HomeMy WebLinkAboutPermit Building 2002-4-15
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Job# 01-01080-01
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Page 1 of A., ,'~ 'I'"\.H' - '01 r,nl"C' i ~ ,-
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DATE:APR 15 2002
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CASHIER:003
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01080-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site:. 6676 Aaron Ln Spr
Assessors Map#: 17023411
lot: 107 Block: Addition:
Owner:
Address:
Tax lot #: 03200
Subdivision: Levi Landing
Travis Zook
4536 Glacier St
Phone Number: 541-521-7006
City/State/Zip:
New
Springfield, OR 97478
Value: $83,224
Scope Of Work: Single Family Residence
Contractor
Travis Zook
4536 Glacier St, Springfield, OR 97478
Mechanical Contr Travis Zook
4536 Glacier St, Springfield, OR 97478
Contractor Type
General Contr
SFR
Registration # Expiration Date
Phone
541-521-7006
541-521-7006
Plumbing Contr McMichael Plumbing Service
40108 Booth Kelly Rd, Springfield, OR
97478
Quad Area:
# Of Units:
Constr. Type':
Water Heater:
541-744-9099
5RNE
1
(VN) Wood Frame
Gas
Office Use
land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1000
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
working day.. ' .
Required Inspections
I Building 1
-Install ground rod at footing, clnd call for inspection in conjuction with footing and/or foundation ir
-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.
, - Prior to cover.
- Prior to Cover
- Prior to taping.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Hold Downs Installed
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:
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Final Building
Temporary Power
Verify Grourid Rod
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
. Project Supervisor:
)
.....J_~
Job# 01-01080-01 I
Page 2 of 4
Required Inspections
I Building I
- When all required inspections have been approved and the building is complete.
I Electrical I
-ApIJroval required prior to SUB energizing pole.
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation ir
- Prior to cover.
- Must be, approved to obtain permanent power.
- When all electrical work is complete.
Plumbing
- Prior to insulation or decking.
- Prior to cov.er 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 I '
- Prior to cov~r.
-When all mechanical work is complete.
I Public Works .1
- 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:
Curbside - 5'
D
8
To Curb and Gutter
San Sewer Tee (in): ' 6
0010010000.00:00:00 . Bond End DateTime: 0010010000 00:00:00 .
N'O OCCUPANCY PERMITS OR SEWER HOOKUP UNTIL THE CITY AC
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 2
. land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner:
Urban Growth Boundary? D Glenwood Area? D
Quantity Of Fill:
Supplier: '
Drainage:
Floodway FEMA: 1166 of 2975
Additional Requirements:
Required Attachments:
Source locn:
Material:
Flood Plain FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1000 Accessory~OO
Fee
Residential Plan Check
Additional Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% 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 - Electrical ,
8% Admin Fee - Electrical
Total Electrical
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
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
'SDC Administrative Fee
Residential Sanitary MWMC
Job# 01-01080-01
Page 3 of 4
# Of Stories: 2 Height (feet): 23
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:1400
, Paid On Receipt# Value/Quantity
Plan Check
10/02/2001 6877 82,440
10/23/2001 7053 3
Building I
10/23/2001 7053 83,224
10/23/2001 7053
10/23/2001 7053
Electrical
10/23/2001 7053 1
10/23/2001 7053 1
10/23/2001 7053 1
10/23/2001 7053
10/23/2001 7053
I Plumbing
10/23/2001 7053
10/23/2001 7053
10/23/2001 7053
Mechanical
10/23/2001 7053
10/23/2001 7053
10/23/2001 7053
10/23/2001 ,7053 2
10/23/2001 7053 1
10/23/2001 7053
10/23/2001 7053
Public Works
10/23/2001 7053 60
10/23/2001 7053 1
10/23/2001 7053 1
.. I System Development
10/23/2001 7053 2,338
10/23/2001 7053 1
10/23/2001 7053 1
10/23/2001 7053
10/23/2001 7053
Fee Amount
$324.58
$2.53
$327.11
$503.25
$35.23
$40.26
$578.74
$106.00
$19.00
$50.00
$12.25
$14,00
$201.25
$254.00
$17.78
$20.32
$292.10
$9.00
$18.00
$3.60
$12,00
$6,00
$10.00
$3.15
$61.75
$65.00
$65.00
$-30.00
$100.00
$638.14
$34.83
$10.00
$136.67
$332,86
~ ~ .
Fee
Job# 01-01080-01
Paid On Receipt#
System Development
10/23/2001 7053
10/23/2001 7053
10/23/2001 7053
10/23/2001 7053
Page 4 of 4
Value/Quantity Fee Amount
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
r
1
1
24
24
$659,76
$155.13
$512.88
$389.76
$2,870.03
S,F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
10/23/2001 7053
$1,000,00
$1,000.00
Planning Plan Review
Total Planning
Planning
10/23/2001 7053
$50.00
$50.00
Address Assignment
Temporary Occupancy
Total Permits w/o Srchg
Permits w/o Srchg
10/23/2001 7053
04/15/2002 8615
$8.00
$100.00
$108.00
Deposit
Total Deposit/Copies/Mis
Grand Total
Deposit/Copies/Mis
04/15/2002 8615
~ 250
$250.00
$250.00
$5,838.98
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
Engineering-Res
Steve Templin
10/18/2001
NO OCCUPANCY PERMITS OR SEWER
HOOKUP UNTIL THE CITY ACCEPTS THE
INFRASTRUCTURE
Planning-Res
Sam Gollah
10/19/2001'
Structural-Res Don Moore 10/19/2001 FEMA Elevation Certificate is required.
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.
Signature
Date