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Home My WebLink AboutPermit Building 2000-5-10 . . . .' I Job# 00-00606-01 I Page 1 of4 TRANS#:01-0001644 DATE:MAY 10 2000 AMT RECD:2 $ 4037.60 CHANGE: CASHIER: 059 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00606-01 Hayden Homes 806 Hazelnut Lane Office: 726-3759 Inspectioh\'ti~e: 726-3769 J. I.V \" . O~e~ r. -;.r:-). ~....' . x''<- ~\. ,:W .. HAZELNUT LN Spr ;, -, 0'0'\\ '\)\\\0"'" ~ '\l'~'" \.. . . ,,\e 0'" .1' ,w ,,' Ie . .... -'0" -<;1' T '... t #'. 01.200.' .. ,,'?J.\J, "ax LO , . \' .. ,...-' \\0-- '\'.\f>; \)~ ". :f\,e-;;. _ \e'-.J:,,\c,'O-'" A,~.~jtl~!l.i, c..en, -Cop;' ,.;,\~ub,~ivisior::~asper Park ,..... .~c;o'- 2.~"V' ov~ \.\-..:-, \\,\\~.~. .\0\' ',.frn6'ne.Nu'mber: c>~1,,7 :44'6966 ._ Or -. Oil' r,.CJO" Ole -' ,( " . , ,., 'Y"~,.. Jl $)~CiWlSfate/~ip: .'Springfield, OR 97478 G~\\"-'\O\ ,,.--: ' Ne~.,<{I'Oe r J Value: $77,533 Location Of Proposed Site: 814 Assessors Map#: 18020611 Lot: 43 Block: Owner: Address: 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 Bmc Mechanical 648 W Oregon, Creswell, OR 97430 Efficient Heat & Air X, x, X 0""- -<;'<'-<(;.~ 'i-O-<" Registration # Expiration D~e~ \~ <'1,~h~e ~ii \ <(<;-Y;' "0'(\ 92208 Cf(Jj29~9J..~\-\- -<;~S 5tJ.eJ-4<l-6966 ~O~'\ ~<?O..~.;\ ~ $'i-'V~<?o ~'O~"pa 06<< o.\l..~'V fi'o,\S 54438 "\ \\'<'-C'9/19/99Pc1"'IO'V' 541-688-6121 \).' . 1C.'(;'~ <(,-p' '()\,j\\~ 'V~ C. \>-,.l.o,j '\'O\) 541-895-4575 Office Use 3RSC 1 (VN) Wood Frame Electric Land Use: Zoning Code: Bedrooms: Range: Single Family Dwelling LDR 3 Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Wall Heat Sq. Footage: 1008 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 Buildin!! 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. . - Prior to cover. Wall Insulation Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Rough Mechanical Final Mechanical Curbcut Sidewalk . . I Job# 00-00606-01 I Required Inspections Building 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. 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. Mechanical - Prior to cover. -When all mechanical work is complete. Public Works I - After forms are ereceted but prior to placement of concrete. Street Improvement: Fully Improved Curb Cut?~ Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? ~ Special Req.: Security Required: Bond Begin DateTime: 00/00/00 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 - S' D 8 To Curb and Gutter 6 00/00/00 00:00 AM Types Of Warning Devices Reqd. . I Job# 00-00606-01 I . Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 ZoniRg: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: 3: Comments2 paved 9x18 off-street parking spaces are required Overlay District: # of Street Trees: 2 Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a Construction Types:(VN} Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D ,Area (Sq. Feet) I Main: 1008. Accessory~OO Accessory Structure # Of Stories: 1 Height(feet}: 17 Current Units: Proposed Units:l Census Code: New SF - detached Total:1408 Fee Paid On Receipt# Plan Check 04/24/2000 1334 Value/Quantity I Fee Amount Hourly Plan Review Total Plan Check 2 $80.00 $80.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildin!! 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 77 ,533 $367.00 $25.69 $11.01 $403.70 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 Electrical 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 1 1 $85.00 $15.00 $7.00 $3.00 $110.00 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbin!! 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 1 $.00 $160.00 $11.20 $4.80 $176.00 Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 1 $4.50 $4.50 $.45 . $6.00 $10.00 $1.05 $26.50 2 . Job# 00-00606-01 . Fee Page 4 of 4 Value/Quantity Fee Amount I New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works Paid On Receipt# Public Works 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 62 $60.00 1 $60.00 1 $80.00 $200.00 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 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 05/10/2000 1644 15 2,044 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 1644 1 Checked By Lisa Hopper Dennis Ernst AlWard Wendy Stanley Date Completed 04/26/2000 04/28/2000 . 