HomeMy WebLinkAboutPermit Building 2001-10-3
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I Job# 01-01017-01 I
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Page 1 of 3
TRANSn:01-0006890
DATE:OCT 03 2001
AMT RECD:2 $ 5653.58
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01017-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 753 Old Orchard Ln Spr
Assessors Map#: 17032343
Lot: 107 Block: Addition:
Tax Lot #: 02102
Subdivision: River Glen
Owner:
FUTURE B HOMES
PO BOX 7425
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401
New Value: $164,127
Address:
Scope Of Work: Sin91e Family Residence
Contractor Type Contractor Registration # Expiration Date Phone
Electrical Contr Bob Fisher Electric Inc 96275 1/25/2002 541-689-7973
180 Kingsbury Ave, Eugene, OR 97404
Mechanical Contr ROLFS HEATING 102455 10/4/2002 541-741-0002
3570 E 14th Ave, EUgene, OR 97403
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 workin9 day. inspections requested after 7:00 a,m, will be made the following
working day.
. ! ' :-.: ,. _, ":" I ' , -",'c' T ~o
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Requirecj(I!ll>pecti~ns . " ., _, ... .
. I ~: r- ~ :1 ":1. .;,
1 Electrical'.1 . , ,.~ '. _,. ".'
-Approval required prior to SUB eriergiiin'gpol~> ::, " '.' '''; ',t' _:;(v.' ;\~
00("0 ""-'11 r~'- 'I '.,. _ j. '.~..., I ' ~ I ....., J
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7)UI-I-,C":','d.~ ,..l';;Ui-';",.. . ...;,,, _ '~II(;"'lIC!1
Overlay District: C3;',,_i l~ H.c ,'.:; ;" 2lian'd Use: Single Family Dwelling
# of Street Trees: 2 Pave Driveway? 0
Temporary Power
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1 :
Comments:
2:
3:
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: 1134 of 2975
~\~,d.ition~! .Requirements:
~)) - ,-\'~- .
RequlreCl Attachments:P1RE IF THE WORK
S"e".:: r.:c;n' ~IT SHALL !::JI
ource ..ocn:
M' "t~' '''''''I 'lED UNDER THIS PERMIT IS NOT
a erla :'-
CC::::::' ',:;ED OR IS ABAN[)'"mr:O r-OR
F,loodlP.lain\FEMIi:'JD. X-White
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: 2218 Accessory527
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Four or More Bathrooms
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
ApplianceVent (Not Covered in SchedulE
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount- 2nd Permit
Total Public Works
Residential- Single Family - Storm
Residential Improvement MWMC
I Job# 01-01017 -01 I
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Page 2 of 3
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:l
Census Code: New SF - attached
Total:2745
Paid On Receipt#
Plan Check
09/18/2001 6732
Buildin!!
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
Electrical
09/18/2001 6732
09/18/2001 6732
09/18/2001 6732
09/18/2001 6732
Plumbin!l
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
Mechanical
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
Public Works
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
System Development
10/03/2001 6890
10/03/2001 6890
ValuelQuantity
I
Fee Amount
164,127
$504,99
$504.99
164,127
$776,90
$54.38
$62.15
$893.43
1
$,00
$50,00
$3,50
$4,00
$57.50
1
$.00
$21.42
$306.00
$24.48
$351.90
1
1
$9,00
$4,00
$,00
$5,84
$12,00
$24,00
$9,00
$9,00
$6,00
$10,00
$5,11
$93.95
1
4
1
1
1
70
1
1
$65,00
$65.00
$-30.00
$100.00
2.471
1
$674,58
$34,83
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Page 3 of 3
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Job# 01-01017-01
Fee
Paid On Receipt#
System Development
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
10/03/2001 6890
Value/Quantity
MWMC Administrative Fee.
SDC Administrative Fee
Property Annexed 1998
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
1
47
1
1
1
31
31
S,F, Residence - Wiilamalane
Total Willamalane SDC
Willamalane SDC
10/03/2001 6890
1
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Planning
10/03/2001 6890
1
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
09/19/2001
Engineering-Res
Planning-Res
Structural-Res
Steve Templin
09/24/2001
Sam Goilah
1 0/02/2001
1 0/02/2001
Don Moore
Fee Amount
$10,00
$150.68
$-19.45
$332,86
$659.76
$155,13
$662.47
$503.44
$3,164.30
$1,000,00
$1,000.00
$50.00
$50.00
$6,216.07
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 correcl. and I further certify that any and all work
performed shail 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 wiil be used on
this project.
I further agree 10 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
ap::et~:.:::t:~i1times during construction, 10/3 /0)
*M'tJ 0.00 '