HomeMy WebLinkAboutPermit Building 2000-1-14
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TRANS#:01-0000267
DATE:JAN 14 2000
AMT RECD:2 $ 4349.62
1 $ 0.02
CHANGE:
CASHIER:003
Job#99-01659,01
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-01659-01
Office: 726,3759
Inspection Line: 726-3769
Location Of Proposed Site: 4016 S redwood Dr Spr
Assessors Map#: 18020611
Lot: 71 Block: Addition: 1 st Add
Owner:
Address:
Tax Lot #: 00200
Subdivision: Jasper Park
Hayden Enterprises Inc
2622 Sw Glacier PI #110
Phone Number: 541,923-6607
City/State/Zip: Redmond, OR 97756
New Value: $147,730
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Same as 3807 Long Ridge Dr. - #990892
Contractor
Hayden Enterprises Inc
2622 Sw Glacier PI #110, Redmond, OR
97756
Elite Electric Inc
Po Box 42162, Eugene, OR 97404
Efficient Heat & Air
X, X, X
Registration #
92208
Phone
541,923,6607
Expiration Date
7/29/1999
99768
6/10/1999
541-688-5401
ALL AMERICAN PLUMBING
X,X,X
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.
Temporary Power
Required Inspections
I Electrical I
-Approval required prior to SUB energizing pole.
LD~ o<+tC5L..
l~~ ~ ~'L~,
rbc, ~st t0U'1 LN,
~~~~~ ,dt, Cfr1l{'76
I JOb# 99-01659-01 I
Sidewalk Type:
Additional ROW?
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Street Improvement:
Curb Cut?D
San Sewer Depth (Ft):
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00100/000000:00 A
Special Instructions:
Other Utilities:
Improvement Agr,?D
Project Supervisor:
.
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
o
00/00/0000 00:00 A
Types Of Warning Devices Reqd,
Zoning:
FloodPlain? 0 Wetlands? 0
Journal numbers
Overlay District:
# of Street Trees:
1 :
Comments:
2:
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq, Feet)
Main: 2016 Accessoryl'lOO
Flood Plain FEMA:
# Of Stories: 2
Current Units:
Census Code: Does not apply
Height (feet): 25
Proposed Units:1
Fee
Hourly Plan Review
Total Plan Check
Building Permit
Garage/Carport
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
Total:2416
Paid On Receipt#
Plan Check
01/14/2000
Land Use:
Pave Driveway? 0
Value/Quantity
Building
01/14/2000
01/14/2000
01/14/2000
01/14/2000
Electrical
01/14/2000
01114/2000
01/14/2000
01/14/2000
3
140,394
7,336
1
3
1
Fee Amount
$120.00
$120.00
$525.25
$68.50
$41.56
$17.81
$653,12
$85.00
$45.00
$40.00
$11.90
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Job# 99-01659-01
Page 3 of 3
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Electrical
01/14/2000
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Plumbing
01/14/2000
01/14/2000
01/14/2000
01/14/2000
1
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01114/2000
1
4
1
1
Residential, Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
System Development
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01/14/2000
01114/2000
01/14/2000
15
2,024
18
1
1
1
1
S.F. Residence, Willamalane
Total Willamalane SDC
Grand Total
Willamalane :sLte
01/14/2000
1
$5.10
$187,00
$.00
$192.50
$13.48
$5.78
$211.76
$4.50
$.00
$.77
$6.00
$12.00
$3.00
$10.00
$1.79
$38,06
$469.57
$868.86
$491.60
$242.76
$22.05
$10.00
$101.89
$,67.05
$2,139,68
$1,000.00
$1,000,00
$4,349,62
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~9~~ :;::in on the site at all times during construction. 1, I ~ I tJ::)
Signature
Date r
^
. JOURN~JOB NO..!1!LIr:.,.~
A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
JJA,(D~ 'FtJ"'1":
4 0 ,~ . tC' Pl=:/1 Ld'''O,o n I? ,
LOCA nON:
DEVELOPMENT TYPE:
..::;. F. ~.
