HomeMy WebLinkAboutPermit Building 2000-8-4
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I Job# 00-01102-01 I
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01102-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3938 Douglas Dr Spr
Assessors Map#: 18020613
Lot: 58 Block: Addition:
Owner:
Address:
Tax Lot#: 01900
Subdivision:JASPER PARK
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
NOTICg~ty/State/ZiP: Springfield, OR 97478
New Value: $77,533
THIS PEHMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
SFR
f'f""l"II11"r:II.Ir"\r-n """........... ......... .............. .__ ___
-- ---- _.. .-. .-... ..........."....1-' 1....,11
Contractor ANY 180 DAY fRegisti'ation # Expiration Date Phone
Hayden Homes AfTENT/ON:lJregOn/awre ui 541-744-6966
806 Hazelnut Lane, Springfield, ORtO!/~W~ulesadoPtedbythed~egresyuO~!O
97478 l'IOtJflcatlOnCenter Those I on tility
'n OAR 952-D01 00'1 ru esaresettortl
Phillips Electric 0090 Yo - 9 through OAR 952-G01 541-688-6121
1298 Bethel Dr, Eugene, OR 97402 cal;ing ~~: OntbtamNcoPies of the rules b\
b er.( ote.theteleph -
Hayden Homes num erfortheOregOnUfilityNOfjfi o~e 541-744-6966
806 Hazelnut Lane, Springfield, OR Centllrj~ '.llnn.1'??'M'" cat/or,
97478 '
BMC Plumbing 103570 1/1/2001 541-895-3758
648 W Oregon Ave, Creswell. OR 97426
Office Use
3RSC
1
(VN) Wood Frame
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LOR
3
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 1008
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
- Required Inspections
I BuildinQ I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or~undation i
-After trenches are excavated. -<
-After forms are erected but prior to concrete placement. ~~ ~
-Prior to floor insulation or decking, . .. ~
-Prior to decking. g ~6
- Prior to cover, ~,..A'> en "1
- Before covering sheathing with finish materials. ~ ~ A ~ e
:::0 ;p,
.. -.Jf'.JN
o . oeo
t11 ......_...a
-..n..coot-'
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Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW.Curbside
CC-Standard
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I Job# 00-01102-01 I
Required Inspections
Building
Page 2 of4
-Prior to cover,
- 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.
I Plumbinll
-Prior to insulation or decking.
- 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 erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
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Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 00-01102.01
Overlay District:
# of Street Trees:
.
3:
Additional Requirements:
Glenwood Area? 0 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? 0
rArea (Sq. Feet)
I Main: 1008 Accessory~OO
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
Flood Plain FEMA: n/a
Page 3 of4
land Use: Single Family Dwelling
Pave Driveway? 0
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:l
Census Code: New SF - attached
Total:1408
Paid On Receipt#
Plan Check
07/17/2000 2585
Building
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
Electrical
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
Plumbing
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
Mechanical
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
Value/Quantity
Fee Amount
2
$80.00
$80.00
77 ,533
$367.00
$25,69
$11,01
$403.70
1
1
$85,00
$15,00
$7,00
$3,00
$110.00
1
$.00
$160.00
$11.20
$4.80
$176.00
1
$4,50
$1.50
$.45
$6.00
$3.00
$10.00
2
1
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Job# 00.01102.01
Paid On Receipt#
Mechanical
08/04/2000 2799
Page 4 of 4
Value/Quantity Fee Amount
I
Fee
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
08/04/2000 2799
08/04/2000 2799
73
1
Residential - Single Family - Storm
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
System Development
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
08/04/2000 2799
2,132
2,132
18
1
1
1
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Willamalane SDC
08/04/2000 2799
1
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
Steve Templin
AlWard
07/18/2000
07/27/2000
07/27/2000
Engineering-Res
Planning-Res
$1.05
$26.50
$60,00
$60,00
$120.00
$511.68
$511,68
$897.48
$507.82
$507.82
$242.76
$22.05
$10.00
$109.59
$3.320.88
$1,000.00
$1.000.00
$5.237.08
Structural-Res Wendy Stanley 07/28/2000
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,
/} ~L..-':". 15~7~
~ature/' ~... Date
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P-'" Willamalane
t, "'1' Park & Recreation District , Job. No. !\-i) - 0 II 0 :{ -tJ (
f' ,SYSTEM DEVELOPMENT CHARGE
WORKSHEET
,
NAME: ~ ~
(j ,
ADDRESS: -eoG i-l-A~ ~
PHONE: 144 - &, 7 (p C:>
STATE: Orz... ZIP: q 7'-1- 7'8>
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 0) 3<t ~~ ~<.." "
Plat Name: .J'rr~ 9-L P<>--Ll9-- _ Tax Lot Number: \ ? ')-;l,...,,-.r~ ,'<., 6 l'i o=ll
1. DEVEL9...PMENT TYPE (Check appropriale dwelfing(s). SDC calculalions and dwelling t
ype definilions are on the back.)
