HomeMy WebLinkAboutPermit Building 2000-5-2
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I Job# 00.00584.01 I
Page 1 of 3
TRANS#:01-0001444
DATE:MAY 02 2000
AMT RECD:2 $ 6441.87
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
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CITY OF SPRINqFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number:'00-00584-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 788 McKenzie Crest Dr Spr
Assessors Map#: 17032343
lot: 92 Block: Addition:3rd
Tax lot #: 02102
Subdivision: River Glen
~
Owner:
Future B Homes
Phone Number: 541-744-2660
Address: P.O. Box 7425 City/State/Zip:
'OOIl::l3d A\fO 08~ AN\f
Scope Of Work: Single Family Residence -N,e)'lN3'^"^'O....
l::lO:! 03NOON\f8\f SIl::lO G::l:.J "" J
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Eugene, OR 97401
Value: $290,698
. _~. _, ',,'tAlI ,...., 1 ("\11 II t '-1("""" rr:r71ui\U i t1'W
J..J. II J. ........ f_.......:f_.. .- -- -- --.-
)tl::lOM 3Hl :!13l::lldX3ll\fHS 11l^Jl::l3d SIHl
Contractor :3~Mili\.i'ation #
Future B Homes 36499
P.O. Box 7425, Eugene, OR 97401 .
Bob Fisher Electric Inc'
180 Kingsbury Ave, Eugene, OR 97404
Rolfs Heating 102455
"1'11'. .-. ". ", ~.' ""',,. .;:; .;.~;....:;;J
Po Box 66, Dexter','OR 974U3liSJo 'SLlI JOusqwnu
. JOIle:J!l!loN ',l!l!ln U . _ . 0
Custom !:ll\l.'X1.,Qj!]91l SLl! :SION) 'ISIUEl:J aLlI C102455
3248 Kentwood,lDrive,'EugeriireeR lieuJ nOA '0600
97401l00-~S61:1'110 U6noJUl 0' LOO-LOO-l96 8'110 l
____. __....... ,......"'~.....IIr.IlOI'.ulnnf\,
'''Vi +Q'; v....... ~.~, .~ - - -.- -
~l!l!1n uo6aJu -:...;~ .T'lQff!ce:tJ~e,~~n I ~^n~~,~!
f.. . nr.'"" ~,..." .....I-i_ ,""'. "" "t . 1 1
. .,n ;"" land Use:'" , Single Family Dwelling
Zoning Code: lDR
Bedrooms: 4
. Range: Electric
Expiration Date Phone
5/18/00 541-744-2660
96275
1/25/00 541-689-7973
10/4/00 541-686-4927
10/4/00 541-485-1146
2RNW
1
(VN) Wood Frame
Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: ,Forced Air Gas
Sq. Footage: 3922
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 requesteo after 7:00 a.m. will be made the following
working day.
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I Job# 00-00584-01 I
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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: 00/00/00, 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Zoning: lDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
Setback - 5'
o
8
To Curb and Gutter
6
00/00/00 00:00 AM
Types Of Warning Devices Reqd,
Overlay District:
# of Street Trees: 3
Comments:2 paved off-street parking spaces are required
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 4
Handicap Access? 0
,Area (Sq. Feet)
I Main: 3922 Accessory958
Fee
Residential Plan Check
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
Temporary: 200 Amps or less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 2 Height (feet): 30
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:4880
Paid On Receipt#
Plan Check
04/18/2000 1283
land Use: Single Family Dwelling
Pave Driveway? 0
Value/Quantity
Building
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
Electrical
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
Fee Amount
290,698
$560.79
$560.79
290,698
$862.75
$60.39
$25.88
$949,02
1
6
1
$85.00
$90.00
$40.00
$15.05
$6.45
$236.50
.;.
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New Sidewalk
New Curbcut
Total Public Works
Public Works
05/02/2000 1444
05/02/2000 1444
. Page 3 of 3
Value/Quantity Fee Amount
I
$.00
$13.48
1 $192.50
$5.78
$211.76
1 $4.50
1 $2.00
$.00
$2.85
11 $66.00
6 $18.00
1 $4.50
$10.00
$6.65
$114.50
90 $60.00
1 $60.00
$120.00
5,263 $1,221.07
34 $1,641.18
1 $491.60
1 $242.76
1 $22.05
1 $10.00
$181.43
$3,810.09
1 $1,000.00
$1,000,00
$7,002.66
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Job# 00.00584.01
Fee
Paid On Receipt#
Plumbing
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Four or More Bathrooms
Plumbing Administrative Fee
Total Plumbing
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
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary' MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
Svstem Development
05/02/2000 . 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
05/02/2000 1444
S.F. Residence - Willamalane
Total Willainalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
WiUamalane SDC
05/02/2000 1444
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
04/19/2000
04/20/2000
04/20/2000
05/01/2000
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.
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A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00584-01
NAME OR COMPANY: FUTURE B .
LOCATION: 788 MCKENZIE CREST DRIVE
TAX LOT NUMBER 17-03-23-43-02102 ,
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:" 4880
LOT SIZE:
16561
L STORM DRAINAGE
IMPERVIOUS SQ. FT.
5263.25
x
$0.232 . PER SQ. FT.
$1,221.071
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
34
x
$48.27 PER PFU
$1,641.18 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x. $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I'
$0.00
$491.60 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x ,
$242.76
PfR FEU
I,
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 I
$0.00 I
$10.00 I
$274.81 1
$3.628.661
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
\
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$181.43 I
~T~
SDC COORDINATOR
04/20/2000
DATE
TOTAL SDC CHARGES I '$3,810,09 I
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PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC.
,INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALLlW ALL
WASH BASINILA VA TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
4
o
2
o
4
o
16
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 34
2
2
4
4
CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20 .
$4.03
$ 3.88
$ 3.68
$3.38
$ 3.03
$2.62
YEAR
ANNEXED
1989.
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
x
x
$0.00
$0.00
CREDIT TOTAL $0.00
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.. ~r... 'Willamalane
~, "'!' Park & Recreation District
,..., SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~Q .~'H ~O J)
ADDRESS: ~4 -Y\4.!)h
LOCATION OF PROPOSED BUILDING SITE:_ (\ h" 1\_
Street Addr~s: f\<f:<6 ~'Lo1\~to, U\USG Gr '
Plat Name: ~~\)jf 6\tnJ3- Tax Lot Number: \f\~43 CAlas
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
,
Job. No. t() 'rxJ~P4.0\
PHONE: '14i. 1.loW
STATE:t9-ihIP: ~.
A SinolA-Fllmilv DAtll~hAci.
\ Single Family home
NO. OF UNITS
l
Manufactured home not in a park
X $1,000 per unit = $ lOOn ,cO
B. SinolA.Fllmilv Attll~hAci
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufaclurArl HomA Pt!Ili
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $ -
$ I DOO ,00
(j
.
$ LOOQ.ctJ
$
2. SDC CREDIT (II applicable) SDG-payer must fumlsh proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
< (If SDCc)lU~d for ()
Developm S~~ Department
City of Springfield
I
I
Date
"e.S "o\l
~~eo 'I\CI0 ,~
~ c' 1,~-
.'
C "'i;T"
\)1"01 f\ . '"
. 100\0"'''000eS \!J\. 1:~
,,,e e'f'i. .~ ,.."
225 PIPtB STREET . f.Ol\'~'e.\. ~ CAL P........l. APPLICA~:'IOH
SPBINCFIELD, OREGON 9747 "1'1'\0" 1.01\'1\9 --' f"'f\ nN'"".n.A... !
INSPBCTION REQUEST: 726-3769 ?! City Jab NuIlber..w..u..LCTJT"O
OFFICE: 726-3759 ';j:
COHPLBTE FEE SCBBDULB BELOV
ffi
New'~esidential-Single or
HU1(i_Family per dwelling unit.
