HomeMy WebLinkAboutPermit Building 2000-7-27
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I Job# 00-01103-01 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
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Page 1 of4
Job Number: 00-01103-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3990 Douglas Dr Spr
Assessors Map#: 18020613
Lot: 60 Block: Addition:
Owner:
Address:
Tax Lot#: 01900
Subdivision:JASPER PARK
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $77,533
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
SFR
Contractor Registration # Expiration Date
Hayden Homes
806 Hazelnut Lane, Springfield, OR
97478 ....~.~IIl~......,,<I~~:~~~lm~
Philips Electric Inc " J.I~e&~BlltedbYthe"'~~~~'ilG'torth
1298 Bethel Dr, Eugene, OR 9;cil~ql<rl\ Center. Th:~~~~eOAflg52.()01-
Hayden Homes 1 OAf' 952,{)O':~?n copies otthe ru'e~ by
806 Hazelnut Lane, Springfield,)(lIJI{l. 'fOU ~acrenter (Note:thet~on
97478 ca\llng~ etheOregonUtllltYN
BMC Plumbing n1Jrnber6~~1~1_!\(\0-~3qm~~'1
648 W Oregon Ave, Creswell, OR 97426
Phone
541-744-6966
541-688-6121
541-744-6966
541-895-3758
'Office Use
Land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: :}IOTlCE' Heat SourcEl:'!1"
. l~. ':.:"Ir-: !.-,.~~ V\I,:--,
Range. ~nM\TSHALLEXPSq. Footage. 01008
-rUle::: D..-..... ' , _ _..... a.I"T'" I~ 1\\ I
.. ,,- NOER I t11~ n-'''.... ,-
To request an inspection call the 24 hour recording at 726i3Z69P.A!ii?ifirp~ctionsAtegueSted;1i'etorl?o7:00
a.m. will be made the same working day, inspections requlQl.!l!~I!1f\eK7.:ob':El:'ri;?wi""'6e-made the following
working day, ANY 180 DAY PERIOD.
Required Inspections
I BuildinQ I
-Inslall ground rod at footing, and call for inspection in conjuction with footing andlor ~ndation i
-After trenches are excavated, -I -I
-After forms are erected but prior to concrete placement. Rl35 55
-Prior to floor insulation or decking, g;:Tj t5
. . .. .. **
-Pnor to deckmg. n "":Do ..
P. t :Do co
- nor 0 cover. CJ) ff> en ~
- Before covering sheathing with finish materials. i:s n ..,.. ~ g
~$~ 0
..z..,..""""
oen. OCD
t.T1 rrn" 0 f'o.)
...o--!-LOOJ
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
3RSC
1
(VN) Wood Frame
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Framing
Wall Insulation
Drywall
Final Building
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
SW-Curbside
CC-Standard
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I Job# 00-01103-01 I
Required Inspections
Buildin!!
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 Plumbin!!
- Prior to insulation or decking,
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench,
- Prior to filling Irench,
- 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 concrele
-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: 00/00/000000:00 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
00/0010000 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# 00-01103-01
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: 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 Foolage 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: nla
Page 30f4
Land Use: Single Family Dwelling
Pave Driveway? 0
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:1408
Paid On Receipt#
Plan Check
07/17/2000 2586
BuildinQ
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
Electrical
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
PlumbinQ
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
Mechanical
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
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# 00-01103-01
Paid On Receipt#
Mechanical
08/04/2000 2798
Page 4 of 4
Value/Quantity Fee Amount
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Fee
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
08/04/2000 2798
08/04/2000 2798
73
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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 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
08/04/2000 2798
2,198
2,198
18
1
1
1
1
1
S,F, Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
08/04/2000 2798
1
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
Steve Templin
AlWard
Wendy Stanley
07/18/2000
07/27/2000
07/27/2000
07/28/2000
Engineering-Res
Planning-Res
Structural-Res
$1.05
$26.50
$60.00
$60.00
$120.00
$527,52
$527,52
$897.48
$507.82
$507,82
$242,76
$22.05
$10.00
$110.38
$3,353.35
$1,000,00
$1,000.00
$5,269.55
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 Ihe 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.
