HomeMy WebLinkAboutPermit Building 2000-3-2
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lJob# 00-00259-0-11
Page 1 of4
TRANS#:01-0000809
DA TE : MAR 02 2000
AMI RECD:2 $ 20578.07
CHANGE:
CASHIER: 059
~4'11
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00259-01
Office: 726-3759
.. ~'vl"uv" ,.,,, i"ci"'lnspe'ctibn Line: 726-3769
An t:I'IIIUI. ~ d by the Oregon UtllI1Y
tq)Lq,~ules adopte I s are set forth
ChT~'6wcatron @Bnter, ThOS~~U heOAR 952-O01-
~n OAR 952-001 ~~~?~~~Pi~S oT<tS!cdl'#i bY09900
oo;~;,~~+Wj~iffflerr~ (~~t~~~~~~~~I1: JASPER PARK
Hayden Enterprises Inc " flumberlO[ t~ldn~u_mbeI]346~.1-744-6966
Center:~ 'I-~,\,.j '-.''''''-
City/State/Zip: Sp'ringfield, OR 97478
_'.,..f"""+v....... . ..-" -'~'~.-
New Value: $77,533
Location Of Proposed Site: 3940
Assessors Map#: 18020613
Lot: 48 Block:
Owner:
Address:
Scope Of Work: Single Family Residence
806 Hazelnut Lane
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
SFRESIDENCE
Registration #
92208
Expiration Date
7/29/1999
Phone
541-744-6966
99768
6/10/1999
541-688-5401
Plumbing Contr Bmc Mechanical
X,X,X
Office Use
Quad Area: 3RSC Land Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr, Type: (VN) Wood Frame Bedrooms: 3 Heat Source:
Water Heater: Range: Sq, Footage: 1008
J.lf"l.J"'", '::JDii:JE3d ^ \to 08
To request an inspection call the 24 hour recording ilL726='3769N(jX(J1~\i~AQI'lr,e:q\l,~~1~~ ~B're 7:00
a.m. will be made the same working day, inspectionl;{F~~~~~/H2oa.~'WIH'I'>E!'lIl:llIr1li!IOO following
working day. >lI:/OM3H.L 1:J30Nn03Z/I:/OH'n
d/31://dX311'" .L If
Required Inspections vl-/!=: 11l^'~JJ_.
--- ..:n"J..
I Building . T - :301l0N
-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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
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
Firewall
Final Building
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
Curbcut
Sidewalk
Project Supervisor:
[J06tf110~00259-01 1
- Required Inspections
Building
Page 2 of4
-Prior to Cover
-Located and constructed according to plans.
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
1 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.
Mechanical
- 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:
Curbside - 5'
D
8
To Curb and Gutter
San Sewer Tee (in):
00100/000000:00 A Bond End DateTime:
NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE
6
00/0010000 00:00 A
Types Of Warning Devices Reqd,
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? ~
2:
3:
Comments2 paved 9'x18' parking spaces are required
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:,
Material:
Flood Plain FEMA: 'n/a
..
Construction Types:(VN) Wood Fra,me
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
iArea (Sq. Feet)
I Main: 1008 Accessoryl'lOO
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
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWiMC
Residential Improvement MWiMC
MWMC Administrative Fee
SDC Administrative Fee
I Job# 00-00259~11
Page 3 of4
# Of Stories: 1 Height (feet): 17
Current Units: 0 Proposed Units:1
Census Code: New SF - detached
Total:1408
Paid On Receipt#
Plan Check
03/02/2000 809
Value/Quantity
Fee Amount
2
$80.00
$80,00
Building,
03/02/2000 809
03/02/2000 809
03/02/2000 809
77,533
$367.00
$25.69
$11.01
$403,70
Electrical
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
1
1
$85.00
$15.00
$7.00
$3.00
$110.00
Plumbing
03/02/2000 809
03/02/2000 809
03/02/2000 809
03/02/2000 809
1
$.00
$160.00
$11.20
$4.80
$176.00
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
03/02/2000 809
1
$4.50
$1.50
$.45
$6.00
$3.00
$10.00
$1.05
$26.50
2
1
t>ulllicWorKs
03/02/2000 809
03/02/2000 809
60
1
$60.00
$60.00
$120.00
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
2,212
18
1
1
1
1
$513.18
$868.86
$491.60
$242.76
$22.05
$10.00
$107.28
.
Fee
Job# 00-00259-01 1
Paid On Receipt#
System Development
03/02/2000 809
Page 4 of4
Value/Quantity Fee Amount
Property Annexed 1979 or Before
Total System Development
1 $-2.86
$2,252.87
SF Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Wi llama lane SDC
03/02/2000 809
1
$1,000.00
$1,000.00
$4,169.07
Checked By
Bob Barnhart
Steve Templin
AlWard
Wendy Stanley
Date Completed
02/14/2000
02/17/2000
02/18/2000
03/02/2000
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 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 J
approv:d se~main on the site at all times during construction. S, ~ J ~
Signature ' Date
.~ '-
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: t\:c.u ~hu 1i"~~
ADDRESS: ~ 4- eu..J~ ~J.u
\
LOCATION OF PROPOSED BUILDING SITE:
"S~4.0 ~\.)\
Job. No.07'\QJ~q ~CJ
PHONE:, 1 '-\,L.{- ~q(Q"
STATE: 0'1. ZIP: ~1L{L~
Street Address:
Plat Name: l C[>)O~DCol"3.
