HomeMy WebLinkAboutPermit Building 2000-3-2
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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