HomeMy WebLinkAboutPermit Building 2002-6-3
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225 Fifth Street'
Springfield, OR 97477
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I Job# 02-00400-01 I
Page 1 af4
TRANI!: 01-0009345
JUN 03 2002
$ 5797,71.
032
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
; Job Number: 02-00400-01
Office: 726-3759
Inspectian Line: 726-3769
Location Of Proposed Site: 3494 Falcan Dr Spr
Assessors Map#: 17021943
Lot: 83 Block: Additian: 1st
Owner:
Address:
Tax Lot #: 03700
Subdivision: Ambleside
Tadd Wa9ner
1977 Bannie lane
Phone Number: 541-746-6896
City/State/Zip: Springfield, OR 97477
New Value: $195,608
Scope Of Work: Single Family Residence
Contractor Type
General Gantr
Electrical Gantr
Mechanical Gantr
Plumbing Gantr
SFR
Contractor Registratian # Expiration Date Phone
Tadd Wagner .' , ..... 1~" ~_, '" 541-746-6896
1977 Bannie lane. Springfield. OR 97477 (~'i;~\~~~'I~~ adapted oy the oregan Ut;lll~
I rhose 'ules are set 10,. .
TaddWagner NatilicatianCen.ei.; h 'hOAR952-9dP46-6896
.. OAR 952-001-0010 t. roug
1977 Bannie lane, Springfield, OR 9747"1\ bt' copies 01 the rules by
0090. You may 0 am _~
Tadd Wagner callina the center. (Note: thetel~~hal541-746-6896
1977 Bannie lane, Springfield. OR 97477 numb;r lar the Oregon Utility Notillcatlor.
Tadd Wagner Centeri~ t_P"C_""?-?344). 541-746-6896
1977 Bannie lane, Springfield, OR 97477
To. request an inspectian call the 24 haur recarding at 726-3769. All inspectians requested befare 7:00
a.m. will be made the same warking day, inspectians requested after 7:00 a.m. will be made the fallawing
warking day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Flaar Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Required Inspections
I BuildinR I
-Install ground rod at faating, and call far ins.eectian in canjuctian with faating and/ar faundatian ir
-After trenches are excavated. NuTICE:
-After farms are erected but priar to. cancr'~OI~!IT. SHALL EXPIRE IF THE WORK
- Pr~ar to. flaarlnsulatlan ar decking. AUTHORIZED UNDER THIS PERMIT IS NO
- Prior to. decking. COMMENCED OR IS ABANDO T
-Pnar to. caver. NED FOR
-Befare cavering sheathing with finish maMlXIJ.80 DAY PERIOD.
- Priar to. caver.
- Priar to. Gaver
-Priar to. taping.
-When all required inspectians have been appraved and the building is camplete.
I Electrical I
-Appraval required priar to. SUB energizing pale.
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Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
UnderCIoor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 02-00400-01 I
Required Inspections
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.
- When all plumbing work is complete.
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 mechanical work is complete.
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:
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:
Special Instructions:
Other Utilities:
Project Supervisor:
San Sewer Tee (in):
DO/DO/DODO 00:00:00' Bond End DateTime:
STORM SEWER STUB IS PRIVIDED AT NE CORNER OF LOT
Page 2 of4
Curbside - 5'
o
8
To Storm Sewer
00/00/0000 00:00:00.
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Overlay District:
# of Street Trees: 3
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: 1153 of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
[Area (Sq. r, ,t)
I Main: 2393 AccessoryB72
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
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
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
Job# 02.Q0400.Q1 I
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Page 3 of4
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:l
Census Code: New SF - detached
Total :3265
Paid On Receipt#
Plan Check
04/08/2002 8548
Building
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Electrical
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Plumbing
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Mechanical
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Public Works
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
System Development
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Value/Quantity
195,608
195,608
1
1
1
1
1
4
1
1
130
1
1
3,096
1
1
Fee Amount
$570.47
$570.47
$877.65
$61.44
$70.21
$1,009.30
$.00
$50.00
$3.50
$4.00
$57.50
$.00
$306.00
$21.42
$24.48
$351.90
$9.00
$4.00
$.00
$5.12
$12.00
$24.00
$9.00
$6.00
$10.00
$4.48
$83.60
$77.80
$75.00
$-30.00
$122.80
$845.21
$34.83
$10.00
address change approved to Falcon Drive
side. Access taken from 35th Street, but
applicant applied for address on Falcon
because residence faced and majority of
residence was on Falcon Drive. Approved by
L Hopper 4/1 0/02
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Page 4 of4
Job# 02.Q0400.Q1
Fee
Paid On Receipt#
System Development
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Value/Quantity
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
30
1
1
1
29
29
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
06/03/2002 9345
1
Planning Plan Review
Total Planning
Planninn
06/03/2002 9345
1
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchn
06/03/2002 9345
1
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
04/10/2002
Engineering-Res
Planning-Res
Structural-Res
Bob Kettwig
Sam Gollah
04/23/2002
04/18/2002
04/18/2002
Tom Marx
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.
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Signature~
Date
Fee Amount
$155.48
$-18.87
$332.86
$659.76
$155.13
$619.73
$470.96
$3,265.09
$1.000.00
$1,000.00
$55.00
$55.00
$8.00
$8.00
$6,523.66
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