HomeMy WebLinkAboutPermit Building 2000-3-27 (2)
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I Job# 00-00359-01 I
Page 1 of4
TRANS#:01-0001056
DATE:MAR 27 2000
AMT RECD:2 $ 20299.41
CHANGE:
CASHIER: 059
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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: 00-00359-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3935 Douglas Dr Spr
Assessors Map#: 18020613
Lot: 65 Block: Addition:
Owner:
Address:
Tax Lot #: 01900
Subdivision:Jasper Park
Hayden Enterprises Inc
806 Hazelnut Lane
Phone Number: 541-744-6966
City/State/Zip: Springfield, OR 97478
New Value: $83,402
Scope Of Work: Single Family Residence
GARAGE CANNOT BE CONVERTED TO LIVING SPACE WITHOUT PROPER BUILDING
PERMITS AND MEETING ALL APPLICABLE CODE REOlJlREMENTS INCLUDING SLAB
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Hayden Enterprises Inc 92208 7/29/1999 541-744-6966
806 Hazelnut Lane, Springfield, OR
97478
Electrical Contr
Mechanical Contr
Plumbing Contr
Philips Electric Inc 54438 9/19/1999 541-688-6121
1298 Bethel Dr, Eugene, OR 97402-200B0TICE:
Hayden Enterprises Inc THI~~IT SHALL 1!~~~.sTHE WORK41-7 44-6966
806 Hazelnut Lane, Springfield, OR AUTHORIZEDUNDERTHISPERMITISNOT
97478 COMMENCED OR IS ABANDONED FOR
BMC Plumbing ""IV l,~qJQy PERIOD 1/1/20iJ1 . 541-895-3758
648 W Oregon Ave, Creswell, OR 97426 .
Office Use
Quad Area: 3RSC Land Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: 3 Heat Source: Wall Heat
Water Heater: Electric Range: Electri~Il::i~ IIUI~'U Sq. Footage: 1008
fui,uwrUlesado~~~~'b'M;'" ~'I' -- '--..
To request an inspection call the 24 hour recording at 726-3'/:69ifil!laJtiOIlr&eliWlF. ~~s~~~@RR~ ~tib'
a.m. will be made the same working day, inspections requeste6lIl1ll'l!J5~O(}lroo;ill;Rfo'h{~t1eEfGlftMrng
working day. 0090. You may obla'n o~gn AR 952-00
. _EllVil)g,ltlp "On'~. J ,.~~~Jes of Ihe rules b
ReqUired InslffUfH8l:irt h I. .e._...!.c 'bl"'IJ"une
! Build'inn' ~J~:"~?:~g,,~n"u,,I~I~'~~~~if;Cali(\'
-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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
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
C u rbcut
Sidewalk
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I Job# 00-00359-01 I
Required Inspections
-'-Building-I
Page 2 of4
-Prior to cover.
-Prior to Cover
-Prior to taping.
- When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole.
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
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.
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Mechanical
- Prior to insulation or decking.
-Prior to cover.
-When all mechanical work is complete.
Public Works I
-After forms are ereceted but prior to placement of concrete.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
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: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:2 paved 9x18 off-street are required
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I Job# 00-00359-01 I
Overlay District:
# of Street Trees: 2
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Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1008 Accessory:720
Fee
Hourly Plan Review
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
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height(feet): 17
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1728
Paid On Receipt#
I Plan Check
03/07/2000 856
. Value/Quantity
Fee Amount
2
$80.00
$80.00
Building
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
83,402
$385.00
$26.95
$11.55
$423.50
Electrical
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
1
2
$85.00
$30.00
$8.05
$3.45
$126.50
Plumbing
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
1
$.00
$160.00
$11.20
$4.80
$176.00
Mechanical
03/27/2000 to 56
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
2
1
$4.50
$1.50
$.45
$6.00
$3.00
$10.00
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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
Total System Development
S.F. Residence - WiUamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Job# 00-00359-01
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Paid On Receipt#
Mechanical
03/27/2000 1056
Page 4 of4
Value/Quantity Fee Amount
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Public Works
03/27/2000 1056
03/27/2000 1056
50
1
System Development
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
03/27/2000 1056
2,132
18
1
1
1
1
Willamalane SDC
03/27/2000 1056
1
Date Completed
03/08/2000
03/14/2000
03/15/2000
03/20/2000
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 propertryan the I
a~7~i11 remain on the site at all times during construction. ':2:l //1)
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$1.05
$26.50
$60.00
$60.00
$120.00
$494.62
$868.86
$491.60
$242.76
$22.05
$10.00
$106.49
$2,236.38
$1,000.00
$1,000.00
$4,188.88
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TM following proJec . . d
and does not require specifiC Ian use
zomng,
approvaL J... D tZ-
Zoning 3 ... :. 7 - dV
<f<J;J
Date
225 FIFTH Snu;:.~onzeo si9.nature
SPRINGFIELD, ~GON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATIq.N OF INSTALLATION
!-of &., A.
f'd 0 2.tN7/ ~ ^ jc;O?)
LEGAL DESCRIptION~' -IV I',
3f135 Dou'ff las CYI'vC., 5 pY~(lfcld.
JOB/DESCRIPTION
.t1:e,-" ) /01 Oh'l/\ I" .
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 ,B.
Electrical Contractor~ ~I<,,('tr;r,lr.<:..
Address /.:19J 'Re:te..e \ Dr I V~ .
CitYFudo lJ\ E' Phone b f?R-b (.;21
Supervisor License Number :?71 q..s
Expiration Date /0101101
Constr Contr. Number dlO-/iq ~
Expiration Date J 0 10 II 00
Signature of S~g E~ctrician
Owners Name/-lt:i.yrlpn, 1-/()W1l"'S
Address ~ l-Iaz.J("nu+ Ca",e
City Spn'~Phone 7'+4--1..9(;,0
OVNER ' INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
i-r9-7-rJD
1fP->
I.v;
ELECTRICAL PERMIT APPLICATION
City Job Nwnber_n() -/'"J()~5q...::CLL
COMPLETE FEE SCHEDULE BELOV
3.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less / $ 85.00 ~o
Each additional 500
sq. ft or portion :2.. .?O.
thereof $ 15.00
Each Manuf'd ~ome. or
Modular 'Dwelling 4'0.00
Service or Feeder .$
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
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C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less /)1
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 ~o
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$20.00
$ 36.00
7/..., ';E". 1/5
:..-;J./5" &',05
"J";''':'- ~.1~
/f:;/,uD lolC,56'
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00359-01
NAME OR COMPANY: HAYDENENT
LOCATION: 3935 DOUGLAS DRIVE
TAX LOT NUMBER 18-02-06-13-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1728
LOT SIZE:
6570
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2132.00
x
$0.232 PER SQ. FT.
$494.62 1
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 1
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
l< $486.73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00 I
$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
($67.05) I
$10.00 I
$207.76 I
$2,062.84 1
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
$103.141
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_...~
SDC COORDINKroK
"31 (J100 0
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TOTAL SDC CHARGES I
$2,165.98 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(N0T~: FOR Rr:M09~J.-5. C.ALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDSIETC.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAtLER)
RECEPTOR FOR REFRlGERA TORIW A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL'
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INST ALLA TION
TOILET, PRlV A TE INST ALLA TION
MtSCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
I
2
2
1
6
4
2
2
PLUMBING
FIXTURE
UNtTS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCqJRRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED V ALOE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
RATE PER $1,000'
ASSESSED V ALUL
$2.18
$ 1.75
$ \.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47
IMPROVEMENT (IF AFTER ANNEXATION DATE)
15.000
x
x
$67.05
$0.00
CREDIT TOTAL $67.05
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.. ~,.,... 'Willamalane
'-t, ""'!' Park & Recreation District
,.., SYSTEM DEVELOPMENT CHARGE
C WORKSHEET
rrrrl
Job. NO.tt .lffi5:to {
PHONE:~'~_~J
STATE: ~IP: Q~
LOCATION OF PROPOSED BUlL
: ~~~~~
- . ~~LTa
\Jx\~
ot Number:~OOO
1. DEVELO _ NT YP~ (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delln . ns are on the back.)
A. SinoIA-F~milv Dp.w~hArl
l Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1.000 per unit = $ _I oro.oO
B. SinoIA-F~milv Att~chArl
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufaclurerl Home Palk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ tOOO.a)
!I
,
$ ~OQ0 00
$
2. SDC CREDIT (If applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
- ~:~-;;J
~"'nt ~"'artmenl
City of Springfield
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Date