HomeMy WebLinkAboutPermit Plumbing 2007-6-22
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
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BAcKFLOW PREVENTION DEVICE PERl\HT FEE: $55.35
. Contractor Information ATTENTtON: OregonlawreCjuifes you. ~o
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By signing this permit/application, I agree to call for an inspection once the backflow prevention device
has been installed and is visible for inspection (726-3769). I also state that all information on this
permit/application is correct.
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 12/22/2007
VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6107 Forest Ridge Dr
ASSESSOR'S PARCEL NO.: 1702343403000
. Sprinfield
TYRE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mountaingate lot 19
Owner:
Address:
MICHAEL GRAMZOW CONSTRUCTION LLC
PO BOX 664
W AL TERVILLE OR 97489
Phone Number:
541-579-2213
Contractor Type
General
Electrical
Landscape
Low Voltage Electrical
Mechanical
Plumbing
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I CONTRACTOR INFORMA TIOJ~\(I\'O.\jIJ ~ O~eQ,O~ e\ 'o~\n
~. V\~~ () 'O~ \\le eS 'O.~e S t;'2.-a(Y\~
C c"-\\\O L' \Q(\\e E- ~U\. ,.Q'1l? \ ,I Ph
ontractor I\.\\y\'< ec;~rcense1"'0os' xP\lr~tlOn \~te)l one
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MICHAEL GRAMZOW CONSTRU\C(}rr1@~"1jd2'56(y\ a \'0~O 'e~0fj1o~21)'h7\\0~e 541-579-2213
CAMPBELL ELECTRIC ~o'i.\\\c'O.\~ i-~95a ~:o\~ cO\)\ .0?{~4d~o~c'O.'I\0{\ 541-744-0705
SCHELSKYS LANDSCAPE AND I~~IS;tfTf5Jt~7()0'O eC \\-\O\~R~('~)il~. iu^o~ 541-744-7135
CENTRA FLO \ aOga. ~O 6\t~v40e~'I> ~eQ,O~ Jl4Ll'~7.i0If7
COMFORT FLOW c'O.\\\~Q,4~6~~ \'0e ~ \.'O()G-,()~/27/2007 541-726-0100
DONALD CLEWIS ' ~u{(\'01~~(l6\\.ex \S 06/10/2007 541-688-1931
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure: 30.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: ~ Gas
Energy Path: ~\)~ Path 1
SprinklelJ,_B~rrding~\)\ n/a
... \'( \ ,-< \l.O
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I DEVEIsp'PNu;'Na\AI~K(\)~MA TION I
\t~'. :\ S'0'r-~~~ \'0\~~\)\)~(.v
~~'\ "1~~Q~\ '0~\) ~~a~ Dist: Hillside
\'0\~,f'K~~\t\-\) \) \)~"~{{~~t ~rees Rqd: 4
J-\I&OG~CJ'\: ~~-ved Dnve Rqd: Yes
~ 4~\~~\.. ('\ \)~ % of Lot Coverage: 32.60
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1
R-3
U
VN
4
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,018
1,778
1,559
384
828
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: Storm drianage piped to stub provided;curbcut permit fee added to building permit 2/8/2006 CAS
Pal?:e 1 of 5
Status
Issued
CITY OF SPRINli~lELD.
