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Home My WebLink AboutPermit Building 2000-3-8 , . . I Job# 99-'11466-'11 I Page 1 of TRANSfi: 01-0000860 DATE:MAR 08 2000 AMI RECD:2 $ 4252.18 2 $ 4489.33 2 $ 4467.60 CHANGE: CASHIER: 059 '~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01466-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 542 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Owner: Address: Tax Lot#: 01900 Subdivision: Cozy Homes P.O. Box 237 Phone Number: 541-747-8704 City/StatelZip: New Springfield, OR 97477 Value: $103,690 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Cozy Homes P.O. Box 237, Springfield, OR 97477 Bills Electric 3170 West 11th Avenue, Eugene, OR 97402 Deans Electric Inc Po Box 2585, Eugene, OR 97402 Bmc Mechanical 648 W oREGON, CRESSWELL, OR 97430 Registration # E~iration Date Phone I'1t. Oi7cl:: 541-747-8704 VSP1:- .. A,~_'..RA~ CO::~0JJI.8.00r7" SItA, 541-341-8426 ~4?S '<~Du !.I..€ A,/vy,8, I\tC~D I1ID~1Y :1'PIIY~h 6/Q6l'109%;0IYISA,e. 7'Is~~-7SmJPvQ RIOD "I/vDO~ '4?i7"IS ~Ir . 541-~5i~9~07" 21351 99579 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 requested after 7:00 a.m. will be made the following working day. ..llr),. '.. _. . " rut ......iC . . '<llff'C;.H._ eSa(jn,u~,-!("aw,.,.,_ ReqUired Inspections uAR -., ve ~UU"t.. ;wI,es . . ,952 mer. rl- T .,eo Your I BUlldmg P90. You COOI-OOI ',oserut regOnU 'l'r.., -Install ground rod at footing, and call for in~peauo!bIIh'tbliJllQlra?C!Mt/1JffitlY~~~t~&I1,dation i -After trenches are excavated. lumber" eeenter. nCOfJIe"'Of f:1952_0 n -After forms are erected but prior to'concrete Placem~nV1'" ()'~g(NOI€ 1I~1:i I thf; rUles g I -Prior to floor insulation or decking. . . ,~~11 Utllity/V e/~~hone ' -Prior to decking. '1'l')'?'?44~ltftcation ,. Verify Ground Rod Footing Foundation Post and Beam Floor Insulation . . Underfloor Mechanical I Job# 99-'11466:OTl Required Inspections I electrical I -Approval required prior to SUB energizing pole. I f'lumbing -Prior to insulatipn or decking. - Prior to cover or placement of concrete. -Prior to filling trench. -Prior to filling trench. -Prior to filling trench. I Mechanical - Prior to insulation or decking. Page 2 of 3 Temporary Power Underfloor Plumbing Underfloor Drain Water Line Sanitary Sewer Line Storm Sewer Line Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 03/08/2000 860 03/08/2000 860 03/08/2000 860 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 103,690 $442.00 $30.94 $13.26 $486.20 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 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 1 2 1 $85.00 $30.00 $40.00 $10.85 $4.65 $170.50 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 1 $.00 $192.50 $13.48 $5.78 $211.76 Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 1 $4.50 $.00 $.77 $6.00 $12.00 $3.00 $10.00 $1.79 $38.06 1 4 1 . . Fee Page 3 of 3 Value/Quantity Fee Amount , Job# 99-'11466-'11 Paid On Receipt# Public Works 03/08/2000 860 03/08/2000 860 New Sidewalk New Curbcut Total Public Works 50 $60.00 1 $60.00 $120.00 QuickStart Fee - Residential Total Permits w/o Srchg Grand Total 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 pertaininll 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 th is 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 ~s will remain on the site at all times during construction. o -3~r-cJO Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development System Development 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 03/08/2000 860 1,932 23 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC WI llama lane soe 03/08/2000 860 1 Permits w/o Srchg 01/25/2000 1 Signature Date $448.22 $1,110.21 $491.60 $242.76 $22.05 $10.00 $116.24 $2;441.08 $1,000.00 $1,000.00 $150.00 $150.00 $4,617.60 . . ATTACHMENT A CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991466 NAME OR COMPANY: COZY HOMES LOCATION: 542 NICHOLAS DRJVE TAX LOT NUMBER 17032212-01900 LOT 7 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE BUILDING SIZE: 1872 LOT SIZE 4755 1. STORM DRAINAGE INPERVIOUS SQ. FT. 1932.0 x $0.232 PER SQ. FT. $448.22 , 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 23 x $48.27 PER PFU $1,110.21 , 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 $491.60 I x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x 242.76 PER FEU $242.76 , B. IMPROVEMENT COST: NUMBER OF FEU's x 22.05 PER FEU $22.05 , $0.00 , $10.00 I $274.81 I $2,324.841 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 $116.24 I ~~:4-~ SDC COORDINATOR ~a~ DATE TOTAL SDC CHARGES I $2,441.081 . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS INOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTlJRES\ ,. FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOILDS/ETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK CLOTHESW AHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC. RECEPTER FOR COMMERICAL SINKI DISHW ASHERlETC. SHOWER, SIGNLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANIOUS: 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 2 o o o o o o 2 o 3 o 12 o o o TOTAL PLUMBING FIXTURE UNITS=I 23 3 3 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y 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 . . . . I~'" The fOl/ow," Zonmg, and 9 prOjGct as sub - app'ova, does not requ;:Jtted has the tOI/ . specific Ian OWIng 225 FIFTH STREET ZOning J.. n rZ- d u"ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974~e C r --- INSPECTION REQUEST: 7U.lt13~M s - atJ ~ty Job Number Cl c; I 4 lo to .' OFFICE: 726-3759 'gnature 1. LOC;ATION OP INSTALLATION "Stf;).. JJ;~.