05/01/2000 05/05/2000 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 plans will remain on the site at all times during construction. -=-- ;---~ Signature Date $474.21 $868.86 $491.60 $242.76 $10.00 $101.02 $-67.05 $2,121.40 $1,000.00. $1,000.00 $4,117.60 c~ / lor c:Jc::, . tI'NGF'ELD The fOllOwing project as . zoning, and does not reSu~mJtted has the fOllowing approval < qUire specific land use Zonin~ MiL- Date _ Fj -16-tro 97M'I1orized Signature c(,j 726-3769 -- 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 3. 1. LOCAT~qN OF INSTALLATION / , '\ 5</4 ,/.!q7e!r1u:r:f_i'A"p ((d<.f:;vA. LEGAL DESCRIPTION I ~ 01.- Ok (I o/;).trb JOB DES~J'TION [leLU r'Y"S,O< f"MCR Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Signature of Supervising Electrician CV'--'. . Owners Name):/C{fclrY> .~/J?,o,c:; Address R()0 /Ja.7~/nuf 6/J~ City :Sj?~Phone 7t,!~..-,b9~ OWER. INgALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERMIT APPLICATION '"ity Job Number COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Hanuf'd ~ome. or Modular 'Dwelling Service or Feeder Items Cost Sum 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders _/ Installation, Alterations Electrical contractorEz"tj>s ht"'t'Jnc/kc..o.r Relocation: Address/,21R Reltel [)r/Ve. 200 amps or less . / 201 amps to 400 amps Ci ty CU&fJl..n e_ Phone &;J>J' ~/..:2 / 401 amI's to. 600 amps q 601 amps to 1000 amps Supervisor License Number ,Jl?/9::s Over 1000 amps/volts . / Reconnec t ,Only Expiration Date /010//0/ Constr Contr. Number ~O-/79e... /O/O//(?J(j ."....00 / $ 85.00 .Rc'>. $ 15.00 .$ 40.00 $ 50.00 .i $ 60.00 . $100.00 $130.00 $300.00 $ 40.00 50, &>0 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 D. Branch Circuits / $ 40.00 s4:?.oO $ 55.00 $ 80.00 see "B" above volts " 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 / 7 c::;:DD . / 7, so /9.:;1. ,"RJ . . City Of Springfield Development Services Community Services Division Building Safety I Job# 00-00606-01 Page 1 of 1 Location Of Proposed Site: 814 HAZELNUT LN Spr Assessors Map#: 18020611 Lot: 43 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 Bmc Mechanical 541-895-4575 648 W Oregon, Creswell, OR 97430 Plumbing Contr Efficient Heat & Air x, X, X Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check I 04/24/2000 1334 2 $80.00 $80.00 Public Works 62 $60.00 1 $60.00 1 $80.00 $200.00 System Development 2,044 $474.21 18 $868.86 1 $491.60 1 $242.76 1 $10.00 $101.02 15 $-67.05 $2,121.40 $2,401.40 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 Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Dennis Ernst Date Completed 04/26/2000 04/28/2000 :"d Of Report .. . P?.... Willamalane t'" "'!' Park & Recreation District Job. No. ~r)(O :,D \ iI'. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ,J\\~9X\ fX\\f~~ ADDRESS: ~\ 0 \ Q:\t\ , PHONE: ~~.~~ STATE: mt- ZIP: (t\A"l9) LOCATION OF PROPOSED BUILDING SITE: Street Address: 9>\Ac \ ~~Id- d~ Plat Name:~ ~t\J\ ~ 'tax Lot Number: \ f< ().2Dlo \\ rn1l:D 1. 12EVELOP~NT iYPE (Check appropriate dwelling(s). SOC calculations and dwelling I ype delinitions are on the back.) , A. ,SinnIA-F:::Jmilv DAf:::Jr:hAr! \. Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \{)(")C FO I ~ B. ,SinaIA-F:::Jmilv Att:::Jr:hArl NO. OF UNITS X $924 per unit . - $ C. Multi-Familv Aom1menf NO. OF UNITS X $692 per unit = $ D. Jvl:::Jnl/f:::Jrnl/rP.rl Hnmfl P:::JI1~ NO. OF UNITS WILLAMALANE SDC 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of Willamalane Credil approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED . (fl SOCreduced for cre) ~. ) \ ~tl\o.QJZ Development Se~ Department City of Springfield I I Date