HomeMy WebLinkAboutPermit Building 2002-7-3
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I Job# 02-00680-01 I
Page 10f 5
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANS#~Ol-0009840.
DATE=JUL 03 2002
AMT RECD;2 $ 5847,00
CHf~t~GE ~
CASHIER~061
I
CITY OF SPRINGFIELDj OREGON
Job Number: 02-00680-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3496 Ambleside Dr Spr
Assessors Map#: 17021943
lot: 129 Block: Addition: 1st
Tax Lot #: 07200
Subdivision:Ambleside Meadows
Owner:
Address:
Rakoczy Welker Enterprises Inc
PO Box 395
Phone Number: 541-895-8606
City/State/Zip: Creswell, OR 97426
New Value: $136,130
Scope Of Work: Single Family Residence
SFR
$~~\
Contractor Registration # EX~~~{'ce~e
Rakoczy Welker Enterprises Inc 56636 ~~ ~~~
PO Box 395, Creswell, OR 97 426 ~\, f.(; '\~C:, ~~~~~ .
Everyday Electrical Service Inc ~~63~c:'~:~~~ ~~2005
Pmb #132 65 W1 Division Ave, EUge~~ ~~~ ~~ ~ ~~ ~ ~~. , .
OR 97 404-2485 ~ ~f:o f:1. ~~~ ~~ f:1.~~ /
Dean Heating and Air . ~~,\~~\JCV~ 2/23/2003
4301 Main, Springfield, OR 97478 ~~~ ,fQ~ ,
Rs Plumbing Contractor Inc ,_~816 1/4/2004
2234 Dakota St, Eugene, OR 97402-1018
Phone
541-895~86b6
Contractor Type
General Contr
Electrical Contr
541-607 -6908
Mechanical Contr
541-767 -0626
Plumbing Contr
541-461-4714
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Office Use
land Use: Single Family Dwelling # Of Buildings: 1 'i0~~~1\.'i
Z . C d LOR 0 '~C?s \\~", 'X\
onmg 0 e: ccupancy Gr~.up:o\Owelll.Bg
B d 4 H S I' (e .,,0: d ",1;>.'\.G' "-\,
e rooms: eat oU!j.ce: 'E0rc~. ~r\lrr as "I
, ~r$\ ,,<\0 - (l;' ~'0" 'O"l
Water Heater: Gas Range: Gas Sq.I.Fc.o.otage~ ~~1~705,~ ~"oS
~\"'V' . ",n ~ ) _0. ,l\r "t .D:
~\U\" o.oV.- ~'(\u'" ,>vJ" 1\\\ ,- :\,0\.. ~
To request an inspection call the 24 hour recording at 726-3769. All inspecti0f,\~e{,1l'i~ted~be.fot:~'(,7:p'(ihSoe'\!e\e~~\lc0-~0
~\' ~,~~. CPI'" Q:\'-' tloc. ~ :\,\,\\
a.m. will be made the same working day, inspections requested after 7:00 a''\I-:;'\\wi,l18,e rna~€iHti~~.'Jdllb~lr@. ~ ~o
working day. \O".~\c'().'\\I. rje:\j\) ,,\ 0'0'1\; :\ ~o \S\~\~ n~l>.l>.'.
....\o\'\~ 9 '{<\'?j.'j ~\e' ('\0'" n.~""
R . d I t" \' ^~ '^\\ (",e .....e'" ".'?:i-
eqUlre nspec Ions \'\\ ~ n. '\ - \\'.... e "" ~\.l'"'
n~'v. ~~~ ~~. \'
I Building I Cl c~~ e'{\O ~\e'(.\S
- To be made after excavation but prior to setting fOrm~\\).((\~ Oe
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-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,
Quad Area:
# Of Units:
Constr. Type:
3RNC
1
(VN) Wood Frame
Framing
Wall Insulation
Drywall
Hold Downs Installed
Vapor Barrierllnsulation
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
Job# 02-00680-01
Required Inspections
Building
- Prior to cover.
- Prior to Cover
-Prior to taping.
Page 2 of 5
- To be made after insulation and required vapor barriers are in place, but prior to any wall coverir
- 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'g
-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.
-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?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Secu rity 'Required:
Bond Begin DateTirrie: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00:00 '
Types Of Warning Devices Reqd.
Planner:
Urban Growth Boundary? D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X white
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2002-06-174 2:
Comments:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 4
Handicap Access? D
-Area (Sq. Feet)
Main: 1705 Accessory:456
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
Three 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
I Job# 02-00680-01 I
Overlay District:
# of Street Trees: 2
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Panel 1153 of 2975
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 27
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2161
Paid On Receipt#
Plan Check
06/10/2002 9447
Value/Quantity
Fee Amount
136,130
$445,84
$445.84
Building
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
136,130
. $685,90
$48,01
$54.87
$788.78
Electrical
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
1
3
1
$,00
$106,00
$57.00
$50,00
$14,91
$17,04
$244.95
Plumbing
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
$.00
$306,00
$21.42
$24.48
$351.90
Mechanical
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
1
4
$9,00
$4,00
$.00
$4.40
$12,00
$24.00
Fee
Job# 02-00680-01 I
Paid On Receipt#
Mechanical
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
1
Page 4 of 5
Value/Quantity Fee Amount
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
42
1
1
Residential- Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
System Development
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
07/03/2002 9840
1
1
1
24
24
2,739
1
1
S,F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
07/03/2002 9840
1
Planning Plan Review
Total Planning
Planning
07/03/2002 9840
1
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
07/03/2002 9840
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Denny Wright
Liz Miller
06/11/2002
06/18/2002
06/17/2002
06/19/2002
Engineering-Res
Planning-Res
Structural-Res
$,00
$6,00
$10,00
$3,85
$73.25
$75.00
$75,00
$-30,00
$120.00
$747,75
$34,83
$10,00
$142.15
$332.86
$659,76
$155,13
$512,88
$389,76
$2,985.12
$1,000,00
$1,000.00
$55.00
$55.00
$8,00
$8.00
$6,072.84
Bob Barnhart
Needs to pick up LDAP. Currently processing.