A Slmlle-Familv Delacheq
........-single Family home
Manufactured home not in a park
NO. OF UNITS
X $1,000 per unit =
$
Io-n> '
-
B. .sinale-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. ,Multi-Familv Aoartmenl
NO. OF UNITS
X $692 per unit = $
D. Jy1::mllflmlllrP.rf HnmA p~
NO. OF UNITS
WllLAMALANE SDC
X $699 per !Jnlt c $
$ 10':'{),
2. SDC CREDIT (II appRcable) SDCilayer must furnish proof of
Winamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NEr SDC ASSESSED
(II SDC reduced lor Credil)
$
louV'
D~ent ~~artment"
City of Springfield
~ I J I oV
Date'
.'~:I-=
Th.~ l(l!lowlng project 85 submitted has the following
,"'t;I;Y. and does not require specific land use
.,>e,oval. Lp fl...-/
225 FIITH STREET Zoning
SPRINGFIELD, OREGO~,"~7477 <{;- 1/-- (J?) ,
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759 ",ol:,"',leo Slgnalure
1.
LOCATION OF INSTALLA~ON
39~~ D~'61.1I." Ur
u
LEGAL DESCRIPTION
l5?oaOOr~ OIQNl
J'pB DESCRIPTION
":)1=1'(
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or i~ york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philios Electric. Inc.
Address 1 ?QA-Be.thpl Drh,p
Ci ty EuQ'ene
Phone('i41'~ fiRR-hl?l
Supervisor License Number ?71Qq
Expiration Date 10101/01
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
Signature of Supervising Electrician
<::) ~ '
l'latnan J:'hll.1pS
Ovners Na.me +\""^~ +l ('N.....I.h ,
',' .....J
Address
~('J6
~cFld
-\-\Qu-l~
Phone t-Lf 6-'69 6b
City
OVNER INSTALLATION
The installation is being made on
property I OVO vhich is not:intended
for sale, lease or rent.
owners Signature:
----------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (')rJ-O 11(1::1.-81
T,
3. COMPLETE FEE SCHEDULE BELOY
,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'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bn above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
'or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Ou tline Ligh ting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
-$ 40.00
$ 20.00
$ 36.00
100.00
76UO
j..UL:P
110.<>0
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01102-01
NAME OR COMPANY: HAYDEN
LOCATION: 3938 DOUGLAS DRIVE
TAX LOT NUMBER 18.02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
5580
1 STORM OR AINAGE
IMPERVIOUS SQ. FT.
2132.00
x
$0,240 PER SQ, FT,
$511.68 I
2 SANITARY SFWFR.rT.IY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$49,86 PER PFU
$897.48 I
3 TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $502,79 PER TRIP
X $502,79 PER TRIP
$507,821
$0,00
TOTAL TRANSPORTATION SDC
$507.82 I
4 SANITARY SEWER - MWMr
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 ,
$0.00 I
$10.00 I
$274.81 I
$2,191.79 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3,&4)
~"'TN~ATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE) X
0,05
$109.59 I
~T~
~VC CUURDINATUR
07/27/2000
VATI:.
TOTAL SDC CHARGES I $2,301.381
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PLUMBING FIX11JRE UNIT (pFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SANDIAUTO W ASHlETC,
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (l PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALUWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
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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 ANNEXA TION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl
YEAR RATE PER $1,000 YEAR
ANNEXED ASSESSED VALUE ANNEXED
1979 or before $4.74 1990
1980 $4.65 1991
1981 $4.59 1992
1982 $4.46 1993
1983 $4.30 1994
1984 . $4.14 1995
1985 $3.93 1996
1986 $3.63 1997
1987 $3.26 1998
1988 $2,85 1999
1989 $2.40
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CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
2
2
RATE PER $1,000
ASSESSED VALUE
$1.96
$ 1.55
$ 1.36
$ 1.23
$1.05
$0.90
$0,75
$0,57
$0.35
$0,15
x
x
$0.00
$0.00
CREDIT TOTAL $0.00