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Home My WebLink AboutPermit Building 2000-10-30 , . . I Job# 00-01539-01 I .' Page 1 of 4 TRANS#:01-0003643 DATE:OCT 30 2000 AMT RECD:2 $ 5173.01 CHANGE: CASHIER: 061 \ ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01539-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 811 Royaldel Ln Spr Assessors Map#: 17032343 Lot: 140 Block: Addition:3rd Tax Lot#: 02102 Subdivision: River Glen Owner: Future B Inc. Po Box 7425 Phone Number: 541-744-2660 City/State/Zip: Eugene, OR 97401-0017 New Value: $173,647 Address: Scope Of Work: Single Family Residence Contractor Type Electrical Contr Contractor Bob Fisher Electric Inc 180 Kingsbury Ave, Eugene, OR 97404 Mechanical Contr Rolfs Heating PO Box 66, Dexter, OR 97431 Plumbing Contr CUSTOM PLUMBING P.O. Box 66, Dexter, OR 97431 Registration # 96275 Expiration Date 1/25/2002 Phone 541.689-7973 541-741-0002 541-485-1146 Office Use Land Use: # Of Buildings: 1 Zoning Code: LOR NOTICE: Occupancy Group: Dwelling Bedrooms: 4 MITt!e~t, ~~~f~\E ftO[9\l,!N~I!)Gas Range: Gas THIS PER slj'. Footage: 2326 OT . ._, ,~~.~~r" ..,,",t::Q I MIS PEnlVII r1S N 'I MVII I""""""--- -- - To request an inspection call the 24 hour recording at 726-3769. All in.!lR!~5<tio]isrrequeSiea'b~f6"rlPflo'8'DFOR a.m. will be made the same working day, inspections requested after 7:00 a.m. ~~\bleLrrr!,!!!~!he following working day. ANY IOU Quad Area: # Of Units: Constr. Type: Water Heater: 5RNW 1 (VN) Wood Frame Gas SW-Curbside CC-Standard Required Inspections I Public Works I - After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete . syou to ATTENTION:Oregon law reqUire . . follow rules adopted by the Oregon Utility Notification Center. Those rUhleosAaRre9s:i_~~~ . OAR952-001-0010thrOug 1~090. You may obtain copies of the rules by callillg theconter. (Note: the telapho~e nUNlborfor the Oregon Utility NotificatIOn Cp.ntp'ris 1_Il"n_'1~,,-~344). I Job# 00-01539-01 I Street Improvement: Fully Improved Sidewalk Type: Curb Cut?0 Improvement Agr.?D Additional ROW? San Sewer Depth (Ft): 6 4 Size Of Line (in): Storm Sewer Available? 0 Downspouts/Drains: Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): Bond Begin DateTime: 00/00/000000:00 AM Bond End DateTime: Special Instructions: Other Utilities: . . . . . " Project Supervisor: Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: . Page 2 of 4 Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 3 Land Use: Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? D [Area (Sq. Feet) _ Main: 2326 Accessory636 Flood Plain FEMA: Panel 1134 of 2975 Accessory Structure # Of Stories: 1 Height (feet): 21 Current Units: 0 Proposed Units:l Census Code: Does not apply Total:2962 Fee Fee Amount Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Buildin9 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 Paid On Receipt# Plan Check 10/13/2000 3480 Value/Quantity 173,647 $389.68 $389.68 Buildinll 10/30/2000 3643 10/30/2000 3643 10/30/2000 3643 173,647 $599.50 $41.97 $17.99 $659.46 Electrical 10/30/2000 3643 10/30/2000 3643 10/30/2000 3643 10/30/2000 3643 10/30/2000 3643 1 4 1 $85.00 $60.00 $40.00 $12.95 $5.55 $203.50 . . . . '-' Job# 00-01539-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee 10/30/2000 3643 $.00 Two Bathrooms 10/30/2000 3643 1 $160.00 State Surcharge For Plumbing Permit 10/30/2000 3643 $11.20 Plumbing Administrative Fee 10/30/2000 3643 $4.80 Total Plumbing $176.00 Mechanical Hood and Exhaust 10/30/2000 3643 1 $4.50 One to Four Outlets 10/30/2000 3643 1 $2.00 Minimum Mechanical Permit 10/30/2000 3643 $.00 Mechanical Administrative Fee 10/30/2000 3643 $.87 Less than 100,000 BTU 10/30/2000 3643 1 $6.00 Vent Fan to One Duct 10/30/2000 3643 3 $9.00 Gas Fireplace 10/30/2000 3643 1 $4.50 Dryer Vent 10/30/2000 3643 1 $3.00 Mechanical Issuance 10/30/2000 3643 $10.00 State Surcharge For Mechanical Permit 10/30/2000 3643 $2.03 Total Mechanical $41.90 Public Works New Sidewalk 10/30/2000 3643 80 $60.00 New Curbcut 10/30/2000 3643 1 $60.00 Total Public Works $120.00 System Development Residential- Single Family - Storm 10/30/2000 3643 3.774 $905.64 Sanitary Sewer 10/30/2000 3643 22 $1,096.92 Residential Transportation 10/30/2000 3643 1 $507.82 Residential Sanitary MWMC 10/30/2000 3643 1 $285.91 Residential Improvement MWMC 10/30/2000 3643 1 $24.33 MWMC Administrative Fee 10/30/2000 3643 1 $10.00 SDC Administrative Fee 10/30/2000 3643 $141.53 Total System Development $2,972.15 Willamalane SDC S.F. Residence - Willamalane 10/30/2000 3643 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $5,562.69 Plan Check Type Checked By Date Completed Initial Review-Res Wendy Stanley 10/18/2000 Engineering-Res Steve Templin 10/25/2000 Planning-Res Liz Miller 10/30/2000 Structural-Res Wendy Stanley 10/20/2000 Comment OK subject to planning and eng approval ~ . , I Job# 00-01539-01 I . Page 4 of 4 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 aPrroved set of plans will remain on the site at all times during construction. J ) ~f""~_~ ~b 5D/60 rre~ 0 ~ f , , . . Job. No. SYSTEM DEVELOPMENT CIiARGE WORKSHEET PnBe..1 +L.lU; G~ PHONE: :;II{ /..1-?-6' 6" 0 STATE: OQ. ZIP: ~ NAME: ADDRESS: r .h"-'l. A -J.!/'Jw.Il'-- LOCATION OF PROPOSED BUILDING SITE: Street Address: ~ 11 'R':"l.JJJ. ~~ Plat Name: LrV. 11 ~ Tax Lot Number: 1""7-03 ;).343 O).,IC>J... 1. DEVELQPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) . A. SinaIA-F::lmilv DAt::lr:hAo ~ingle Family home Manufactured home not in a park NO. OF UNITS ) X $1,000 per unit = $ /000 , B. SinoIA-F::lrnilv At1::lr:hAQ .., NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M::lnlJf:;lr.llJrAo HornA Pmk NO. OF UNITS X $699 per unit c $ WILLAMALANE SDC $ 2. SDC CREDIT (II applicable) SOc-payer must furnish proof of Willamalane Credit approval. Scc SDC Credit Workshoot. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Crcdit) $ ID0f1 I ... IJ...( JWM. Developme~ Services Department City of Springfield t~ I 12 I 00 pate