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Home My WebLink AboutPermit Building 2000-5-10 , . . . , Page 1 of 4. TRANS#:01-0001646 DATE:MAY 10 2000 AMT RECD:2 $ ,4116.04 CHANGE: CASHIER: 059 I Job# 00-00608.Q1 I 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00608-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3910 DOUGLAS Dr Spr Assessors Map#: 18020611 Lot: 57 Block: Addition: Owner: Address: Tax Lot #: 01200 Subdivision: Jasper Park Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/State/Zip: Springfield, OR 97478 New Value: $83,402 Scope Of Work: Single Family Residence Contractor Type General Contr !." '''''\\/l':"'lfCi:-(C' ...,}:',. ',,' n" ~ "',' .or L '1.:'-:' , 'Registrati~!) #, :, Expiration Date -" .. 9,22,08, r.~~'r.~ ~1' 7/29/99:' ~. n" ~~.~:+~ ..'~. I : ...... i~. LI'\\II' 1\ ('d'IVc...t.. ~... . ,,.r~''1Q'lt - If l'!:; '... IW ." ~ " Phone 541-744-6966 Contractor Hayden Enterprises Inc 806 Hazelnut Lane, Springfield, OR 97478 c ..."mh~' Electrical Contr Philips Electric Inc 54438 1298 Bethel Dr, Eugene, OR 97402-2003 Mechanical Contr Efficient Heat & Air x, X, X Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: 9/19/99 541-688-6121 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 . I ""'""I"'''''!::- , " ciffi-;'e Use'\ ' . ;.;. :~.oIRE IFTHE WUt1" TH'~r.... ..~.., !J ,.... . ~ TIS NOT Land\yse.:JRIZE.SinlilelEanTiIY\9~~ffl~ # Of Buildings: 1 Zon'ing',~ode;'r~8R IS ABANDONED FO~ccupancy Group: Dwelling t..AJwIlVU::l ...v~ Bed~'??vnw~(\ OAt PERIOD. Heat Source: Wall Heat Range: Electric Sq. Footage: 1008 103570 1/1/01 541-895-3758 3RSC 1 (VN) Wood Frame Electric 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 r - ~Buildin-lI- '--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. Street Improvement: Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: 3: Comments:2 paved 9x18 off-street parking spaces are required . 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 . . Page 2 of 4 I Job# 00-00608-01 I Required Inspections r -~-Buildil1g-'---1 - When all required inspections have been approved and the building is complete, ,'- "--'--1 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'u 'Plu.mbing ___'_I -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'~ Mechanicai--' --I -Prior to insulation or decking, - Prior to cover. -When all mechanical work is complete. [Public Works - -I -After forms are ereceted but prior to placement of concrete, 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 00/00/00 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 4 Land Use: Single Family Dwelling Pave Driveway? 0 Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a '. . Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Fee() I Main: 1008 Accessory:720 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 Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC . MWMC Administrative Fee SDC Administrative Fee Job# 00-00608-01 I . Page 3 of 4 Accessory Structure # Of Stories: 1 Height(feet): 16 Current Units: Proposed Units:l Census Code: New SF - detached Total:1728 Paid On Receipt# Plan Check 04/24/2000 1336 Value/Quantity Fee Amount 2 $80.00 $80.00 Buildin!l 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 83,402 $385.00 $26.95 $11,55 $423.50 Electrical 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 1 2 1 $85,00 $30.00 $40.00 $10.85 $4.65 $170.50 PJumbin~ 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 1 $,00 $160,00 $11.20 $4.80 $176.00 Mechanical 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 1 $4,50 $4.50 $.45 $6.00 $10.00 $1.05 $26.50 2 Public Works 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 124 1 1 $62.04 $60.00 $80,00 $202.04 System Development 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 1646 05/10/2000 ,1646 05/10/2000 1646 2,028 18 1 1 1 $470.50 $868.86 $491.60 $242.76 $10.00 $100.83 . 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 Dennis Ernst AlWard Wendy Stanley Job# 00-00608-01 Paid On Receipt# System Development 05/10/2000 1646 Willamalane SDC 05/10/2000 1646 Date Completed 04/27/2000 04/28/2000 05/01/2000 05/05/2000 . Page 4 of 4 Value/Quantity Fee Amount 15 $-67.05 $2,117.50 1 $1,000,00 $1.000.00 $4,196.04 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. c:::: ~ Signature o/lo[6a Date . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ~<\cP Ix. .ft * 1. ft~~t:tIONc-Qf IN~tf~TION . ~'V VN ~ ~ 't)(\ t"lSt- ~_ DESCRIPTIO~II ~, \ 9..0-l..Ola.