HomeMy WebLinkAboutPermit Building 2002-6-13
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TRANS#:01-0009546
DATE:JUt-; 13 2002
AMT RECD:2 $ 22.65
CHANGE:
CASHIER:003
I Job# 02-00400-01 I
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225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00400-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3494 Falcon Dr Spr
Assessors Map#: 17021943
Lot: 83 Block: Addition: 1 st
Tax Lot #: 03700
Subdivision:Ambleside
Owner:
Todd Wagner
1977 Bonnie lane
Phone Number: 541-746-6896
City/State/Zip: Springfield, OR 97477
New Value: $195,608
Address:
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
SFR
Contractor
Todd Wagner
1977 Bonnie lane, Springfield, OR 97477
Todd Wagner
1977 Bonnie lane, Springfield. OR 97477
Todd Wagner
1977 Bonnie lane, Springfield, OR 97477
Todd Wagner
1977 Bonnie lane, Springfield, OR 97477
Registration # Expiration Date
Phone
541-746-6896
. 541-746:6896
NotiCE: \T SHAll EXPIRE IF lHE WOK'"
l~;:~D UNDER lHIS PE~lJ~~~6
~OMMENCED OR IS ABANDON
ANY 180 Or-.'l PERIOO. 541-746-6896
To request an inspection call the 24 hour recording at 726-3769. All inspections requested bef.?rEl);:O.9-1~"~v yv..__'
a.m. will be made the same working day,. inspections requested after 7:00 a.m.lwill' oe'maCle'ttie,Jollowing3gon Utility
working day. follow rules aooPle~h ys~ ':u~s are set forin
. . Notification cent~:." ~ .~__"nh nAR 952-001-
ReqUIred Inspections in OAK ~::>",-uu "W' ~ .~o ies 01 the rules oy
I Buildin!! I 0090. You may obtal~Noie. the telephone
-Install ground rod at footing, and call for inspection\j\i1cc5RJuSii6'~WithJooting}andl6t'fOUn(!ation il
-After trenches are excavated. number~or tne. '~ioo~332-2344).
-After forms are erected but prior to concrete placement,enter IS 1
. Prior to floor insulation or decking.
-Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
-Prior to taping.
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
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
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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 Mechanical
SW-Curbside
CC-Standard
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I Job# 02-00400-01 I
Required Inspections
I Plumbinll
- 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.
Page 2 of 4
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 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
Sidewalk Type:
Additional ROW?
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? ~
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
00/00/0000 00:00:00 . Bond End DateTime:
STORM SEWER STUB IS PRIVIDED AT NE CORNER OF LOT
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? ~
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? 0
iArea (Sq. Feet)
I Main: 2393 Accessory:872
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
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Each Additional Outlet
ApplianceVent (Not Covered in Schedule
Gas Fireplace
Dryer Vent
Mechanical Issuance
Mechanical Issuance
State Surcharge - Mechanical
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Job# 02-00400-01 I
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Private Garage/Carp/Star
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:3265
Paid On Receipt#
Plan Check
04/08/2002 8548
Buildin!l
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
Plumbin!l
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
06/13/2002 9546
06/03/2002 9345
06/03/2002 9345
06/13/2002 9546
06/13/2002 9546
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
06/13/2002 9546
06/03/2002 9345
06/13/2002 9546
Public Works
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Value/Quantity
I
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195.608
195,608
1
1
1
1
1
4
2
1
1
1
130
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
$.88
$12.00
$24.00
$2.00
$9.00
$9.00
$6.00
$10.00
$10.00
$4.48
$.77
$106.25
$77.80
$75.00
$-30.00
$122.80
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 4/10/02
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Job# 02-00400-01
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
06/03/2002 9345
06/03/2002 9345
06/03/2002 9345
Fee
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
06/03/2002 9345
Planning Plan Review
Total Planning
Planning
06/03/2002 9345
Address Assignment
Total Permits wlo Srchg
Grand Total
Permits wlo Srchg
06/03/2002 9345
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
04/10/2002
Engineering-Res
Planning-Res
Structural-Res
Bob Kettwig
Sam Gollah
Tom Marx
04/23/2002
04/18/2002
04/18/2002
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Value/Quantity Fee Amount
I
3,096 $845.21
1 $34.83
1 $10.00
$155.48
30 $-18.87
1 $332.86
1 $659.76
1 $155.13
29 $619.73
29 $470.96
$3,265.09
1 $1,000.00
$1,000.00
1 $55.00
$55.00
1 $8.00
$8.00
$6,546.31
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