Tax Lot Number: D<i. COo\
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinilions are on the back,) .
A. Sinalfl-FFlmilv DfltFlr.hfld
c )C Single Family home
NO. OF UNITS l
Manufactured home not in a pari<
cc.
X $1,000 per unit = $ l CJu) -
B. Sinalfl-FFlmilv_l~ttar.hflQ
NO. OF UNITS'
X $924 per unit . - $
. C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactumd Homfl Park
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDG-payer must lurnlsh prool of
Willarnalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDCreduced lor Credit) $
~ment Services Department
City of Springfield
;/ 'L/ a-iJ
Date
,
" ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00259-01
NAME OR COMPANY: HAYDEN ENT
LOCATION: 3940 CHEROKEE DR .
TAX LOT NUMBER 18-02-06-13-09801
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
7128
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2212.00
x
$0.232 PER SQ. FT.
$513.18 ,
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 1
B. IMPROVEMENT COST:
NUMBER OF FEU's
'x
$22.05
PER FEU
$22.05 1
($2.86)1
$10.001
$271.95 1
$2.145.59 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
$107.28 I
~ -:-r--,
- c..c.z.G: /~/___
SDC COORDINAJ)'lR
. ~/~l/)<T)
DA E
TOTAL SDC CHARGES I $2,252.87 I
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT = PLUMBING F'XTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXT!JRES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC
INTERCEPTORS FOR SAND/AUTO W ASH/ETC
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERJETC
SHOWER, SINGLE STALL
SHOWER; GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALLlW ALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRlV A TE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW . OLD
2
2
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
1
6
4
PLUMBING.
FIXTURE
UNITS
4
o
o
o
.0
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18'
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
I
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$ 3.88
$ 3.68
$ 3.38
$3.03
$2.62
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
YEAR
ANNEXED
1989
1990
\'991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47'
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$ L17
. $ L03
$ 0.86
$ 0.71
$ 0.57
$0.39
$ 0.18
"
x,"
. X
0.640
'.. ,.\';=..........1'.
'';', I
$2.86 - / I
$0.00
CREDIT TOTAL I $2.86
., . '
1:1.'
The following project as submitted has the followi
zoning, and does not ,require specific land use
approval. I-- U (L--
Zoning
3-~-cn.> \
97477 Date ~
726-37f\lnnorized S'gnature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFPICE: 726-3759
1. UlCATION OF INSTALLATION
L.s:r- 4 " ~ .
l.EGAL'DESCRIPTION . \~O;(OIo0 o'ilfro
61'-10 C-H=2n/<L:E J'j/l..,
JOB DESCRIPTION
,S/IV/-u-E &!tl!1tL-Y ,t? ~StO,:9t/LC.
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 fo.
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor lEl-t'Tlf eLeCT.
Address Zit)'? l2.../vEL /hitS. Bo:x' '-I2/(PZ-.
Ci ty EU6EIIE
Phone d'-lS- -0313
SuperViSf)l' License Number Y tbi.r'!;
Expiration Date
/0-/-01
Const. Contr. Numbel' ;> 2 - J 1S-C
Expi.ation Date J b- I - 0 D
Signa~re of Supervising Electrician
~ ..2?~
Oyners Na!"e /f~mA/ rbML..(,
Address R(){p IiA?A1-A/I (j tA/.
Ci ty5fJ~tI/6FIElA7
Phone 7'1'Y-u'J~ ~
O.~R INSTALLATION
ELECTRICAL PERMIT APPLICATION
"::. !~- Job Number
3. COMPLETE FEE SCIIEDllLE BELOII
. . .
A. Nev Residential~Single or
Multi-Family pet dvelling unit.
Service Included;
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
fA
Su
I
$ 85.00 ~ot)
I:./r 0.)
S 15.00 :J
I
.$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~ ,.,J
B.
Services or Feeders
Installation, Alterations
or Relocation:
C. Tempo.ary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Su.charge
37. Administrative Fee
S 40.00
$ 55.00 -
$ 80.00 -
see flsn above
.'
Ney, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not include,
-Each installation
Pump or ir.igation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy /Comm $ 36.00
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
I
The installation is being made on
p.operty I Ov~ yhich is not intended
,for sale, lease or ren t .
Ovne.s Signatu.e:
DATE:' ~---------------
"",,,t.J.i'[ #: . . "Z _ f s:- fez:,
200 amps' 'or less '" I~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
B.anch Circuits
One Circuit
Each Add it i onal
Ci.cuit or vith Service
or Feeder Permit