\\ () ~ DESCRIFTIO~~ ~\U ~ Permits are non-t~nsferable and expi~ if work is not started within 180 days of issuance or if, work is suspended for 180 days. , CONTRACTOR INSTALLATION ONLY/ B. Elect 'cal Contractor / City Supervi.sor Expiration Constr Contr. Cit Phone '1\4:~\-4!dO The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder 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 Reconnect Only $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less t $ 40.00 4{) 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600.amps or 1000 volts see liB" above D. Branch Circuits . . . E. 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 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ ~ 40.00 40.00 20.00 36.00 . saC FIELD , ubmitled hes the following The.1oll0win9 proJec~~~:quire specific land use zoning, and does n approval L D (2/ Zonir.; 225 FIFTH STREET 6" - l 0 - o1l \ SPRINGFIELD, OREGON ~~411, ~ INSPECTION REQUEST: A~(bClCl73']l699na\uro OFFICE: 726-3759 3. 1. ,-,WCATION OF INSTAWTION ) ~,..'{/O ~..las .l)Y"'lve (L()+ #51. A. LEGAL DES~PTION JOB DESCRIP1ION " e.u} (" e<:;, \ 01. i? V\ c...c," Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , . 2. CONTRACTOR INSTALLATION ONLY Electrical contractorR;l1;fL<;. E/t>Jrlc..,lnc- Address~ R....ij.pJ ()rllle.. , Ci ty~ P. Phone t,2A' -/.,/.;;2 I ' supe~v~sar :lcO:!nse Number d. 7/9 oS Expiration Date /0/0/ jo / Constr Contr. Number ~O-/ 7C}c- Expiration Date '/0/01/00 Signature of Supervising Electrician ~~, 11 ~ tf JI D. Owners Namena.yolE"V'\ ~ps AddressR()&-' Jlaz..JeVlu+ LaV\e Ci ty:::pr- il'lqfk.bl Phone 7 <l-c..t '- 0 ?r;,~ OVNER ' INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: , ELECTRICAL PERMIT APPLICATION City Job Number COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cost Sum 1000 sq. ft. or less -/ $ 85.00 3500 Each additional 500 sq. ft or portion thereo f $ 15.00 Each Manuf'd ~ome, or Modular 'Dwelling Service or Feeder .$ 40.00 B. 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 Reconnect Only / $ 50.00 .50..00, $ 60.00 - $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less / 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits if /1 00 $ 40.00 .d:L $ 55.00 $ 80.00 see "B" above ..' New, Alteration or Extension Per Panel $ 40.00 $ 40.00 $ 20.00 $ 36.00 ..1]5, DO -> _ /?,::Ju l'1d..)lj One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.QO $ 2.00 not included) . p,.... Willamalane ' . t" "1' Park & Recreation District Job. No. m .ffi\0C8'0 \ (W SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME\- ,&, a ~ mw~ PHONE:~.\J\\Qo ADDRESS:_~O .m~I.I.\.~TATE: frR2IP:Q-f(:B LOCATION OF PROPOSED BUILDING SITE: Street Address: :5\.\~ ~ ~ () ~\).Q....... Plat Name:~_ .r \>~ Tax Lot Number: ~ \ \ () \1Jti:) \ . 1. DEVEL9P _ NT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ypc definitions are on the back.) .. A. SinolA-Fflmilv DAlflChAO \ Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ ttn . c::t::) B. SinolA-Fflrnilv Attached NO. OF UNITS X $924 per unit = $ C. Mulli-Farnilv Aoartmenl NO. OF UNITS X $692 per unit = $ D. Manufactured I-klme Parl\ Oevelopmenf SelVi City of Springfield X $699 per unit = $ $ UTi).CD j2 $ 10m. cO $ NO. OF UNITS WILLAMALANE SDC 2. SDC CREDIT (If applicable) SOCiJayer must furnIsh proof 01 Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMAL NE NET SDC ASSESSED ~: reduced forCre I I I Dale . . . . Page 1 of 1 City Of Springfield Development Services Community Services Division Building Safety I Job# 00-00608-01 Location Of Proposed Site: 3910 DOUGLAS Dr Spr Assessors Map#: 18020611 Lot: 57 Block: Addition: Tax Lot #: 01200 Subdivision:Jasper Park Owner: Address: Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/StatelZip: Springfield, OR 97478 New Value: $0 Scope Of Work: Single Family Residence Contractor Type Contractor Registration # Expiration Date Phone General Contr Hayden Enterprises Inc 92208 07/29/1999 541-744-6966 806 Hazelnut Lane, Springfield, OR 97478 Electrical Contr Philips Electric Inc 54438 09/19/1999 541-688-6121 1298 Bethel Dr, Eugene, OR 97402-2003 Mechanical Contr Efficient Heat & Air X, x, X Plumbing Contr BMC Plumbing 103570 01/01/2001 541-895-3758 648 W Oregon Ave, Cresweil, OR 97426 Fee Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Paid On Receipt# Value/Quantity Fee Amount I Plan Check 04/24/2000 1336 2 $80.00 $80.00 Public Works 124 $62.04 1 $60.00 1 $80.00 $202.04 I System Development 2,028 $470.50 18 $868.86 1 $491,60 1 $242,76 1 $10.00 $100.83 15 $-67.05 $2.117.50 $2,399.54 Date Completed 04/27/2000 Hourly Plan Review Total Plan Check New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC MWMC Administrative Fee SDC Administrative Fee Properly Annexed 1979 or Before Total System Development Grand Total ;o"d Of Report