HomeMy WebLinkAboutPermit Building 2000-5-24
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I Job# 00-00661-01 I
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TRANS#:01-0001881
DATE:MAY 24 2000
ANT RECD:2 $ 4052.26
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00661-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4020 Douglas Dr Spr
Assessors Map#: 18020613
Lot: 61 Block: Addition: 1 st
Tax Lot #: 01900
Subdivision:Jasper Park
Owner: Hayden Enterprises Inc Phone Number: 541-744-6966
Address: 806 Hazelnut Lane City/State/Zip: Springfield, OR 97478
Scope Of Work: Single Family Residence . New ~ ~'0~-J~~!aQUlnu Value: $77,533
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Contractor Type Contractor ,":1-7~~,. '~'1l\.l..'J,Reglstratlon~, Expiration Date Phone
":.1 ,;i......' .""dOp~:)\JI"-
General Contr Hayden Homes ".",JOElL.;".... "Ir'\I'N:;,-'-' 541-744-6966
806 Hazelnut Lane, Springfield,OR-
97478
Electrical Contr
Philips Electric Inc 54438 9/19/1999
10"
1298 Bethel Dr, Eugene, OR 97402-2003 ~~~O O~
Efficient Heat & Air ~'flYq\ft- ",~\'i\S;
x, x, X '~~3~'t~~~~r:; ~\)~O
BMC Plumbing Ndo,,~~'O~ &.~-.\.\)O~/1/2001
"0'(\"1 - '<'~A"",,\ l'l1
648 W Oregon Ave\ Creswell..Q , ~ :::l.L
_. 11I^,\..":~r1'e\ ~. n 1\ .- .....n" 14..l.~\\-1
541-688-6121
Mechanical Contr
Plumbing Contr
541-895-3758
.l.UI'V'- '.~'';l-\Ii-~~''PS'-'-
)\'dON\:1~_Offii G(j..,rtf1'. \)p..'~3'~\J_Oi'lj
Land Use: ~l:\ing'i1 Family Dwelling
Zoning Code~ LOR
Bedrooms: 3
~. l'
Range: Electric ,Sq:'Footage:..., ~008
, . 1"'\"" . ,_ ,n'-...-
To request an inspection call the 24 hour recording at 726-3769, All insp.!lcti6ns req~este'd befor~ ?,:OQ.
a,m. will be made the same working day, inspections requested afte~q:OO a.m, will'be,made thEHollowing
working day, '~\('" " " ;..' , ""':; \",: '~o'i.\\\"v'
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ReqUired Inspections nO' 1'., "U" "'I"
, V" n\ \ C}3 ~eV\ n.
I Electrical,o,v '_,1\'<'''- \~eO ..9,\',,':""
.. ..'- .....".. ,,,,,- ',<: '
-Approval reqUired prior to SUB energiimg-P-Qle. ,,',co"
(\\}""~ (/<>
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame,
Electric
Temporary Power
r' 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:
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Project Supervisor:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
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I Job# 00-00661-01 I
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Page 2 of 3
Curbside - 5'
o
8
To Curb and Gutter
San Sewer Tee (in):
Bond End DateTime:
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:
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. r . ~:)
_ Main: 1008 AccessoryllOO
Fee
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add" 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
Flood Plain FEMA: nla
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1408
Paid On Receipt#
Buildin!!
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
Value/Quantity
Fee Amount
77,533
$367.00
$25.69
$11.01
$403.70
Electrical
05/24/2000 1881
OS/24/2000 1881
OS/24/2000 1881
05/24/2000 1881
05/24/2000 1881
1
1
1
$85,00
$15.00
$40.00
$9,80
$4,20
$154.00
Plumbin!!
OS/24/2000 1881
05/24/2000 1881
05/24/2000 1881
1
$.00
$160,00
$11,20
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Fee
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Job# 00-00661-01
Plumbing Administrative Fee
Total Plumbing
Paid On Receipt#
Plumbing
05/24/2000 1881
Page 3 of 3
Value/Quantity Fee Amount
I
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
Mechanical
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
OS/24/2000 1881
1
1
1
New Sidewalk
New Curbcut
Total Public Works
Public Works
OS/24/2000 1881
OS/24/2000 1881
50
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
System Development
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
05/24/2000 1881
15
2,252
18
1
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Struclural-Res
Willamalane SDC
05/24/2000 1881
1
Checked By
Lisa Hopper
Dennis Ernst
AlWard
Wendy Stanley
Date Completed
05/11/2000
05/12/2000
05/16/2000
05/19/2000
$4.80
$176.00
$4,50
$4,50
$.45
$3,00
$3,00
$10,00
$1,05
$26.50
$60,00
$60.00
$120.00
$522.46
$868,86
$491,60
$242.76
$10,00
$103.43
$-67,05
$2,172.06
$1,000,00
$1,000.00
$4,052.26
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 contraclors 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 ~~~"_- ?2/,,-&c:::>
~ature ' Date
The following project as submitted has the following
zoning, and does not reqUIre specific land use
approval. : IlleJ
Zonmq ,~.
9747~are ,~.~ :~~
726;;J\~&&ed Signa;Ure C. ~
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225 FIFrH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCAT.IQ,N OF jNSTALLATION LeA- <0 I
1Q.:JO L J...J,li n,S 'Dr'IIe..
J.!>GAJt DESJ :rrIO~ \n rV'\
\ '6()" I D{ 0 \..l.., () ~\( )J
~B D CRIptION
'. t'V\ I r (f I['f"!,; ,"" e.Vl c..e
Perm ts are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philios Electri~ Inc.
Address 1 ?QR 'R"..h"l Dri""
Ci ty EuQ'ene
Phone('i41'~ fiRR-fi121
Supervisor License Number ?71Qq
Expiration Date 10101/01
Constr Contr. Number 20-17q~
Expiration Date 10/01/00
Signature of su~~ ~ectrician. .
<:'1 .
. . I J . I ~atnan l'hll1pS
::::::s :,W[:J(\~rL:~e-
CitY~r~~lplJ Phone~
~STALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
:~~~-:~---~:1)-~QJ
RECEIVED BY: \J.j~'1
\J
B:.3CTRICAL PERMIT APPLICATION
City Job Number
rf). CD..d.() l.nf
COMPLETE FEE SCHEDULE BELOY
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
J ~ _ .-;- ~ ni""lJ.
~.J(,.v~' .
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less / $ 40.00 4 D.OO
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35 . 00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Energy/Comm
no t included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
-$
$
$
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\40~
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \..J\).1J(tm \~\)f{\Q.t\) PHONE: fJAA- .\oC\LolP
ADDRESS:PD~\3}h.-"'8 \ r\ u t- STAT:)(f(lzIP: Q14,'i
LOCATION OF PROPOSED BUILDING SITE:
Street Addr ss: ~ID \.- ~ n\n..r) Dr .
Plat Nam : .(-~()l~ _ Ta: ~ Number: \WlDIo160\qra
1. DEVEL, .E T TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on Ihe back.)
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A. SiDoIA-F::Jmilv DAt::J~hAcj
\ Single Family home
(' NO. OF UNITS t
Manufactured home not in a park
X $1,000 per unit = $ (CCD.W
B. BinoIA-F::Jmilv Att::J~hArI
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManlJf::J~rt HnmA P1ll1~
X $699 per unit '" $
$ \(f'f). CD
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3. TOTAL WtLLAMALANE NET SDC ASSESSED \ f\^n. dO
;;:~:OC~ ) :s ~1~0
DevelopmentlSe'rvic~ ~nt Date
City of Springfield ~s ID~pa.~e;
NO. OF UNITS
WILlAMAlANE SDC
2. SDC CREDIT (It applicable) SDc-payer must lurnlsh prool 01
Willamalane Credit approval. See SDC Credit Worksheet.
$
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