HomeMy WebLinkAboutPermit Building 2000-3-2
.." Ii'
Job# 00:00256-01
Page 1 of TRANS#: 01-0000809
DATE:NAR 02 2000
ANT RECD:2 $ 20578.07
CHANGE:
CASHIER: 059
~~~
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL.RERMITJr;,>lu;, ,aw re4ulres you. ~L
City 0(1" . i!ieJie.!fIadopted by the Oregon Utility
Communi~ ,S~ i~l.c '!i~~j;igl' Those ru)~,&.ll!.t9mb-00256-01
BUlldil1l e. -001-0010 thrOughDAF(9SZ-uO I-
n R b . ft~wJes bv
0090. You may obtain copies 0 iHb<<ffii 726-3759
calling the center. (Notll~Ws~le ibilUtir?26-3769
numberlortheOregon'lJ I ty \
c~n'''Y;O 1_ROO-332-2344,.
Cherokee Dr Spr "".., .
Location Of Proposed Site: 4018
Assessors Map#: 18020613
Lot: 51 Block:
Owner:
Address:
"r"~""~ ....,
'. . Tax Lof#:'" 09900
Subdivision:JASPER PARK
Addition:
Hayden Enterprises Inc
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $74,559
Scope Of Work: Single Family Residence
Lot 51 Jasper Park
Contractor
Hayden Enterprises Inc
806 Hazelnut Lane, Springfield, OR
97478
Elite Electric Inc
Po Box 42162, Eugene, OR 97404
Mechanical Contr Efficient Heat & Air
x, x, X
Contractor Type
General Contr
Electrical Contr
Registration # Expiration Date
92208 7/29/1999
Phone
541-744-6966
99768 6/10/1999
541-688-5401
Plumbing Contr BMC Plumbing
x,x,X
Office Use
Land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: LDR 'aOltl3d ^\f~llcy Group:
::~~~~ms:t10ja3NOaN\f8\fSI t10a30~:;:.: 1008
'1':"'<:>' "J^I~OlrlC:::IHltl3aNna3ZIClUI'l.i.llV' .
To request an inspection call the 24 hour recordin!)laJul..=ffil!1 ~I~j~~ .~'ikB'~Eltore 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilt~!<G'~e following
working day. .
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
3RSC
1
(VN) Wood Frame
Dwelling
Required Inspections
I tluilding I
-Install ground rod at footing, and call for inspection in conjuction with footing 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.
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:
.'
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Low Voltage
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing .
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
Project Supervisor:
I Job# 00-00256-011
Required Inspections
Building
Page 2 of4
- Prior to Cover
-Prior to taping.
-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.
I Plumbing
-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.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
- After forms are ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
DownspoutslDrains:
Enchroachment Permit:
Curbside - 5'
o
8
To Curb and Gutter
San Sewer Tee (in): 6
00/00/0000 00:00 A Bond End DateTime: 00/00/0000 00:00 A
NO ENCROACING ON EASEMENT INCLUDING EAVES & FOOTINGS
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1:
2:
Comments2 paved 9'x18' parking spaces are required.
3:
[Job# UU-UU:.!5ti-U11
Overlay District:
# of Street Trees:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
rArea (Sq. Feet)
Main: 1008 Accessory240
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
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 For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
Page 3 of4
Land Use: Single Family Dwelling
Pave Driveway? ~
# Of Stories: 1 Height (feet): 17
Current Units: 0 Proposed Units:1
Census Code: New SF - detached
Total:1248
Paid On Receipt# Value/Quantity
Plan Check I
02/17/2000 639 2
t:lunamg
03102/2000 809
03/02/2000 809
03/02/2000 809
Electrical
03102/2000 809
03/02/2000 809
0310212000 809
03102/2000 809
03102/2000 809
Plumbing
03/02/2000 809
03102/2000 809
03/02/2000 809
03/02/2000 809
Mechanical
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
03102/2000 809
03/02/2000 809
Fee Amount
$80.00
$80.00
74,559
$358.00
$25.06
$10.74
$393.80
$85.00
$15.00
$40.00
$9.80
$4.20
$154.00
1
$.00
$160.00
$11.20
$4.80
$176.00
2
1
$4.50
$150
$.45
$6.00
$3.00
$10.00
Fee
[Job# 00-00256~011
Paid On Receipt#
Mechanical
03/02/2000 809
Page 4 of4
Value/Quantity Fee Amount
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk J
New Curbcut
Total Public Works
PubliC Works
03/02/2000 809
03/02/2000 809
50
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
System Development
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
1,832
18
1
1
1
1
SF Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Willamalane SD-t;
03/02/2000 809
1
Checked By
Bob Barnhart
Steve Templin
AlWard
Wendy Stanley
Date Completed
02/15/2000
02/18/2000
02/22/2000
03/02/2000
$1.05
$26.50
$60.00
$60.00
$120.00
$425.02
$868.86
$491.60
$242.76
$22.05
$10.00
$102.87
$-2.86
$2,160.30
$1,000.00
$1,000.00
$4,110.60
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
appr~ s~~ain on the site at all times during construction. S/ G r (:t)
Signature" Date
--
~ - . .
