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HomeMy WebLinkAboutPermit Building 2000-06-01Job# 00-00678-01 RES!DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANS*:01-0001988 DATE:JUN 01 2OOO AHT RECD:2 $ 4935.99 IHANGE: CASHIER:059 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2269 00037th St Spr AssessorsMap#: 17021900 Lot: 158 Block: Addition:1st Job Number: 00-00678-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 08300 Subdivision : Ambleside ctTY oF SPRfiNGFfiELq OREGON Owner: Wayne Endicott Address: 392 Q Street Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-746-9711 Springfield, OR97477 Value: $172,325 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Steven Johnson 1574 Coburg Road, Eugene, OR 97401 L&E 85014 Spencer Hollow Road, Eugene, oR 97405 Marshalls Oil and lnsulation 4110 Olympic Street, Springfield, OR 97478 Glenn Plumbing Co 2577 Elysium Avenue, Eugene, OR 97401 Registration # Expiration Date 105475 3t30t02 25790 12t2t99 1 36043 Phone 541-344-0722 541-684-9484 541-747-7445 7114101 541 -345-1 931 vl'y'Ut! tr Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 2351 To request an inspection call the 24 hour recording at726-3769. 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. NOTICE: THIS PERIVIIT SHALL EXPIBE IF THE WORKAUTHORZED UNDER THIS PCNrVrri rS NOrCOMMENCEDOB ISABANDONED FOR - ANY lSODAYPERIOD. Job# 00'00678-01 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page2 of 4 Curbside - 5' B To Storm Sewer 6 00/00/00 00:00 AM Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Availabte? f Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? f] Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? Z Journa! numbers 1: 2; 3: Comments2 paved 9'x18' off-street parking spaces are required Additiona! Requirements: LDAP Required tr Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 235'1 Accessory469 Accessory Structure # Of Stories: 2 Height (feet): 27 Current Units: Proposed Units:1 Census Code: New SF - detached Total2820 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check 05/10/2000 0001643Residential Plan Check Total Plan Check 172,325 $388.21 $388.21 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildins 06/01/2000 06/01/2000 06/01/2000 1 988 1 988 1 988 172,325 $597.25 $41.81 $17.92 $656.98 Electrical 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 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 1 988 1 988 1 988 1 988 1 988 1 1 1 $85.00 $15.00 $40.00 $e.80 $4.20 $1s4.00 Job# 00-00678-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 06/01/2000 06/01/2000 06/01/2000 06/0't/2000 1 988 1 9BB 1 988 1 988 1 $.00 $192.50 $13.48 $5.78 $211.76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 1 1 $4.50 $2.00 $.00 $.e6 $6.00 $12.00 $4.50 $3.00 $10.00 $2.24 $45.20 1 4 1 1 Public Works New Sidewalk New Curbcut Total Public Works 06/01/2000 06/01/2000 19BB 1988 60 1 $60.00 $60.00 $120.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 06/01/2000 1 988 1 988 1 988 1 988 1 9BB 1 988 1 988 $644.03 $1,206.75 $491.60 $242.76 $22.05 $10.00 $130.86 $2,748.05 2,776 25 1 1 1 1 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 06/01/2000 1988 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $5,324.20 Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Completed 05/1 5/2000 05/1 8/2000 05/1 9/2000 05124t2000 1 9BB 1 988 1 988 1 988 1 988 1 988 1 988 1 9BB 1 988 1 988 1 Page 4 of 4 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 70'1.055 will be used on this project. I further agree to ensure that all required inspections are requested at the p roper time, that each address is from the street, that the permit card is located at the front of the property, and the will remain on the site at alltimes during construction At'n Date Job# 00-00678-01 t Willamalane Street Address Ets A. Single-Family Detached --L Singte Famity home NO. OF UNITS ( D. Manufac,tured Home Park NO. OF UNITS WILLAMALANE SDC Park & Recreation District Job. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: d NAME ADDRESS: LOCATION OF PROPOSED BUTLDING SITE: srArE:S&r,t'ffi7 '{r\ Manufactured home not in a park X $1,000 per unit = $,@ Plat Name:Tax Lot Number:t 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctrlations and dwelling t ype detinitions are on the back.) B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNTTS X $692 per unit X $699 per unlt $ $ $IDOO P 2. SDC CREDIT ([ appticabte) SDCpayer must (umtsh proof of Wllamalane Credit approval. See SOC Credit Wotkshoot. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduoed torCredit) $ L Develo City of oo pment Spring field nt ate ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 2269 37TH STREET 00-00678-01 ENDICOTT t7-02-19-43-1s800 SINGLE FAMILY RESIDENCE DWELLINGUNITS:BUILDING SIZE:LOT SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT.2776.00 x $0.232 PER SQ. FT .03 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 25 x $48.27 PER PFU $1,206.7s 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP I x 1.01 x M86.73 PERTRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 1 B.IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC 9242.76 $22.0s $0.00 $10.00 $274.81 7.19$2SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ r30.86 0511812000 $2,748.05 DATE TOTAL SDC CHARGESSle,wTn+.Nh- ffi PLUMBING FIXTURE TNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE T]NITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESV/ASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOPJWATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/IVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: t2 0 0 0 TOTAL PLLIMBING FIXTURE UNITS:25 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD PLUMBING FIXTURE L]NITS 42 0 2 I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 2 0 0 0 0 2 0 2I 0 J 0 J J YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE s4.41 $ 4.38 $ 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 t99t 1992 1993 1994 1995 1996 t997 1998 $ 2.18 $ l.7s $ 1.35 $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.57 s 0.39 $ 0.18 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL $0.00 $0.00 $0.00 225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 76 1 OF Pe ts are non-transferable an expi re if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTAII.,ATTON ONLY Electrical Contractor €<hc Address cit Phone L{ Supervisor License Number utt -t q-5 Expiration Date Constr Contr. Number r05 r5 Expiration Date o z Signa ture of Supervising Electrician Ovners Name Addres \ cit Phone INST The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: s {GFIELCI CAL PERHIT APPLICATION City Job Nunb COMPI.,ETE FBE SCEEDTII,E BELOV Nev Residential-Single or Mutti-Pamily per dvelling unit. Service Included:Items Cost .d 726-3 Date I A B c D. Sum DE 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Hodular DveIIing SerVice or Feeder I L s 8s.00 $ 15.00 $ 40.00 $130.00 s300.00 s 40.00 % @ 00 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 OnIY $ s0.00 s 60.00 s100.00 Temporary Services or Feeders Insiallation, Alteration or Relocation 200 amps''or less J-201 amps to 400 amps - Over 401 to 600 amps 0ver 600 amps or 1000 voTE Branch Circuits $ 40.00 $ ss.00 $ 80.00 KL s see uB" aE66 E Nev, Alteration or Extension Per Panel one {circuit $ 35'oo e;IhtAdJiiionat . . Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 00s40 $40 $20 $36 .00 .00 RECETVED BY: 5 b I CCB Contractor Inquiry Detr REGISTRATION NUMBER: NAME: ADDRESS: TELEPHONE: REGISTRATION STATUS: EXPIRATION DATE: ORIGINAL REG ISTRATION DATE: REG ISTRATION CATEGORY: ENTITY TYPE: EMPLOYER STATUS: CLAIMS INQUIRY: OPEN CLAIMS: CLOSED CLAIMS IN LAST 3 YEARS WITH FINAL ORDERS TO PAY ISSUED: Page 1 of 1 CONSTRUCTION CONTRACTORS BOARD CONTRACTOR INQUIRY RESULTS 105475 L&EELECTRICINC 85014 SPENGER HOLLOW RD, EUGENE, OR 97405-0000 541-933-2653 Active March 30,2002 March 30, 1995 Specialty Contractor/All Corporation Exempt 0 0 0 Associated Names: CPO: DENOUDEN, EDWARDJAMES CPO: PIXLER, LANCE MICHAEL http ://www. ccb. state. or.us/asp/Details. asp 0slts12000