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
approved set of plans will remain on the site at all times during construction.
.
"12Jg~
Signature
I Job# 02-00680-01 I
Page 5 of t. I
7/3/02.
Date
e \U'- ,fJlCo'
~~~i~ESL~ci';;'GON 97477. . .,'''';~w~~;~~. . ELLRlC:;: r.EFMI~~~:;;iON
INSPECTION REQUEST: 72. 6~~~~O'''e, \,)- '.r ' /. . Y Job Number \) r\{'l_)\c)1"-LJUl
OFFICE: 726-3759 ".<,,~ 'c,,:Ia ,\h '. Y"
\O~o 7f'" . . //.' 1=\ 3..rCOMPLETE FEE SCHEDULE BELOW
1. ~C~pN OF I~l~~A~~~~, .\ ~,,/'
_ _ft~~0 ;.._:A~\~':'Kta ,W A. New Residential-Single or
Q ",/ (; ~\C\ Multi-Family per d\relling unit.
1EGAL~ESCRIPT.. ION..1')N.\'..' ~,1,e Service Included:
_\.. '1(J rl. \Q4~ .J..~-1 ',~_J.>~,y I tems Cost
~- f\ ~+CQ r
\UB DESCRfPTIO~,\ f' 0..' ," ..JO-, 1000 sq,ft, orIess I $106,00
o \. \'0!....O -t-V::> ('( \l_~ l~~nJ:J t .....fLrnJ) Each additional 500
/ i,j \ \/\ \ sq, ft or portion ~
Permits are nort-.fransferab1e ~nd expire thereof ~ $ 19,00
if work is not started within 180 days Each Manufd Home or
of issuance or if work is suspended for Modular Dwelling
180 d3Ys, Service or Feeder $ 50,00
Sum
,^ J C(}
lu(2"
,
~1&J
(J I
2, CONTRACTOR INSTALLATION ONLY B. Ser'Vices or Feeders
1. 'i'\ [( \ [ ,. , Installation, Alterations or
Electrical Contractor c:-\) erVJ ny Qdr Ice.: ~(y.<:.e Relocation:
AddressP.M.E /32 (')5W-l 'Dv,510f\) i<J'J~f\I.Je. 200ampsorlcss
201 amps to 400 amps
CitY[U(t~ Phone bO'l-b90B 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number 4 60'6 ~) Over 1000 amps/volts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
Expiration Date I C) f 0 I (2.0cy~i
. I
Constr Contr. Number 13 b '31/
Expiration D3te
'?/(2/0 ~
C. Tcmporary Serviccsor Fceders
Installation, Alteration or Relocation
200 amps or less ~ $50,00 ...t:=)CJrtJ
201 amps to 400 amps ~~ $69,00
Over 401 to 600 amps ..c:'\~\ \$ $100,00
Over 600 amps or 1000~~~.~ ~ (.~~
"B" abo\'e ~...9.~'. o~~,(.~'
~. ~~ *"
\'~:"',t.\.. .S)~
D. Branch Circuits(::~,;r:;,~:<,. "(;..\~
,~q,~t:~~~~;9!~~~~~~!1 Per Panel
"' ~,_ -"'_ '<: {'\\r:~ A'~' '",~ . \,j'.. ,.....,,:-~
'<;Pft.~\ci~~li<;,(,:~) :",-f:>' $43,00
\,;..," <("!{""'":,,. 'is:,,- ~<'~~~-^'-',?,__",\~::t~ "
E~t~~~i~:~Ycircuit or ,,'ith Service
or Fe~i'Permit $ 3,00
E. Miscellaneous (Sel'yice/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy-IRes
Limited Energy/CoIllIll
$50,00
S50,OO
$25,00
$-1-5,00
Signature of Supcrvising Electrician
/ 0,
Owncrs Name ~\l) ~l)
Address~)~u ;?Q~:~)
t\" fi,v '\ I\. rl'i ~ 1 a.. I) ') 2V
City I. )'uiJU ~Phone-,,-.; \l)' L.i..,., 0
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OwncI's Signature:
Minimum Electric Permit Inspection Fee is 5-1-5.00 + Surchargcs
11 ''1 06
C"::i , .0.
. /4.qr
J I"] l')1
I1A4 (1 c-
C'Vi . '1 '>.)
-1-. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL