HomeMy WebLinkAboutPermit Building 2000-3-27
..
t
,
Page 1 of 4
TRANS#:01-0001056
DATE:NAR 27 2000
AMT RECD:2 $ 20299.41
CHANGE:
CASHIER: 059
Job# 00-00355-01
.~
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00355-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4015 Cherokee Dr Spr
Assessors Map#: 18020613
Lot: 52 Block: Addition:
Owner:
Address:
Tax Lot #:. 01900
Subdivision:Jasper Park
Hayden Enterprises Inc
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478,
New Value: $77,533
Scope Of Work: Single Family Residence
Office Use
land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Wall Heat
Range: Electric Sq, Footag.e; ()v 1 008
.__.,,:11:::;... 1 __
;I' (t;;gorllo."~ ,- c1reoOf\ U\1l'1
To request an inspection call the 24 hour recording at726-37691\~I~nsp'e' .0B~{lhj{jllteC1'Qef?[e;7;,00r,
a.m will be made the same working day, inspections requesh{1Mlw~ll\JOO . lelWi/\ilJ$malmj~Ef.lf9[[OWing
working day. Notilication c~~ _001 0 t\'110Ug~ 0\ 1\16 ruleS \; .
, nI\B95Z-O \:;.~\n cOple- .~,,,n\1ol\e
ReqUIred Inspe&l:n'~( Ul'II"Y ~. 'Note. "'~.- 'f alIO'
I B 'Id' .,090.-. 01 t\1e centel. \ \Jtilil'fNol' 'c .
UI m~ _::.,,,nlll the oregon ,,_r. n"'^'.
-Install ground rod at footing, and caIlIBfTillSl!l&e!lg~y'R eonjlIclion 'with footing and/or foundation I
-After trenches are excavated. cen' ,
-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.
Contractor Type
General Contr
Electricai Contr
Mechanical 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
Contractor Registration # Expiration Date Phone
Hayden Enterprises Inc 92208 7/29/1999 -'-541-744-6966
806 Hazelnut Lane, Springfield, OR NOTICE: IREIFIHEWORK
97478 IHIS PERMIT SHALLEXP ITISNOT
Philips Electric Inc A\1t~RIZEDUNIQ~~~\J~rER~FOFf1-688-6121
1298 Bethel Dr, Eugene, OR 97402-2003 COMMENCED OR IS ABANDON
Efficient Heat & Air ANY 180 DAY PERIOD. .
x, x, X
BMC Plumbing 103570
648 W Oregon Ave, Creswell, OR 97426
1/1/2001
541-895-3758
3RSC
1
(VN) Wood Frame.
Electric
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 DateT}me: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
.
Wall Insulation
Drywall
Final Building
Temporary Power
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
I Job# 00-00355-01 I
Required Inspections
Building
Page 2 of 4
T"I\"':'" ~1-?~?1~56
.DATE:NAR 27 2000
ANT RECD:2 $ 20299.41
CHANGE:
CASHIER: 059
- Prior to Cover
- Prior to taping.
- When all required inspections h'ave been approved and the building is complete.
I Electrical
-Approval required prior to SUB energizing pole.
- 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 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
-After forms are ereceted but prior to placement of concrete.
Sidewalk Type: Curbside - 5'
Additional ROW? D
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment p'ermit:
San Sewer Tee (in):
Bond End DateTime:
.6
00100/0000 00:00 AM
Types Of Warning Devices Reqd.
. Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
. 1:
2:
Comments2 paved off-street parking are required
3:
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
iArea (Sq, Feet)
I Main: 1 008 Accessory~OO
I Job# 00-00355-01 I
Overlay District:
# of Street Trees: 2
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Glenwood Area? D
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 SqFt
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 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1408
Paid On Receipt#
Plan Check
03107/2000 856
Building
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
Electrical
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
Plumbing
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
Mechanical
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
Value/Quantity
Fee Amount
2
$80.00
$80,00
77,533
$367.00
$25.69
$11.01
$403,70
1
1
1
$85.00
$15.00
$,\000
$9.80
$4.20
$154,00
$.00
$160.00
$11.20
$4.80
$176,00
1
$4.50
$1.50
$.45
$6.00
$300
$10.00
2
1
'.'
Fee
State Surcharge For Mechanical Permit
.Total Mechanical
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
. . SF Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Job# 00-00355-01
Paid On Receipt#
Mechanical
03/27/2000 1056
Public Works
03/27/2000 1056
03/27/2000 1056
System Development
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
Willamalane SDC
03/27/2000 1056
Date Completed
03/08/2000
03/14/2000
03/15/2000
03/16/2000
Page 4 of 4
Value/Quantity
50
1
2,032
18
1
1
1
1
15
I
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, an the
~t <;J plans will remain on the site at all times during construction. I
- fCtI{ , IJ')
~~re~ ~
Fee Amount
$1.05
$26,50
$60.00
$60.00
$120,00
$471.42
$868.86
$491.60
$242.76
$22.05
$10.00
$101.98
$-67.05
$2,141,62
$1,00000
$1,000.00
$4,101,82
. ,
. .
II "1' I n
zoning, and does n01 require specllc a
approval.. LD(L
Zonmg
':? -J-7 -cTl .
