HomeMy WebLinkAboutPermit Building 2002-5-29
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Job# 02-00053-01 I.
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Page 1 of 5
225 Fifth Street
Springfield, OR 97477
TRANS# ; (] 1-.0009291
DriTE; t1AY 29 2002
ANT EECD~2 $ :389=88
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CABHIER~005
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00053-01
Office: 726-3759
Inspection Line: 726-3769
Water Mark Dr Spr .
Location Of Proposed Site: 3384
Assessors Map#: 17021934
Lot: 60 Block:
Tax Lot #: 00800
Addition:' Atrf:2/V,,/"Slibdivision:Ambleside
1_" ILJiU./,,"o.
Phq9{61;N~~~~~Cs c52t1~7~&1tJlirequlrt::s _, '"
In .QAR ~ n enter I. Y the Or.t::1n YOu l(I
Cit~{~9~te/Z-ip~-oO J~8B9gfil9tSe~J1~T4''P1) Utility
. You rn 0 thro are BAt ~
Scope Of Work: Single Family Residence New calling th ay ObtaMaJue~gh$)..&~~~ Orth
nUmb e center (Nl-UPles of th -001_
, er for the Or' ote: the te e rUles by
SFR - NOT same as 6848 Simeon Dr Center is 1 ~~on Utilitv ~~p'hone
Returned check to Cozv Homes/on 5-16-2002/ had acceDtance-stam'f!:6@.Q~3~~'Wcation
Contractor Type Contractor Registration # Expiration l1Jte Phone
General Contr Tom Wirfs Enterpri~es Inc 32947 6/28/2004 541-747-8704
Po Box 237, Springfield, OR 97477
Bills Electric
3170 West 11th Street, Eugene, OR
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
~renda Marlene Currier
6.48 W Oregon Ave, .creswell, OR 97426
Owner: '
Address:
Electrical Contr '
Plumbing Contr
Plumbing Contr
Tom Wirfs Enterprises Inc
Po Box 237
21351
"
4/28/2002
541-687-1851
6/25/2003
541-345-2838
6/25/2003
5.41-345-2838
103570
12/15/2002
541-895-3758
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 requested after 7:00 a.m. will be made the following
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Special
Hold Downs Installed
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation ir
-After trenches are excavated. .
-After forms are erected but prior to coi1cr~ea>11~~ent.
-Pr!or to floor ~insulation or decking. THIS PERMIT SHALL EXPIRE IF THE WORK
-Prior to decking.. . .
_ Prior to cover. AUTHORIZED UNDER THIS PERMIT IS NOT
- Before covering sheathing with finish mate]~MMENCED OR IS ABANDONED FOR
-Prior to cover. ANY 180 DAY PERIOD.
. - Prior to Cover
-Prior to taping.
-See Plan Review andlor Inspectors Notes, or prior to cover if applicable.
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underground Plumbing
Underfloor Plumbing
Underfloor Drain
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# 02~00053-01 I
Page 2 of 5
, Required Inspections
I Building I
-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 filling the trench.
-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.
- 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.
'1 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:
Street Improvement: Fully Improved
Curb Cut? [?] Improvement Agr.? D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - 5'
D
8
To Curb and Gutter
6
00/0010000 00:00:00 .
