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