HomeMy WebLinkAboutPermit Building 2000-3-20
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I Job# 00-00289-01 I
Page 1 of 3
TRANS#:01-0000976
DATE:MAR 20 2000
AMT RECD:2 $ 8344.82
CHANGE:
CASHIER: 059
SPRINGFIBLD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00289-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3987 DOUGLAS DR Spr
Assessors Map#: 18020613
Lot: 63 Block: Addition:
Tax Lot #: 01900
Subdivision:Jasper Park
Owner:
Hayden Enterprises Inc
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $133,543
Address:
Scope Of Work: Single Family Residence
MEETING ALL BUILDING r.ODES INr.UJDING SLAB INSIJLATION
Contractor Type Contractor Registration # Expiration Date Phone
General ContI' Hayden Enterprises Inc 92208 7/29/1999 541-744-6966
B06 Hazelnut Lane, Sprin9field, OR
97478
Electrical ContI' Elite Electric Inc
Po Box 42162, Eugene, OR 97404
Mechanical ContI' Efficient Heat & Air
X, X, X
99768
6/10/1999
541-688-5401
Plumbing ContI'
BMC Plumbing
X, x, X
103570
1/1/2001
Office Use
Quat.! Area: 3RSC Land Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR :i0'> ~~~'1 Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: 3 ~,\0<;' ~~\.~cHeat Source: Wall Heat
Water Heater: Electric Range: Electric ^-lI\0~\0Q,~\0~~'2:<S~F,ootage: 1008
0\\'. ~v ~.,; rtr'J \,>'v 0
To request an inspection call the 24 hour recording at 72~bj.'~lo'<;ll;\l~os~ec'il~l11'ffe\llfgsted before 7:00
a.m, will be made the same working day, inspections \~~"(j' a~~;{)'O'~)li'$il\b,~Jm~de the following
working day, "'~ 0<;,0-Q ~\.0\,,\(;:)~ rit ..:s-0 ~O~
~ ~\~ ~v~(;:),\,(;:)'V ~<$o~ ~0\.0~~~~f)n..t).f>,\'
,0~O'c~067fS ZI:~0""~0\'\0~ ",0..<)0
_,o~\..<(o.q, ~~ c0<;:< 0\0 <f"o
\~ or --to "S'0 K\0.c"
'~d~(;:)'-&.\(;.~ \o\,,\c<'
I:s C'lJ' :00\ v~5' .
~'>~
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-' E'NOR\{
\Il01\Ce.~1i S\-I"'llEySlIRE 1~;;;li IS ~Oi
i\-llSI'E?\ 1.EOUNOERi\-lISI' O~EOfOR
",Ui\-lOR\ 0'" IS "'6",NO
ENCEO n
COW-WI ",'(I'ERIOO.
f>,N'I\eOO
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:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:2 paved 9x18 parking spaces are required
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Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
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I Job# 00-00289-01 I
Page 2 of 3
Curbside - 5'
Sidewalk Type:
Additional ROW?
, Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 2
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Glenwood Area? 0
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1008 AccessorynO
Fee
Hourly Plan Review
Total Plan Check
Building Permit
Stale 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 Permil
Electric Administrative Fee
Total Electrical
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1728
Paid On Receipl#
Plan Check
02/17/2000 639
Value/Quantity
Fee Amount
2
$80,00
$80.00
Building
03/20/2000 976
03/20/2000 976
03/20/2000 976
133,543
$509,50
$35,67
$15,29
$560.46
Electrical
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
1
3
1
$85,00
$45,00
$40,00
$11,90
$5,10
$187.00
....
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Fee
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
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportalion
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
S,F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
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Job# 00-00289-01
Paid On Receipt#
Plumbing
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
Mechanical
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
Public Works
03/20/2000 976
03/20/2000 976
System Development
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
03/20/2000 976
Willamalane SDC
03/20/2000 976
Date Completed
03/01/2000
03/13/2000
03/13/2000
03/14/2000
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Page 3 of 3
Value/Quantity Fee Amount
$,00
1 $160,00
$11,20
$4,80
$176.00
1 $4,50
$1,50
$.45
2 $6,00
1 $3,00
$10,00
$1.05
$26.50
73 $60.00
1 $60,00
$120.00
2,132 $494.62
18 $868,86
1 $491,60
1 $242,76
1 $22,05
1 $10,00
$106.49
$2,236.38
1 $1,000,00
$1,000.00
$4,386.34
By signature, I state and agree, Ihatl 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 atlhe 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,
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Sionature
3 {zo/OU
Dale
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LEGAL DESCRIPTION \~ 02.0lo l30lf'lcQ
3987 Oot..lf-r~ O~It.€ . t-'\
JOB DESCRIPTION
_<;"Vb~ F74wrhl_Y AeSllJ8IJc8
Pe~~its a~e non-transferable and expire
if work is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ;:;Pfo eL.B:::nz.x-
Address /fl)9 ~ A1/1;f. 6-)X 'f2l{p2-
Ci tY.!:;f.l6€AfB
Fhone ~.,-o3f3
Supervi 51)1" Li cense Number Y ttv'r;.
Expiration Date /0- I - 01
Constr Contr. Number /2- J1S-c..
Expi~ation Date J b- 1 - 0 D
Sign?at re of Supervising Electrician
ue- ..9?~
-. .- -.- - ~ - - ....---
Owners Name fiA-y1Zv1l t""bnS5
Address ~~ fflz.evJl/f?A./,
Ci ty;:J?/Z..IN&r/eu? Phone 7Lrlj-1.R 910 v
O.~R INSTALLATION
The installation is being made on
property I owr. which is not intended
for sale. lease or rent.
Ovners Signature:
-=~~
D^TE~--<::=-=i -
h&,..CoL?I' I:
RECEIVED BY:
2.... '--
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LECTRICAL PERMIT APPUCATroN'
Ci ty Job NWllbertJO.NV2,ffi.() \
COMPLETE FEE SCllEDULE BELOII
A.
Nev Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cos t
L
sq. f t or port iono? fr!lJr
thereof Jj:f\
Each Hanuf'd Home,
, Hodular'Dwelling
Service o~ Feeder ,v! /r
Services or Feeders
Installation, Alterations
or Relocation:
1000 sq. ft. or less
Each additional 500
B.
200 amps or less
201 a~ps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
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<..,'
Su
$ 85.00 l55""
S 15.00 M
S 40.00
S 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
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c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less N/+
201 amps to 400 amps ~
Over 401 to 600 amps
Over 600 amps or 1000 vo~ts
D.
Branch Circuits
S 40.00
S 55.00
S 80.00
see "S" above
Hev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Per~it
S 35.00
$ 2.00
not includec
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
S 20.00
S 36.00
~13D
11.'10
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.. ~1""'Willamalane
'"t,,,,,, Park & Recreation District Job. NO.CX),()::}2.~O\
"V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME!.. ~J...A.o(\ F1\\e~~
ADDRESS: PrJ\ () ~ ~I I -i-- -
LOCATION OF PROPOSED BUILDING SITE:
Street Address: .l!o ~(\ 9f\ ~::n.T~\t)f\ tx\ \llU
Plat Nam~! '~.).,I../_ ~ax Lot Number: ~ r~ ()\C\rO
1. OEVEL9~\N; TYPE (Check appropriale dwelling(s). SOC calculalions and dwelling I
ype definitions are on the back.)
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PHONE: -M lAlolo
STATE:~ZIP:~
A. Rinolp.-F~milv Dp.I~C':hp.rf
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \CDD .00
B. SinaIA-F~milv (ill~C':hArf
NO. OF UNITS
X $924 per unit . - $
C. Mulli-F~milv Ao~r1men\
NO. OF UNITS
X $692 per unit = $
D. Manufactl/rArf HnmA emk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \D()() ,00
2. SDC CREDIT (If applicable) SOc-payer must furnish proof of fX
Willamalane Credit approval. See sac Credit Worksheet. $ )V
3. TOTAL WiLLAMALANE NET SDC ASSESSED
(If SOCreduced for Credit)
~~~~~g?Jment
City of Springfield
$ -IDOD .00
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Date
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A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00289-01
NAME OR COMPANY: HAYDEN ENT
LOCATION: 3987 DOUGLAS DRIVE
TAX LOT NUMBER 18-02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1728
LOT SIZE:
6570
I, STORM DRAINAGE
IMPERVIOUS SQ, FT,
$0,232 PER SQ, FT,
2132,00
x
2, SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
$48,27 PER PFU
18
x
$494,62 I
$868,86 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
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
$242,76
PER FEU
x
B. IMPROVEMENT COST:
, NUMBER OF FEU's
$22.05
PER FEU
x
$491.60 I
$0,00 I
$491.60 I
$242,76 I
$22,05 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 I
MWMC ADMINISTRATIVE FEE $10,00 I
TOTAL MWMC SDC $274,81 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $2,129,89l
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05 $106.49 I
SDC COORDINATOR DATE
TOTAL SDC CHARGES I $2,236.38 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY THE NET AOmTIONAL FIXTIIRES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
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FIXTURES
NEW OLD
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
2
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE 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
IMPROVEMENT (IF AFTER ANNEXATION DATE)
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RATE PER $1,000
ASSESSED VALUE
$2,18
$1.75
$ 1.35
$1.17
$1.03
$0,86
$0,71
$0,57
$0,39
$0,18
x
x
$0.00
$0.00
CREDIT TOTAL $0.00