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Home My WebLink AboutPermit Building 2000-8-4 i -. .j1' '.- . '., . .' . ~- Page 1 of 4 TRANS#:Ol-0002802 AHT ~~&~~ 4(h~OO ..._..Z3 '~ANGE: CA"'r1~t~ ~ I Job# 00-01139-01 I SPRINGFIELD ~ 225 North Fifth Street Springfield, OR 97477 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01139-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 862 Hazelnut Ln Spr Assessors Map#: 18020613 Lot: 37 Block: Addition: 1 st 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 Contractor Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 NOTICE: I HI:;iPERMITSHA' LF.:lt'P'Ot':'<=T' ...." AU1Registration #- Expiration Date'ORK Phone nUHILI::D UNDER THIS PE '. RMIT IS NCS41-744-6966 COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 54438 9/19/2001 same as 814 Hazelnut Philips Electric Inc 1298 Bethel Dr, Eugene, OR 97402-2003 541-688-6121 Mechanical Contr Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 Plumbing Contr 541-744-6966 BMC Plumbing 103570 648 W Oregon Ave, Creswell, OR 97426 1/1/2001 541-895-3758 Office Use - Land Use: Single Fami~llmll'~u# Of-Buildings: 1 Zoning Code: LDRlOnB:l!mON N!I!U1 UO~CQJplMe~B9mIl'! Dwelling Bedrooms: 3 9uo~d919~9In:9~ON~g.'66\1c!R:U! II Heat Range: EI~al!6llnJ 91n ~O S9!dOO u.!mqgol\R%e~ ~w 6W .( ~~ ~I;f01l6noJUl ni1\r\~{XIf-!o: lJ' . . . J,1,!~~leJes~nJaSO~lalue UOI~l!O~UOI\' To request an IOspectJon call the 24 hour recording at 726-3,. '( '!J 11 ~" tol a.m. will be made the same working day, inspections requeste I ~ ...m~~dhi emace ~Irj~ ing k. d '1n^ c::qll" ",'iV:W,lj-JDA".!T'tl\lt i', \I~ IB wor 109 ay. " .. .. _.. 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 Electric Required Inspections I Buildin!! I -Install ground rod at footing, and call for inspection in conjuction with footing and/otfoundation i -After trenches are excavated. -t -t -After forms are erected but prior to concrete placement. ~ - Prior to floor insulation or decking. ~;:;:1 t5 - Prior to decking. n ....,:I>. P. :I> -~~co~ ~ ~ - Before covering sheathing with finish materials. ::t: ;!; ~ 8 -.:J - ..zb~ ~t3e~ ....o..uo.p... Street Improvement: Fully Improved Curb Cut?O Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: : , ~ . . 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 SW-Curbside Project Supervisor: . . Page 2 of4 I Job# 00-01139-01 I Required Inspections Building - 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 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. I Public Works I ~After forms are erected but prior to placement of concrete 00/00/0000 00:00 AM NO NEW CURBCUT PERMITTED Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 6 00/00/0000 00:00 AM Curbside - 5' o 8 To Curb and Gutter Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? 0 3: Planner: AI Ward Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a . ~ . , Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. Feet) I Main: 1008 AccessoryJ'lOO 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 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 New Sidewalk Total Public Works 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 S.F. Residence - Wi llama lane Total WiIlamalane SDC Grand Total Job# 00-01139-01 I . Page 30f4 Accessory Structure # Of Stories: 1 Height (feet): 17 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1408 Paid On Receipt# Plan Check 07/21/2000 2647 Building .08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 Electrical 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 Plumbing 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 Public Works 08/04/2000 2802 System Development 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 08/04/2000 2802 Willamalane SDC 08/04/2000 2802 Value/Quantity I 2 77 ,533 1 1 1 40 2,208 2,208 18 1 1 1 1 1 1 Fee Amount $80.00 $80.00 $367.00 $25.69 $11.01 $403.70 $85.00 $15.00 $7.00 $3.00 $110.00 $.00 $160.00 $11.20 $4.80 $176.00 $60.00 $60.00 $529.92 $529.92 $897.48 $507.82 $507.82 $242.76 $22.05 $10.00 $110.50 $3,358.27 $1,000.00 $1,000.00 $5,187.97 " . . ~. ~.