ServIce Included: .
, ~. IIelllS Cest
lO~sq.ft. or less $ 8~.OO
Baeh~additianal 500
sq'Zift or ponion \ n
thereof x $ 1:.00
Eaeh'ftHanuf'd Home- or
ModUlar 'OVelling
seryice or Feeder
.5t
2. CONTRACTOR INSTALLATION ONLYB~ Sery''f'ces or Feeders
12_1 C- ~/ 'Inst'allation, Alterations
Electrical Contractor~b/,:.,. he r vtec;J:nc... or,R,~locationl
~. _ :w:
. 200',amps or less
201 ,'amps to 400 amps
401i!inps to. 600 amps
601"lllDps to 1000 amps
Over~1000 amps/volts
Reco~ect Only
': ~.
C; T~~rary Services or Feeder.s
Instillation, Alteration or Rt!location
2~ !apS' 'or less -L $ 40.00 40
201 'amps to 400 amps $ 55.00
Over;.1':401 to 600 amps $ 80.00
Overl.600 amps or 100u volts see "S" allove
if.i
. ~.
Dl BranCh. Circuits
'-. ?fi
lfev,{fAlteration or Extension fer Fanel
j. .~~*
One.'tircuit
Each{fAddi tional
. Cirauit. or with Service
. ai-Feeder Permit
. - 5~-, .
B". Hiiclfllaneous (Service/feeder no. included)
-BacJ1~instal~a tion
:PulJip;J9r ,irrigation
,Sign(,9utUne, Llghtinll'
LimHed Energy/Res
Limiied .Snergy/Comm
," :">Ei.'
~'_ 6i? .
.5 SUBTOTAL OF ABOVE
5:t:':State Surcharge
3%.Administrative Pee
TOT~
". I:..;.
"J
~
. -
1. \4~~
\~~ON o~tO~ .'. '..
~~~.:},:~t:;~. .
if work is not started within 180 days'
of issuance or if work is suspended for
180 days.
Address Ji'IJ /{t'nr$'k~..,-&t/~ "
C1tl/~'r.!!'He..I.)V Phane,&Y9, '7W
Supervisor License Number :l97cJ-- S
Expiration Date
Constr Contr. Number
9~~ ?S'
Expiration Date
Owners
Supervising Jlectrician.
p47~
.~~
eit
.-Phone~'~.
The installation is being made on
property I ovn which is not intended,
for sale, leas~ or rent.
Owners Signature:
DAD:
RECEIPt II:
RE""'....t>D BY.
i
.gj;
,
SUID
as..
aD
$ 4C .00
$ 5C.00
$ 60.00
$:.00.00
$:.30.00
$,100.00
$ 40.00
". i
."
$ 35.00
$
2.00
$ 40,00
$ 40,00
$ 20.00
$ 36.00
\~\~ co
~~
~~
(
/ cc'"ft Contractor Inquiry D.
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CONSTRUCTION' CONTRACTORS BOARD
CONTRACTOR INQUIRY RESULTS
Page 1 of 1
REGISTRATION NUMBER: 96275
. .
NAME: BOB FISHER ELECTRIC INC
ADDRESS: 180 KINGSBURY AVE, EUGENE, OR 97404-
0000
. TELEPHONE: 541-689-7973 , .
REGISTRATION STATUS: Active
EXPIRATION DATE: January 25, 2002
ORIGINAL REGISTRATION DATE: January 25,1994
REGISTRATION CATEGORY: Specialty Contractor/All
ENTITY TYPE: Corporation
EMPLOYER STATUS: Exempt
CLAIMS INQUIRY: 0
OPEN CLAIMS: 0
CLOSED CLAIMS IN LAST 3 YEARS
WITH FINAL ORDERS TO PAY ISSUED: 0
Associated Names:
CPO: FISHER JR, ROBERT
CPO: FISHER, ROBERT D
http://www.ccb.state.or.us/asp/Details. asp
04/19/2000