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HomeMy WebLinkAboutPermit Building 2000-3-2 ", .. i' , .~ . <, , I IJOb# 00-00257-011 Page 1 of4 TRANS#:01-0000809 DATE:MAR 02 2000 AHT REeD: 2 $ 20578.07 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 , . . ,. .. . , eS\lO\.lh ~ . ,- . "IN leQul1 - 1 '1" RESIDI;~JJA\.l~RMrt" oregon Uti It~ C' 'ot' '~(lbythe alesetlOllD com~~~ Wi~~iVi~ rgU~~A~l&8;J,-ber: 00-00257-01 Nd%ti1l6 e_ 010ttlroU "the rules IJy OAR g' . oples o. in gO, You may obtain ~ote: the te\eP~O~~"ice: 726-3759 00 calling the ce;b:~~on Uti\it~~~b1~0~ Line: 726-3769 nUlTlbed~~;~r;s q~()n_332-'23. ), . Cherokee Dr \spr Location Of Proposed Site: 3992 Assessors Map#: 18020613 Lot: 50 Block: Owner: Address: .......~~.,N;...r. Tax Lot #: 09900 . Subdivision: JASPER PARK Addition: Hayden Enterprises Inc 806 Hazelnut Lane Phone Number: 541-744-6966 City/State/Zip: Springfield, OR 97478 New Value: $77,533 Scope Of Work: Single Family Residence Lot 50 Jassper Park Contractor Hayden Enterprises I nc 806 Hazelnut Lane, Springfield, OR 97478 Elite Electric Inc Po Box 42162, Eugene, OR 97404 Mechanical Contr Efficient Heat & Air Land Use: SiIl!l1ll/8S'2li~~~ # Of Buildings: 1 al6U\!j3l/'lJl!l!!N~/l:IOa30N3 't/ Occupancy Group: lOIil~,",;"'1.l:Ji:J SIf-tl.l:I3a V\JV\JOQ Heat Source: )ftl~iW!Je.:, Nn 03Z/l:IOHln't/ Sq. Footage: 1008 ru.::J/3l:1/dX=1'nI>'LJC' """ '-J~' - -::=trVU...., vI ttl.. To request an inspection call the 24 hour recording at 726-3769. All irwl~lii'iHl.ri"quested before 7:00 am. will be made the same working day, inspections requested after 7:'OO"<f:fn'-l.(<lli be made the following working day. Contractor Type. General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Registration # Expiration Date 92208 7/29/1999 Phone 541 ~7 44-6966 99768 6/10/1999 541-688-5401 x, x,X BMC Plumbing x,x,X Office Use 3RSC 1 (VN)Wood Frame Dwelling Required Inspections I Building 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: 00/00/0000 00:00 A Special Instructions: Other Utilities: Project Supervisor: " , Wall Insulation Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Curbcut Sidewalk Job# 00-00257 -01 I Required Inspections building Page 2 of 4 -Prior to'Cover -Prior to taping. -When all required inspections have been approved and the building is complete. E:lectrical - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing - Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to coveL - 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): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 A Types Of Warning Devices Reqd, .~ Zoning: LDR FloodPlain? D Wetl~nds? D Journal numbers 1 : 2: Comments2 paved 9'x18' parking spaces required. 3: [Jobtro-0~(f0-257 -0-11 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 ,Area (Sq, Feet) I Main: 1008 Accessory1400 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 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 of 4 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:1408 r Paid On Receipt# Plan Check 02/17/2000 639 Building 03/02/2000 809 03/02/2000 809 03/02/2000 809 Electrical 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 Plumbing 03/02/2000 809 03/02/2000 809 03102/2000 809 03/02/2000 809 Mechanical 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 Value/Quantity Fee Amount 2 $80.00 $80.00 77,533 $367.00 $25.69 $11.01 $403.70 1 1 $85.00 $15.00 $7.00 $3.00 $110.00 $.00 $160.00 $11.20 $4.80 $176.00 2 1 $4.50 $1.50 $.45 $6.00 $3.00 $10.00 Fee lJo61l oo~ov:<:.