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HomeMy WebLinkAboutPermit Building 2000-3-2 1~ .. , ~ , , ~ ~. , I Job#-0-0~U0264-01 I Page 1 of fRANS#: 01-0000809 DATE:MAR 02 2000 AMT RECD:2 $ 20578.07 CHANGE: CASHIER:059 ,:! RESIDENTIAL PERMIT " City, Of Spr!ngfiel~, " re~ yOU \'_ Com!l1um~~r!!u:.es,Dlvlslon .. Ut'\'toJob Number' 00-00264-01 c" I ~"BUir'ainP-ilM~the Oregon \I, . follow rUles 'V rules are set forth "Iotilication Center. Those hOAR 952-G01- Office: 726-3759 1\ OAR 952-001-001 0 t~~~~s of the rll.4':',ion Line: 726-3769 o090, You may obtal~Note' the telephone """ign the center, \ ' N t.fication Location Of Proposed Site: 3914 19nerc Kee Rhe GR!gon Utility 0 I 1'\Umoer tor ," "'>44) 18020613 G",,\N':' \_rn',-~~,_-"-" . Tax Lot#: 09900 Block: Addition:, '. ". .,Subdivision: JASPER PARK ~.""rr" ~~~..C.' , . Phone Number: 541-744-6966 225 North Fifth Street Springfield, OR 97477 Assessors Map#: Lot: 47 Owner: Address: CITY OF SPRINGFIELD, OREGON ., Hayden Enterprises Inc 806 Hazelnut Lane City/State/Zip: New Springfield, OR 97478 Value: $85,333 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr, Type: Water Heater: S.F.RESIDENCE Contractor Hayden Enterprises Inc 806 Hazelnut Lane, Springfield, OR 97478 Elite Electric Inc Po Box 42162, Eugene, OR 97404 Efficient Heat & Air x, x, X BMC Plumbing x, x, X Registration # 92208 Expiration Date 7/29/1999 Phone 541-744-6966 99768 6/10/1999 541-688-5401 3RSC 1 (VN) Wood Frame Office Use Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: '3 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1120 UU1C3c! Xv'.] X'~ m\' To request an inspection call the24.hSl.ur);el1.9!M.iILatJE?6cJ;\~rIiIlgml!lJmons requested before 7:00 a.m. Will be made the same worklngllla)ll,ljffijtlel)mSl/e'ilueSfetf'ai!erl:1i~m. Will be made the following working day. 10NSIIWlltl3d'SIHlt130Nn 03ZItlOH111v I ' >::.I~" 5l~J ;;\ ~~~1lllM~dJ~lfl SIHl I Building .::l0I1.0N -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?EJ Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? EJ 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 J Job# 00~OD264-01 Required Inspections BuiliJing Page 2 of 4 - Prior to Cover -Prior to taping. -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. 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 compiete, forms and sub base m~terial is in place. Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' o 8 To Curb and Gutter 6 00/00/0000 00:00 A Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments2 paved 9'x18' parking spaces are required 3: iJob# 00-00264-01 Overlay District: # of Street Trees: Page 3 of 4 Land Use: Single Family Dwelling , Pave Driveway? ~ 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: 1120 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 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 # Of Stories: 1 Current Units: 0 Census Code: Does not apply Total:1520 Paid On Receipt# Plan Check 03/02/2000 809 Building 03/02/2000 809 03/02/2000 809 03/02/2000 809 I" Electrical 03102/2000 809 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 03/02/2000 809 03102/2000 809 Mechanical 03102/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 03/02/2000 809 Height (feet): 17 Proposed Units:1 Value/Quantity Fee Amount 2 $80.00 $80,00 85,333 $391.00 $27.37 $11.73 $430.10 1 2 1 $85.00 $30.00 $40.00 $10.85 $4.65 $170,50 1 $.00 $160.00 $11.20 $4.80 $176,00 1 $4.50 $1.50 $.45 $6.00 $3.00 $10.00 2 1 . Fee Job# 00-00264-01 1 Paid On Receipt# Mechanical 03/02/2000 809 Page 4 of 4 Value/Quantity Fee Amount State Surcharge For Mechanical Permit Total Mechanical New Sidewalk 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 I 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 2,280 18 1 1 1 1 SF Residence - Willamalane Total Willamalane SDC Grand Total I l(IIillamalane SDC 03/02/2000 809 1 Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley Date Completed 02/14/2000 02/17/2000 02/18/2000 03/02/2000 $1.05 $26.50 $60.00 $60.00 $120.00 $52884 $868 86 $491.60 $242 76 $22.05 $10.00 $108.06 $-2.86 $2,269.31 $1,000.00 $1,000,00 $4,272,41 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 appro~laXill remain on the site at all times during construction. fJ G ~ CO Signature Date J '. 1~.'~/::t1.J ' The followir)~! rroJect as submitted has the following zoning &! Ie. '.1ues not require specific land use approvai ' i--TJf?____ "2..- 'L - """ ~ ~t ty Job Number IhJ - a1J .;;.&<-f - 0 ( 3. COHPLETE FEE SCHEDULE BELOV 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 97477 72~(1 ZOlllng AuthonL~C Slgnaturf> 1. LOCATION OF INSTALLATION t....