SYSTEM DEVELOPMENT CHARGE
I r . WORKSHEET
NAME: t\-~.tk~ PHONE: 1L{L.\~~1.Ca~
ADDRESS: 1iio 4.~~ STATE: tJU\ ZIP: <\11.(1<0
LOCATION OF PROPOSED BUILDING SITE: ~
Street' Address: Ltc) t ~ ~Oo. (}.J).
Pial Name: \ ~~O<Ol~ Tax Lot Number:. C'lBOl
Job. No.ctXO&S'CI
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwelling t
ype definitions are on the back.)
A. Binalf!-Fflmilv Df!lflched
~ Single Family home
NO. OF UNITS \
Manufactured home not in a park
dG
X $1,000 per unit = $ _\ tn:..r:> -
B. Sinalf!-Fflmilv AtfflChf!d
NO. OF UNITS
X $924 per unit . - $
C. Multi-Familv Aom1mf!nt
NO. OF UNITS
X $692 per unit = $ _
D. M;mufljctumd Home PRrl\
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDG-payer mustlumlsh proof of
Wilfamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WtLLAMALANE NET SDC ASSESSED
(If SDC reduced lor Credit) $
~\~
D~~lopment Services Department
City of Springfield
Jj ?../o-b
Date
-
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00256-0 I
NAME OR COMPANY: HAYDEN ENT
LOCATION: 4018 CHEROKEE DRIVE
TAX LOT NUMBER 18-02-06-13-0980 I
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1248
LOT SIZE:
6578
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
1832.00
x
$0.232 PER SQ. FT.
$425.02 I
2. SANITARY SEWER-CITY
=
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 I
3. TRANSPORTATION
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00 I
$491.60 I
1
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x
x
$486.73 PER TRIP
$486.73 PER TRIP
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER.FEU
$242.76 ,
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 I
($2.86)1
$10.00 I
$271.95 I
$2.057.43 J
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2. 3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
$102.87 I
A: --r .(.>,,>
'sDc{,0~1\
~~V~
TOTAL SDC CHARGES 1 $2,160.301
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS
(NOTE: FOR REMODElS CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
~'
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLlDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/WATER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
W ASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
2
1
2
2
I
6
4
2
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
O.
o
2
o
.2
o
'8
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 18
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN T ABLE, CALCULATE CREDITS SEPARA TEL
YEAR' RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2.18
1980 $4.38 1990 $ L75
1981 $4.32 1991 $ L35
1982 $4.20 1992 $ L17
1983 $4.03 1993 $ 1.03
1984 $ 3.88 1994 $0.86
1985 $3.68 1995 $0.71
1986 $3.38 1996 $057
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47 I 0.640 I . $2.86 I
.K.
IMPROVEMENT (IF AFTER ANNEXATION DATE) x.' I $0.00
CREDIT TOTAL $2.86
,~
1~.'JS!liI=:~.} ,
The following project as submitted has the following
zoning, and does not require specific1land use
approval.
225 FIFTH STREET Zoning
SPRINGFIELD, OREG~Nt 97477
ae
INSPECTION REOUES: IL~-J/~'
OFFICE: 726-3759Autnonzed Signature
lblL
3-;t-cr1l
cKJ
1. LOCATION OF INSTALLATION
~ 51
L.EGAL DESCRIPTION ISO,,"OIo() O'1~
Ltc>/ ~ c. ma.olc~ ~Ir/l;/
J08 DESCRIPTION
5/ll/hL-E H1m1t.--Y ~S /PeNth
Permits are non-transferable and expire
if york is not sta~ted vithin 180 days
of issuance o~ if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contr:actorB.A71i ('fU;;'-rttJt.--
Address~q ?/tItZ~, PJt.Y '12-/~Z-
Ci ty Pu&We Phone r~"Ic.,-031~
Supervisor License Number V.t{,lr~.
Expir:ation Date
/0-/-01
. C. TemporaL-Y Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number '/ Z - ) 15-C
Expiration Date J b- I - <:) D
Signa~re of Supervising Electrician
~ .5?~ -
Ovner~ Name H'+!iJt5/1/ &,.,,~S
Address ~"v /U:u?LAf/u:r- L..A/.
Ci ty !5;PLiAlb?1EU7 Phone 7I1q-{P9k~
O.~R INSTALLATION
The installation is being made on
prop~rty I ovr. ~hich is not intended
for sale. lease or r:ent.
Ovners Signature:
D^TE;~--~~~----;-------------
RECEIPT #: '2 /J /C/Z)
El..ECTRlCAL PERMIT APPLICATION
Ci ty Job Number 0/) - trn 2C,L. -0 I
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Se~vice Included:
Items Cost
1000 sq. ft. or less /
Each additional 500
sq. f t or portion I
thereof
Each Hanuf'd Home. or
Modular .Dvelling
Service or Feeder JL?f~
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less /.
201 amps to 400 amps
401 amps to. 600 amps
601 amps to-1000 amps
Over 1000 amps/volts
Reconnect Only
Su
$ 85.00 ~
$ 15.00 IS
.$ 40.00
S 50.00~""
S 60.00
SlOO.OO
S130.00
S300.00
S 40.00
200 amps' 'or less
201 amps' to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
'"
S 40.00 '-fa -
S 55.00 -
S 80.00 -
volts see "B" above
5. SU8TOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
.'
Ney, Alteration or Extension Per Panel
S 35.00
S 2.00
E. Miscellaneous (Service/feeder not includec
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
D.
Branch Circuits
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit