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Home My WebLink AboutPermit Building 2000-5-24 (2) " . ) , '~- . I Job# 00-00661-01 I . Page 1 of 3 TRANS#:01-0001881 DATE:MAY 24 2000 ANT RECD:2 $ 4052.26 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00661-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4020 Douglas Dr Spr Assessors Map#: 18020613 Lot: 61 Block: Addition: 1 st Tax Lot #: 01900 Subdivision:Jasper Park Owner: Hayden Enterprises Inc Phone Number: 541-744-6966 Address: 806 Hazelnut Lane City/State/Zip: Springfield, OR 97478 Scope Of Work: Single Family Residence ,New ~ ~'0~-J~~!aQUlnu Value: $77,533 . I 1'J;I\-e:J lInnB:'. :'\I::.r e~'nulCi-,,"", ." ' -p' \O~"'~ '0,5ul "',....,'I(')OOl.... .. Contractor Type Contractor ,":1-7~~.' '~'1l\.l..'J,Reglstratlon~. Expiration Date Phone ":.1 ,;i......' .""dOp~:)\JI"- General Contr Hayden Homes ,"".JOeL.;I\'-" ..,o"\"N::,-'-' 541-744-6966 806 Hazelnut Lane, Springfield,OR- 97478 Electrical Contr Philips Electric Inc 54438 9/19/1999 10" 1298 Bethel Dr, Eugene, OR 97402-2003 ~~~O O~ Efficient Heat & Air ~'flYq\f; ",~\'i\S; X, x, X '~~3~'t~~~~r:; ~\)~O BMC Plumbing Ndo,,~~'O~ &.~-.\.\)O~/1/2001 "0'(\"1 - '<'~A"",,\ l'l1 648 W Oregon Ave\ Creswell,.Q . ~ :::l.L _. 11I^,\..":~r1'e\ ~. n 1\ .- .....n" 14..l.~\\-1 541-688-6121 Mechanical Contr Plumbing Contr 541-895-3758 .l.UI'V'- "~'';l-\Ii-~~''P0'- )\'dON\:1~_Offii G(j..,rtf1'. \)p..'~3'~\J_Oi\j Land Use: ~l:\ing'i1 Family Dwelling Zoning Code~ LDR Bedrooms: 3 ~. l' Range: Electric .Sq:.Footage:.... ~008 , . 1"'\"" . ,_ ,n'-...- To request an inspection call the 24 hour recording at 726-3769. All insp.!lcti6ns req~este'd befor~ ?,:Oq, a.m. will be made the same working day, inspections requested afte~q:OO a.m. will'be.made thEHoJlowing working day. '~\('" " " ;..', ...n':; \\\: '~o'i.\\\"v' ~0 ' '\\" \1( ,r..' '!r'.'\ "- .' ., ....':' ," ~ \"'\'~" . ". . ~'''. ..' _~. ..... \ .,," _n.!})'" ReqUired Inspections ".. 1'" "u" ,,'I" ".... n\\ C}3 ~eV\ n. I Electrical,o,v . _,1\'<'''- \\\eO L9.\',,':"" .. ,,-'- ....".. ,,,,,- ',<: ' -Approval reqUired prior to SUB energiimg-P-01e. ",.c'<' (\\}""~ (/<> Quad Area: # Of Units: Constr. Type: Water Heater: 3RSC 1 (VN) Wood Frame. Electric Temporary Power r' 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: Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: . I Job# 00-00661-01 I Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Page 2 of 3 Curbside - 5' o 8 To Curb and Gutter San Sewer Tee (in): Bond End DateTime: 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 2 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?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? 0 [Area (Sq. r . ~:) _ Main: 1008 AccessoryllOO Fee Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add" 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Flood Plain FEMA: n/a Accessory Structure # Of Stories: 1 Height (feet): 17 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1408 Paid On Receipt# Buildin!l OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 Value/Quantity Fee Amount 77,533 $367.00 $25.69 $11.01 $403.70 Electrical OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 1 1 1 $85.00 $15.00 $40.00 $9.80 $4.20 $154.00 Plumbin!l OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 1 $.00 $160.00 $11.20 .. ,{' Fee . . Job# 00-00661-01 Plumbing Administrative Fee Total Plumbing Paid On Receipt# Plumbing OS/24/2000 1881 Page 3 of 3 Value/Quantity Fee Amount I Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 1 1 1 New Sidewalk New Curbcut Total Public Works Public Works OS/24/2000 1881 OS/24/2000 1881 50 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development System Development OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 OS/24/2000 1881 15 2,252 18 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Willamalane SDC OS/24/2000 1881 1 Checked By Lisa Hopper Dennis Ernst AlWard Wendy Stanley Date Completed 05/11/2000 05/12/2000 05/16/2000 05/19/2000 $4.80 $176.00 $4.50 $4.50 $.45 $3.00 $3.00 $10.00 $1.05 $26.50 $60.00 $60.00 $120.00 $522.46 $868.86 $491.60 $242.76 $10.00 $103.43 $-67.05 $2,172.06 $1,000.00 $1,000.00 $4,052.26 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 ~~~,_- ?2/,,-&c:::> ~ature ' Date The following project as submitted has the following zoning, and does not reqUIre specific land use approvBI. : IlleJ Zonmq ,~. 9747~are ,~.~ :~~ 726;;J\~&&ed Signa;Ure C. ~ 3. .. 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCAT.IQ.N OF jNSTALLATION LeA- <0 I 1Q.:JO L J...J,li n,S 'Dr'IIe.. J.!>GAJt DESJ :yrIOt!. \n rV'\ \ '6(Y I D{ 0 \..l.., () ~\( )J ~B D CRIptION " M I r (f I['f"!,; ,"" eoVl c..e Perm ts are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electri~ Inc. Address 1 ?qA 'Rpl'npl nri"p Ci ty Eul?ene Phone(141" hRR-h121 Supervisor License Number ?71qq Expiration Date 10/01/01 Constr Contr. Number 20-l7q~ Expiration Date 10/01/00 Signature of su~~ ~ectrician, ' <:'1 ' . ' I J " ~atnan l'hll1pS ::::::s :,W[:J(\~rL:~e- CitY~r~~\plJ Phone~ ;;J;;;'JST ALLATION The installation, is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: :~~~-:~---~:1)-~QJ RECEIVED BY: \J.j~'1 \J B:.3CTR!CAL PERMIT APPLICATION City Job Number rf). CD..d.() l.nf COMPLETE FEE SCHEDULE BELOY ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only J ~ _ .-;- ~ ni""lJ. ~.J(,.v~' . $ 60.00 $100,00 $130,00 $300.00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less / $ 40.00 4 D.OO 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80,00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35 . 00 $ 2. 00 E. Miscellaneous (Service/feeder -Each installation ,Pump or irrigation Sign/Outline Lighting Limited Energy/Res ----- Limited Energy/Comm no t included) 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ -$ $ $ .;qO.n~ )'J5o '"- I. .A-A rl. UD~ '- \40~ '. . .. . , SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \..,~rtm \~\)f{\Q.t\) PHONE: fJAA- .\oC\LolP ADDRESS:PD~\3}h.-"'8 \ r\ u t- STAT:)(f(lzIP: Q14,'i LOCATION OF PROPOSED BUILDING SITE: Street Addr ss: ~ID \..... ~ n\n..r) Dr . Plat Nam : .(-~()l~ _ Ta: ~ Number: \WlDIo160\qra 1. DEVEL. .E T TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) . A. SiDoIA-F::Jmilv DAt::J~hAcj \ Single Family home (' NO, OF UNITS t Manufactured home not in a park X $1,000 per unit = $ (CCD ,C() B. BinoIA-F::Jmilv Aft::J~hArI NO, OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ManlJf::J~rf HnmA P1ll1~ X $699 per unit '" $ $ \(f'f). CD If 3. TOTAL WtLLAMALANE NET SDC ASSESSED \ f\^n. dO ;;:~:OC~ ) :s ~1~0 DevelopmentlSe'rvic~ ~nt Date City of Springfield ~s ID~pa.~e; NO. OF UNITS WILlAMAlANE SDC 2. SDC CREDIT (If applicable) SDc-payer must furnIsh proof 01 Willamalane Credit approval. See SDC Credit Worksheet. $ /