HomeMy WebLinkAboutPermit Building 2000-8-28
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. . I Job# 00-01215-01 I -
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Page 1 of 4
TRANS#:01-Q003035
DATE:AUG 28 2000
ANT RECD:2 $ 4082.38
CHANGE:
CASHIER:059
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01215-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 806 hazelnut Ln Spr
Assessors Map#: 18020613
Lot: 44 Block: Addition: 1 st
Owner:
Address:
Tax Lot #: 01900
Subdivision:Jasper Park
Hayden Homes
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip:
New
Springfield, OR 97478
Value: $77,533
Scope Of Work: Single Family Residence
Contractor Registration # Expiration Date
Philips Electric Inc 54438 9/19/2001
ov\~
1298 Bethel Dr, Eugene, OR 97402-2003 \e"'~ .,\\)
B~\l\ ~ U\I\ -
Mechanical Contr Hayden Enterprises Inc \l\,922<l~01e~O ese\~~~003
2622 Sw Glacier PI #110, Redm3nd~o'o'l\\\\)\ese.~c:f.>'2...o\) '0'1
977 56 \ I \:.\''':es a.oo~ 1 i"Ose "t\" Ol'l....e 1\)\0S
... 1\tl1\)' ce1\\e. "'~~W~; 0\\\' :>q'Mf}~M
BMC Plumbing \o\~~ 'J"iO{\ l\('\'\.\)\)'\'!~tw'es e\~e<r)'rft~l
648 W Oregon Ave, c~ir.'?l91~'9'T~2B\)\a.\ I~o\e'.~~",~o\i\l
_n~~ I_.,rt\~'fg.::...{." _,\\\1>'] I'~
.~ C\Q.J,~- ...A\.P' {PIlJv'.' f1?"l-J-> .
-;F- "'<<<I,I'\9\US~il 0 9,\'11-'-""
.y~ 1\01 .~~_.,
Land "ii\l1'oe C~91e-Family Dwelling # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Wall Heat
-I.' .
R;ln,ge: .- Electric Sq. Footage: 1008
........... -.
To request an inspection call the 24 hour recording at 726-3769. All inspectionS[equesi~~tefore 7:00
a.m. will be made the same working day, inspections requested after 7:00j.:a,"ir.Will'be.ma1l\Hhe following
working day. ~Oi\C'c:. S\'\r-.0-t:. '~~S?t;.~"-I\I'~O~
. R . _.rIC<;>'W\\"'i. ..,n'C.~"'i .",(\~t;.'\)
equlreu' nSl?ecbo..", ,,""r-".
\\1'- ,",",f"1"t.""' \Sr-v
I t II did t f t.lB(jil~!d~{';:::IICfD~;tO'\)t'" . t' 'th f t' d/ f d t' .
- ns a groun rO a 00 mg;-aA ca or'fnspec Ion 10 conJuc Ion WI 00 109 an or oun a Ion I
I_V OUr-'
-After trenches are excavale~..:;--{ '\~
- After forms are erected butl'prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materia is.
- Prior to cover.
-Priorto Cover
- Prior to taping.
Contractor Type
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Phone
541-688-6121
541-923-6607
541-895-3758
3RSC
1
(VN) Wood Frame
Electric
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Job# 00-01215-01 I
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Page 2 of 4
Required Inspections
I BuildinQ I
- When all required inspections have been approved and the building is complete.
Electrical
Final Building
Rough Electrical
Electrical Service
Final 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.
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
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
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: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 4
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
Land Use: Single Family Dwelling
Pave Driveway? 0
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
Main: 1008 Accessory~OO
Fee
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'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
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
Job# 00-01215-01 I
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Page 3 of4
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: Proposed Units:l
Census Code: New SF - detached
Total:1408
Paid On Receipt#
Plan Check
08/08/2000 2845
Buildinq
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
Electrical
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
Plumbinq
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
Mechanical
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
Public Works
08/28/2000 3033
08/28/2000 3033
System DeveloDment
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
08/28/2000 3033
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
$.00
$.50
$9.00
$3.00
$10.00
$1.16
$28.16
3
1
100
1
$60.60
$60.00
$120.60
1,904
18
1
1
1
1
$456.96
$897.48
$507.82
$242.76
$22.05
$10.00
6
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Job# 00-01215-01
Paid On Receipt#
System Development
08/28/2000 3033
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Page 4 of 4
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Fee
Value/Quantity
Fee Amount
SDC Administrative Fee
Total System Development
$106.85
$2,243.92
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Willamalane SDC
08/28/2000 3033
1
$1,000.00
$1,000.00
$4,162.38
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Lisa Hopper 08/11/2000
Engineering-Res Steve Templin 08/17/2000
Planning-Res AW 08/17/2000
Structural-Res Wendy Stanley 08/22/2000
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
approve~et of~ain on the site at all times during construction. cf/z b Ceo.
Signature
Date
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7 ,...,~"i--. - UJw~e.
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01215-01
NAME OR COMPANY: HAYDEN
LOCATION: 806 HAZELNUT LANE
TAX LOT NUMBER 18-02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1408
LOT SIZE:
6001
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
x . $0.240 PER SQ. FT.
