HomeMy WebLinkAboutPermit Building 2000-5-24
.
. ,.
, "
l
.
I Job# 00-00658-01 I
.
)
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
TRANS#:01-0001882
DATE:MAY 24 2000
AMT RECD:2 $ 4033.43
CHANGE:
CASHIER: 059
~
CITY OF SPRINGFIELD, OREGON
Job Number: 00-00658-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 830 HAZELNUT ST Spr
Assessors Map#: 18020613
Lot: 41 Block: Addition: 1 st
Tax Lot #: 01900
Subdivision: Jasper Park
Owner:
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip:
Springfield, OR 97478
Value: $77,533
Address:
Scope Of Work: Single Family Residence
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Electric
New
:. ." t' . QU.)\'
",', '"..Iv'to.' . l\' \0\.\8
.,...~..I,._(.-fJv"" _0;;.,.,,\(\8. . \\;'P'J
P :,\Wl\ ,......... . .Ia,\~C'.~l .,.~. 1"....1.
UO\\-e:>\~\~O~~U.;..0\ON) \-e\an .,I'Il' II,', . .." .
Contractor aUOL\da~\L\' ,oSa\do:>U\Registration # ,> Expiration Date
a\(\l " '01101\..,1 \ .. ~ I
Hayden Homes Jl.Qso-""6\:)",01. ~sou\ ",. 'd"" ,,>>\Iu
\.(\ 'r/:J '" ~~\nJ c a~00py ~ _ , .
806 Hazelnut Lane, SprlfJgfield, ORal\\l\q\J ,~'", '. " ,
97478 4\.1"" nU0081U ". ..,.-.p.. ,
h.'l":\' 1 f"Ir.F ~ ~"'v
,..... F,salk.
Philips Electric Inc C\ (\0' 54438
1298 Bethel Dr, Eugene, OR 97402-2003
Hayden Homes
806 Hazelnut Lane, Springfield, OR ~ }..N'1
97478 "OOI'd:ld }..'1001l 0:)
BMC Plumbing . o'<lsl19~5]O)N:l1N1N fI~/1/2001
648 W Oregon Ave, Creswety,\0R:'9!1426 '"10"11 O:lZI'dOI-U;
HU:J\"I _ ......., \, \41. \" ._ \c\Ul
\ \11\'''"'::1U v:, . I"S .l.\V'IU"'-
l~.!'~C\ . Office Use/~-:"'nH 0'"
~. . \-U.:l\ :lu'~""~ ~3~\l ,..
)ltirn'ltOse: Single Family Dwelling # Of Buildings: 1
Zoning Code: LOR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Wall Heat
Range: Electric Sq. Footage: 1008
Phone
Contractor Type
General Contr
541-744-6966
Electrical Contr
9/19/1999
541-688-6121
Mechanical Contr
541-744-6966
Plumbing Contr
541-895-3758
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.
,
,
.
.
I Job# 00-00658.Q1 I
.
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: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Driveway apron for this lot exists. No curb cut needed
Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
Land Use: Single Family Dwelling
. Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?O
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. Feet)
_ Main: 1008 AccessoryllOO
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:l
Census Code: New SF - detached
Fee
Total:1408
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" 500 Sq Ft
Temporary: 200 Amps or Less
Stale Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Paid On Receipt#
Plan Check
05/10/2000 1650
Value/Quantity
I
Fee Amount
Buildinll
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
Electrical
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
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
.
.
