HomeMy WebLinkAboutPermit Building 2000-3-2
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Job# 00-00260-01
Page 1 of 3
TRANS#:01-0000797
DATE:MAR 022000
AMT RECD:2 $ 8137.46
CHANGE:
CASHIER: 059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job, Number: 00-00260-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site:: 3888 Cherokee Dr Spr
Assessors Map#: 18020613,
Lot: 46 Block: Addition:
Tax Lot #: 09900
Subdivision: JASPER PARK
Owner:
Hayden Enterprises Inc
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $77,533
Address:
Scope Of Work: Single Family Residence
"
",/"",-, 0:)
S. F. RESIDENCE
Contractor Type
General Contr
Contractor
Hayden Enterprises Inc ,
806 Hazelnut Lane, Springfield, OR
97478
ReQi~tration,:tt ' Expira!ion Date
" ~'V
'<~220~{) 0~~? E2~~99
" ~7J ~ ~~ .<:)<oOv ....
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Elite Electric Inc .;l!~~~.0t') ~~ fOV> o~~ .
Po Box 42162, Eugene, OR 974.04 ",j ~0 .f>~~ ~<:)c:s D'S ~\ (>J"
/' , 'O'V 'S _~ :9J~ s:s .;::,.0 (;;0 ,"": ,
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, Off' ~i.uu:~~ .0-> ,.s.
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an se: ,~ ~~. <;:-0
Zoning Code: \ f:;-"
Bedrooms: 3
Range:
Phone
541-744-6966
Electrical Contr'
541-688-5401
Mechanical Contr
Efficient Heat & Air
x, x, X.
Plumbing Contr
BMC Plumbing
x,x,X
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
# Of Buildings: 1
Occupancy Group:
Heat Source:
Sq. Footage: 1008
Dwelling
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. '
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J.ONS/.1.IIIVt/3d ON'rte'rt SI t/O 03' 008 L -'N'rt
)1&01\1 3H. S/H.1. &30rv' ,ON3/IIJ/llJOO .
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'30/J.ON
I J,ob# 00-00260-01 I
Street Improvement: Fully Improved Sidewalk, Type:
Curb Cut?D Improvement Agr.?D Additional.ROW?
San Sewer Depth (Ft): 6 4 Size Of Line (in):
Storm Sewer Available? ~ Downspouts/Drains:
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in): 6
Bond Begin DateTime: 00100/00 00:00 AM ' Bond End DateTime: 00/00/00 00:00 AM
Special Instructions: NO NEW CURBCUT PERMITTED. MUST UTILIZE EXISTING CURBCU
Other Utilities: Types Of Warning Devices Reqd.'
Page 2 of 3
Curbside - 5'
D
8
To Curb and Gutter
Project Supervisor:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
~Area (Sq. Feet)
Main: 1008 ' Accessory;40~
# Of, Stories: 1 Height (feet): 17
Current Units: 0 Proposed Units:1
Census Code: New SF - detached
'Total:1408
Fee
Paid On Receipt# Value/Quantity
Plan Check ' I
03/02/2000 797 2
Fee Amount
Hourly Plan Review
Total Plan Check
$80.00
$80.00
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
. Building
03/02/2000 797
03/02/2000 797
,03/02/2000 797
77,533
$367,00
$25.69
$11.01
$403.70
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
~Iectrical
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
1
1
$85.00
$15.00
$7.00
$3.00
$110.00
Minimum Plumbing Permit Fee'
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Plumbing
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
1
$,00
$160.00
$11.20
$4.80
$176.00
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Mechanical '
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797 ..
1
$4.50
$1.50
$.45
$6.00
$3.00
$10.00
2
1
.;
Fee
State Surcharge For Mechanical Permit,
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm .
SanitarY Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System DeveloPJTIent
SF Residence - Willamalane
Total Willamaiane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Bob Barnhart
Steve Templin
AI Ward
Wendy Stanley
Job# 00-00260-01
Paid On Receipt#
Mechanical
03/02/2000 797
Value/Quantity
Page 3 of 3
50
1
2,155
18
1
1
1
1
1
1
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 theiOrdinances 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 theComrilunity 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. ,
Signature
I ' Public Works
03/02/2000 797
03/02/2000 797
I'
System Development
03/02/2000 ' 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000 797
03/02/2000' 797
03/02/2000 797
03/02/2000 797
. I
Willamalane sec
03/02/2000 797
Date Completed
02/14/2000
02/17/2000
02/28/2000
03/02/2000
Date
Fee Am.ount
$1.05
$26.50
$60.00
, $60.00
$120.00
$499.96
$868.86
$491.60
$242.76
$22.05
$10.00
$106.62
$-2,86
$2,238.99
$1,000.00
$1,000.00
$4,155.19
(; ,
.d
=r~ , !J!J.i.1 ~
._\
The fOl/owing prO'ec '
zoning add j I al' S,ur.mi~!c'rl h,." H
, noes nOf ' . v +~II')Wing
approval. req '.11I t, "'iJ'-i..;:,( ;a!Jc' u~e
Zoning --..p< VIZ-
225 FIFTH STREET Date _ "y 2-: C1/) :------.-;,EI,J::CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97472 ' " -~--;~--4'~"""----,-
INSPECrrON REQUEST:, :.726_~tyg'ged SignaturE ~_ -Grty Job Number
OFFICE: 726-3759 ' ----.,.._
3. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
I.J -11 '-I (...
- '. " lS"o20~ 13,0 77cr()
LEGAL DESCRIPTION
;'~ t"'fIe.R~k~'_~&lE'i' '
JOB DESCRIPTION ' ,
~/lUbLE Mm IL-LIZES leJP11I/A?'"
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Cont['actoL ap~ Bf.-et.-rrllv
Address '111'1 1<1i/t;71 /HIlT. ~OXLlZlv 1.--
Ci ty bU{9evtr
Phone 3lf~-tJ.~/3
Supervi Sl)l" Li cense Number Y tty.c;.
Expiration Date 10'-1- oi
Constr Conn. Numbel" /_2 - J 55-C
Expiration Date J b- I - 0 D
Signa~re of su,pervising Electrician
~.~/~
Ovne r s Name Ha.~;~ /fv'Ift?.5
I
Address~ Ha7.~ur-- 1rlII-
Ci tyS/'~iA/(;/~t?f.,j7 Phone 7I.PI-",v(,
".
O~~R INSTALLATION
The installation is being made on
prop~rty I owp. ~hich is not intended
for sale, lease or rent.
Owners Signature:
<--",.~,\-:~
O~TE~-~~-~~-l;~~---------------------
RECEIPT 1;:
RECEIVED BY:
A.
Ne~ Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
1000 sQ. ft. or less ;(
Each additional 500
sq. ft or portion I
thereof
Each Hanuf'd Home. or
Hodular 'Ovelling
Service or Feeder ~~
Services or Feeders
Installation, Alterations
01." 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
Su
$ 85.00 6~
$ 15.00 IS-em
$ 40.00
S 50.00' S; ...>
$ 60.00
S100.00
S130.00
5300.00
S 40.00
C.
Temporary Services or Feeders
Install~t'ion, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Ai/4
/
volts
D.
Branch Circuits
S 40.00
S 55.00
$ 80.00
see "B" above
."
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
s.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
S 35.00
S 2.00
no t includec
S 40.00
S 40.00
S 20.00
S 36.00
~f\.~~ 'W.'II' I'
~r lama ane
t'-..! Park. & Recreation District Job. No. '~~~~CJ)
f_ SYSTEM DEVELOPMENT CHARGE
, WORKSHEET
NAME: -\\~d.._~,c.t\CJ.l\,~ .
'. ADDRESS:~~~~l~ ~
" LO'CATION OF PROPOSED BUILDING SITE:
Street Address: ' , ~ ~~~ ~ \.~.
Plat Name: ~ ~~()to \~ ' Tax Lot Number: D ~ <<6CJ\
PHONE: L Ltc..{ {,Cc ~b
STATE:~' ZIP: q1\.{(~'
1. DEVELOPMENT TYPE (Check appropriate dwelting(s). SOC'calculations and dwelling i
ype definitions are on the back.) , , .
A. Sln.ale-Familv Det~
_~ _ Single Family home
NO. OF UNITS \
Manufactured home not in a park
cJO
X $1,000 per unit = $ \ tJl...JD -
, B. ,Sinole-Familv Attached
NO. OF UNITS
X $924 per unit
$
C~ Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = '$
D. Manufactured HQ1illLPar1\
NO. OF UNITS
X $699 per unit = $
, WILLAMALANE SDC $
2. SDC CREDIT (if applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOCreduced for Credit) $
~ '
D~lopment Services Department
City of Springfielci .
,~ 'I L.- I O()
Date