1904.00
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
$49.86 PER PFU
18
x
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
TOTAL TRANSPORTATION SDC
I
I
$456.96 I
$897.48 I
$507.82 I
$0.00 I
$507.82 I
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
$242.76
PER FEU
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
$22.05
PER FEU
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
$242.76 I
$22.05 I
$0.00 I
$10.00 I
$274.81 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ,- $2,137.07 I
'i. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
TOTAL SDC CHARGES I $2,243.921
Siw~ 1~
SDC COORDINATOR
08/17/2000
DATE
.
$106.85 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
{NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES)
,
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASHIETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIV ATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
1
6
4
2
2
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS:I 18 ~
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED AS~ESSED VALUE . ANNEXEJ? ASSESSED VALUE
1979 or before $4.74 1990 $1.96
1980 $4.65 1991 $1.55
1981 $4.59 1992 $1.36
1982 $ 4.46 1993 $ 1.23
1983 $4.30 1994 $1.05
1984 $4.14 1995 $0.90
1985 $ 3.93 1996 $ 0.75
1986 $3.63 1997 $0.57
1987 $ 3.26 1998 $ 0.35
1988 $2.85 1999 $0.15
1989 $ 2.40
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x $0.00
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0.00
CREDIT TOTAL $0.00
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. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAMEs. ~ J lr\.u\ F reh . PHONE:\44 lA (0(0
AD~RESS:?Dl~ l_Qh~l d ~~ STATE: ~IP: JtttJZ
LOCATION OF PROPOSED BUILDING SITE: J
Street Address: BCX 0 ~ M ~ I tt) ( l)1J ~
Pial Name: In A t:.- ~ax Lot Number: ~ ~q{j)
1. DEVELOP NT YPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
,
Job. NO.rh. C1.l9. \ S.O r
A Binole-F8milv DeI8r.hp.rf
I Single Family home
NO. OF UNITS (
Manufactured home not in a park ()
X $1,000 per unit = $ \ 000,0
~
B. Binale-Familv Attar.hp.rf
NO. OF UNITS
X $924 per unit = $
C. fv1ulti-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. fv1:lOlJfR,r.llJrArf Hnmp. PRrk
NO. OF UNITS
X $699 per unit c $
$ tOon.CO
ff
$
WILLAMALANE SDC
2. SDC CREDIT (II applicable) SDG-payer must fumlsh proof of
Willamatane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credit)
\}~(U ~
Development SelVic s Date.
City of Springfield
$ (O() nDO
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Zl....o~~~;"
"Q)/ "0' ~.o
. 00 ~<}L
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'"'8;05'(,6
90"..~.;....,. ELECTRICAL PERMIT APPLICATION
~~ . 1
"'.7":~..,,City Job Numberm.{)\~\~.n.
ql.,O'O~-
OHP~QFEE SCHEDULE BELOY
JqcO
- f\ ~ t4J 8', . 1000 sq. ft. or less
l\.DJJ(~Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modu1arDIoIelling .
Service or Feeder
o
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225 FIFTH STREET "0
SPRINGFIELD, OREGON 97477 <S}Q",
INSPECTION REQUEST: 726-3769 "'v~..
OFFICE: 726-3759
1. O~~ATIO
Cl.A 0 ~
j ~~Gtt/J~~I
are non-transfera e and expire
if loIork is not started loIithin 180 days
of issuance or if loIork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philins E1ectric~ Inc.
Address l?qP, 'Rpt-h,::lo1 nr;uo
Ci ty Eu~ene
Phone('i4D Iiflfl-1i121
Supervisor License Number ?7,q~
Expiration Date 10101/01
elol esidential-Sing1e or
ti-Family per dlole11ing
ervice Included:
.B.
Services or Feeders
Installation, Alterations
or Relocation:
uni t.
Items
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
{
{
g"
.J..S
$ 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
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
Signature of Supervising Electrician
<>il
U
Ololners.
r-~' .
- I~~ Phl.1J.pS. D.
f\ rIm. .
t\tJ.i- ~
LcA~
Cit
The installation. is being made on
property I ololn IoIhich is not. intended
for sale, lease or rent.
owners Signature:
---------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
.'
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
'0, 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
m.OO
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NAME:
~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
&~-'>lMA
~~,JJAd ,~()
LOCATION OF PROPOSED BUILDING SITE:
.
ADDRESS:
-\{ n... ...J n "^
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_rJ,of.,
PHONE:
+L(l-[~G q6 b
G\<.. ZIP: ~+-'i7-3
STATE:
Street Address: ::,q oq
Plat Name: -:ICJD>A f'o-J"..
r
s.
RJwooJ D ^-.
Tax Lot Number: 1:1 0 "-o,} IS
-. -~ .0390~
1. DEVELPPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinolp.-Fflmilv DP.tflr.hp.r[
/ Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit =
$
l~.
I
B. ,Sinolp.-Fflmilv Attflr.hp.rl
NO. OF UNITS
X $924 per unit . _. $
C. Multi-Familv Aoartment
NO. OF UNITS.
X $692 per unit = $
D. fv1flnufflctUrArl HomA Plllk
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (if applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
l. 000'
j Lvt 1/1()jd, .
Deveiopment Servic~s Department
City of Springfield
-0 / 13 / oe
Date