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/0212006
EXPIRES: 12/22/2007
VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
DwelIinl?:s
Garal?:e
Tvpe of Construction
V Wood Frame
Garal?:e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
3,721.00
828.00
Value
Date Calculated
Description
Total Value of Project
$368,379.00
$21,528.00
$389,907.00
02/02/2006
02/02/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $980.30 2/2/06 1200600000000000099
-Mechanical Issuance Fee- $10.00 7/13/06 1200600000000001063
+ 10% Administrative Fee $219.36 7/13/06 1200600000000001063
+ 8% State Surcharge $157.29 7/13/06 1200600000000001063
3 Baths One & Two Family $306.00 7/13/06 1200600000000001063
Addressing Assignment $31.00 7/13/06 1200600000000001063
Building Permit $1,508.15 7/13/06 1200600000000001063
Curbcut Permit $80.00 7/13/06 1200600000000001063
Dryer Vent $6.00 7/13/06 1200600000000001063
Exhaust Hoods $9.00 7/13/06 1200600000000001063
Fire SF Fee" Residential $227.45 7/13/06 1200600000000001063
Fixture $84.00 7/13/06 1200600000000001063
Furnace - up to 100,000 btu $12.00 7/13/06 1200600000000001063
Gas Fireplace $15.00 7/13/06 1200600000000001063
Gas Outlets 1-4 $4.00 7/13/06 1200600000000001063
Gas Outlets 4+ $8.00 7/13/06 1200600000000001063
Mountaingate Impervious Area $936.38 7/13/06 1200600000000001063
Plan Review Major - Planning $150.00 7/13/06 1200600000000001063
Sanitary Sewer - Improvement $858.15 7/13/06 1200600000000001063
Sanitary Sewer - Reimbursement $1,128.15 7/13/06 1200600000000001063
SDC MWMC Administration $10.00 7/13/06 1200600000000001063
SDC MWMC Improvement $865.31 7/13/06 1200600000000001063
SDC MWMC Reimbursement $82.03 7/13/06 1200600000000001063
SDC Sanitary/Storm Admin $181.90 7/13/06 1200600000000001063
SDC Transpo Admin $61.52 7/13/06 1200600000000001063
SDC Transpo Improvement $805.70 7/13/06 1200600000000001063
SDC Transpo Reimbursement $182.69 7/13/06 1200600000000001063
Storm Sewer Each Addtll00' $14.00 7/13/06 1200600000000001063
WiIlamalane Single Family $1,000.00 7/13/06 1200600000000001063
+ 10% Administrative Fee $4.50 3/15/07 1200700000000000276
+ 10% Administrative Fee $23.90 3/15/07 3200700000000000151
+ 5% Technology Fee $2.25 3/15/07 1200700000000000276
+ 5% Technology Fee $11.95 3/15/07 3200700000000000151
+ 8% State Surcharge $3.60 3/15/07 1200700000000000276
+ 8% State Surcharge $19.12 3/15/07 3200700000000000151
Pal?:e 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low V oItage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Backtlow Device
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
LDAP Review
02/07/2006
02/0612006
LDAP Review
03/0112006
Planninl?: Review
03/06/2006
Planninl?: Review
02/0712006
Public Works Review
02/07/2006
Structural Review
Structural Review
02/0712006 .
05/05/2006
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 12/22/2007
VALUE: $ 389,907.00
$25.00
$20.00
$106.00
$133.00
$4.50
$2.25
$3.60
$25.00
$20.00
$4.50
$2.25
$3.60
$14.00
$31.00
3/15/07
3/15/07
3/15/07
3/15/07
3/16/07
3/16/07
3/16/07
3/16/07
3/16/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
1200700000000000276
1200700000000000276
3200700000000000151
3200700000000000151
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000001012
2200700000000001012
2200700000000001012
2200700000000001012
2200700000000001012
Full Review LDAP required. Level
II geotechnical analysis. $600.00
due at issuance. LDAP application
submitted 2/3/2006 and is under
review.
LDAP is at the front counter and
ready to issue.
Place orange construction fencing
across vegetation easement and
around the dripline of trees to be
preserved outside the easement.
Follow tree preservation guidelines
in the attached "MtGate
Development Plan Restrictions".
Can't review until trees are located.
I spoke with Michael Gramzow on
12/13 he said he would bring in a
revised site plan.
Storm drainage piped to stub
provided, curbcut fee added to
building permit 2/8/2006 CAS
faxed 4/24/06
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
work day.
$10,393.40
I Plan Reviews I
02/07/2006
02/06/2006
APP SKG
10 VRJ
03/01/2006
APP VRJ
03/06/2006
APP T AJ
WE
02/0812006
APP CAS
04124/2006
05/05/2006
WE RWC
OK RWC
Pal?:e 3 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 12/22/2007
VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~eallireCUnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low V oItage: Prior to cover.
Low V oItage: Prior to cover.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Pal?:e 4 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 12/22/2007
VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
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 ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 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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Owner or Contractors Signature
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Date
Pal?:e 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r,ty of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2006-00131
COM2006-0013 I
COM2006-00131
COM2006-00 131
COM2006-00 131
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001012
Date: 06/22/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum/Adjustment Plumbing
Paid By
DARREN SCHELSKY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 087746 In Person
Payment Total:
Page 1 of I
2:21 :34PM
Amount Due
2,25
3,60
4,50
14,00
3 I ,00
$55.35
Amount Paid
$55,35
$55.35
6/22/2007