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Home My WebLink AboutPermit Building 2000-8-18 (2) . . Ai . . Page 1 of 4 TRANS#:01-000295? DATE:AUG 18 2000 AMT RECD:2 $ 51.48 2 $ 4111.60 CHANGE: CASHIER: 059 I Job# 00-01141-01 I ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01141-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3964 Douglas Dr Spr Assessors Map#: 18020613 Lot: 59 Block: Addition: 1 st 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: $83,402 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: same as 3910 Douglas Dr ATrJ::".-r.. i ..-....v, .01/0wrU/ . b!i(.,I"dV'..... Contractor Not,'" t' eSadcRern&tratioii',#-<II'El\pi{ation Date ,'ea lonCe t"'-wuymeOregonu '. Hayden Homes in OAR952-001~ el. Those rules arese t,IIt) 806 Hazelnut Lane, spriR_,YQBmaYO~~'Pthrou9hOAR952~~n, 97478 eallingthecenr amcoPiesottherUI ,. Philips Electric Inc numberforthe~dW~te:.~hete/e~~~\1 1298 Bethel Dr, Eugene, OR 97402!l1eo& ;-Ann.1~~'!rNot;f;eation . '--"'344). Hayden Homes 806 Hazelnut Lane, Springfield, OR 97478 Phone 541-744-6966 541-688-6121 541-744-6966 BMC Piumbing 648 W Oregon Ave, Creswell, OR 97426 103570 1/1/2001 541-895-3758 'I'ln"._ 3RSC 1 (VN) Wood Frame Electric ,.,O'ffj':ln:;_",,.,..,.- - ._~u AVV 08~ AM.;! LON ceuse_"'Qv:::;'I::IOQ . SIlIVVtJ~ . n, I 3.'1N::JVVi^ ,,_ LandOUse: :SingleJF@mily.JDwelling#'OfBuildings:1 ~jQ IVFI~'I - -~. IIU::JLI80H'- Zoning CoCle::lIl:DB::/X3 T)\fHS .Occupancy Group: Dwelling Bedrooms: 3 IlVVtJ3dSI;leat Source: Wall Heat Range: Electric :30Il~~ Footage: 1008 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 Required Inspections r - Buildin!l I -Install ground rod at footing, and call for inspection in conjuction with fooling 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. 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: .... Framing Wall Insulation Drywall Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfioor Plumbing Underfioor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Rough Mechanical Final Mechanical SW-Curbside CC-Standard . . Page 2 of 4 I Job# 00-01141-01 I Required Inspections Buildin!l - Prior to cover. -Prior to Cover -Prior to taping. - When all required inspections have been approved and the building is complete. 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. Plumbin!l - 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. Mechanical - 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 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' o 6 To Curb and Gutter 6 00/00/000000:00 AM Types Of Warning Devices Reqd. ~ .AI . Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1 : Comments: 2: I Job# 00-01141-01 I Overlay District: # of Street Trees: 2 . Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: LDAP Required 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 rArea (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 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 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: Accessory Structure # Of Stories: 1 Height (feet): 17 Current Units: Proposed Units:1 Census Code:New SF - detached Total:1728 Paid On Receipt# Plan Check 07/21/2000 2648 Value/Quantity Fee Amount 2 $80.00 $80.00 Buildin!l 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 83,402 $385.00 $26.95 $11.55 $423.50 Electrical 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 1 1 1 $85.00 $15.00 $40.00 $9.80 $4.20 $154.00 Plumbinll 08/18/2000 .2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 1 $4.50 $1.50 $.45 $6.00 $3.00 $10.00 2 1 .. .... . . Page 4 of 4 Fee Job# 00-01141-01 Paid On Receipt# Mechanical 08/18/2000 2957 Value/Quantity State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 08/18/2000 2957 08/18/2000 2957 73 1 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development System Development 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 08/18/2000 2957 1,980 18 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Grand Total Willamalane SDC 08/18/2000 2957 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin AlWard 07/24/2000 08/03/2000 08/03/2000 Engineering-Res Planning-Res Fee Amount $1.05 $26.50 $60.00 $60.00 $120.00 $475.20 $897.48 $507.82 $242.76 $22.05 $10.00 $107.77 $2,263.08 $1,000.00 $1,000.00 $4,243.08 Structural-Res Wendy Stanley 07/25/2000 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 property, and the appr;p~ain on the site at all times during construction. ~ I fo I ~ Signature Date ~.o""o:9,fJ';" vc?/ ~O' P Dr. O~ . 00 %~ t"& <:. 60S' -"I -1VI'.... 0,,/ "'O/I?..r oS' '10 -"0 ....61 "6 "'<0 '" IA 90,;..