HomeMy WebLinkAboutPermit Building 2000-2-28
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Job# 99-01463-01
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FEB 28 2000/3:36 PM/$ 1000.00
ACCT#:821-00000-215023
RCPT#:01-0000746/COlY HOMES
JOB#:99-01463-01
SPRINGFIELD
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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: 99-01463-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 574 Nicholas Dr Spr
Assessors Map#: 17032212
Lot: 3 Block: Addition:
Owner:
Address:
Tax Lot #: 01900
Subdivision: Zachary Place
Cozy Homes
P.O. Box 237
Phone Number: 541-747-8704
City/StatelZlp: Springfield, OR 97477
New Value: $125,631
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
Registration #
Expiration Date
Phone
"
541-747-8704
Cozy Homes
P.O. Box 237, Springfield, OR 97477'
Bills Electric ",I 'L:.,'",-"',v,,,,,v'''dw2~'''5'1esyo~~c 4/28/2000
f.{1l1ow ru!@s ~Q.qp~g by the Oregon Utility NOTICE
~j~g2west 111llJ6\YIl8~Roli~n\Yir~ose rules are setfortt. :
.1 OAR 952-001-001 0 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
Deans HeatlngJ090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
x, x, X calling the center. (Note: the telephone COMM
BMC Plumbing numberforthe Oregon Utility Notification ENCED OR IS ABANDONED FOR
X e,m!",' io 1-11f'f)-"l"l"_.,~d4\ ANY 180 DAY PERIOD.
X, XI . ,.
541-341-8426
lRNW
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms: 3
Range:
,-
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 1286
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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
- Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
Street Improvement:
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft):
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00100/000000:00 A
Special Instructions:
Other Utilities:
Project Supervisor:
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1286 Accessory510
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
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I Job# 99-01463-01 I
Required Inspections
Building
Page 2 of4
- Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
- 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 ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place.
Sidewalk Type:
Additional ROW? 0
Size Of Line (In):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (In):
Bond End DateTlme: 00/00/0000 00:00 A
Types Of Warning Devices Reqd.
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet): 18
Proposed Units:l
Total:1796
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Job# 99-01411:1-01 Page 3 of4
Fee Paid On Recelpt# ValuelQuantity Fee Amount
r Plan-Check
Hourly Plan Review 02/28/2000 746 2 $80.00
Total Plan Check $80.00
Building
Building Permit 02/2812000 746 125,631 $491.50
State Surcharge For Building Permit 02/28/2000 746 $34.41
Building Administrative Fee 01/25/2000 $.00
Building Administrative Fee 0212812000 746 $14.75
Total Building $540.66
Electrical
Wiring Footage 1,000 Sq Ft or Less 02/28/2000 746 1 $85.00
Wiring Footage Each Add'l 500 Sq Ft 02/28/2000 746 2 $30.00
State Surcharge For Electrical Permit 02/28/2000 746 $8.05
Electric Administrative Fee 02/28/2000 746 $3.45
Total Electrical $126.50
Plumbing
Minimum Plumbing Permit Fee 02128/2000 746 $.00
Two Bathrooms 02/28/2000 746 1 $160.00
State Surcharge For Plumbing Permit 02/28/2000 746 $11.20
Plumbing Administrative Fee 02/28/2000 746 $4.80
Total Plumbing $176.00
r Mechanical
Hood and Exhaust 02/2812000 746 1 $4.50
Minimum Mechanical Permit 02/28/2000 746 $1.50
Mechanical Administrative Fee 02/28/2000 746 $.45
Vent Fan to One Duct 02/28/2000 746 2 $6.00
Dryer Vent 02/28/2000 746 1 $3.00
Mechanical Issuance 02/28/2000 746 $10.00
State Surcharge For Mechanical Permit 02/28/2000 746 $1.05
Total Mechanical $26.50
Public Works
New Sidewalk 02/28/2000 746 20 $60.00
New Curbcut 02/28/2000 746 1 $60.00
Total Public Works $120.00
System Development
Residential - Single Family - Storm 02/28/2000 746 2,717 $630.30
Sanitary Sewer 02/28/2000 746 18 $868.86
Residential Transportation 02/28/2000 746 1 $491.60
Residential Sanitary MWMC 02128/2000 746 1 $242.76
Residential Improvement MWMC 02/28/2000 746 1 $22.05
MWMC Administrative Fee 02/28/2000 746 1 $10.00
SDC Administrative Fee 02/28/2000 746 $113.26
Total System Development $2,378.83
WlIIamalane SDC
S.F. Residence - Willamalane 02/28/2000 746 1 $1,000.00
Total Willamalane SDC $1,000.00
Fee
QuickStart Fee - Residential
Total Permits wlo Srchg
Grand Total
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Job# 99-01463-01
Paid On Receipt#
Permits w/o Srchg
01/25/2000
Page 4 of 4
Value/Quantity Fee Amount
1 $150.00
$150.00
$4,598.49
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 pertainin~ 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 the street, that the permit card is located at the front of the property, and the
approved set of ill remain on the site at all times during construction.
