HomeMy WebLinkAboutPermit Building 2002-8-12
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Job# 02-00863-01
Page 1 of 5
TRAt~S# ~ 01-0010258
DATE=AUG 12 2002
AHT RECD: 2 $ 6325,4,,7
CHANGE:
CASHIER:061
,
RESIDENTIAL PERMIT
City Of Springfield,
Community Services Division
Building Safety
Job Number: 02-00863-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3589 Ambleside Dr Spr
Assessors Map#: 17021943
Lot: 153 Block: Addition: 1st
Owner:
Address:
Tax Lot #: 08500
Subdivision: Ambleside
Dev Sharma,
1325 R Street
Phone Number: 541,-431-0222
City/State/Zip: Springfield, OR 97477
New Value: $200,339
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 # Expiration Date Phone
Dev Sharma 541-431-0222
1325 R Street, Springfield, OR 97477
Dev Sharma 541-431-0222
1325 R Street, Springfield. OR 97477 ATTENTlO'
fOl/c', N:Oreg
Marshalls I nc Notifj 25~19,0Js ado Oi\QL~~{~003 541-747 -7 445
4110 Olympic St, Springfield, OR in OA~atton Cent:ted by the oqu,res You to
97478-5620 0090 952-001_0 r. Those ru/ regOn Uti/it
. Yo,. '"" 010th" eSare Y
Crane Plumbing Co Cal/in,,2228/jjYobtain 3r-2~~~~R setfotM1-744-0300
885 S 42nd St, Springfield, OR nUmbe~:he Center (NCOPies of the 952-001_
97478-7516 ortheo' ote:thet rUlesb"
(',,_, ren,.,... , .., e/An/"_ .Y
-. '<or IS 1 - ' . vlIlICY N .~' . OJ, Il;j
Office Use -800-332_234~ttfication
Land Use: Single Family Dwelling # Of B1oildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Forced Air Gas
Range: Gas Sq. Footage: 2489
3RNW
1
(VN) Wood Frame
Gas
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 reques~ after 7:00 a.m. will be made the following
working day. OrIC~.
THI.~ 1:.
, Required 1~~~t~M/T
I ' BUiICnf)*~OffI2Eb SHAll f.
Verify Ground Rod -Install ground rod at footing, BIIYPYCr. !f&Ull!tY'6lf~ i!~J!9rFWith footing and/or foundation ir
Footing -After trenches are excavated, 80 DAv 'IT IS AbA ~S p~ rHe ~
Foundation -After forms are erected but prior to concretffil'4ffJ/J'eM/VDOtv. RMlr IS ORI(
Post and Beam -Prior to floor insulation or decking, . 'fD hQ /VaT
Floor Insulation -Prior to decking, 'IT
Ceiling Insulation -Prior to cover.
Shear Wall Nailing - Before covering sheathing with finish materials.
. ,
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
I, Job# 02-00863-01 I
Required Inspections
Building
Page 2 of 5
- Prior to cover,
- Prior to Cover
-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.
- 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 tes
-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
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 5 3
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions: '
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
DownspoutslDrains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Storm Sewer
6
00/00/000000:00:00 '
Types Of Warning Devices Reqd.
. ,
'Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 97-04-0094
Job# 02-00863-01 ,I
Overlay District: Hillside Development
# of Street Trees: 2
2: 020086303
3:
Comments:Engineering determined hillside development
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 2489 Accessory:748
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Flood Plain FEMA:
Page 3 of 5
land Use: Single Family Dwelling
Pave Driveway? 0
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 30
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:3237
Paid On Receipt#
Plan Check
07/30/2002 10096
Building
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
Electrical
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
Plumbing
08/12/2002 10258
08/12/2002 10258'
08/12/2002 10258
08/12/2002 10258
Mechanical
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
Value/Quantity
Fee Amount
200,339
$581,04
$581.04
200,339
$893,90
$62,57
$71,51
$1,027.98
1
5
1
$,00
$106,00
$95.00
$50,00
$17.57
$20,08
$288.65
1
$.00
$254,00
$17,78
$20,32
$292.10 '
1
1
$9,00
$4,00
$,00
$4,64
$12,00
$18,00
1
3
. ,
Fee
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
2nd Driveway/Overwidth Appl Fee
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential- Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Engineering-Res
Engineering-Res
Virginia Jurasevich
Planning-Res
Ashley Deforest
Job# 02-00863-01 I
Paid On Receipt#
Mechanical
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
Page4 of 5
Value/Quantity Fee Amount
\
Let message for Dev Sharma regarding
driveway (8/9/02), waiting for return call. Site
plan show a 33 ft driveway. PW has not
received an overwidth driveway application. If
overwidth is applied for and approved, 30 ft is
the max. SDC's may need to be re-calulated.