-- LEGAL DESCRIPTION 170':3 2.-Z-{'2-- ()i0rrV HPLETE PEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elee trieal contracto:t!S ~ I( ~ ~/~ ,,11"" C Address 3/ 70 IA) ) ( ~ Ci ty~\J'" q.u L Phone .~cfI9l/ Z-b supervi.2r License Number q f? 0 S Expiration DateIO-I- 2.001 Constr Contr. Number :l / ~ S' / Expiration Date If) -1- 'd- V tJ/2 Signature,~~u~~isin~lectrician ~;ty,o-ry j--.._-- ow~s Name -~7i ~ jJ"c~ Phone 1q7 .:..<{,1o L../ I 6.fi. Ci ty ~'~-"HJJ- -=1- - '-j OVNER INSTALLATION Address The installation is being made on property I own which is not intended for sale. lease or rent, Owners Signature: --------------------------------------- 3. -'i:; - 04> ~100 i<J..'-" DATE: RECEIPT II: RECEIVED BY: Items Cost Sum ~t;. -- 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion 7..- thereof $ 15.00 ,30. Each Hanuf'd Home. or Modu1arDwelling Service or Feeder .$ 40.00 .B. 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 Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 voltS D. 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 or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see "B" above " $ 35.00 $ 2.00 not included) $ 40.00 S 40.00 $ 20.00 $ 36.00 J~/~5 ~ ,/ 10. Q,,,/? +. 6~.; --,-'70. :<:;7) . . Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RBSIDENTIAL IMPROVED STRBBT Developer: COZY HOMES Mail Address: PO BOX 237 Tax Lot #: 1703221201900 Subdivision: ZACHARY PLACE SPRINGFIELD, Project Lot: 7 Job No.: 991466 OREGON 97477 Phone #: 747-8704 Address: 542 NICHOLAS DR Blk: Eng. Rev. No.: Book: Street Gravel Ac Mat 542 NICHOLAS DR EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Stubbed Out To Property Line: Y Depth: 4-6 Ft Size of Line: 8 In. Tee: 6 In. Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT Make Connection: PER PLUMBING CODE Comments: NO CONNECTION UNTIL CITY ACCEPTS INFRASTRUCTURE STORM SEWER Available: Y Pipe Downspouts And Drains To: CURBS & GUTTERS Pipe Parking Lot Drainage To: N/A Comments: NO CONNECTION UNTIL CITY ACCEPTS INFRASTRUCTURE New Curbcut Appr.: Sidewalk Permit: Y Curbcut Permit: Y Handicap Ramp: N Y Width: Width: SIDEWALK AND STANDARD 5 Ft 32 Ft DRIVEWAY INFORMATION Width: 20 Ft Flairs: 6 Length: 62 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N Comments: NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 10/25/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION . . ~?... Willamalane " ~t'-""!' Park & Recreation District. ,'1 , fV , SYSTEM DEVELOPMENT CHARGE . . WORKSHEET, NAME:1n~~~.~':': '~: PHONE:\4-, R.,D4 ADDRESS:~ t~~~ ~~rr ' .' STATE: {\)f )lIP: {t)j!l1 Job. No. C\q'r\lo~o_ ~. LOCATION OF PR2f?SED BUILDI~G S'!E: . f\.~. Street Address: 01f2- \. n J C1.ffi/..o1l> .un U..L/ Plat Name' Tax Lot Number: '\'1~Q.l)ll).()\Q('O , '. tolo "\ 1. OEVElP..P NT TYP~ eck appropriate dwelRng(s). SDC calculaUons and dwelUn~ t ) ype dennllions are on the back.) A SlnQ\p;-F~milv DAfA~hAd ~ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1.000 per unlt = $ .llXXJ.C? B. ,SlnnIA'-FAmllv AttAched. NO. OF UNITS X $924 per unit = $ C. Multi-FAmllv Aoartment NO. OF UNITS X $692 per unit = $ ,D. Ml'!nllfA~ Home PAri<. NO. OF UNITS WILLAMALANE SDC X $699 per unit = , $ $. \fXX).CO o 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of WiUamalane Credit approval. See SOC Credit Wodcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED ,- -.-- ,-- (If SDC reduced for Credit) , '--- \ lli\ )\ ~ "''';'0 r) Development ~~artment City of Springfield $ \ (Y)()pO ' 0' ,. I I Date . . . ATTACHMENT A CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991461 NAME OR COMPANY: COZY HOMES LOCATION: 594 NICHOLAS DRIVE TAX LOT NUMBER 17032212-01900 LOT I DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE BUILDING SIZE: 1792 LOT SIZE 4779 1. STORM DRAINAGE INPERVIOUS SQ. FT. 2459.8 x $0.232 PER SQ. FT. $570.66 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU $868.86 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 PER FEU $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 I $2,205.93 I 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 $110.30 I ...... ~~ 'tc::=o-./ ~____ SDC COORDINATm VA::~9 TOTAL SDC CHARGES I $2.316.23 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODEL~. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOILDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOSTHESW ASHERlMOP SINK CLOTHESW AHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC. RECEPTER FOR COMMERICAL SINK! DlSHW ASHER/ETC. SHOWER, SIGNLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASIN/LA VA TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANIOUS: FIXTURES NEW OLD 1 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS 2 o o o o 2 o o o o 2 o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 18 2 2 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $\,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