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Home My WebLink AboutPermit Building 2000-8-4 . \:" ;"". L _. , " . ... .~ ~ -~ Page 1 of4 TRANS#:01-0002829 DATE:AUG 04 2000 AMT RECD:2 $ 4138.21 CHANGE: CASHIER:059 I Job# 00-01105-01 I SPRINQFlELD ~ 225 North Fifth Street Springfield, OR 97477 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01105-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 854 Hazelnut Ln Spr Assessors Map#: 18020613 Lot: 38 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 same as 846 Hazelnut Contractor Registration # Ex.p.ir.aJjqroDate Hayden Homes -'lnE:\~' lu...~,al>ed~'bY"'th~Oregon Utilitl . . lesadOllt afesetton 806 Hazelnut Lane, Springfield, ORl~\?Wf.U centel. T\'1oseruleS R952-o01 97478 'iotlf,ca~~~-o01_001~thlO~9tl O~tle rules b) Philips Electric Inc .n OARYoB41la9 obtain COpW~8l6\3hone 1298 Bethel Dr, Eugene, OR 9746'9-~~lhgtheceoter.{N~t~ti\ltyNotificatIOfl Hayden Homes numb8rforthe.O~e.?~(l_~~??'U4\. Cp'nlp'fl~ . or. 806 Hazelnut Lane, Springfield, OR ' .- 97478 BMC Plumbing 103570 1/1/2001 648 W Oregon Ave, Creswell, OR 97426 Phone 541-744-6966 541-688-6121 541-744-6966 541-895-3758 Office Use ~ '.1 "'" ',"~ t' r; ~, ~. ,- \^'()R,i< Quad Area: 3RSC Land Use: Single FamiIY1Dwelling=)('I~IOfIBuildings: '1 . '" PERNu ::,nl\...." - _. ..~.~ ..n! # Of Units: 1 ZOning Code: LOR" NDERTI9.S~l!pancy,Group: Dwelling Constr. Type: (VN) Wood Frame Bedrooms: 2 AUTHORIZED U Heat'Source:R Water Heater: Range: COMMENCED OR IS AB'S'q~F~;-~ge: 1008 ._....l""Ilnf'\ ANY 18UUI\1 ,~. ..-- To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 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. 'd . .' 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 Underfloor Mechanical Rough Mechanical Final Mechanical SW-Curbside CC-Standard . . I Job# 00-011 OS.()1 I Required Inspections Buildinll 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 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 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 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: 00/00/000000:00 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' o 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. l ~ . . . Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: I Job# 00-01105-01 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: n/a Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? 0 ,Area (Sq. Feet) I Main: 1008 Accessory~OO 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 Dryer Vent Mechanical Issuance Flood Plain FEMA: n/a . Page 3 of 4 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# r- Plan Check 07/17/2000 2587 Buildinll 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 Electrical 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 Plumbinll 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 Mechanical 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 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 $1.50 $.45 $6.00 $3.00 $10.00 2 1 .i . . Job# 00-011 05.Q1 Fee Paid On Receipt# Mechanical 08/04/2000 2797 Page 4 of 4 Value/Quantity Fee Amount I State Surcharge For Mechanical Permit Total Mechanical New Sidewalk Total Public Works Public Works 08/04/2000 2797 60 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 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 08/04/2000 2797 2,198 2,198 18 1 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Grand Total Willamalane SDC 08/04/2000 2797 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Bob Barnhart Steve Templin AlWard 07/18/2000 07/27/2000 07/27/2000 Engineering-Res Planning-Res $1.05 $26.50 $60.00 $60.00 $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 $5,253.55 Structural-Res Wendy Stanley 07/28/2000 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 Stale 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 ~s will remain on the site at all times during construction. // /' / '-... -;8'-7~ .->--/....----~ - <sighature Date , .'} . . p.~ Willamalane t, ~ Park & Recreation District . Job. No. ;,V . SYSTEM DEVELOPMENT CHARGE WORKSHEET , NAME: ~ ........ .14.