Loading...
HomeMy WebLinkAboutPermit Building 2000-8-7 . ,. . . I Job# 00-01103-01 I ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division' Building Safety <- Page 1 of4 Job Number: 00-01103-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3990 Douglas Dr Spr Assessors Map#: 18020613 Lot: 60 Block: Addition: Owner: Address: Tax Lot#: 01900 Subdivision:JASPER PARK Hayden Homes 806 Hazelnut Lane Phone Number: 541-744-6966 City/State/Zip: Springfield, OR 97478 New Value: $77,533 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr SFR Contractor Registration # Expiration Date Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 ....".~Ill~......,,<I~~:~~~lm~ Philips Electric Inc " J.I~e&~BlltedbYthe"'~~~~'ilG'torth 1298 Bethel Dr, Eugene, OR 9;cil~ql<rl\ Center. Th:~~~~eOAflg52.()01- Hayden Homes 1 OAf' 952,{)O':~?n copies otthe ru'e~ by 806 Hazelnut Lane, Springfield,)(lIJI{l. 'fOU ~acrenter (Note:thet~on 97478 ca\llng~ etheOregonUtllltYN BMC Plumbing n1Jrnber6~~1~1_!\(\0-~3qm~~-1 648 W Oregon Ave, Creswell, OR 97426 Phone 541-744-6966 541-688-6121 541-744-6966 541-895-3758 . Office Use Land Use: Single Family Dwelling # Of Buildings: 1 Zoning Code: LOR Occupancy Group: Dwelling Bedrooms: :}IOTlCE' Heat SourcEl:'!1" . l~. ':.:"Ir-: !.-,.~~ V\I,:--, Range. ~nM\TSHALLEXPSq. Footage. 01008 -rUle::: D..-..... ' , _ _..... a.I"T'" I~ 1\\ I .. ... NOER I t11~ r....'u.... .- To request an inspection call the 24 hour recording at 726i3Z69P.A!ii?ifirp~ctionsAtegueSted;Detorl?>7:00 a.m. will be made the same working day, inspections requlQl.!l!~I!1f\eK7.:ob':El:'ri;?wi""'6e-made the following working day. ANY 180 DAY PERIOD. Required Inspections I BuildinQ I -Install ground rod at footing, and call for inspection in conjuction with footing and/or ~ndation i -After trenches are excavated. ...... ...... -After forms are erected but prior to concrete placement. Rl35 55 -Prior to floor insulation or decking. g;:Tj t5 . . .. .. ** -Pnor to deckmg. n "":I> .. P. t :I> co - nor 0 cover. CJ) ff> en ~ - Before covering sheathing with finish materials. i:s n ..,.. ~ g ~$~ 0 ..z..,.."""" oen. OCD t.T1 rrn" 0 f'o.) ...o--!-LOOJ Quad Area: # Of Units: Constr. Type: Water Heater: Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing 3RSC 1 (VN) Wood Frame . .-' Framing Wall Insulation Drywall Final Building 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 SW-Curbside CC-Standard . . I Job# 00-01103-01 I Required Inspections BuildinQ 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 - 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 erected but prior to placement of concrete -After forms are erected but prior to placement of concrete 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: 00/00/000000:00 AM Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. c . . ,./ Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: I Job# 00-01103-01 Overlay District: # of Street Trees: . 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: 3 Handicap Access? D iArea (Sq. Feet) I Main: 1008 AccessoryllOO 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 Page 30f4 Land Use: Single Family Dwelling Pave Driveway? D # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New SF - attached Total:1408 Paid On Receipt# Plan Check 07/17/2000 2586 BuildinQ 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 Electrical 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 Plumbing 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 Mechanical 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 Value/Quantity Fee Amount 2 $80.00 $80.00 77,533 $367.00 $25.69 $11.01 $403.70 1 1 $85.00 $15.00 $7.00 $3.00 $110.00 1 $.00 $160.00 $11.20 $4.80 $176.00 1 $4.50 $1.50 $.45 $6.00 $3.00 $10.00 2 1 . . . ~./ . Job# 00-01103-01 Paid On Receipt# Mechanical 08/04/2000 2798 Page 4 of 4 Value/Quantity Fee Amount I Fee State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 08/04/2000 2798 08/04/2000 2798 73 1 Residential - Single Family - Storm Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development System Development 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 08/04/2000 2798 2,198 2,198 18 1 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 08/04/2000 2798 1 Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-Res Bob Barnhart Steve Templin AlWard Wendy Stanley 07/18/2000 07/27/2000 07/27/2000 07/28/2000 Engineering-Res Planning-Res Structural-Res $1.05 $26.50 $60.00 $60.00 $120.00 $527.52 $527.52 $897.48 $507.82 $507.82 $242.76 $22.05 $10.00 $110.38 $3,353.35 $1,000.00 $1,000.00 $5,269.55 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. A 4~ q~7-CcJ Sigrnlture Date . . ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01103-0 I NAME OR COMPANY: HAYDEN LOCATION: 3990 DOUGLAS DRIVE TAX LOT NUMBER 18-02-06-13-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1408 LOT SIZE: 6562 1 STOllMnllAIN~ IMPERVIOUS SQ. FT. 2198.00 x $0.240 PER SQ. FT. $527.52 I 2 SANITARY SFWF.ll-rcn: NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU :LIE.f. NS POR T illOO NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP x TOTAL TRANSPORTATION SDC 4 SANITARY SFWFll - M~ A. REIMBURSEMENT COST: NUMBER OF FEU's $242.76 PER FEU x B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC = SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~INTSTR~T1VF tEES; BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $tlO.38 I $897.48 I $507.821 $0.00 $507.82 J $242.76 I $22.05 I $0.00 I $10.00 I $274.81 I $2,207.63l ~T~ 'sue eUUJ{J)INATUK 07/27/2000 iMTc TOTAL SDC CHARGES I $2,318.01 I . . PLUMBING FIXTIJRE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTIJRE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOTHESWASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STAL~ALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTIJRES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 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 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 18 2 2 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl YEAR RATE PER $1,000 YEAR ANNEXED ASSESSED VALUE ANNEXED - 1979 or before $4.74 1990 1980 $4.65 t991 1981 $4.59 t992 1982 $4.46 1993 1983 $4.30 1994 1984 $4.14 1995 1985 $3.93 1996 1986 $3.63 1997 1987 $3.26 1998 t988 $ 2.85 1999 t989 $2.40 - . CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE $1.96 $ 1.55 $ 1.36 $1.23 $1.05 $0.90 $0.75 $0.57 $0.35 $0.t5 x x $0.00 $0.00 CREDIT TOTAL $0.00 . . . fl" . . .. ~~Willamalane '"t, l Park & Recreation District . Job. No. It?:> - 0/16 3-a J "W . SYSTEM DEVELOPMENT CHARGE WORKSHEET < NAME: ~ ~ ADDRESS: €D(p H,q~- ~ LOCATION OF PROPOSED BUILDING SITE: Street Address: 3'1 "1 0 ~1-a.-:.-- PIal Name: .JI4<5.11LP-L I?~ Tax lot Number: l160 L. 6 (p r => 6 Ict d2l , PHONE: 71+4-' (., ~c,(., STATE: OfC ZIP: O,7l/77 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelfing t ype definitions are on the back.) . A. SinnlA-FRmilv DAtRchAd \/'Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $ 1m. -- B. .siillJIA-FRmilv At1RchAQ NO. OF UNITS X $924 per unit = $ C. Multi-Familv AORrtment NO. OF UNITS X .$692 per unit = $ D. Manufactured Home Pa~ NO. OF UNITS X $699 per unit = $ $ I C/1)b . -- WILlAMALANE SDC 2. SDC CREDIT (II applicable) SDC1layer must furnish proof 01 WiUamatane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced lor Credit) $ I 0V1) .' -- U6..-<.-,,L Lv~ Develbpmelii Services Department City of Springfield C{" t(., ~ Date' The fOllowing pro'ect :oppning, and doe~ no~~eSQuu~~itted h,B,S the 'Ollowing rova,. specIfiC land USe . - Zoning L i':2. rz.... Date ?- - o.f- 01) 97477 Author;' K:L.J 726-3769 Zed Slgnature_ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~~.'\O Do.~\n" ~ ".iL LEGAL DESCRIPTION ISH')':)..06'l3 ()\~OG> JOB DESCRIPTION S~~ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electric. Inc. Address 1 ?qR l1pthp1 TIrivo Ci ty Eugene Phone('i411 fiRR-fi1 ?1. Supervisor License Number ?71q~ Expiration Date 10101/01 Constr Contr. Number 20-17Qc Expiration Date 10/01/00 Signature of SUperVi? ~~ctrician rJ1 ' "'" 1 athan J:'hll1pS O~ners Na:!ne H.o.url...LA ..+\C\~ Address' '[b6 ~=,l>AAAA-. t"... Ci ty 'S pf=-lol Phone =1-Ll6..:.6q,6b OYNER INSTALLATION The installation is being made on property I o~n vhich is not,intended for sale, lease or rent. owners Signature: --------------------------------------- DATE: RECEIPT 1I: RECEIVED BY: ELE~CAL PERMIT APPLICATION City Job Number - 3. COMPLETE FEE SCHEDULE BELOY .B. Services or Feeders Installation, Alterations or Relocation: nCl-() 1Il'l~';"O ~ $ 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 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service 'or Feeder Permit $ 35.00 $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation .Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Cornm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 -S 40. 00 $ 20.00 $ 36.00 /Ol>.ora .:r.... 7 y; - 1/0.-