HomeMy WebLinkAboutPermit Building 2000-3-2
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IJOb#-0-0-00261-.:ofj
Page 1 of4
TRANS#:01~0000797
DATE:MAR 02 2000
ANT RECD:2 $ 8137.46
CHANGE:
CASHIER: 059
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00261-01
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: ~~&~rokee Dr Spr
'\YQ yo ~
Assessors Map#: 18020613 %r~ <~ 'Jh Tax Lot #: 09900
Lot: 45 Block: ~'}~>0'~6-_ ~dition: Subdivision:JASPER PARK
'v.l --<<. \r6-: ~
Hayden Enterprises Inc Oz '~.t. IS) Osfhone Number: 541-744-6966
~~~O'
806 Hazelnut Lane ~~ ~ Oo.~State/ZiP:
~. ~o. ~')A ~
Scope Of Work: Single Family Residence . {SI (~~, ';('
v~-9<Sa ~ -11-p,
~~~5)
'J- .Ii
'f01-~ Registration # Expiration Date
7/29/99
Owner:
Address:
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office: 726-3759
Inspection Line: 726-3769
Springfield, OR 97478
Value:' $77,533
S F.RESIDENCE
Contractor
Hayden Enterprises Inc
806 Hazelnut Lane, Springfield, OR
97478
Phone
92208
541-744-6966
Efficient Heat & Air
x, x, X
" , ~~\) .
997~8' ,.<l\-6I'~,,~':J R) '541-688-5401
. " ,', '3'1">>\0 10. 'Q'I!>. ,<:)fQl:l \)\
..' .vojo (3\0 0':J'3~ ~o}. ~O ~
_,,6"'<.> \)o~ .\'3\'<S o\-~\?t.~fQ~':J\~1<~\
. ,~"" ~\~1<~'3\0~ \)~\~ .\<:)<::5 \)o~ ~O\': ~
.e')\~1<0~\ '31>.~~\~O~'I">>~\<:)~'3\\)~; ,,'3~~,,"\~~).
v.O~ ol>.o'3~\O ~~o fOOI>.~\OO .~,("
'3~ d\^\'3. .7~J'\:,~(\."'0'('
Office Use~ ...c.~ ~/), \0'3 ~1,'
,<:l~~" 'b'3 ~,<,p.\
Land Use: Si~~ ~~~welling.. . # Of Buildings: 1
Zoning Code: LDR,I>}~, (:<o\- Occupancy Group: Dwelling
..,
Bedrooms: 3 Heat Source:
Range: Sq. Footage: 1008
Elite Electric Inc
Po Box 42162, Eugene, OR 97404
BMC Plumbing
x, x, X
<"
3RSC
1
(VN) Wood Frame
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
I l:lUilding 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.
.
'-,
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Sanitary Sewer Cap
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
[Jo6# 00-OO-21fi~0-11
Required Inspections
BuilCling
Page 2 of4
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
!:Iectncal
- 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 fiiiing trench.
-Capped within five feet of the property line and capped with an approved material as required b
-When all plumbing work is complete.
1 ,.Iechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I PublicWorks 1
-After forms are ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place.
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:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
DownspoutslDrains:
Enchroachment Permit:
San Sewer Tee (in):
00/00/00 00:00 AM Bond End DateTime:
NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/00 00:00 AM
Types Of Warning Devices Reqd,
.
[...I
jJobi 00-00261-01
Overlay District:
# of Street Trees:
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2: 3:
Comments2 paved 9'x18' parking spaces are required
Page 3 of4
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: nla
Flood Plain 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: 1008 Accessory1400
# Of Stories: 1 Height (feet): 17
Current Units: 0 Proposed Units:1
Census Code: New SF - detached
Paid On Receipt#
Plan Check
03/02/2000 797
Total:1408
Fee
Hourly Plan Review
Total Plan Check
Value/Quantity
Fee Amount
2
$80.00
$80,00
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
03/02/2000 797
03/02/2000 797
03/02/2000 797
$36700
$25.69
$11.01
$403,70
77,533
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
Electrical
03102/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
I
$85.00
$15.00
$7.00
$300
$110,00
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
03/02/2000
0310212000
03/02/2000
03/02/2000
,
I
!
Mechanical
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
03102/2000
03/02/2000
03/02/2000'
03/02/2000'
03/02/2000'
03/02/2000i
~ I
!
I
1
1
797
797
797
797
1
$.00
$160.00
$1120
$4.80
$176.00
797
797
797
797
797
797
1
$4.50
$1.50
$45
$600
$3.00
$1000
2
1
.
...J
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
Bob Barnhart
Steve Templin
AlWard
Don Moore
[Job#-00-00261-01 I
Paid On I Receipt#
Me,cnanical-
03/02/2000 797
I
Page 4 of4
Value/Quantity Fee Amount
Public Works
03/02/2000 797
03/02/2000 797.
50
1
System Development
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
03102/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
2,102
18
1
1
1
1
1
Willamalane SDC
03102/2000 797
1
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
approved set of plans will remain on the site at all times during construction.
