HomeMy WebLinkAboutPermit Building 2000-7-13
, },
~'.
1", 'J
"
.
.
Page 1 of4
TRANS#:01-0002567
DATE:JUL 13 2000
AMT RECD:2 $ 4060.40
CHANGE:
CASHIER: 003
I Job# 00-00968-01 I
SPRINGFIELD
~
I CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00968-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 846 Hazelnut Or Spr
Assessors Map#: 18020613
lot: 39 Block: Addition:
Owner:
Address:
Taxlot#: 01900
Subdivision:Jasper Park
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $77,533
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
same as
Contractor
Hayden Homes
806 Hazelnut Lane, Springfield, OR
97478 . ..WP
PItIL./J>j etAq: <..irf'J' j~
-Bite Electric Inc "1'''1{' 7b
Po Box 42162, Eugene, OR 97404
Registration # Expiration Date
Phone
541-744-6966
99768 6/10/2001
541-688-5401
Bmc Mechanical
648 W Oregon, Creswell, OR 97430
BMC Plumbing 103570 ...., 11/1/200:1, ..." ' 541-895-3758
648 W Oregon Ave, Creswell, OR 97426 ,~~I:?:A';~let,adOD~~;"'\~;i;€ G'~~~"~:ut;:;!.
Office Use '1 O"'l'", ~:.2-,.~ I_v I, ," .... . '; T,' i,
0090 Y01, Yo..,. ....."'::"l;~'. '> '...11' ,- 'J.,"'.L\.J~.
Single Family owell~J!lir:l#.?1~:~J!d~ngs:;'-1,:?; ", _,2S l;~
LOR numbelq8P~p~aB~~D~~o,~~,:;;' :;~.,-Io::e
3 . H.!;atSourC!l:'::I3~~e.b.c?~~dElectiic
Electric Sq. Footage: 1008 '_4).
541-895-4575
3RSC
1
(VN) Wood Frame
Electric
land Use:
Zoning Code:
Bedrooms:
Range:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections NOT/C'
I Buildinll I E.
-Install ground rod at footing, and call for inSpectiohf'lhScfcfnR!ctibr$\NiihlfoOtift91and/or,founctation i
-After trenches are excavated. AUTHORIZED UNDER THIS p" '0 L. "VM~
-After forms are erected but prior to concrete placeml;l)jl.~NCED OR IS AS ERM/TlS NOl
- Prior to floor insulation or decking. ANY 180 0 ANDONED FOR
- Prior to decking. AY PERIOD.
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
.
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
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
.
Job# 00-00968-01
Required Inspections
BuildinR
.
Page 2 of 4
- 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 Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
Public Works
-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.
.
Zoning: lOR
FloodPlain? 0 Wetlands? 0 .
Journal numbers
1: 2:
. Comments:
I Job# 00-00968-01 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:
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
IArea (Sq. Feet)
I Main: 1008 Accessory~OO
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Buiiding 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
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
# Of Stories: 1
Current Units: 0
Census Code: Does not apply
Page 3 of4
land Use: Single Family Dwelling
Pave Driveway? 0
Height (feet): 18
Proposed Units:1
Total:1408
Paid On Receipt#
Plan,Check
06/19/2000 2235
Building
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
Electrical
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
Plumbing
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
Mechanical
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
Value/Quantity
I
Fee Amount
2
$80.00
$80.00
77,533
$367.00
$25.69
$11.01
$403.70
1
1
$85.00
$15.00
$7.00
$3.00
$110.00
1
$.00
$160.00
$11.20
$4.80
$176.00
1
$4.50
$1.50
$.45
$6.00
$3.00
$10.00
2
1
.,
.
.
Job# 00-00968-01
Fee
Paid On Receipt#
Mechanical
07/13/2000 2567
Page 4 of4
Value/Quantity Fee Amount
I
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
07/13/2000 2567
07/13/2000 2567
62
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
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
07/13/2000 2567
2,082
2,082
18
1
1
1
1
1
S.F. Residence - Wi llama lane
Total Willamalane SDC
Willamalane SDC
07/13/2000 2567
1
Grand Total
Plan Check Type
Checked By
. Date Completed
Comment
Initial Review-Res
Wendy Stanley
Steve Templin
AlWard
06/20/2000
06/23/2000
06/27/2000
Engineering-Res
Planning-Res
$1.05
$26.50
$60.00
$60.00
$120.00
$483.02
$483.02
$868.86
$491.60
$491.60
$242.76
$22.05
$10.00
$105.91
$3,198.82
$1,000.00
$1,000.00
$5,115.02
Structural-Res Wendy Stanley 06/29/2000
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
a~r~~main on the site at all times during construction. '\ \ ( 'b ( CJ..;:>
Signature
Date
.
.
~AI\) .
.. "~Winamalane
'-t'" j Park & Recreation District Job. No. OO-OoQ6P:-O(
;., SYSTEM DEVELOPMENT CHARGE
WORKSHEET
,
NAME: .l!1\.I~'~ .f~,,^ PHONE: :j./../4-6Q6-C
ADDRESS: gOR ~Q;!~V+ L.ov.-e.... 'L,~STATE: _OR ZIP: q:H ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~ '-i of; . +b.~ V1...iJ~t..A-
Plat Name: -"..~ Tax Lot Number: I ~oaOt'\ /3 OlqOO>
11
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A !')innle-Fl'lmilv Detl'lched
V Single Family home
Manufactured home not in a park
NO. OF UNITS
L
X $1,000 per unit =
$
1000
I
B. ~innlp.-F:Jmilv Atf:Jched
NO. OF UNITS
X $924 per unit = $
C. Multi-F:Jmilv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M:Jnufl'lQUJred Home Park.
NO. OF UNITS
X $699 per unit . c $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NEf SDC ASSESSED
(If SOC reduced for Credit)
$
!IJoO'
1
Devel~-j s!~~epartment .
City of Springfield
r/~o 100
Date
The following project as submitted has the tollowin
zoning, and does not require specific land use
approval. . D (t...-
Zooing L-
'7-1"')-0-1) .
~
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
97477Authorized Signature
726-3769
1.
LOCAT:j;ON OF ~STALLATION
<;:4(b fHI~(jVU'"
LEGAL DESCRIPTION
/e:02..nb( 3.
Of 70=
JOB DESCRIPT):O>>
<:?f-fL.
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Phi1ins Electric. Inc.
Address 1 ?qR j>...th..l hri"..
Ci ty Eu2'ene
Phone(~411 nRR-nl?1
Supervisor License Number ?71q~
Expiration Date 10101/01
Constr Contr. Number 20-17Qc
Expira tion Date 10101 /00
. S.ignature of superv~~~ician
)jt .
~. . . I / NathjlIl J:'mups.
Ovners Nah1e f-I-~o--. Hz,~
/ tI-it~(A <- +-
Phone 7'1'1 ~ b'766
Addres~ "~~
City SIJf(J.
I
OVNER INSTALLATION
The installation. is being made on
property I ovn vhich is not,intended
for sale, lease or ren t.
owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
A.
ELECTRICAL PERMIT APPLICATION
. .
City Job NUIIlberOO-96g-:O{
3. COHPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.fi. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
HodularDvelling'
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
I
(
unit .
Cost
Sum
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
$ 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"oT 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, fiB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
.or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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
/00
Z
'S
//D