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Home My WebLink AboutPermit Building 2000-5-10 . . Page 1 of4 TRANS#:01-0001645 DATE:MAY 10 2000 AMT RECD:2 $ 4090.85 CHANGE: CASHIER:059 I Job# 00-00607 -01 I ~ I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00607-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 838 HAZELNUT Ln Spr Assessors Map#: 18020611 Lot: 40 Block: Addition: Owner: Address: Tax Lot #: 01200 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 Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Hayden Enterprises Inc 806 Hazelnut Lane, Springfield, OR 97478 Philips Electric Inc 1298 Bethel Dr, Eugene, OR 97402-2003 Efficient Heat & Air x,xlX . -'.' ,oyu,;&5 you t. Registration # 'PExpiratio~n'Date'1 Oregrp~JWg~ . ',." ,h0.,2 'ulesl;lresettortl1 92208 _ _ X !29/~~ ' :-ouqil C~:1-J~-i9~96 ." ", "'..' ':-"<>If' .:opiel:' olthe rules b:l C "I' . '.r':'-. :'.'ot:': the tel3phone 54438 ,,,....,.,' ',9/19/99-'=(10:1 Utility 5~1~aJ6f21 ., ..' .' ': ~: .,,"....11.\. Bmc Mechanical 648 W Oregon, Creswell, OR 97430 541-895-4575 3RSC 1 (VN) Wood Frame Electric Office Use iJOTICE: Land Use: Single Familfllil~\lf!!.r;l9v1ITtbQf\~t\ildjngs:IF1rHEWORK Zoning Code: LOR AUTHORIZE[,<t<ic:.ge!lfl,C;Ylg~l!P;lnOwemng Bedrooms: 3 . COMMENCE[~j!,tl~~~~i:lax~thllOl,tt Range: ElectriC Sa. Footage: 1008 ^ "V,,'" nil v P"''''lllll 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 Framing Required Inspections I BuildinRI -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. - Prior to cover. 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 Curbcut Sidewalk . Job# 00-00607-01 I . Required Inspections Buildinll Page 2 of4 - 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. Mechanical -Prior to cover. - When all mechanical work is complete. I Public Works I -After forms are ereceted but prior to placement of concrete. Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/0000:00 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 AM Types Of Warning Devices Reqd. . Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: I Job# 00-00607 -01 I .Overlay District: # of Street Trees: 2 . Comments:2 paved 9x18 off-street parking spaces are required 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 rArea (Sq. r d) 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 Mechanical Issuance Flood Plain FEMA: n/a Page 3 of4 Land Use: Single Family Dwelling Pave Driveway? 0 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 04/24/2000 1335 Buildin!! 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 Electrical 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 Plumbin!! 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 Mechanical 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 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 $4.50 $.45 $6.00 $10.00 2 . . . Job# 00-00607-01 Fee Paid On Receipt# Mechanical 05/10/2000 1645 Page 4 of 4 Value/Quantity Fee Amount I State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works Public Works 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 62 1 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 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 05/10/2000 1645 . 05/10/2000 1645 05/10/2000 1645 15 2,082 18 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Willamalane SDC 05/10/2000 1645 1 Checked By Lisa Hopper Dennis Ernst AlWard Wendy Stanley Date Completed 04/26/2000 04/28/2000 05/01/2000 05/05/2000 $1.05 $26.50 $60.00 $60.00 . $80.00 $200.00 $483.02 $868.86 $491.60 $242.76 $10.00 $101.46 . $-67.05 $2,130.65 $1,000.00 $1,000.00 $4,170.85 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 t. he street, that the permit card is located at the front of the property, and the r approved 7~ain on the site at all times during construction. c5,~/ W Signature . Date . . . . . Page 1 of 1 City Of Springfield Development Services Community Services Division Building Safety I Job# 00-00607-01 Location Of Proposed Site: 838 HAZELNUT Ln Spr Assessors Map#: 18020611 Lot: 40 Block: Addition: Tax Lot #: 01200 Subdivision: Jasper Park Owner: Address: Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/StatelZip: Springfield, OR 97478 New Value: $0 Scope Of Work: Single Family Residence Contractor Type Contractor Registration # Expiration Date Phone General Contr Hayden Enterprises Inc 92208 07/29/1999 541-744-6966 806 Hazelnut Lane, Springfield, OR 97478 Electrical Contr Philips Electric Inc 54438 09/19/1999 541-688-6121 1298 Bethel Dr, Eugene, OR 97402-2003 Mechanical Contr Efficient Heat & Air x, x, X Plumbing Contr Bmc Mechanical 541-895-4575 648 W Oregon, Creswell, OR 97430 Fee Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Dennis Ernst Paid On Receipt# Value/Quantity Fee Amount Plan Check 04/24/2000 1335 2 $80.00 $80.00 Public Works 62 $60.00 1 $60.00 1 $80.00 $200.00 System Development 2,082 $483.02 18 $868.86 1 $491.60 1 $242.76 1 $10.00 $101.46 15 $-67.05 $2,130.65 $2,410.65 Date Completed 04/26/2000 04/28/2000 Hourly Plan Review Total Plan Check New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works 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 Grand Total :nd Of Report . The following project as submitted has. the following zoning. and does not require specific land use approval.. J.-p(L.., Zonmg 225 FIITH STREET 5-/0 -n \ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 99t7B..,. o,<..J INSPECTION REQUEST: 1"l'!l'.9g~ignalurB City Job Number OFFICE: 726-3759 1A LOCATION/OF INS1ALLATI9l1+ ) ?533? 4/J.'7fo.yv'+ L4V\e (l.D <4-0 LEGAL DESCRIPTION JOB DESCRIj'TION np,,) resi'c;(enCP - Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for" 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. --- Electrical contractorRlI/ips Ehl-n'r-;Znc... Address/02'1R Re7f:e/ [In'lIe.. City l:u.qfZ..ne. Phone~1 ! Supervisor License Number ~7 / q :::, Expiration Date 10/0/IDI Constr Contr. Number~O"-/'7?c- Expiration Date /n/Ol/OO Signature of suSs:~ectrician Owners Name lJo.ydpn $J'Y7es Address f1()b /./t:tZ/fOA1U+L:tf\e Ci ty 5n(,'Ifi efLphone 7#--{,9(,?, 1 . OVNER. STALLATION . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less / $ 85.00 ~OO Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd ~ome" or Modular. 'Dwelling Service or Feeder .$ 40.00 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 $ 50.00 SO,O(). $ 60.00 $100.00 $130.00 $300.00 $' 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circui ts / $ 40.00 t/.OoO $ 55.00 $ 80.00 volts see liB" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting 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 $ 36.00 / ?_'\.' t:JO .., 17,:::''0, I 19,;.(,::'-0 , . . p~Willamalane t, j Park & Recreation District Job. No. r{) .OOla(J1.ol fV SYSTEM DEVELOPMENT CliARGE WORKSHEET . , NAME: ADDRESS: ~ ~ PHONE: rM . \o~tc!. n STATE: ~ ZIP: Q""'K-~ LOCATION OF PROPOSED BUILDING SITE: Street Address: B~~ l)\(\ 1) t\ I Lt ~~ Plat Nam~ V In n ~ Tax Lot Number: \ <KO~lQl \ O\~ 1. DEVELO~EN; TYPE (C~eck appropriate dwelling(s). SDC calculalions and dwelling I ype definitions are on the back.) . A. llinnle-Fllmilv Detllr-heQ \ Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ \ tff) f:() ..,., , \ B. Sinnle-FRmilv AttRr-hen NO. OF UNITS X $924 per unit = $ C. Multi-FRmilv Aomfment NO. OF UNITS X $692 per unit = $ D. Manufactured HClmA PR~ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \OCO.CO 2. SDC CREDIT (If applicable) SDG-payer must furnish proof of ,.,( Willamalane Credit approval. See SDC Credit Worksheet. $ }V . 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDCreduced for Credit) ~~';;~:?rtme", City of Springfield $ lDon {XJ j I Date . SP.tlFIELD The. following projecl as submitted has tha following 225 FIFTH STREET zonmg. and does not require specific land use ELECTRICAL PERMIT APPLICATION SPRINGFIELD. OREGON 'iffJSt' . I ~ :.. INSPECTION REQUEST: 726-TffllfgJ.. i to 00 .City Job NumberOO orx1J{j\d OFFICE: 726-3759 Date "'r . l'R~~IOt~ST~t~~" :: - LEGAL DESCRIPTJ ..1..~()~\ \ (")~ . 10B DESCRIPTION'\\..... t(\ r\ \\:l~~~~~\.U..I/ . Permits are non-tr~sferable and expi~ if vork is not started vi thin 180 days of issuance or if. vork is suspended for 180 days. CONTRACTOR INSTALLATION ONLY City '" Contractor Supervi.sor Expiration Date of Supervising E~an The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: COHP~E FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: Items 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: 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 $ 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 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 " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 not included). Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ ~ ""\~.OO-