HomeMy WebLinkAboutPermit Building 2001-9-6
,
.
I Job# 01-00325-01 I
.
Page 1 of 4
TRANS#:Ol-0006622
DATE:SEP 06 2001
AMT RECD:2 $ 16,50
CHANGE:
CASHIER:061
t .
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00325-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3370 Falcon Dr Spr
Assessors Maptl: 17021934
Lot: 91 Block: Addition:
Tax Lot #: 05700
Subdivision:Ambleside Meadows
Owner:
River Valley Builders Inc
41892 N River Dr
Phone Number: 541-367-1618
City/State/Zip: Sweethome, OR 97386
New Value: $163,634
Address:
Scope Of Work: Single Family Residence
Same as 3450 Falcon Dr.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Contractor Registration # Expiration Date
River Valley Builders Inc 134566 4/15/2003
41892 N River Dr, Sweethome, OR 97386 ~,\,o "
,I'J \.~,.
.t"::5:. l \J.... 'J.\'0
,'\'\ ~ ,\0
'(00.. 0~P\ s)/\' fj\)\'
"';:\~, '30' s;'3 ",:;7: ~ '0'\
o~ ,;-. /\''' "'" ~0-
Mechanical Contr Haima 4687~ c,~.,' ~,~ 7/25/2002 ~e
4195 Se 40Th, Albany, OR 97321 ,~,~::i~':~d:;'~ .\~.o:~cj~~"'; C\":~~y:.~~o~
"'-~. ~o -0' ,,~... y,0 ",\! ,,-'
Halma ,:~y' (~~4687' ,,:;,'\'.^c,o ..7/2"5/2002,
,.. -, ~.. ,\,~ ~v ~':J'~ .~:\, _il;><"
4195 Se 40Th, Albany, OR 9732\0:';:" 9"::' ~.,,\l _, o'O'\!,,~.~ ,,\)\.' ;.rr..:<"
. \C r-(lV _~"'{ ~I;._ ..0 ,.,~,...
. ~~ ...h;-" l"'\,)'" ^c,:.:.' O\y~~\).-
Office .Use;;:. \..' \,{\0 v~
\" 'i:)t;'V. ":\~ 0(,. .'('y,
Land Use: 0 c():~of-~ ,,,,,:; # Of Buildings: 1
Zoning Code: LDR.\\)'t' G Occupancy Group: Dwelling
Bedrooms: Heat Source: ~
Range: Sq. Footage:0~2237
~. \y'" .",,\
~ \' 5'1""
To request an inspection call the 24 hour recording at 726-3769. All inspections r~guellt~q.bE1ftir~ hOD
a.m. will be made the same working day, inspections requested aftee:OO a.m.~iII.11e maoei'the.follbwing
working day. i\\c,,,,' ~ 'Oy..~ ~",-'?- ,\'(I\v,:;,,~!)'~~/
. ~O. .~G'?-~ _ \ \~\J . ...~'r-.'
ReqUired Inspections' .,yv 0.\"
...Y\\.... - <"'\\ t.-"" Q'P'
I BuildinR '.,,\y..I.I',~,\;:;.') ~<:;:r;S'
- To be made after excavation but priorto.seiting forri1'g::-'
-Install ground rod at footing, and call f&\ih~PE1'CiiOh'in conjuction with fooling 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.
- Before covering sheathing with finish materials.
- Prior to cover.
Phone
Contractor Type
General Contr
541-367-1618
Electrical Contr
G&E ELECTRIC
PO BOX 1686, ALBANY, OR 97321
541-967-8627
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
,
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
Perimeter Foundation
Drains
Backflow Device
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical.
Gas Service
Final Mechanical
Curbcut
Sidewalk
SW.Curbside
CC-Standard
I Job# 01-00325-01 I
Required Inspections
Building
.
- 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 PlumbinQ
. 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.
-After device is installed but before backfilling trench.
- When all plumbing work is complete.
Mechanical
- Prior to insulation or decking.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tel
-When all mechanical work is complete.
I Public Works I
- After forms are ereceted but prior to placement of concrete.
- 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: 00100/000000:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type: Curbside - 5'
Additional ROW? D
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in): 6
Bond End DateTime: DO/DO/DODO 00:00 AM
Types Of Warning Devices Reqd,
.
~.j
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2001-04-0072
Comments:
2:
I Job# 01-00325-01 I
Overlay District:
# of Street Trees: 2
3:
.