- 1../ ~ loo?.{;(P/30'i"/VV l.EGAl. DESCRIPTION <~4' c..~.c.B& /AZ-l VlS" JOB DESCRIPTION ~1ff6L8 h41n It--V k!.&<; 106/l/c.E Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is' suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor CL.J1C aa:;r. Address t;o9 1L1t/l5/L At/e. ,/5[)x I../2.I/,z-- City EuGe1VC Phone :~tl.S--O."1/~ Supervi SI)I" Li cense Number Y tty.r;. Expirabon Date 10- I - DI Cons t r Con tr. Numbe L' "/ 2 - J '5S-c.. Expiration Date ) b- I - 0 D Si::Z;f ;;:X::idan Ovners Name 1f'+)llA8t/ /bmB"> Address <6D(g rMZ6U1/t:,C/ Uv. Ci ty .:5ittAl&aR.--l7 Phone ?t;q-{,f1fRv O.~R INSTALLATION The installation is being made on property I ovp. which is not intended for sale. lease or rent, Ovners Signature: D^TE~~-~---;---------------- RECEiPT #: ? / ~7ct?!J ELECTRICAL PERMIT APPLICATION A. Nev. Residen t ial-Single or Hulti-Family per dvelling unit. Service Included: Items Cost Su 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular .Dvelling Service or Feeder / $ 85.00 gSdtl / $ 15.00 ~d1J AI/A I .$ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I . 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only t r.{) ,.oJ $ 50.00 ::>, $ 60.00 S100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation (p 200 amps"ot' less I S 40.00 40 201 amps to 400 amps S 55.00 ---- Over 401 to 600 amps $ 80.00 ---- Over 600 amps or 1000 volts see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder not include< -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee .IS~, - / 10 . ~.,- -to bS flAt!,. . .. .0-1"... Wi llama lane '"t,,,,!, Park & Recreation District Job. No.CZ)~L(:-(1\ "'W SYSTEM DEVELOPMENT CHARGE . WORKSHEET NAME: ~~~1:::ui PHONE: 1'-tLt-CO'i.bC, ~ - . ADDRESS: Bc:k t\~'\~.ru9)tu.,W STATE: (fA ZIP: <111-(.1<:0, LOCATION OF PROPOSED BUILDING SITE: \. _ Street Address: ~ q,t'-\ ~.-' \.bJL. Plat Name: . t ba~ DCa t3- Tax Lot Number: . OC;~C) l ; . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I ype definitions are on the back,) A. Sinolfl-F8milv Dflt8r.hp.d l'0 Single Family home NO. OF UNITS \ Manufactured home not in a park CftO $ \".." ----- X $1,000 per unit = '-^^-' B. Sioolfl-F8milv At18r.hfld. NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. 1:v18mJfm~lJmd Homfl Paf1\ NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of Willamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOCreduced for Credit) $ ~opment SeNices Department City of Springfield 1; LI crZJ Date ATTAcHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00264-01 NAME OR COMPANY: HAYDEN ENT LOCATION: 3914 CHEROKEE DR TAX LOT NUMBER 18-02-06-13-09801 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE DWELLING UNITS: BUILDING "SIZE: 1520 LOT SIZE: 8015 I. STORM DRAINAGE IMPERVIOUS SQ. FT 2279.50 x $0.232 PER SQ. FT. $528.84 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU $86886 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP .x x 1.01 x $486.73 PER TRIP x . $486.73 PER TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 $491.60 I 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 ($2.86)1 $10.00 I $271.95 I $2,16L25 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 $108.06 I ~./.......~~ SDC COORDIN1I.16k D{~~ TOTAL SDC CHARGES 1$2,269.31 I PLUMBING FIXTURE UNIT (PFUj CALCULATIaN TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ PLUMBING FIXTURE UN'TS (NOTE, FOR REMODELS:CALCULATE ONLY THE NET ADDITIONAL FIXTURES) = FIXTURE TYPE BATHTUB DRINKING FaUNTAIN FLaaR DRAIN INTERCEPTORS FOR GREASE/alL/SaLIDS/ETC INTERCEPTaRS FOR SAND/AUTO. W ASH/ETC LAUNDRY TUB/CLaTHESWASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE.. MaBILE HaME PARK TRAP (I PER TRAILER) RECEPTaR FaR REFRIGERATORIW ATERST A TION/ETC RECEPTaR FOR COMMERCIAL SINK! DISHW ASHERlETC . SHOWER, SINGLE STALL SHOWER, GANG (NuMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LA V A TaRY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOllS: FIXTURES NEW OLD 2 2 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 CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA TEL L 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 $ 1.75 1981 $4.32 1991 $ 1.35 1982 $4.20 1992 $ Ll7 1983 $4.03 1993 $.1.03' 1984 $3.88 1994 $0.86 1985 $ 3.68 1995 rO.71 1986 $3.38 1996 $0.57 1987 $3.03 1997 $0.39 1988 $2.62. 1998 $ 0.18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47.. '.X., IMPROVEMENT (IF AFTER ANNEXATION DATE) IX . 0.640 1,,$2.86."1 '=~' <I:' . $0.00 CREDIT TOTAL $2.86