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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 '.