Page 3 of 4
Land Use:
Pave Driveway? 0
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. r ,-I)
I Main: 2237 Accessory~28
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surch8rge For Building Permit
Building Aclministr~tive Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Eloctrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Minimum Plumbing Permit Fee
Three Bathrooms
Stale Surcharge - Plumbing
Stale Surch8rge - Plumbing
Backflow Prevention Device
Administrative Fee - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Oullets
Minimum ~lechanical Permit
Administrative Fee - ~'lechanical
Flood Plain FEMA:
Panel 1153 of 2975
# Of Stories: 2 Height (feet): 28
Current Units: Proposed Units:1
Census Code:New SF - attached
Total:2665
Paid On Receipt#
Plan Check
04/24/2001 5043
Building
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
Electrical
06/06/2001 5695
06/06/2001 5695
06/06/2001 5695
06/06/2001 5695
Plumbing
04/24/2001 5043
09/06/2001 6622
04/24/2001 5043
04/24/2001 5043
09/06/2001 6622
09/06/2001 6622
04/24/2001 5043
09/06/2001 6622
Mechanical
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
Value/Quantity
I
2
163,634
1
4
3
1
1
1
Fee Amount
$80.00
$80.00
$577. 00
$40.39
$17.31
$634.70
$85.00
$60.00
$10.15
$4.35
$159.50
$.00
$5.00
$577.50
$40.43
$1.05
$10.00
$17.33
$.45
$651.76
$4.50
$2.00
$.00
$.96
.
.
u
Job# 01-00325-01
Page 4 of 4
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
1
4
1
1
Less than 100,000 BTU
Vent Fan to One Duct
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
Public Works
04/24/2001 5043
04/24/2001 5043
07/11/2001 6113
04/24/2001 5043
60
1
1
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residentialll11provement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Residential Sanitmy MWMC
Sanitary Sewer SDC Reimbursement
Transportation SDC Reimbursement
Total System Development
System Development
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
04/24/2001 5043
1
1
25
1
2,020
25
1
1
1
SF Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
04/24/2001 5043
1
Grand Total
Plan Check Type Checked By Date Completed
Initial Review-Res Bob Barnhart 04/04/2001
Engineering-Res Steve Templin 04/09/2001
Planning-Res Liz Miller 04/24/2001
Structural-Res Tom Marx 04/18/2001
Comment
Needs to pick up LDAP
By signature, I stale and agree, that I have carefully examined the completed application and do
hereby certify thai 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 Safely. I further
certify tllat only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure at
address is reo dable fr the
approv '. ct n
I required inspections are requested at the proper time, that each
tr t. that the permit card is located at the front of the property, and the
. on the site at all times during construction.
$6.00
$12.00
$4.50
$3.00
$10.00
$2.24
$45.20
$65.00
$65.00
$30.00
$-30.00
$130,00
$547.42
$403.75
$656.02
$24.33
$10.00
$130.62
$-.59
$285.91
$531.25
$154.27
$2.742,98
$1,000.00
$1,000,00
$5,444.14
"
?? ~ -&1'
t /
Date
.
.
.
SPRINGFIELD
"
,
BACKFLOW PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DMSION - BUILDING SAFETY
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:3'3 76 /;; koV?
Assessors Map #: /70 Z- ( 9':5 'f
Owner: C:;7 ~ar):/'VJ
Address:204/' r: 61 150;(
City(brvc:::1: II, s
IJr,
Tax Lot#: 0 57CJ C)
State:
U/'
Phone#:,?'4/-71,J-1"57o
Zip:C) 7?~o
BACKFLOW PERMIT IS ~inc1udes Pennit Fee, State Surcharge & Administrative Fee)
I~~
Contractor: ;:::) LA) nA!.y
Address:
Phone#:
City:
State:
. Zip:
Construction Contractors Registration#:
. Expires:
By signing this pennit/application, I agree to call for an inspection once the backflow prevention device has
been installed and is visible for' ection (726-3769); I also state that all information on this permit/application
9-0 -0/)
Date
FOR OFFICE USE
Date of APPlication:' 7f~
I
. Checked for Delinquencie :
Job#: O(-C)C>32~--o1
Checked for Historical Status:
VALIDATION: .
:D
::3: -f
--I t::::I:;o
DD
:::0--12
fT1 rr1 en
(""J..:;j;::t::
CJ oc.o..
D umo
. tQ 1'.,)-0..........
:c I
l--tC")~OC)
rq ::c 0-. a
;::::o::r">/-l 0
.. z: 0-. r-'.J 0"
Dei"). 00'.
C1"- mCJ101'..J
...........a.........r-...J