BUILDING SIZE:
LOT SIZE
SQ. Ft.
n.",
,'iV'Z.'Z- =
~~......'5' :::
z.o "I<"Z-t =
308
/. ".,r.,
4Z.()
...., oJ.4-
1. STORM DRAINAGE
0/<0,)
IMPERVIOUS SQ, FT, 7 ~Z+- x $0.232 PER SQ. FT,
,
$ 4b'f ,c;:,7
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
13'
X $48.27 PER PFU
$ 1?(~$.8"
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X /, DI X $486.73 PER TRIP
$ 4"'1 I. (;.0
X X $486.73 PER TRIP
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO, OF FEU'S
X 242.;7(.; PER FEU
$ 2..4-2.7'
, B. IMPROVEMENT COST:
NO. OF FEU'S
X 22(>1S"'PER FEU
:s Z-7...,ot:;"'
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ -? 7. oJ>
MWMC ADMINISTRATIVE FEE $ 10.00
TOT AL-MWMC SDC $ I '77. 7&.
5, ADMINISTRATIVE FEES:
BAS?SH~GE (SUBTOTAL ABOVE) X ,05
1"-1& ~ Date: Il- /'f-1'''
SDC Coordinator
ATIACH'A.WPD
SUBTOTAL (ADD ITEMS 1,2,3&4) $ /',02...7.79
$ 10/ , 3q
TOTALSDC
$ 2.12'1./7
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FIXTURE UNIT CALCULA TI ON TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
,
(NOTE: For remodels, calculate only the .ditionaI fixtures)'. .
, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub........ .........,.. .......... ..,.................... ....,............
Drinking Fountain.. .......... .......... .....,... ......,...............
Floor Drain.................. ..,..... ........,.. ........ ........ ...........
Interceptors For Grease/OiVSolids/Etc..............,......
Interceptors For Sand/Auto Wash/Etc........,.............
Laundry TublClotheswasher/Mop Sink....................
Clothes washer . 3 Or More............,......,......,...........
Mobile Home Park Trap (1 Per Trailer)..,...............,
Receptor For Refrigerator/Water Station/Etc...........
Receptor For Commercial SinklDishwasher/Etc......
Shower, Single StalL.............................,..................
Shower, Gang............. ................... ....,......................
Sink: Bar, Commercial, Residential Kitchen........,...
Urinal, Stall/W aIL............ ..,......................................
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation.........................................
Toilet , Private...............................,.........................,
Miscellaneous:
z..
2
I
2
3
6
2
6
6
1
3
2
IIHead
2
2
I
6
4
"%.
':Z-
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
credits separately.
I
4-
'Z...
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Ice
Based on assessed value, If improvements occurred after annexation date in table, calculate
Year
Annexed
Rate per $1 ,000
Assessed Value
$4.V
_4:-38
4.32
4.20
4,03
3.88
3.68
3.38
3.03
2,62
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
Year
Annexed
Rate per $1,000
Assessed Value
l;
.,,-I-919Oi'be'fore
1980
1981
1982
1983
1984
1985
1986
1987
1988
Credit for Parcel or Land Only If Applicable ~,tt7 X $ lor. au'" = C 7 .6~
(Rate X Assessed Value)
Improvement (if after annexation date) X $ =
(Rate X Assessed Value)
2.18
\.75
1.35
I.17
1.03
0.86
0,71
0.57
0.39
0,18
CREDITTOTAL =$ (;,7,83
RUNOFF COEFFICIENTS FOR STORM DR-\INAGE
(For Estimating Purposes Only)
ResidentiaL..........,.............., 0.4
Commerica!......................... 0.9
Industria!...................,...,...... 0,5
Govemmenta!...................... 0.5
FIXUNIT. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT