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Home My WebLink AboutPermit Building 2000-8-4 " ". ,. . ~J .. . .-...- . .. Page 1 of 4 TRANS#:01-0002827 DATE:AUG 04 2000 AMT RECD:2 $ 4213.07 CHANGE: CASHIER:059 I Job# 00-01106-01 I 225 North Fifth Street Springfield, OR 97477 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01106-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 870 Hazelnut Ln Spr Assessors Map#: 18020613 Lot: 36 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: $79,033 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr same as 846 Hazelnut Contractor Registration # Expiration Date Phone I.ollltJ~ yuu~. Hayden Homes . i. ,', ,...JI'.'-'.' "",vi' ,,:HI ;;'Oregon URM-744-6966 806 Hazelnut Lane, Springfield, OR rollOW rules aoopted by ~rUles are s9t tonl 97478 'lotitiC8tiOncenter.]Tt1OSrou hOAR952~1' Philips Electric Inc fI~952-o01-o~ra%\~sotther~~l6'a8-6121 1298 Bethel Dr, Eugene, OR 97402-2003J090. YOUthm:le~ter. ~Note: thete:to~eon calling Utility N ca,l Hayden Homes l1umberforthe.~~~~_'1"~_~)' 541-744-6966 806 Hazelnut Lane, Springfield, OR Cp.n\f~'" . . 97478 BlOC Mechanical 648 W Oregon, Creswell, OR 97430 541-895-4575 Office Use Quad Area: 3RSC Land Use: SingleJiamHy@welling # Of Buildings: 1RK . LDR1'lV II'" . _'__ .r-ruG.'wn . # Of Units: 1 Zonmg Code: PERMIT SHALL Qccupancy r~u~;., pwelling Constr. Type: (VN) Wood Frame Bedrooms: 3 THIS D UNDE\'i''''!I~~oiifCe:T W~II'Heat Water Heater: Electric Range: ElectficlTHORIZE ~ I" Sg.\I~.oo~g!!:. FCf008 __........U."'Ln""'" :'"'II-\CI"'\I I.' \.JUI\IIIVIL-.."",-- To request an inspection call the 24 hour recording at 726-376~l\PtHtiB!?Pe"ctiOlfstt~\lested before 7:00 a.m. will be made the same working day, inspections requesteaafter 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 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. ^ . ^ . Framing Wall Insulation Drywall Final Building Temporary 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 SW-Curbside CC-Standard . . Job# 00-01106-01 I Required Inspections Buildinq Page 2 of 4 - Prior to cover. - Prior to Cover - Prior to taping. - 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 Plumbing - 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 complete. Mechanical - 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. , . . i Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: I Job# 00-01106-01 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: n/a Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. r ~~t) I Main: 1008 AccessoryaOO 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 Vent Fan to One Duct Pellet Insert Dryer Vent Mechanical Issuance Flood Plain FEMA: n/a Page 3 of 4 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 07/17/2000 2588 Building 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 Electrical 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 Plumbing 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 Mechanical 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 Value/Quantity 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 $.00 $.86 $6.00 $15.00 $3.00 $10.00 2 1,500 1 . . . 0" Job# 00-01106-01 Fee Paid On Receipt# Mechanical 08/04/2000 2796 Page 4 of 4 Value/Quantity Fee Amount I State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 08/04/2000 2796 08/04/2000 2796 60 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 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 08/04/2000 2796 2,198 2,198 18 1 1 1 1 1 S.F. Residence - Willamalane Total WilIamalane SDC WilIamalane SDC 08/04/2000 2796 1 Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin AlWard 07/19/2000 07/27/2000 07/27/2000 $2.00 $41.36 $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 $5,328.41 Engineering-Res Planning-Res Structural-Res 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. Q~ ;Y'?~~ slgmfture - Date SPRINGFIELD " .,1 S!.L: I ~ :O'oV <i""g ."1 ~q I>^- . 0'0.% .. .... CI" <ri 1)0, 80S'. 1'9 "6: ",""it. "'1'6 El: ~ 0'1 :O"CIj,"~1I, ELECTRICAL PERMIT APPLICATION "'c 9~. ~I)O'~:~ ty Job NumberQ)O\ \ l1o.DI , {~ o ~/" Ai "'-; o,..~ "0' ~g, ""I. "'I; ,. 225 FIFTH STREET , SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. L~I~~~ ) \ ~(Jb15TIN~ION ~ \ ~?l'(). . J'4~fJQ~J\ ~~~ ~are non-transf~ble and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electric. Inc. Address l?QR 'R,:3rnlOl f'-r;vp Ci ty EUQ'ene Phone~' hRR-hl2l Supervisor License Number ?71qq Expiration Date 10101/01 Constr Contr. Number 20-l7Qc Expiration Date 10/01/00 Signature of super~g ~e~ician & ~Mn . O~ners N~l:,l, in J\t~1J.PS "i;~r · Ci 1i1.d.-Phone o IN . 'ALLATION The insta11ation.is being made on property I o~n ~hich is not,intended for sale, lease or rent. owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: FEE SCHEDULE BELOY . :. Ne Residential-Single or I ti-Family per d~elling uni t. Service Included: '- 1000 sq.ff. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or ModularD~elling' Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Items Cos t Sum 1 $ 85.00 65 ,5 \ $ 15.00 .$ 40.00 200 amps or less $ 50. 00 . 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 1D- C. 200 amps' 'or less l $ 40.00 201 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 " Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service .or Feeder Permit $ 35.00 $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Ou tline Ligh ting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ -$ $ $ ~~ .L""~ .OCL 40.00 40.00 20.00 36.00 . . ,. A IT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-0 II 06-0 1 NAME OR COMPANY: HAYDEN LOCATION: 870 HAZELNUT TAX LOT NUMBER 18-02-06-14-13300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1408 LOT SIZE: 5670 1 STORM DRAINAGE IMPERVIOUS SQ. FT. 2198.00 x $0.240 PER SQ. FT. $527.52 I 2 SANITARY SEWER-CITY 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 SFWFR - MWMC 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 SUBTOTAL (ADD ITEMS 1,2,3, & 4) $22.05 I $0.00 I $10.00 I $274.81 I $2,207.63 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC 5 ADMlNISTRATIVF Fill.; BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $110.38 I ~T~ SlJe eUUKlJINATUR 07/27/2000 lJA n. TOTAL SDC CHARGES I $2,318.01' . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) ., FIXTURES NEW OLD 2 FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASWETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TlONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALUWALL WASH BASINILA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INST ALLA TlON TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 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 UNlTs=1 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 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 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) 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 . . "'. ~1li . .. ~1''''Winamalane '"t,"'f' Park & Recreation District Job. No.()rJ .auDio.o1 ".., SYSTEM DEVELOPMENT CHARGE WORKSHEET 01\ rn7r PHONE:-m-.\A~ ~v~u! ch.. $TATE:~IP: Ql1:18 LOCATION OF PROPOSED BUILDING SITE: Street Addre~s: -EfJo . O\~ \ 1\ ..-t _ . Plat Name~~ ~_ Tax Lot Number: ()~~_ ?JJ~ 1. DEVE[OP~ENT \YPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) < NAME: ADDRESS: A. SinQIA-F::Jmilv DAf::Jr:hAQ l Single Family home NO. OF UNITS l Manufactured home not in a park X. $1.000 per unit = $lf;f:'rl.clJ B. ,SinoIA.F::Jmiiv Aft::Jr:hAQ NO. OF UNITS X $924 per unit = $ C. .Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M::Jnufactureci I-InmA PAlk NO. OF UNITS X $699 per unit <= $ $ \hnO.oO j25 $ WILLAMALANE SDC 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SOC reduced for Credit) ~. $ \ DCe) .cO Development SeIVic City of Springfield . I I Date