Job# 00-00658.01
Fee
Paid On Receipt#
Plumbinll
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
. Page 3 of 3
Value/Quantity Fee Amount
I
$.00
1 $160.00
$11.20
$4.80
$176.00
1 $4.50
$1.50
$.45
2 $6.00
1 $3.00
$10.00
$1.05
$26.50
34 $60.00
$60.00
2,132 $494.62
18 $868.86
1 $491.60
1 $242.76
1 $10.00
$105.39
$2,213.23
1 $1,000.00
$1,000.00
$4,113.43
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
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
New Sidewalk
Total Public Works
Public Works
OS/24/2000 1882
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
System Development
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
OS/24/2000 1882
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Willamalane SDC
OS/24/2000 1882
Checked By
Lisa Hopper
Dennis Ernst
AlWard
Wendy Stanley
Date Completed
05/11/2000
05/11/2000
05/16/2000
05/19/2000
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
approved set of pla~s jYll remain on the site at all times during construction.
~ /y)/'~- ~_ 5-Ly:C>i)
~ure Date
.
.
f\" .
I/IJW ~r"'Willamalane f1Jr\
'-t,"1' Park & Recreation District Job. No. U) .O()f.tfi3.d
f" SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: (_~91r01\ [rUp~ PHONE: f)44 loC{Jdp
ADDRESS: RDrn. ~\\ t~+ STATE: [~ZIP: ib1J8
LOCATION OF PROPPSED BUILDING SITE: _J .
Street Address: ~'3[) ~ qOJ1.J2.--
Pial Nan\.e:.hID ( U\ 11 k _ Tax Lot Number: \ 'K()1]) lo\3 O\g.cf)
1. DEVE~MEN\ TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ypc definitions are on the back.)
,
.
A. SinoIA-F::Jmilv DAt::JchAQ
t Single Family home
NO. OF UNITS
Manufactured home not in a park
$ . $ \tvV\.W
X 1,000 per. Unit = U ~ )
B. SinoIA-F::Jmilv Att::JehAri
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv AoarfmAnt
NO. OF UNITS
X $692 per unit = $
D. ManufacturAri HomA P::J~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit '" $
$ lOOOr:o
.fJ
$
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit WotKsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDCreduced for Credit)
\;m )~~.~PJ
Development ~Se~ices p-apartnient
City of Springflefd
$ \CC{).cD
. 0 J~4. I OU
Date
The. fOllowing project as .
zoning. and does nol r:qUbmltted has fhe fOllowing
approval. . Ulre specific land use
Z~ning~rz.-.,
Dale ?i . \ I . ffi
97477 "-
726_1'11J,.ized Signalure (
· 'S!.L:/=\
.........,... ....!I
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCAnON O~ INST!;J.LATION Lcrt 4 I
??:IJ /.!0(7e-lVJu+ Lan~
..J.EG~ DESCRIPTION D\nOO
\If) O'A ()LO \~ ""\.
P1; ON res id~VI(' ~~Cfb
Perm ts are non-t ansferable and expire
if work 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 11..1'1,..1 flri,,~
Ci ty Em'ene
Phone~' hRR-hl2l
Supervisor License Number ?71q~
Expiration Date 10101/01
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
. ~gnature OfG~r~iSing Electrician
atnan pn~l~ps D.
Ow~ers N"rrte JJo.. v. me... '\ .
Address'k()t" II07IentAO+ Lane
CitY~n'i)P/oL Phone 7l/-'f-C/1c'(",
O\INER STALLATION
The installation, is being made on E.
property I own which is not,intended
for sale, lease or rent.
owners Signature:
DATE~~------~~~CJC)--~--~--------.. 5.
RECEIPT ti: \ 'i<, '() U
RECEIVED BY: l \. '\.
3.
?~CAL PERMIT APPLICATION
CH)" J~b Number r:D.c()I()~'9r
COMPLETE fEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling .
Service or Feeder
-'- $ 85.00
BS:OO
(
$ 15.00 IS oD
.$ 40.00
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
$ 50.00' ;;lito
S 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
$ 40.00
$ 55.00
$ 80.00
see. "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35 . 00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
.Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
no t included)
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
oS 40.00
$ 20.00
$ 36.00
ISOJ:C (~.d:>
;\ o.J ,,", .~
T' . .~
.ib.3. = U .W
.I'i
'.