Fee Total Electrical Minimum Plumbing Pem1it Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Pem1it Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? ~ Flood Plain FEMA: Panel 1134 of 2975 Accessory Stru ctu re # Of Stories: 1 Height (feet): 22 Current Units:O Proposed Units:l Census Code:Does not apply Total:2278 Paid On Receipt# r Plan CheCk 11/16/2000 3809 r--- Building 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 Electrical 11/30/2000 3903 11/30/2000 3903 11/3012000 3903 11/30/2000 3903 Plumbing 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 MeChanical 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/3012000 3903 11/30/2000 3903 Value/Quantity Fee Amount 134,221 $332.64 $332.64 134,221 $511.75 $35,82 $15,35 $562.92 1 3 $85,00 $45,00 $9.10 $3,90 $143.00 1 $,00 $160.00 $11.20 $4,80 $176.00 1 1 $4.50 $2.00 $.00 $,87 $6,00 $9,00 $4.50 $3.00 1 3 1 1 . . Job# 00-01683-01 I Paid o'n Receipt# Mechanical 11/30/2000 3903 11/30/2000 3903 1 Fee Page 4 of 4 Value/Quantity Fee Amount Mechanical Issuance State Surcharge For Mechanical Perm~ Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 11/30/2000 3903 11/30/2000 3903 73 1 Residential - Single Family - StOm1 Sanitary Sewer Residential Transportation Residential San~ary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development system Development 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 11/30/2000 3903 3,121 20 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 11/30/2000 3903 1 Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley Dennis Ernst 11/1612000 11/22/2000 11/28/2000 Engineering-Res Planning-Res Liz Miller Structural-Res Wendy Stanley 11/29/2000 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infom1ation hereon is true and correct, and I further certify that any and all work perfom1ed shall be done in accordance w~h the Ordinances of the C~y 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 w~hout pem1ission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance w~h 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 pem1~ card is located at the front of the property, and the approved set of plans will remain on the s~e at all times during construction, ~~' Date $10.00 $2,03 $41.90 $60,00 $60.00 $120.00 $749.04 $997.20 $507,82 $285.91 $24,33 $10.00 $128.71 $2,703.01 $1,000.00 $1,000.00 $5,079.47 n/~o(oo - . . . , .' ~ , SYSTEM DEVELOPMENT CHARGE WORKSHEET , Job. No. () 0 -(JI68s-0/ 1='1J..j....1l1LB.J..I,.~ ~ ADDRESS: 1>~ '?-/AS ~vsqAAL- lOCATION OF PROPOSED BUilDING SITE: Old Or~3,-- NAME: PHONE: +.L.J. i..{. -;z.CO'e> STATE: OR. ZIP: Plat Name: ~ ?-89 J-tllM. Tax lot Number: 1?-03?-'343 0;1.)0-;;z... Street Address: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling I ype definitions are on the back.) A. llioQlp.-F~milv Detached l Single Family home NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ /000."" B. Sin(')Ip.-F~milv_Att~~hp.d NO. OF UNITS X $924 per unit = $ C. Mulfi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M~nl/r~c:llm~d HnmA PRl1s. NO. OF UNITS X $699 per unit <= $ $ WILlAMALANE SDC 2. SDC CREDIT (I! applicable) SOc-payer must furnish proof or WiUamalane Credit approval. See SDC Credit Workshoet. $ $ /OOO.o:a 3. TOTAL WILLAMALANE NET SDC ASSESSED (I! sac reduced for Credit) /;J;)I,::, 1. ' Developments';J!ces Departmenl City of Springfield t I I /6' I (}D Date ,. " . , bmitled has the tollOWI The following proJect 8S su . e specific land use zoning, and does not requJr approval., 1 0 f2.- Zonmg~ "LECTIUCAL PERMIT APPLICATION 97477 //- 00 -6'0 726~~ll's , . ct4J City ,Job Number 00:"'0Ib8"3-0( Authorized Slgnatur Permits are' non~transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ()NLYB. Electrical contractor~n~ Address / (3 () K,.;? a ~ h LJ .. V ,t) OP. - T I City E:~'1p.JJP, _ Phone t: f39-7'1'l:3 Supervisor License Number ~,~- 5 Expiration Date /11 - () /- /J /' Cons tr Con tr. Number r; G Q 7 .,. Expi ra t i on Va te /-,.:2..s -',.. V:J..J 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INST~LAr~ON =1- 8 <\ Old QII.dnuLi-A LEGAL DESCRIPTION /?-03 ~ ~..n ,0 d.IO~ JOB DESCRIPTION ;)Fp:..., Signa~:.f~erviSin~ Electrician , ~AMJ Ovners Name .t:~ Address City Phone OWER INSTALLATION The installation is being made on property I own vhich is not intended for sale, 'leas" or rent. Owners Signature: ------------~--- ----------- DATE: Ru.."..7i if: RECEIVED B t: 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Hulti-Family per dvelling Servi ce Included: ' Items 1000 sq.ft. or less Each additional 500 sq. ft or ,portion thereof :, Each Hanuf'd Home, or Modular'Ovelling Service or Feeder Services or Feeders Installation, Alterations or Relocation, 200 amps or less 201 amps to 400 amps 401' amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect only C. unit. Cost Sum $ 85.00 ts $ 15.00 'lS $ 40.00 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation D. 200 ampS' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "D" aoove- " .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permi t $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited ,Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. l,^.oa- SUBTOTAL OF ABOVE .:> <.::l 5% State Surcharge 3% Administrative Fee TOTAL