A 4..~ q~7-CcJ
Sigrnlture Date
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ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01103-01
NAME OR COMPANY: HAYDEN
LOCATION: 3990 DOUGLAS DRIVE
TAX LOT NUMBER 18-02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
6562
1 STOllMnllAIN~
IMPERVIOUS SQ, FT,
2198,00
x
$0.240 PER SQ, FT,
$527,52 I
2 SANITARY SFWFll_rJ,:ry
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$49.86 PER PFU
:Ll:Rf. NS POR T illOO
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
1.01
x $502,79 PER TRIP
x $502.79 PER TRIP
x
TOTAL TRANSPORTATION SDC
4 SANITARY SFWFll - M~
A, REIMBURSEMENT COST:
NUMBER OF FEU's
$242,76
PER FEU
x
B, IMPROVEMENT COST:
NUMBER OF FEU's
x
$22,05 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
=
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~INISTR~T1VF tEES;
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$110,38 I
$897.48 I
$507.821
$0,00
$507.82 J
$242.76 I
$22,05 I
$0,00 I
$10,00 I
$274,81 I
$2,207.63l
~T~
'sue eUUJ{J)INATUK
07/27/2000
iM'i'c
TOTAL SDC CHARGES I $2,318.01 I
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PLUMBING FIXTIJRE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTIJRE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC,
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB/CLOTHESWASHERlMOP 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! DISHW ASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STAL~ALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTIJRES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
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 ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl
YEAR RATE PER $1,000 YEAR
ANNEXED ASSESSED VALUE ANNEXED
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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)
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
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.. ~~Willamalane
'"t, l Park & Recreation District . Job. No. It?:> - 0/16 3-a J
,..., . SYSTEM DEVELOPMENT CHARGE
WORKSHEET
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NAME: ~ ~
ADDRESS: €D(p H,q~- ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 3'1 "1 0 ~1-a..-:.--
PIal Name: .J!4"5,tl'lP-L I?~ Tax lot Number: l160 L. 6ls:> r => 6 Ict d2l
,
PHONE: 71+4-' (., ~c,(.,
STATE: OfC ZIP: O,7l/77
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelfing t
ype definitions are on the back.)
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A. SinnlA-FRmilv DAtRchAd
\/"Single Family home
Manufactured home not in a park
NO. OF UNITS
X $1.000 per unit =
$
1m.
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B. lliillJlA-FRmilv At1RchAQ
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv AORrtment
NO. OF UNITS
X .$692 per unit = $
D. Manufactured Home Pa~
NO. OF UNITS
X $699 per unit = $
$ I C/1)b .
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WILlAMALANE SDC
2. SDC CREDIT (II applicable) SDC1layer musl furnish proof of
Willamatane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$ 1001).'
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Ufi...<...,rL Lv~
Develbpmelii Services Department
City of Springfield
C{" t(., ~
Date.
The fOllowing pro'ect
:oppning, and doe~ no~~eSQuu~~itted h,B,S the 'Ollowing
rova,. specIfiC land USe
. . Zoning L i':2, rL.
Dale "< - o.f- 01)
97477 Author;' K:L.J
726-3769 Zed Slgnatu,e_
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~~,,\O Do.~\n" ~ ....iL
LEGAL DESCRIPTION
ISH')":)..OS 1'3> () \ ~ 0 G>
JOB DESCRIPTION
S~~
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philios Electric, Inc.
Address 1 ?qA l1"th"l Dri,,"
Ci ty EuQ'ene
Phone('i41~ fiRR-lil ?1.
Supervlsor License Number ?71Qq
Expiration Date 10101/01
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
Signature of SUperVi? ~~ctrician
rJ1 .
"." 1 athan J:'hll1pS
Owners Na:!ne H.o.url...LA ..+\C\~
Address' '[b6 ~=,lvu.v+-, t"..
Ci ty 'S pf=-lol Phone =1-Ll6.-'6q,6b
0\lNER INSTALLATION
The installation is being made on
property I own which is not,intended
for sale, lease or rent.
owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY:
ELE~CAL PERMIT APPLICATION
City Job Number
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3. COMPLETE FEE SCHEDULE BELOY
.B.
Services or Feeders
Installation, Alterations
or Relocation:
nCl-() 1Il'l~';"O ~
$ 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
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
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New, Alteration or Extension Per Panel
One CiLcui t
Each Additional
Circuit or with Service
'or Feeder Permit
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Cornm
E.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
0$ 40. 00
$ 20.00
$ 36.00
/Ol>.ora
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7 y; -
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