(-u~ I Paid On Receipt# Mechanical 03/02/2000 809 Page 4 of4 Value/Quantity Fee Amount 1 State Surcharge For Mechanical Permit Total Mechanical $1.05 $26,50 r Public Works 03/02/2000 809 03/02/2000 809 50 1 $60.00 $60.00 $120.00 New Sidewalk New Curbcut Total Public Works 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 03102/2000 809 03/02/2000 809 03/02/2000 809 03102/2000 809 03/02/2000 809 2,272 18 1 1 1 1 1 $527.10 $868.86 $491.60 $242.76 $22.05 $10.00 $107.98 $-2.86 $2;267,49 L Willamalane SDC 03/02/2000 809 $1,000.00 $1,000,00 $4.183,69 SF Residence - Willamalane Total Willamalane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley Date Completed 02/15/2000 02/18/2000 02/22/2000 03102/2000 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 shali 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 k Ie approved set Of.':.~~~IWl!>remain on the site at all times during construction. L r~ . 3,r 6:::> Signature Date I 20nlng '-.'D1Z- Dale 3-2-o-v Authorized Slgnalure ' 9<',j 225 FIFTH STREET ElJ>CTRlCAL PERllIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 726-3769 Ci ty Job Number iJ7)-trO ;;.:;7,. f OFFICE: 726-3759 1. LOCATION OF INSTALLATION Lr. 'I .Q). LEGAL DESClUPTION /f/o;1...6!,r3 0 "l1117J ,<'992- t"'~' DLtwr JOS DESCRIPTION :3!A/lsJ...E' P-4r-I1ft-Y /2es/~ Pe~mits a~e non-t~ansfe~able and expi~e if york is not sta~ted vithin 180 days of issuance o~ if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elect~ical Contracto~ ~/~~~~ Add~ess 31Y! ~ A::i!iL. &~ 'tZ-lr,/- Ci ty k!J6,B1I/B Phone ,~Lt" - 0313 Supervi Sl)l' License Number Y tb'l'~ Expiration Date /0.- I - 01 Cons tr Con t r, Numbe~ :/ z - J '5 S-c.. Expi~ation Date ) b- I - 0 D Si~f ;;;::X::ician Ovners Name 1f-4;Y/;sV- /-IlJrnGi.5 Add~ess 'ifO{, Ih~r.uv: Ci ty $/)/l.-,IJ/3AEflA7 Phone 7'1L.i-fp'7uq O.~R INSTALLATION The installation is being made on p~operty I ov~ yhich is not intended for sale, lease or rent. Ovne~s Signature: D~TE~--~~~~---~~-------------- RECEIPT I: -Z 'IS' /0V 3. COMPLETE FEE SCHEDULE SELOV A. New Residential-Single o~ Multi-Family pe~ dvelling unit. Se~vice Included: Items Cost Su 1000 sq. ft. or less ~ $ 85.00 ~~ Each additional 500 sq. f t or portion __~ . thereof I $ 15.00 IS'cw Each Hanuf'd Home. or Hodula~'Dvelling Service o~ Feeder ~I'/t.$ 40.00 Services or Feeders Installation, Alterations o~ Relocation: 200 amps o~ less ( 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only S. $ 50.0050"" $ 60.00 $100.00 $130.00 $300.00 S 40.00 C. Tempo~ary Services or Feede~s Installation, Alte~ation or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits NiA- $ 40.00 S 55.00 $ 80.00 volts see "S" above .' Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit E. S 35.00 S 2.00 not includec Miscellaneous (Service/feeder -Each installation Pump or ir~igation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE ~ State Surcharge 37. Admini5t~ative Fee s S $ $ ,fh/n, - 1. .3. ____ 40.00 40.00 20.00 36.00 ., Job. No. ~tD&s.(QL SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: t\.\f\ I ~Aw. .\.L~ t.. -- ADDRESS: r)D~ \k~uuh~ LOCATION OF PROPOSED BUILDING SITE: 3.~<1.~ ~~ PHONE: 1't'-\.-~~~(p STATE:~. ZIP: ~ lL..\? ~ Street Address: Pial Name: \ t:o'!:lOCo. \. ~ Tax Lot Number: 0<1. ~a\. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back,) A. SinolA-FFlmilv DAtFlchAd ?c': Single Family home NO. OF UNITS \. Manufactured home not in a park UlO X $1.000 per unit = $ \ UXl - B. SinQle-Familv At1FlchQct NO. OF UNITS X $924 per unit $ C. Multi-Familv AoartmAnt NO. OF UNITS X $692 per unit = $ D. ]vIFlnllfFlr:tllred HomA Parl\ NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (It applicable) SDCilayer must furnish proof of Willamalane Credit approval. See sac Credit Worl<sheet. $ 3. TOTAL WILLAMALANE NETSDC ASSESSED (If SDC reduced for Credit) $ ~~pment Services Department City of Springfield .-=3 I ~ I 0-0 Date