Signature
Date
$1.05
$26.50
$60.00
$60.00
$120.00
$487.66
$868.86
$491.60
$242.76
$22.05
$10.00
$106.00
$-2.86
$2,226.07
$1,000.00
$1,000,00
$4,142,27
SPRINGFIELD
225 FIFTH STREET
SPRI~GFIELD. OREGON
INSPECTION REOUEST;
OFFICS; 726-3759
61..(" (
Ci ty Job Number
-
"Ollp......E FEE SCBEDULE BELOII
1. LOCATION OF INSTALLATION
l..csr 4 ~
I to2.PIp, ~ 0'1'70()
u:GAL DESCRIPTION
2,~)~ Cftewk{E 1J/!-1 V6
JOB DESCRIPTION
5/11/&LE FhWlILY Res,vEM<:..f
A. Ne~ Residential-Single or
Hulti-Family per dvelling unit.
Service Included;
Items Cost
Su
1000 sq. ft. or less I S 85.00 ~
Each additional 500
sq. f t or portion
thereof f S 15.00 IS-
Each Hanuf'd Home. or
Hodular.Dvelling
Service or Feeder 'AI;l1f S 40.00
Services or Feeders
Installation, Alterations
or Relocation;
200 amps or less \.
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only.
,
Permits are non-transferable .and expire
if vork is not started vi thin 180 days.
of issuance or if vork is suspended for
180 days.
2. CONrRAC1'OR INSTALLATION ONLY
B.
Electrical ContractoL' ;t:;;/'7b tl-eL.TI2-IL
S 50.00 SO
S 60.00
SlOO.OO
S130.00
5300.00
S 40.00
Address S,Q.9 I<IW.fL Itl/.., {J,o>c 1/2..1112....
Ci ty F-11 f. EN$,
Phone '7.4S-- 0313
Supervi SOL' Li cense Number Y 6b;,r':;,
Expiration Date /0 - I - oi
Cons t r Con t r. NumbeL' '/;: - I '15-c..
Expiration Date Ib-I -OD
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
,70
S 40.00 40
S 55.00 -
S 80.00 -
vO.J.ts see "9" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Signa~re of Supervising Electrician
he-- //~
/
Ovners Name H;4Yf7EN I-f2mE<..
Address <KO(P HA-7--EL-var LN.
Ci tySPl!-lt1I&FII~t-i7 Phone 71..f'-l-u'jfl~
Branch Circuits
D.
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t
S 35.00
O.~R INSTALLATION
S 2.00
E. Miscellaneous (Service/feeder not includec
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
The installation is being made on
property I ovr. vhich is not intended
for sale. lease OL' ren t.
Ovners Signature:
<C~
------------r---t----------------------
DATE: ?..J <-f {;t..::>
..-. .
. _. _.,;r ...
5. .SUBTOTAL OF ABOVE
57. State Surcharge
~y A~m;";~~~~~;Uft ~O~
,
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00261-01
NAME OR COMPANY: HA YDEN ENT
LOCATION: 3854 CHEROKEE DR
TAX LOT NUMBER 18-02-06-13-0980 I
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
9638
I. STORM DRAINAGE
IMPERVIOUS SQ. FT
2102.00
x
$0.232 PER SQ. FT.
$487.66 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
$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
SUBTOTAL (ADD ITEMS 1,2, 3, & 4)
$22.05 1
($2.86)1
$10.00 I
$271.95 I
$2,120.Q7 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
5. ADMINISTRATIVE FEES.
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
$106.00 I
c--"~ i,..; ----
SDC COORDINM"OR
. cJ/tnhooo
DAT~
TOTAL SDC CHARGES I $2,226.071
,
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ PLUMBING FIXTURE UNITS
(NOTE FOR REMnl)ELS, GALCIILATF ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLlDS/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 REFRIGERA TOR/WATER ST A T10N/ETC
RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
. I
2
2
UNIT
EQUIV ALENT
2 .
1
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 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
RA TE 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
--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47 .,' ;'X', .._
IMPROVEMENT (IF AFTER ANNEXATION DATE) , x '
RATE PER $ I ,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$ L17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
0,640
.1'
. ;....
$2.86
$0.00
,I'
CREDIT TOTAL $2.86
~
, . .
,~1i. .
..- ~''''Willamalane
.~, "'!' Park & Recreation District. Job. No. uoc.o~G...l ()(
....., SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~lU~"'i'u,h.u~i.t.... PHONE: 1L{4-~<:t~L
ADDRESS: &t)(" ~Jur\wit;. fk\a. W STATE:<t}t. ZIP: <11t.t"l'C
LOCATION OF PROPOSED BUILDING SITE:
.Street Address: "(.,~~L\ ~ ~
Plat Name: t '0 D!)..~l~ Tax Lot Number: C c;,. ~\
1. DEVELOPMENT TYPE (Check approprlate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. SinnIA-F::Jmilv DAt::Jr.hAn
NO. OF UNITS ,
Manufactured home not in a park
X $1,000 per unit = $ \.l:..LO ~
JC Single Family home
B. SinnIA-F::Jmilv Aft::Jr.hAn
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::Jnf/f::Jc:tf/mn HomA PRli\
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
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 SDCreduced for Credit) $
~opment Se.rvices Department
City of Springfield
I
I
Date