Date ~
Authorized Signature
97477
726-3769
225 FIFTH' STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. };:OCATION OF lftSTALLATION
Lot '52, l.J.OI.5 (!J,,oY'r1k:1"t> IJrive...
LEGAL DESCRIPTION
\~ 01... 0 (" I ~ 0 I cr in
JOB DESCRIPTION
() eu) '^ ,",\M.e '
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
JO.LJ:.CTRICAL PERMIT APPLICATION
City Job Number OO-()(')-:<,55-D}
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof '
Each Manuf'd ~ome. or
Modular.Dwelling
Service or Feeder
Items
unit.
Cost Sum
$ 85.00 A5.oD
$ 15.00 I~
.$ 40.00
J
I
2. CON11t~CTOR INSTALLATION ONLY .B. Services or Feeders
.' . . . ~ Installation, Alterations
Electrical contractorIhJiL,M EJecl-rlt'}.InC. or Relocation:
Addressjo2,Q,Q ~J'\,.,ivC' 200 amps or less ~
- 201 amps to 400 amps
Phone h K',.f' -tJ;2.1 401 amI's to 600 amps
601 amps to 1000 amps
License Number ~71 qs Over 1000 amps/volts
/ I I Reconnec t Only
Expira tion Date /0 () / 0
Ci ty t:tWg,),P
S ,0
upervu:or
Constr Contr. Number d{()-/79c...
Expiration Date . /0/0 I/o ()
, Signature of Supervising Electrician
.~~
Owners NameLhvn/PiA '/.J{)YVIe~S
. I' . -.
Address Roc., 1la7./nlu f La h e
CitySrr/flCi+'i,otd Phone 7t.f tf-~<'o9tk
o
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
~ -8.."1-n
lOS}n
l()<,.
$ 50.00 .~'tro
$ 60.00 ~
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less I
201 amps to 400 amps
Over 401 to 600 amps
.Over 600 amps or 1000 vol ts
D.
Branch Circuits
$ 40.00
$ 55.0.0
$ 80.00
see "B"
4000
above
.'
New, Alteration or Extension Per, Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
\\
SUBTOTAL OF ABOVE ~
7% State Surcharge
3% Administrative Fee
TOTAL
E.
5.
$
S
S
S 36.00
~ 110.W
. 7, --~ _ '1J~O
~\ 4.,;;)0
I',-...~ -..-"
i "'-. f 7<'-/
40.00
40.00
20.00
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00355-01
NAME OR COMPANY: HA YDEN ENT
LOCATION: 4015 CHEROKEE DRIVE
TAX LOT NUMBER 18-02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
7209
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2032.00
x
$0.232 PER SQ. FT.
$47L42 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00 I
$491.60 I
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 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22,05 I
($67.05)1
$10.00 I
$207.76 ,
$2,039.64 I
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
$101.98 I
=
~~~
SDC'COORDiN'ATOk
'?\\U \- -- 0
15Ai"E \ ~
TOTAL SDC CHARGES I $2,141.62 I
/
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UN'T EQUIVALENT = PLUMBING F'XTURE UNITS
(NOTE: FOR REMODELS, CALCIJLA TF nNL Y THE NET ADDIT'ONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORlW A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALL/W ALL
WASH BASIN/LAVATORY, 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
I
2
2
I
6
4
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
2
2.
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$438
$432
$4.20
$4.03
$3.88
$3.68
$338
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONL Y IF APPLICABLE $4.47 x.
IMPROVEMENT (IF AFTER ANNEXATION DATE) . "x
RATE PER $1,000
ASSESSED V ALI.llL
$2.18
$ 1.75
$ 1.35
$ L17
$ 1.03
$0.86
$0.71
$0,57
$039
$0.18
15.000
CREDIT TOTAL
: -I
$67.05
$0.00
$67.05
..
.' .,"
"
, .
"-
. .
,.1".'.0
p'", Willamalanec.
t,-",,!, Park & Recreation District Job. NO.CXJ. ~S~O{
,..., SYSTEM DEVELOPMENT CHARGE
WORKSHEET
r nt-)
NAM
It-
PHONE:)44 toY\Olo
STATE:~IP: (\"14"1)
ADDRESS:
LOCATION OF PROPOSED BUlL ING SITE:
Street Address: 40tY\ 01\0 mY Of) ~ \:Jx-.
~ Tax Lot Number: l~ D aI21a.f312..B(t)
Plat Name:
1. DEVELOP NT YPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. SinnIA-F::Jmilv DAI::Jchec!.
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \OCO .00
B. SinnIA-F::Jmilv At1::JehAd
NO. OF UNITS
. X $924 per unit . - $
C. Multi-Familv AoartmAnt
NO. OF UNITS
X $692 per unit = $
D. M::Jnl/far:ll/mn HomA Pa~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit == $
$ \000 .00
0'
lOaa .00
~
$
2. SDC CREDIT (II applicable) SDC-payor must furnIsh proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
\ .(:SDcre:,_d.for,Credit) _ ') $
'~ct\~ 31 &/...../
Developmen\.Services '\l~artment Date
City of Springfield