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: . 2:
Comments:
I Job# 02-00053-01 I
Ove~lay District:
# of Street Trees:. 1
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: Sam Gollah
Urban Growth Boundary? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway F.EMA:. X-White
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: 1161 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1 # Of Stories: 2 Height (feet): 25
# Of Bedrooms: 3 Current Units: Proposed Units:1
Handicap Access? D Census Code: New SF - detached
-Area (Sq. Feet)
Main: 1598 Accessory:520 Total:2118
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check OS/29/2002 9291 23,872 $140.79
Additional Plan Check 03/13/2002 8289 10 $10.00
Hourly Plan Review 01/15/2002 7783 2 $90.00
Total Plan Check $240.79
Building
Building Permit 03/13/2002. 8289 129,402 $663.15
Building Permit OS/29/2002 9291 23,872 $216.60
State Surcharge For Building Permit 03/13/2002 8289 $46.42
State Surcharge For Building Permit. 05/29/2002 9291 $15.16
8% Building Administrative Fee 03/13/2002 8289 $53.05
8% Building Administrative Fee OS/29/2002 9291 $17.33
Total Building $1,011.71
Electrical
Wiring Footage 1,000 Sq Ft or Less 03/13/2002 8289 1 $106.00
Wiring Footage Each Add'l 500 Sq Ft 03/13/2002 8289 3 $57.00
State Surcharge - Electrical 03/13/2002 8289 $11.41
8% Admin Fee - Electrical 03/13/2002 8289 $13.04
Total Electrical $187.45
Plumbing
Three Bathrooms 03/13/2002 8289 $306.00
State Surcharge - Plumbing 03/13/2002 8289 $21.42
8% Administrative Fee - Plumbing 03/13/2002 .8289 $24.48
Total Plumbing $351.90
Mechanical
Hood and Exhaust. 03/13/2002 8289 1 $9,00
One to Four Outlets 03/13/2002 8289 1 $4.00
8% Administrative Fee - Mechanical 03/13/2002 8289 $4.64
Less than 100,,000 BTU 03/13/2002 8289 1 $12.00
Fee
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family ~ Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Transportation SDC Reimbursement
Transportation SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Photocopy Fees
Total Deposit/Copies/Mis
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Initial Review-Res
Lisa Hopper
Job# 02-00053-01 I Page 4 of 5
Paid On Receipt# Value/Quantity Fee Amount
Mechanical .
03/13/2002 8289 3 $18.00
03/13/2002 ' 8289 1 $9.00
03/13/2002 8289 1 $6.00
03/13/2002 8289 $10.00
03/13/2002 8289 $4.06
$76.70
Public Works
03/13/2002 8289 50 $65.00
03/13/2002 8289 1 $65.00
$130.00
System Development
03/13/2002 8289 4,270 $1,165.59
03/13/2002 8289 1 $34.83
03i13/2002 8289 1 $10.00
03/13/2002 8289 $162.06
03/13/2002 8289 31 $-19.63
03/13/2002 8289 1 $332.86
03/13/2002 8289 24 $512.88
03/13/2002 8289 24 $389.76
03/13/2002 8289 10 $155.13
03/13/2002 8289 10 $659.76
$3,403.24
Willamalane SDC
03/13/2002 8289 1 $1,000.00
$1,000.00
Planning
03/13/2002 8289 $50.00
$50.00
Permits w/o Srchg
03/13/2002 8289 1 $8.00
$8.00
Deposit/Copies/Mis
03/13/2002 8289 4 $1.50
$1.50
$6,461.29
Date Completed Comment
01/16/2002 Although plan was submitted as "same as"
plan, an address for the same as was not
provided. The plans do not include an
elevation of the structure in order to process.
Plans returned to David Bowlsby to follow up
and obtain information needed to for plan
review. Hold until information is received.
01/22/2002 Received address to completed initial plan
review 1/22/02. Copied elevation drawings
from plan on file that had been finaled to
. complete set of submitted drawings.
Job# 02-00053-01 I
Plan Check Type Checked By Date Completed
Engineering-Res Steve Templin 02/04/2002
Planning-Res Sam Gollah 02/04/2002
Structural-Res David Bowlsby 01/30/2002
Structural-Res Bob Barnhart 04/10/2002
Page 5 of 5
Comment
NO OCCUPANCY UNTIL FEES PAID
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
~~~p~~n: ""~ain~.;;J~\::e: during construction. ~. ~ -OL
~~d~~ ~/~~ Date
32217
COZY HOMES, INC.
1275 S. 2ND ST. PO BOX 237
SPRINGFIELD, OR 97477
PH. 541-747-8704
LIBERTY FEDERAL BANK SB
EUGENE BRANCH
EUGENE, OR 97401
96-7142-3232
5/10/2002
PAY TO THE
ORDER OF
City of Springfield
$ "389.88
City of Springfield
244 North "A"
Springfield, OR 97477
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City of Springfield
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City of Springfield
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