~ . Job# 00-01139-01 I Page 4 of4 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper 07/24/2000 Engineering-Res Steve Templin 08/03/2000 Planning-Res AlWard 08/03/2000 Structural-Res Wendy Stanley 07/25/2000 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 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 aPpr eHns ~II remain on the site at all times during construction. < ~ "8~ ?~~ , gnature Date ....,., l,... I. ~!~ ~E~D: -, ~; '.' .I\~ Of:,E,u.t :.\ ..' .~ VI,,. j If I.!" " ')" . ':'LNYI':.~' ... ~".. '. ,. TRANS#:01-0002834 DATE:AUG 07 2000 AHT RECD:2 $ 4063.35 1 1 $ 6.88 CHANGE: CASHIER: 059 J> :x -< \' '~...' .,. . . -< ;:Ol::l::>::l tTI:J:> :J:> C':J-<:Z l::HTl (/) ....# C':J 1'..:l:D.. :J:> <::0 co {07 en ....... ::c I 1--tC')~oo rrJ::I: 0 +:--0 ;oD-J 0 ":ZONN oen. oeo tJ'1fT'1r-.J:OI"V ...o..UOC7' . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01139-01 NAME OR COMPANY: HAYDEN LOCATION: 862 HAZELNUT LANE TAX LOT NUMBER 18-02-06-13-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1408 LOT SIZE: 5670 .L....SIQRM OR AINAGE IMPERVIOUS SQ. FT. 2208.00 x $0.240 PER SQ. FT. $529.92 I 2 SANITARY SFWFR-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU $897.48 I .:l.....IB.ANSPORTA.IIOO NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP TOTAL TRANSPORTATION SDC $507.82 I $0.00 I $507.82 I x x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP 4 SANITARY SFWFR _ MWMr 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 $22.05 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I MWMC ADMINISTRATIVE FEE $10.00 I TOTALMWMCSDC $274.811 SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $2,210.03 I 5 ADMINISTRATlVF FFFS; BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $110.501 ~T~ sue eUUKVINAIUR 08/03/2000 m TOTAL SDC CHARGES I $2,320.53 I . . PLUMBING FIXTURE UNIT (PFU) CALCULA TlON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET A[l[l!,!,!I)i';'_~~ ~!~.!Il.ES' TOTAL PLUMBING FIXTURE UNlTS=1 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON 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 $4.74 1990 $1.96 1980 $4.65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 $0.75 '1986 $3.63 1997 $0.57 1987 $3.26 1998 $0.35 1988 $2.85 1999 $0.15 1989 $ 2.40 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSfETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST AnON/ETC. RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URlNAL,STALL/WALL WASH BASIN/LA V ATORY, 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 I 2 2 I 6 4 x x PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o 18 . $0.00 $0.00 CREDIT TOTAL I. $0.00 o <'0 e" Gl..o :t,lll') O/,lo~. :0.1'; :9, q 1'1): OVt?/ 'l}ryP..or. . . 0'0 0/6' 9S COt "8 01,<> 8(,6",. ELECTRICAL PERMIT APPLICATION 9("~,, ;;:~~"81'" City J~b Number CO .on ~o.. 0 \ CO:~~~~EE SCHEDULE'BELOY - " p ev esidential-Single or ti- mily per dvelling unit. erv e Included: 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. L~ O~u:f J ~+[n\S~IONO\o..ro \ ~ JOB feR! 'TION . f\ 0 r\ I~ )~~ . fi no ~ .t( ull W l\X..a Permits enol - ransfera e and expire if vork is not tarted within 180 days of issuance or if vork is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Ele~tric. Inc. Address 1?Q11, 'Rpt-npl nr;vp Ci ty Euge"" Phone(,411 fiRR-nl?l Supervisor License Number ?71Q~ Expiration Date 10101/01 1000 sq.ft.. 