Overwidth Application has been applied for as
of 8/9/02 by applicant. 30 max. throat if
approved by PW Trans.
Called applicant to request revised plot plan
showing access to house.
Public Works
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
System Development
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
08/12/2002 10258
Willamalane SDC
08/12/2002 10258
Planning
08/12/2002 10258
Permits w/o Srchg
08/12/2002 10258
Date Completed
Comment
07/31/2002
08/09/2002
08/09/2002
08/08/2002
$9.00
$6,00
$10,00
$4,06
$76.70
43
1
1
1
$75,00
$75,00
$35,00
$-30,00
$155.00
3,753
1
1
$1,058,21
$34,83
$10,00
$162,95
$-19.49
$332,86
$709,81
$160,87
$552,25
$419,75
$3,422.04
31
1
1
1
25
25
1
$1,000.00
$1,000.00
1
$55,00
$55.00
$8,00
$8.00
$6,906.51
. '
Plan Check Type
Checked By
Job# 02.00863-01 I
Date Completed
Page 5 of 5
Comment
Structural-Res
Tom Marx
08/09/2002
By signature, I state and agree, that f 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 theproperty, and the
approved set of pi s-wiU-remain on the site at all times during construction.
~~ -~/~ ~._y-z...-O/
Signature (...J Date
(~A../
ELEL-l.RICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37
OFFICE: 726-3759 .'
~o~
. ~.'..0q;,
1. LOCATION OFANS~'. .'..~I<;>N/
3S-g '7 *'~ - I~
i...~- ~<"}~~Q' ,-'"
~~ ,-0 v ~Y>
LEGAL DESCRIPTI~~ . ~
\ 70 Z- \ 9 Lf 3.. ;q ~t~ '
JOB ~~SCRIPTION ~'1
H-o t.-\...S (? WI (l ~ r f!-7YI f
01
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
I
$106,00
lOb
5 $ 19,00 c;S!
$ 50.00
2, CONTRACTOR INST ALLA TION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical' Contractor
City
200 amps or less
201 amps to 400
401 amps to 60
601 amps to 10
Over 1000 amp
R
~
Address
OWNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
N · _~~
1\1\5 p~R~\' UNt}~w~t
p.U1\10R\1~D ~' ~~~
GOMMENCEO \\\00.
.~ M~'i 1 eo. Qt;\K~ Circuits
~\~~e...mA New Alteration or Extension Per Panel
Addres(7-8.a) tJ1T' 1$'3 ft.n6J.E'SI DE=" /)r. One Circuit ,
""- _ ___ _ _ . ....,..,teS )iU\A ~
c... flor .1 4f:3I- Oa-;1..2 ....' \j' \8Ci....' .. \,,\.\\t\l
City ",,-f'Y'\-\I\\~. -e. fA Phone~eu s:-t>3 ~-S-J- 1823 Each Ac1dititW. ~lX€i'?cuit,c~W.:j{,lPS..'el:Vic;,e...\'t,
'~'. --V - ,,,'\i.,,J' "'o,,'\ne -.,se\'lV'
..9rFeede~e~rQ,j!tI, ) . U\65'2<\8 -Ocr\3,OO
,"J\65 a '''-hOSe { 0 1\ f\ q~t.- \-0.
,-,\ \ C,N l . C l,'\~e{. \,..... -,\ on. I"" \I?"" -.i'j
E..'.'Mi~cenafie~. s..:. m., :vl"heYfeeUei' nqt inc1iiUe1l1",
, \\1\T....O'.' f\ I' :\.J \~ . c. 01 " 'Ii'"
", r\r-rf}~h\}rrst~l\1twmcO?\~\ e \8189nO. n
00 R. 'lmw.. 10f.1\.frP~' ti9n(~ote. '.\ .'...~..'. "'.\'..0..". i1iCo.\\CSl50,OO.
'9 ~v i-pxe,:' '\~'\"'i'"
iJ ~'i.Q'T.1J0hmfut a tiMID VII IY .', $50,00
A ,'f',\5. ' 1::l'Y"""... "''<IF' ,
"~-.,,,\l{Ji~~Gb.Ere~gy/R~W:V'V,..t/ ' $25,00
~\ 1 Limited Eil€rgy/Comm $45,00
~~~~
Minimum Electric Pel'mit Inspection Fee is 545.00 + Surcharges
TOTAL
ZS-{
/757
ZO o~
z- 8'&" b)
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee