HomeMy WebLinkAboutPermit Building 2000-6-26
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I Job# 00-00872-01 I
Page 1 of4
TRANS#:01-0002322
DATE:JUN 26 2000
AMT RECD:2 $ 8053.89
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00872-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4013 Douglas Dr Spr
Assessors Map#: 18020611
Lot: 62 Block: Addition:
Owner:
Address:
Tax Lot #: 08500
Subdivision:Jasper Park
Hayden Enterprises Inc
2622 Sw Glacier PI #110
Phone Number: 541-923-6607
City/State/Zip: Redmond, OR 97756
New Value: $77,533
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor Registration #
Hayden Enterprises Inc 92208
2622 Sw Glacier PI #110, Redmond,:OR " "",' "',
97756 folio' '.' ' '.. ",'
\'nrf
Philips Electric Inc '0 ("
1298 Bethel Dr, Eugene, OR ~(,402-2003 ,
Efficient Heat & Air Cc '
nl,'m,.!;:'
Expiration Date
7/29/2003
Phone
541-923-6607
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54438
9/19/2001
541-688-6121
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103570 . 1/1/2001
BMC Plumbing
648 W Oregon Ave, Creswell, OR 97426
541-895-3758
Office Use
Land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: ",~DB. Occupancy Group: Dwelling
Bedrooms: '30 I ICE: Heat Source: Wall Heat
Range: ~Ei~cffiO"lMIT SHALL EXPlf~[-F~~g!'}RK 1 008
"u I nUHILl:U UI\IUl:H THIS PERMIT I~ NOT
To request an inspection call the 24 hour recording at 72f1.<3'].169'NffAII~ASp.ections requesterl before 7:00
~.....,~ 'W'!j_ Jl:..'" '::1I~t\tH''''J .. )l\tl-I~L.-"U
a.m. will be made the same working day, inspections reQuesteo a er 7:00 a~m. will be mace tlie following
working day. AIW 180 DAY PERIOD.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
3RSC
1
(VN) Wood Frame
Electric
Required Inspections
I Buildinll 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.
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Wall Insulation
Drywall
Hold Downs Installed
Final Building
Tem'porary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Mechanical
Final Mechanical
Sidewalk
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I Job# 00-00872-01 I
Required Inspections
Buildinll
.
-Prior to Cover
-Prior to taping.
Page 2 of 4
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
- 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 or placement of concrete,
- Prior to cover,
- Prior to filling trench,
- Prior to filling trench.
-Prior to filling trench,
- When all plumbing work is complele,
Mechanical
- Prior to cover,
-When all mechanical work is complete,
Public Works
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:
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Curbside - 5'
D
8
To Curb and Gutter
San S~wer Tee (in): 6
00/0010000 00:00 AM Bond End DateTime: 00100/0000 00:00 AM
NO NEW CURBCUT PERMITTED - UTILIZE EXISTING DRIVEWAY
Types Of Warning Devices Reqd.
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Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 00-00872-01 I
Overlay District:
# of Street Trees: 2
.
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: nla
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1008 AccessoryllOO
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
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: nla
Page 3 of4
Land Use: Single Family Dwelling
Pave Driveway? 0
Accessory Structure
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1408
Paid On Receipt#
Plan Check
06/05/2000
Building
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
Electrical
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
Plumbinll
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
Mechanical
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
Value/Quantity
I
Fee Amount
2
$80,00
$80.00
77,533
$367.00
$25,69
$11,01
$403.70
1
1
1
$85.00
$15,00
$40.00
$9.80
$4.20
$154.00
1
$.00
$160,00
$11.20
$4,80
$176.00
1
$4.50
$7.50
$.45
$3.00
$10,00
1
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Job# 00-00872-01
Paid On Receipt#
r Mechanical
06/26/2000 2322
Page 4 of 4
Value/Quantity Fee Amount
I
Fee
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
Total Public Works
Public Works
06/26/2000 2322
50
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
System Development
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
06/26/2000 2322
15
2,252
18
1
1
1
1
S.F. Residence - Willamalane
Total Wi llama lane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Willamalane SDC
06/26/2000 2322
1
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
06/07/2000 .
06/14/2000
06/15/2000
06/19/2000
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 wilhout permission of the Community SelVices 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
$522.46
$868,86
$491,60
$242,76
$22,05
$10.00
$104,53
$-67,05
$2,195.21
$1,000.00
$1,000.00
$4,095.41
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00872-01
NAME OR COMPANY: HAYDENENT
LOCATION: 4013 DOUGLAS DRIVE
TAX LOT NUMBER 18-02-06-11-08500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
=
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
6575
1. STORM DRAINAGE
IMPERVIOUS SQ. IT.
2252,00
x
$0.232 PER SQ, IT,
$522.46 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
x
x
1.01
x $486,73 PER TRIP
x $486,73 PER TRIP
$491.60 I
$0,00
TOTAL TRANSPORTATION SDC
$491.60 I
4, SANIT AR Y SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242,76
PER FEU
$242,76 1
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22,05
PER FEU
$22,05 I
($67,05)1
$10,001
$207,76 I
$2,090.68 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
$104.53 I
~T~
SDC COORDINATOR
0611 4/2000
DATE
TOTAL SDC CHARGES I $2,195.21 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
1!:!QI!tFOR REMODELS, CALCULATE O~ Y THE NET ADDITIONAL FIXTURES'
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
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 TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
2
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
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 SEP ARA TEL
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 $ 1.3,5
1982 $4,20 1992 $1.17
1983 $4,03 1993 $1.03
1984 $3.88 1994 $0,86
1985 $3,68 1995 $0.71
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 15,000 $67,05
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0,00
CREDIT TOTAL $67,05
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225 FIFrH STREET ~onin liOWing ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 app'o~~/an<1 <1~'olacta
INSPECTION REQUEST: 726-3769' Ss nOt ,:S"6"'ill City Job Number tJO-OO<fr';;'-O(
OFFICE: 726-3759 Dat i?oninn q"i,s s;<1ltastlt
a ~ . se'~~aij"FEE SCHEDULE BELOY
1. LOCATION OF INSTALLA'lt17o&sa .2. <1 "ss 'ng
<(~/3 f)fJr,./~ /)M/r...J Sign.,. v Residential-Single or
) ~ Mult mily per dwelling unit.
LEGAL DESCRIPTION Se 'ce Included:
/~W6'1I O}/<;oo Items Cost
JOB DESCRIPTION
fri"<
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philios Electric. Inc.
Address l?QR R"th"l Dr;,,"
Ci ty EuQ'ene
Phone('i411 fiRR-hl?l
Supervisor License Number ?71Qq
Expiration Date 10101/01
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
~...',"e of S'P~~""i'i""
Natnan J:'hl,nps
Owners Name .,I(Av ,_-11___..
,,;, c.,
Address . ~O( YIa..L$ J:...
c:.
Ci ty ~11 lei Phone PN~O'loo
0\lNER INSTALLATION
The installation is being made on
property I own which is not,intended
for sale, lease or rent.
owners Signature:
-------------1'-7---------------------
DATE: lO' ,l.a) .
RECEIPT 11: . ~~L--"
RECEIVED BY: --U 1<:"
1000 sq.fi. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dvelling "
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
~
Sum
~ $ 85.00 J'>,..a
, $ 15.00 15,"
.$ 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
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
<-(Co
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB"
D.
Branch Circuits
above
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New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35 . 00
$ 2.00
not included)
$ 40.00
-$ 40.00
$ 20.00
$ 36.00
1"'6. '""-
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J.i ;;w
p $'-/, -
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A.~ .
.. ~""'Willamalane
'"t, ""!' Park & Recreation District Job. No. m.a)~n~ 0\
(. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
.NAMEl.(fu.JJ~f\ fg\~~r\~~
ADDRES~G.~.t'.lDi
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 4\)\ ~ ~S- Dri VQ/
Plat Name: ~\fr m rt.J Tax Lot Number: \<iOSD\o\ \1) ~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
PHONE:l44, (O~lQ( P
STATE: to.- ZIP: Q-,I~
A. BinolA-Fflmilv DAtfl~hAr!
\ Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ \rYD pU
B. SinalA-Fflmilv AttflchAn
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::mllfflctllrP.rf Hnmfl Pflrl\
NO. OF UNITS
X $699 per unit c
$
\ rro.cO
WILLAMALANE SDC
$
2. SDC CREDIT (II applicable) SDCi>ayer must furnish proof of rX
Willamatane Credil approval. See SOC Credit WotKsheet. $ JU
3. TOTAL WILLAMALANE N SDC ASSESSED
(II SDC reduced for Credit)
\niJ t ~(\r\ .
Development ~e~ Department
City of Springfield
$-IDOhp:J
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Date