~/it. 225 FIITH STREET . 0' <S>b. 'J~ & "'.o:O'~~. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 "..", c/.il."'t~ 1"\1'"\ \4\ I INSPECTION REQUEST: 726-3769 Go'& I ~ffi /c~,,~~ty Job Number~1' (')\ .() OFFICE: 726-3759 ""Y Go", "'-0 . 3 . PLET1> ~E SCHEDULE BELOI/ 1. ~etf~O~Wb ~ -'R()~~O\~~I~'{\r() -'- C\ -J~ES~ION f\ \:\ l'l~ '. i"l n T!} ,~('(\/.)I \ ~~ '\- ~~ Permits are non-transfe~le and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philios Eler.tric. Inc. Address 1 ?QA 'R"l'n"l T1ri"" Ci ty EUl!ene Phone(S41' f,RR-6121 Supervisor License Number -271Qq Expiration Date 10/01/01 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling . Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: unit. Items Cost Sum BCS SCL 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 $ 85.00 ~. $ 15.00 .$ 40.00 $ 50. 00 . S 60.00 $100.00 $130.00 $300.00 S 40.00 Constr Contr. Number 20-17Q" C. Temporary Services or Feeders Installation, Alteration or Relocation Signature of s~v!sing Electrician )I'., . <---V-- . . ..' 'i\\", ;( Nawan pmupS: D. Branch Circui ts Owners Na~ II! 1 n f\ ~ f\+~~~ . O~\ " -.. ~ New, Alteration or Extension Per Panel AddresaJ\O .\ (\1, L...:....: }\..) -1A A , r. One Circuit $35.00 Ci t Phone l"t'-\. \O'-'\\o.b Each Addi tional Circuit or with Service 'or Feeder Permit Expiration Date 10/01/00 The installation is being made on property I own which is not:intended for sale, lease or ren t . owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: Miscellaneous (Service/feeder -Each installation .Pump or irrigation Sign/au tline Ligh ting Limited Energy/Res Limited Energy/Comm 200 amps' "or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts E. s. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see, IIBIt AiL above $ 2.00 not included) $ 40.00 -$ 40. 00 S 20.00 S 36.00 15.c)~ { fJ/: )oI.~ rH~)-~~ . '., . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01141-01 NAME OR COMPANY: HAYDEN LOCATION: 3964 DOUGLAS DRIVE TAX LOT NUMBER 18-02-06-13-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1728 LOT SIZE: 6578 1 ~TORM DRAINAGE IMPERVIOUS SQ. FT. 1980.00 x $0.240 PER SQ. FT. $475.20 I 2 SANIT.ARY ~FWFR-r:\IY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU $897.48 I 3 TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP $507.821 $0.00 TOTAL TRANSPORTATION SDC $507.82 I 4 SANITARY ~~R _ MWMr: 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 $0.00 I $10.00 I $274.81 I $2,155.31 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3,&4) 5 ADMINISTR.ATIVF FFF~; ~ BASE CHARGE (SUBTOTAL ABOV~) x 0.05 $107.77 I ~1~ wc COOKDINAIUK 08/03/2000 TIATI. TOTAL SDC CHARGES I $2,263.08 J . . PLUMBING FIXTURE UNIT (pFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS !NOTE: FO~REMODELS. CALCULA TE ONLY THE NET ADDITIONAL ~IXTURES) TOTAL PLUMBING FIXTURE UNlTS=L CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $4.74 1990 $1.96 1980 $4.65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $ 4.46 1993 $ 1.23 1983 $ 4.30 1994 $ 1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 $0.75 1986 $ 3.63 1997 $ 0.57 1987 $3.26 1998 $0.35 1988 $2.85 1999 $0.15 1989 $2.40 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER STA TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALUWALL WASH BASINILA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 2 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 x x ,-. . " PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o 18 $0.00 $0.00 CREDIT TOTAL $0.00 . . . f\~ . .. ~1''''Willamalane . ~'- ""'!' Park & Recreation District Job. No. CD..:Dll4 \ .D ( ;0' SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: JPf\ fn\-e n~~ PHONE: ~ ~& ADDRESS: t) 0 ~ \ ~'tt . rt STATE: ~~IP: Ql+ 1)( LOCATION OF PROPOSED BUlL ING SITE: f\" . . Street Address: .80.\0\ . \)(l)(\\n ~ Ut\ ~t Plat Name: . Vrut- Ta~ot Number: \~OWtd~ O\Q..rfj 1. DEVELOP ENT TYPE (Checl< appropriate dwelling(s). SDC calculations and dwelling t ype delinit,ons are on the back.) . A. Sinole.Fl'lmilv Det::<.&b.ad. \ Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $1000 ,vb B. Sinale.Fl'lmilv Atfl'lched NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MaruJfactl.!mP Home P'1Ik 2. SDC CREDIT (Il applicable) SDc-payer must furnish proof 01 WiUamalane Credit approval. See sac Credit Worksheet. $ $ \OCO .00 ff $ \000,06 NO. OF UNITS X $699 per unit c WILLAMALANE SDC $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (Il SDC reduced for Credit) "\ ~ _V Development Servi Department City of Springfield I I Date