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: Items Cost Sum \ $ 85.00 g'). \ $ 15.00 \~ .$ 40.00 $ 50. 00 . $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number 20-17g~ Expiration Date 10/01/00 ~ature of S~~i~ ~ectrician -4: Nat .nps Ow~ers Na~ Addr(\~:.T~()\ r , \ ~ ~ t'.~ Ci t~'(\~(\rO ~one --M. \cA\ckJ OVNER INSTAL~TION The installation. is being made on property I ovn which is notcintended for sale, lease or rent. owners Signature: --------------------------------------- DATE: RECEIPT jf: RECEIVED BY: 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"o-r less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts'see "B" D. Branch Circuits above .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Ou tUne Ligh ting Limited Energy/Res Limited Energy/Comm One Circuit 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;) ~:.~ \\n .00 The tOllowing projecl 8S . zoning, and does not reSqU~m'tted has the folJowing approval, Ulre specific land use Zoning. Lo a.- Dale ~ /' 974:Ail,horized Signatur. 726-3769 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~(;;.. +!rv.zrll.u:J- LEGAL DESCRIPTION \ 9O::l.06/3 ,q o.a JOB DESCRIPTION )FR 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 Philins Electric. Inc. Address l?qR R~t"np' nr;u,o Ci ty EuQ'ene Phone(S41~ nRA-nl?l Supervisor License Number ?71Qq Expiration Date 10/01/01 Constr Contr. Number 20-17CJr Expiration Date 10/01/00 Signature of Supervising Electrician ffi ~ ~ Nat:an pnlHps Ollners N,~l:,e_ ~.~ +I~. Address g(}6' #,YJ>J"",-j- Ci ty '5~/rL 1 Phone TL.j6-60[~ OVNER INSTALLATION The installation. is being made on property I olln \lhich is not,intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 1I: RECEIVED BY: 'I -!TV J /:<.tJ lrrJ':CTRICAL PERMIT APPLICATION 00-0//30-0/ City Job Number 3. COMPLETE FEE SCHEDULE BELOY A. Nell Residential-Single or Multi-Family per d\lel1ing Service Included: It ems 1000 sq.fi. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'DIlelling . Service or Feeder .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 uni t. Cost Sum $ 85.00 8') $ 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 Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above .' Nell, Alteration or Extension Per Panel One Circuit Each Additional Circuit or \lith Service .or Feeder Permit $ 35 . 00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation ,Pump or irrigation $ 40.00 Sign/Outline Lighting ~ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm 's 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL l~ 0 ,.1J(') ') _ o-v II(\). . . . f\AI\ .. .. ..,....Willamalane ~,"1' Park & Recreation District Job. No. CO. O\\~.O\ (W SYSTEM DEVELOPMENT CliARGE WORKSHEET . NAME~r 0 n E1\1-). . ADDRESS:PiltO \"fu~t- LOCATION OF PROPOSED BuiLgl~~-SITE: Street Address: P,tO~' '& X"\.U f\/I-\: . .. U . ~ _ Tax Lot Number: , PHONE: ,44 uA tolo STAT~~IP: Q1413 Plat Na 1. DEVELO _. .ENT TYPE; (Check appropnate dwelling(s). SOC calculalions and dwelling t ype delinltions are on the back.) . A. SinQle-Fl1milv Dp.t~c:hp.rf Single Family home Manufactured home not in a park X $1.000 per unit = $ \ c:::x:xJ.C:V NO. OF UNITS B. .sinole-F~milv Att~c:hed NO. OF UNITS X $924 per unit = $ C. .Multi-Familv Aoartment NO. OF UNITS X ,$692 per unit = $ D. ,M::lnufa,ptured Home Pari<. NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \DOO.ct) o $ \OOOOU $ 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of Willamalane Credit approval. See SDC Credit Wotksheet. 3. TOTAL WILLAMALANE NET SOC ASSESSED (II SOC reduced tor Credit) ~~,~s~~~ City of Springfield I I Date