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Home My WebLink AboutPermit Building 2000-5-24 . . 1-'. .., ~. . Job# 00-00659-01 . Page 1 of 3 TRANS#:01-0001883 DATE:MAY 24 2000 AHT RECD:2 $ 4001.60 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00659-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 822 Hazelnut Ln Spr Assessors Map#: 18020613 Lot: 42 Block: Addition: Tax Lot #: 01900 Subdivision:JASPER PARK Owner: Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/State/Zip: Springfield, OR 97478 New Value: $77,533 Address: Scope Of Work: Single Family Residence Contractor Type General Contr ..J \}}.\\v , ,JeO Contractor . 'c' ,u.'. ;i.>;i;(!'J.".. .. ^',. ". ('\0' . Hayde~~~omes ......:-: ~\Il "olo- ,~n . . 806'Hazelnut Limei'SiiringfieICl,. OB: \\' ' . '. \\.\V~ \\' . J'. o\\,\\'J. .97478~., tio'J ('\1""; .,,11 0\\0\ -' . ,...1 ~\ \ ,'" ...13\ \' ,'. \. d _ ~ ('l\ Electrical Contr3:;>?hilli~SJ Elec!~ic,.., \ ~~~?'\\ 3~~~ ~,'O\ \ ' '.~;,{;>.1129~. Bettiel,Rf;:E~~,~Qe;'OR 97402 Mechanical Contru. .'f.{aYdeii\H~mes"" ,["\0,0" f\'''' . \\\'!l96 Ha'i:elnut Lane, Springfield, OR 97478 BMC Plumbing 648 W Oregon Ave, Creswell,'0R 97426 ",\'\'1\' ~ 3d!''' ""'\\"\\l\\....J...... '00\'0 ""J\~~ Offlce~Use . clOn? .!,\~l..\\ Quad Area: 3RSC 'i)'d '0\ '" Y1!l9)tJse:c,\'r\l.. Single Family Dwelling # Of Buildings: 1 # Of Units: 1. . ('\,:>,~00~~\.'O,?>(}~('~or\~l'\lfc:::?ae:~DR Occupancy Group: Constr. Type: \@7N)WoQJljF.rame~ .,;\'d\~C1rOOriiS~O 3 Heat Source: Water Heater: ~~\ S\ ~~'Cl ,\ ,?>'O\o'/o: Range'1- Sq. Footage: 1008 \ \ 1\" _~ ,\ "'3.\ - l'l'?'" To request an ii'l~<i1ction 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. Registration # Expiration Date Phone 541-744-6966 541-688-6121 541-744-6966 Plumbing Contr 103570 1/1/2001 541-895-3758 Dwelling " .1.' ,. , 'City Of Springfield Development Services Community Services Division Building Safety ~. . Page 1 of 1 I Job# 00-00659-01 Location Of Proposed Site: 822 Hazelnut Ln Spr Assessors Map#: 18020613 Lot: 42 Block: Addition: Tax Lot#: 01900 Subdivision:JASPER PARK Owner: Address: Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/State/Zip: Springfield, OR 97478 New Value: . $0 Scope Of Work: Single Family Residence Contractor Type General Contr Contractor Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 Electrical Contr Phillips Electric 1298 Bethel Dr, Eugene, OR 97402 Registration # Expiration Date Phone 541-744-6966 541-688-6121 Mechanical Contr Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 541-744-6966 Plumbing Contr BMC Plumbing 103570 648 W Oregon Ave, Creswell, OR 97426 01/01/2001 541-895-3758 Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Paid On Receipt# Value/Quantity Fee Amount Plan Check l 05/10/2000 1649 2 $80.00 $80.00 Public Works 33 $60.00 1 $60.00 $120.00 Sl/stem 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 $2,321.40 Date Completed 05/11/2000 Fee Hourly Plan Review Total Plan Check New Sidewalk New Curbcut 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 .' ~ '. . . .' I Job# 00-00659-01 I 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: 00/00/000000:00 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: Page 2 of 3 Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: 3: Planner: AI Ward 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 iArea (Sq. r .-1) I Main: 1008 Accessory~OO # Of Stories: 1 Current Units: 0 Census Code: Does not apply Height (feet): 16 Proposed Units:1 Total:1408 Fee Paid On Receipt# Plan Check 05/10/2000 1649 Land Use: Single Family Dwelling Pave Driveway? D Value/Quantity Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildinll OS/24/2000 1883 OS/24/2000 1883 OS/24/2000 1883 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 Electrical OS/24/2000 1883 OS/24/2000 1883 OS/24/2000 1883 OS/24/2000 1883 OS/24/2000 1883 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 , . , . Job# 00-00659-01 . Page 3 of 3 .. Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee OS/24/2000 1883 $.00 Two Bathrooms OS/24/2000 1883 1 $160.00 State Surcharge For Plumbing Permit OS/24/2000 1883 $11.20 Plumbing Administrative Fee OS/24/2000 1883 $4.80 Total Plumbing $176.00 Mechanical Hood and Exhaust OS/24/2000 1883 1 $4.50 Minimum Mechanical Permit OS/24/2000 1883 $1.50 Mechanical Administrative Fee OS/24/2000 1883 $.45 Vent Fan to One Duct OS/24/2000 1883 2 $6.00 Dryer Vent OS/24/2000 1883 1 $3.00 Mechanical Issuance OS/24/2000 1883 $10.00 State Surcharge For Mechanical Permit OS/24/2000 1883 $1.05 Total Mechanical $26.50 Public Works New Sidewalk OS/24/2000 1883 33 $60.00 New Curbcut OS/24/2000 1883 1 $60.00 Total Public Works $120.00 System Development Residential - Single Family - Storm OS/24/2000 1883 2,044 $474.21 Sanitary Sewer OS/24/2000 1883 18 $868.86 Residential Transportation OS/24/2000 1883 1 $491.60 Residential Sanitary MWMC OS/24/2000 1883 1 $242.76 MWMC Administrative Fee OS/24/2000 1883 1 $10.00 SDC Administrative Fee OS/24/2000 1883 $101.02 Property Annexed 1979 or Before OS/24/2000 1883 15 $-67.05 Total System Development $2,121.40 Willamalane SDC S.F. Residence - Willamalane OS/24/2000 1883 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $4,081.60 Plan Check Type Checked By Date Completed Initial Review-Res Bob Barnhart 05/11/2000 Engineering-Res OS/24/2000 Planning-Res AlWard 05/16/2000 Structural-Res Wendy Stanley 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 plans will remain on the site at all times during construction. .~/<~ -~-- ,5-2Y~~ ~ (sianature Date ELECTRICAL PERMIT APPLICATION . ( City Job Number~sq.O. 3. COMPLETE FEE SCHEDULE BELOY 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION. REQUEST: 726-3769 OFFICE: 726-3759 1. LOCA1;~ON OFZ INSTAJ,.LATION Lo t- 4-;).- .RJ~ ,l./07f'_I!1(.r! t.aYle. .1.~~N O\QcO J9Jl D,~;r;/;N . 1 Si~~e . ~ re.s/~enaL Permlts are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRAcrOR INSTALLATION ONLY A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.f~.. or less I $ 85.00 BSoo. Each additional 500 sq. ft or portion I /5. 00 thereof $ 15.00 Each Manuf'd Home" or Modular "Dvelling " Service or Feeder .$ 40.00 Electrical Contractor PhiliDs Electric. Inc. Address 1 ?QA Rprh,;t,l T'r;up Ci ty Eu",ene Phone( ~411 IiRA-1i171 Supervisor License Number 771q~ Expiration Date 10101/01 .B. Services or Feeders Installation, Alterations or Relocation: $ 50.00....'50.tJO $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 20-17Qc C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10/01/00 . Signature of Supervising Electrician ~. . .CJ- .. . ., I J '/ /~}lthan l'hHJ.ps Ovners ,N~me lIo.yden #am""'" . AddressR Dc' Jja7~j"u..,t tA /le...., Ci ty 5rr/l,../)t'" !dPhone 7'PI~q~ OIINER I STALLATION The installation. is being made on E. property I ovn vhi~h is not\intended for sale, lease or rent. owners Signature: DATE~----"t'5a.a:~()(J-~':-':'------" 5. RECEIPT tt: . l~i1\ " RECEIVED BY: ~ 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 200 amps' 'or less / 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 ~o $ 55.00 $ 80.00 see "Bn above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Addi t ional Circuit or vith Service .or Feeder Permit $ 35 . 00 $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 oS 40.00 $ 20.00 _$ 36.00 It:}"" 00 ) /~."o" -Zf")q. vv . . ~,... Willamalane . '"t, ""f' Park & Recreation District J~b. No. ctJ .C()(o ~ .01 ;. SYSTEM DEVELOPMENT CHARGE . ~ ~ WORKSHEET NAME: ~ ~C\ Q{\ [\\~. PHONE: '1\4 .t.c;A.lo0 ADDRESS: <60\0 \ (\\d STATE:GI2-zIP: Q14-r<6" LOCATION OF PROPOSED BUILDlN SITE: Street Address: BA ~ lOt\ ~ l J _r\~ ~Tax L~t Number: \<?-(,)~B()\ql[) 1. T ~YPE (Check appropriate dwelling(s). SDC calculations and dwelling 1 are on the back.) . A. Binolp.-F2milv DP.t2r.hp.ri \ Single Family home NO. OF UNITS ~ Manufactured home not in a park en X $1,000 per unit = $ lOro. B. Sinolp.-F2milv Att2r.hp.ri NO. OF UNITS X $924 per unit = $ C. Mufti-Familv Aomtment NO. OF UNITS X $692 per unit = $ D. M2ntlfllQ/urP.ri Homp. P2ri\ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ ~COO .00 (j $ LOlXJ.CXJ $ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of Willarnalane Credil approval. See SDC Credif Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDCreduced for Credit) D~);~~2),~Q City of Springfield I I Date