Signature
Z -2-~-~c>
Date
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ELECTRICAL PERKR, f\PLlCATION
Ci ty J~b Number U\V\ [) ~\o?i) \
3. COMPLETE FEE SCHEDULE BELO\!
1. ~~~~~TttQ)
\ f)~~m~ONn \ot()
f'AD~p!I~"n . {YJq{
~ ~~_ (L
vi Pelm ts are non-transferable and expire
if rk is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto"'i>U(~ :?/~ ,,7r,'e
A?dress. 3/ 7n fA.) J ( ~
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Cit~C;IJOI q -u L Phone3cfl3Vl.-b
supervilor License Number q 8:-0 S
Expiration Date 10 -I - 20 aL
Constr Contr. Number :J... / 31;"' /
Expiration Date ID -/- d-.()t'Jf2
~ig1! of .supervmng Electrician
~~-- .
I .:~~
Ollners Name ::-J'l_l~ I.
Addre~p(: ') ~
r.t tti}}.JJ). - PhonW, ~ 1)1
~ )NSTALLATION
The installation is being made on
property I ovn vhich is not intended
.for:sale, lease or rent.
.Ovners .Signature:
~ATE~------~~r(--;:~--:-~-_':
RECEIPT II: . 4, IJ
RECEIVED BY: I. .......
. A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or.less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
-L
a
.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
Cost Sum
$ 85.00 ~
$ 15.00 W
.$ 40.00
$ 50.00
$60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'ot" less
201 amps to 400 amps
Over 401 to 600 amps -----
Over 600 amps or 1000 vOlts
Branch Circuits
S 40.00
$ 55.00 -
$ 80.00 -
see "B" above
.'
Nev, 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 vith Service
?r Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
S 40.00
. S 20.00
$ 36.00
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SYSTEM DEVELOPMENT' CHARGE .
. . WORKSHEET.
NAME: _ ~:n~ ~(.~:.':,;,,'<' PHON'E:\4.., 'R"1 D4 . .
-A[)DRESS:\.1) t~~~ 6)~{f:- :'-:. 'STATE: .&..;t.IP:~']'
. . 'f': ,'. _f:..;;~r:;;
LOCATION OF PROPOSED BUILDI~G,.Si[E:.::.,;:,' f\.~' .
Street Address:t'f)'t \. 11 J (lml.1J.1JJ .un U...L/ .
Pial Name' Tk1/L&;:N~mber:'\f1C5t>Q.'llI).~\Q(':O
1. OEVELQP NT TYP~ eel< appro~~;~'~~~Ifi~(S). SDC calculaUons ~nd dwe;~~{O')
ype dennlUons are on the back.) h.< " .-
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.n', :...~ ;.,
A. Sinnfe-Fl'lmilv Detl'lched
~ Single Family home
NO. OF UNITS
.~';':~ '
B. ,S,innle'-Fl'lmilv Attl'lcheQ
Manufactured home not in a. park .'
\ ',:.X $1,000 per unit = $ lCXYJ.CO ..
'.
.. . , i: ~ t
"
NO. OF UNITS
.~'.. ..,
. '.' X $924 per unit = $
. ,_ r
C. Multi-Familv Aoartment " '
NO. OF UNITS
I . .
-. X $692 per unit = $
,.
D. Ml'ln"f~M"red Home PR~
.'
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit
=$
$ \rC().CO
(j
2. SDC CREDIT (If appUcable) SDCopayer must furnish proof of
WiUamalane Credit approval. See sac Credit Worlcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credil)
.,\~ )\~"'~QrJ
Development ~~artment
City of Sprihgfield
$ t 000,00 '
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Date
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