HomeMy WebLinkAboutPermit Building 2000-10-3 (2)
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Job# 00-01141-01
Page 1 of 4
TRANS#:01-0003354
DATE:OCT 03 2000
AMT RECD:2 $ 30.00 '
CHANGE:
CASHIER: 061 I
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01141-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3964 Douglas Dr Spr
Assessors Map#: 18020613
Lot: 59 Block: Addition: 1 st
Owner:
Address:
Tax Lot #: 01900
Subdivision:Jasper Park
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $83,402
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
same as 3910 Douglas Dr
Contractor Registration # Expiration Date
Hayden Homes
806 Hazelnut Lane, Springfield, OR
97478
Philips Electric Inc 54438 9/19/2001
1298 Bethel Dr, Eugene, OR 97402-2003
Phone
541-744-6966
541-688-6121
3RSC
1
(VN) Wood Frame
Electric
AnC\\j l,u,\j.Urel,ju' dVl red~:e~X~;II14-6966
follow rules adopted by the les ~re set forti
Notification centel. Those ru hOAR 952-001-
1ilD%7.(j1952-001-?n}3:dB~~2s of the511h}S9ll/.3758
0090. You may ou, '('Note' the telephone
r.::lllinothecenter. . .:.,.....,~.":~~H"n
. f"\1ll"\1barfortne Ult::lYVI t vu.Il" . ~_.
Office Use _ . ""',_'\"').?344).
Cenh:' , - ".'. ~ . ".. -
Single Family Dwelling # Of Buildings: 1
LOR Occupancy Group: Dwelling
3 Heat Source: Wall Heat
Electric Sq. Footage: 1 008
Hayden Homes
806 Hazelnut Lane, Springfield, OR
97478
BMC Plumbing
648 W Oregon Ave, Creswell, OR 97426
Land Use:
Zoning Code:
Bedrooms:
Range:
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 afl.ej"0'gbrarm. will be made the following
working day. THIS PERMIT SHALL EXPIRE IF THE WORK
R . dl t' -_.___...,~~n'TU'Coco~n'TIC::NnT
equlre nspec 1~11~1nvnlL..I.-"""'v'.""_.' ..-
I Buildin!! CON1MENCED OR IS ABANDONED FOR
- To be made after excavation but prior t9,~_e;ttingl(grl1)s7ERIOD.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-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.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
,.
,
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Hold Downs Installed
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
.
I Job# 00-01141-01 I
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Required Inspections
I Building I
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
- Prior to taping.
Page 2 of 4
- 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 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.
- Prior to cover.
-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?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
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'
o
6
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1 :
Comments:
2:
I Job# 00-01141-01 I
Overlay District:
# of Street Trees: 2
.
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements: LDAP Required
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
I Main: 1008 Accessory:720
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA:
Accessory Structure
# Of Stories: 1 Height(feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1728
Paid On Receipt#
Plan Check
07/21/2000 2648
Value/Quantity
Fee Amount
2
$80.00
$80.00
Building
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
83,402
$385.00
$26.95
$11.55
$423.50
Electrical
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
1
1
1
$85.00
$15.00
$40.00
$9.80
$4.20
$154.00
Plumbin!!
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
1
$.00
$160.00
$11.20
$4.80
$176.00
Mechanical
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
1
$4.50
$1.50
$.45
$6.00
$3.00
$10.00
2
1
,-
::.
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Fee
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
S.F. Residence - Willamalane
Total WiUamalane SDC
Reinspection Fee - Electrical
Total Reinsp/Hrly Insp
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Engineering-Res
Planning-Res
Lisa Hopper
Steve Templin
AW
Job# 00-01141-01
Paid On Receipt#
Mechanical
08/18/2000 2957
.
Page 4 of 4
Value/Quantity
Public Works
08/18/2000 2957
08/18/2000 2957
73
1
System Development
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
08/18/2000 2957
1,980
18
1
1
1
1
Willamalane SDC
08/18/2000 2957
1
Reinsp/Hrly Insp
10/03/2000 3354
2
Date Completed
Comment
07/24/2000
08/03/2000
08/03/2000
Structural-Res Wendy Stanley 07/25/2000
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.
4~.d?"1-
vSignature
a7,~'
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Fee Amount
$1.05
$26.50
$60.00
$60.00
$120.00
$475.20
$897.48
$507.82
$242.76
$22.05
$10.00
$107.77
$2,263.08
$1,000.00
$1,000.00
$30.00
$30.00
$4,273.08
/0- 3- 00
Date