~ ADDRESS: <{,O~ J-I-", 7".1 tI\.u....r ~ PHONE: 7 4~- folie (", STATE: b(2. ZIP: q 7 1f.7t LOCATION OF PROPOSED BUILDING SITE: Street Address: <6<5y. UA 7.LLr'LL.tk Plat Name: .J {-\<:fJL..V YlH..1c.- Tax Lot Number: IZo'l..Olo I ~ 01<1 tJO 1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelfing t ype definitions are on the back.) . A. llinQ'A-F~mil~ DAI~c:hArl. / Single Family home NO. OF UNITS Manufactured home not in a park 1fr"7<-7\.- X $1,000 per unit = $ v u v B. lliw'A-F~milv Alf13c:hAO NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmenl NO. OF UNITS X .$692 per unit = $ D. Manufacturer! HomA PAris. NO. OF UNITS WILLAMALANE SDC X $699 per urilt '" $ $ ~l[)()D. 2. SDC CREDIT (II applicable) SDC1>ayer must furnish prool 01 WiUamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SOC reduced for Credit) $ \ o-Qt'. 'l<'~ tu~0- Develop61ent Services Department. City of Springfield ~ I Date. L( I UL.J .' The, fOllowing project 8S submitted has the following zoning. and do.as not require specific land use approval. .. (1..... . Zoning L-j:) 97';Ilrll ~ - 1../-- 07 72b~j/b~ \ A~lhorized Signature _K'W . 3. 225 FrITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INST~LATION n 8!:)L! -\-\Q.'2.e\~II+ '\ro... LEGAL DESCRIPTION IRro-.061~ 0 \1::{ 00 JOB DESCRIPTION ~~R Permits are non-transferable and expire if ~ork is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electric. Inc. Address 1?qR R~tn~1 n~~ Ci ty EUl!ene Phone(1411 6RR-nl?1 Supervisor License Number ?71Qs Expiration Date 10101/01 Constr Contr. Number 2Q-17Qc Expiration Date 10/01/00 . Signature of Super~ing Ele:;:ician /1 ~. . ' Nathan Plllll.pS ow~ersN;~ffie -\\~ OA/"o.. -\{(\\M 0 ^ Address.. ~ 06 +\n2.~\~b4-. ~cx"'-"- Ci ty Sr:d Phone ~Hf: "-:'6q~ OVNER INSTALLATION The installation. is being made on property I own which is not. intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT 1I: RECEIVED BY: ELECTRICAL PERMIT APPLICATION c;' ty Job Number OD-O UOs.----c{ COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Cost Sum $ 85.00 25 $ 15.00 ~6 . $ 40.00 It ems $ 50.00' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' .'01: less { $ 40.00 ~l& 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 . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling .. Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 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 $ 36.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only One Circuit Each Addi tional Circuit or with Service 'or Feeder Permit I'iG 1'i1'"/ . . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01105-01 NAME OR COMPANY: HAYDEN LOCATION: 854 HAZELNUT TAX LOT NUMBER 18-02-06-13-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1408 LOT SIZE: 5580 1 STORM OR A.INAGE IMPERVIOUS SQ. FT. 2198.00 x $0.240 PER SQ. FT. $527.52 I - 2 SANITARY SEWER-CID NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU $897.48 I J....I.B.ANSPOR.TATION 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 $507.821 $0.00 x TOTAL TRANSPORTATION SDC $507.82 I . 4 SANITARY S~R - 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 $22.05 I $0.00 I $10.00 I $274.81 I $2,207.63 l MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMlNISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMTNISTR lilV" """S: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $110.38 I ~T~ -SDe CUURDINATUR 07/27/2000 DAII:: TOTAL SDC CHARGES I $2,318.01 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: PLUMBING FIXTURE UNITS ~OTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) . T~ PLUMBING FIXTURE UNITS=I CREDIT CALCULA nON TABLE: BASED ON ASSESSED V ALOE 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 V ALOE ANNEXED ASSESSED V ALOE 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/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRYTUB/CLOTHESWASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER lRAILER) RECEPTOR FOR REFRIGERA TORIW A TER STA TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLlWALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 3 2 I 2 2 I 6 4 2 2 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 $0.00