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Home My WebLink AboutPermit Building 2001-1-29 22S North Fifth Street Springfield. OR 97477 . I Job# 01-00055-01 I . Page 1 of 4'RANS#: 01-0004324 DATE:JAN 29 2001 AMT RECD:2 $ 5108.70 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00055-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 841 Old Orchard Ln Spr Assessors Map#: 17032343 Lot: 119 Block: Addition: 3rd Owner: Address: Future B 'nc Po Box 7425 Scope Of Work: Single Family Residence Contractor Type General Contr EleGtrical Contr MeGhanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Future B Inc Po Box 7425. Eugene. OR 97401-0017 Bob Fisher Electric Inc 180 Kingsbury Ave. Eugene. OR 97404 Rolfs Heating PO Box 66. Dexter, OR 97431 CUSTOM PLUMBING P,O, Box 66, Dexter. OR 97431 Tax Lot #: 02102 Subdivision: River Glen Phone Number: 541-744-2660 City/State/Zip: Eugene. OR 97401-0017 New Value: $127,495 Registration # 36499 Expiration Date 5/18/00 Phone 541-744-2660 96275"".,.,., 1/25/02 541-689-7973 '"," U lie: I/-{/Sp ~: /iU7l-to 'E:lTi;J/7"S/t 541-741-0002 Ce,. """ 'F//Zl:D." 'Ii.(ll:)(o.':1 I' ' '''VJ<:jil''_ VNDI:p, I ',J: 1_ 'VI' ""0 '...,:00':>. '::7', '7:y,(;',!?41-485-1146 Q, D~" '.is' _ ~ ~.-,:, ' '(1':1. 'i , j:;~ .. . ...... f' """'."",,, -".;j 1[:..... . " -. "-..:..,.'........ \';'7 # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1702 5RNW 1 (VN) Wood Frame Gas Office Use Land Use: Single Family Dwelling Zoning Code: LDR /f,. Bedrooms: ,3 ' , Range:",' " Gas ""'" '- V~[" ,,' 'I}I,. : .... To request an inspection call the 24 hour recordil)g at 726,3.7:69!' A"II inspections requ~sted before 7:00 a,m, will be made the same working day. inspect\9.1s.requested,after 7:00'i!;m. will be, made the following working day, ' " . ,', 'I , Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation . . " Required Inspections f," , . "-." I Building I ,'1"".,'" -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. - Prior to Cover Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bund Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: / Drywall Final Building Temporary Power ROU!lh Electrical Electrical Service Final Electrical Undflrfloor Plumbing Undflrfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Peri meter Foundation Drains Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical SW-Curbside CC..Standard . . Page 2 of 4 I Job# 01-00055-01 I Required Inspections Building - 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 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, -After gravel and filter cloth is installed, but prior to backfill. -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 I -After forms are erected but prior to placement of concrete -After forms are erected 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. Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: 3: <:ommentsOwner states on application they will not need an LDAP, , . .-" I Job# 01-00055-01 I Overlay District: # of Street Trees: 2 Filling, gra Additional Requirements: Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary?O Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White COnlltruction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Ama (Sq. Feet) I Main: 1702 Accessoryll89 Fee Residential Plan Check Tot.11 Plan Check Building Permit State Surcharge For Building Permit Buij,jing 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 - Electrical Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct GaB Fireplace . Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Flood Plain FEMA: Panel 1134 of 2975 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 23 Current Units: 0 Proposed Units:1 Census Code: Does not apply Total:2191 Paid On Receipt# Plan Check 01/22/2001 4284 Buildin!l 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 Electrical 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 Plumbin!l 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 Mechanical 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 Value/Quantity Fee Amount 127.495 $322.40 $322.40 127.495 $496,00 $34.72 $14,88 $545.60 1 3 1 $85,00 $45,00 $40,00 $11,90 $5.10 $187.00 1 $,00 $160,00 $11,20 $4.80 $176,00 1 1 $4.50 $2.00 $,00 $,78 $6,00 $9,00 $4,50 1 3 1 . . Page 4 of 4 Value/Quantity Fee Amount .' Job# 01-00055-01 Fee Paid On Receipt# Mechanical 01/29/2001 4324 01/29/2001 4324 Mechanical Issuance State, Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 01/29/2001 4324 01/29/2001 4324 60 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1998 Transportation SDC Reimbursement Total System Development System Development 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 01/29/2001 4324 42 1 3,398 23 1 1 1 1 23 $,1', Residence - Willamalane Total Willamalane SDC Grand Total Willamalane SDC 01/29/2001 4324 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley Steve Templin Liz Miller 01/23/2001 01/24/2001 01/25/2001 Engineering-Res Planning-Res Structural-Res Wendy Stanley 01/26/2001 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 furl her 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. I I ~?'_ "_~____ /~V()r ~natuU - Date! $10,00 $1,82 $38.60 $60.00 $60.00 $120.00 $920.72 $488,75 $154,27 $285.91 $24,33 $10.00 $371.45 $144.83 $-14.78 $656.02 $3,041.50 $1,000.00 $1,000.00 $5,431.10 , b 'ned has the following The.tolloWindgdPoreo~e~~~~:~Ui: specific land use zonmg, an approval. ...., (L-- 225 FIFTH STREET 'onin L u SPllINGFIELD, OREGON 9747f g 1_1.--"1-01 INSPECTION REQUESTUatr72.4-J;'O r::.vJ OFI'ICE: 726-3759 AuthOrized Signature ELECTRICAL PERMIT APPLICATION City Job Number f\1-no055-01 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION '3'-1\ Old OrC'-'M~.--4 ::-v....J1 LEGAL DESCRIPTION l-:r 0:- ;;I:Y-I :, 0 C'-\ 0 'd-. JOB DESCRIPTION "'INed_\::- lOMl\ I, \' Rf,~, nE.)J<"r A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ' ItelllS Cost Sum 1000 sq. ft. or less $ 85.00 'B C '*' -,. Each additional 500 sq. ft or ,portion '1 c "" thereof ~ $ 15.00 J. Each Manuf'd Home, or Modular'Dvelling Service or Feeder $ 4b.00 Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor~~ Address /80 K,'l1ysbuf"v /JoP. , I City r:: U f'r&...a.P: Phone t; e q.. 79 'l!J Supervisor Li cense Number .2!L?'1 - ,C; Expiration Date / t) '- () /- {J / Constr Contr. Number---2:{o ~ 7." Expiration Date /.,::J.<j.:....Od.-- 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 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps-'aT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 1t~ $ 55.00 $ 80.00 see "B" above Signature Jff~~~Vis~g Electrician ~CfJ~.~.v Owners Name I=UTV Rf:- e:. +!{)(Y\Gs Address Be.. "1-'-l:lJ, .~ ,. D. ." New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 City Phone 1-'-1 "t ;::l. ~60 E:v (~",~f- OVNER INSTALLATION $ 2.00 The installation is being made on property I own which is not intended for ,sale, least: or ren t. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited ,Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 11-0.""" ---_._-------~----------------------- DATE: RECEIPT 11: RECEIVED .,f: 12 ~,Oo . . '~? R I e:t,-~Y)!I!I~m~!~~~ Job. No. ' ,,... SYSTEM DEVELOPMENT CliARGE WORKSHEET \ Ol-OOOSS-Ol , NAME: ~u+~ P, -I-\~ ADDRESS: ~C>--I, :t-4;;l..<; E-~-J> . PHONE: 7-<-li.f-:.uoD STATE: OR.. ZIP: I LOCATION OF PROPOSED BUILDING SITE: Street Address: 8<-/ I O( cj On::'/'"cw-! ,~o.,^ "<- Pial Name: I~, -LJA ~1~-3~c{/ickJTax Lot Number: 1-:", '~..... Iy..03.;f3'-1.3 O~/O.;l... 1. DEVELqPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) I r." j ',' A. li[nolfl-F;:Jmilv Dfll;:Jr.hflc! >liI'l !il' I I V Single Family home : Manufactured home: not in a park 11~1~1"'Ir--1 II ,f ~IW' ,I" 1"'1"1 NO. OF UNITS "b X $1,000 per unit = $ / 00-0:i>'0 .!V.li~ Ill, '~~r' , B. Sinnlfl-F;:Jmilv AtI;:Jr.hflri NO. OF UNITS X $924 per unit = $ I. C. ,Multi-Familv AO;:Jr1mflnt NO. OF UNITS X $692 per unit = $ D. ,M;:Jnllf;:Jr.!lIrP.rl Hnmp. P::u1i NO. OF UNITS X $699 per unit <= $ WILLAMALANE SDC $ 2. SDC CREDIT (II applicable) SDc-pay~r must fumlsh proot or Willamatane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (II sac reduced for Credit) $ lam, ~ 1'111 I , , 4JH(>.J Development-Services Department City of Springfield J Date I ;t 5 I OJ