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HomeMy WebLinkAboutPermit Building 2002-7-3 I" ,\ :.." '1 ,~ ( : i-l' b 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