HomeMy WebLinkAboutPermit Building 2007-9-13
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01372
ISSUED: 09/13/2007
APPLIED: 09110/2007
EXPIRES: 03/13/2008
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5743 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005300
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence -lot 187
NOT-SAME AS COM2007-00354 5773 Mt Vernon (Some truss loads are different).
I DEVELOPMENT INFORMATION .
ATTENTION: Oregon law re~Wf~\.bP ARKING
Overlay Dist: follow ti"U~es adopted by the Gr6t1ip'n Utility 2
# Street Trees Rn:l!~lification Center. 1jhose rul~aWd1~~~f#l
Paved Drive Rq4h OAR 952-001-0ot~sthrough @~~~f.-001-
% of Lot Cover~O. You may o.W:.'11(jl copies of the rules by
calling the center. (Note: the telephone
_. ......,hor fnr thp ()rAoon Utilitv Notification
Subdivision Not Accepted I PUBLIC IMPROVEMENTS I Center is 1 ~800-332-2344).
St tI r.r.If))]r'ff~lC'. S'd IkT
ree mprov.emeU'~b F II I d I ewa ype:
11-1 c:" u y mprove
Storm Sewer Wv~i1armSM/T SHALL EXPIRE IF'tfflE WORK Downspouts/Drains:
Special Instrrt1J-Ji1;hJ:OR/ZED UNDER THIS PERMIT IS N
COMMENCED OR IS ABANnO OT
Notes: Fo~f~lS l'6{f<<DilvJj!J~1rMea'doWs, N~tfJl&ommendation to the Building Division, by the City Engineer: "that
no connections's'tialI~~'M!r'de to sanitary or storm H20 systems, until the subdivision is accepted by City Council".
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
92208
67362
39237
142776
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure: 26.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
1
R-3
U
VB
3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
5.00
7.00
10.40
0.00
Paee 1 of 5
Phone Number: 541-228-1081
Expiration Date
07/29/2009
06/19/2011
0312512010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
2,899
729
999
409
To Storm Sewer
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01372
ISSUED: 09/1312007
APPLIED: 09/10/2007
EXPIRES: 03/13/2008
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellines
Garaee
v Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
409.00
Value
Date Calculated
Description
Type of Construction
Total Value of Project
$177,984.00
$11,043.00
$189,027.00
09/10/2007
09/10/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $220.00 9/10/07 2200700000000001416
-Mech Iss 2+ Appliances- $40.00 9/13/07 2200700000000001446
+ 10% Administrative Fee $154.79 9/13/07 2200700000000001446
+ 5% Technology Fee $82.30 9/13/07 2200700000000001446
+ 8% State Surcharge $115.28 9/13/07 2200700000000001446
3 Baths One & Two Family $337.00 9/13/07 2200700000000001446
Addressing Assignment $35.00 9/13/07 2200700000000001446
Appliance Vent $7.00 9/13/07 2200700000000001446
Building Permit $945.04 9/13/07 2200700000000001446
Dryer Vent $7.00 9/13/07 2200700000000001446
Exhaust Hoods $10.00 9/13/07 2200700000000001446
Fire SF Fee - Residential $106.85 9/13/07 2200700000000001446
Fireplace (Listed) $17.00 9/13/07 2200700000000001446
Furnace - up to 100,000 btu $14.00 9/13/07 2200700000000001446
Gas Outlets 1-4 $5.00 9/13/07 2200700000000001446
Plan Review Major - Planning $205.00 9/13/07 2200700000000001446
Plan Review Residential $394.28 9/13/07 2200700000000001446
Sanitary Sewer - Improvement $571.31 9/13/07 2200700000000001446
Sanitary Sewer - Reimbursement $751.33 9/13/07 2200700000000001446
SDC MWMC Administration $10.00 9/13/07 2200700000000001446
SDC MWMC Improvement $961.52 9/13/07 2200700000000001446
SDC MWMC Reimbursement $91.61 9/13/07 2200700000000001446
SDC SanitarylStorm Admin $133.69 9/13/07 2200700000000001446
SDC Transpo Admin $71.39 9/13/07 2200700000000001446
SDC Transpo Improvement $862.25 9/13/07 2200700000000001446
SDC Transpo Reimbursement $195.48 9/13/07 2200700000000001446
Storm Drainage Impervious Area $658.13 9/13/07 2200700000000001446
Storm Sewer Each Addt1100' $16.00 9/13/07 2200700000000001446
Temp Power 200 amps or less $55.00 9/13/07 2200700000000001446
Vent Fan $28.00 9/13/07 2200700000000001446
WiIlamalane Single Family $2,303.00 9113/07 2200700000000001446
Total Amount Paid $9,404.25
Paee 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
I Plan Reviews I
09/10/2007 APP
09/10/2007
Public Works Review
09/10/2007
09/10/2007 APP
Structural Review
09/1112007
09/12/2007 APP
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01372
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 03/13/2008
VALUE: $ 189,027.00
TAJ
The house needs to have: 3'
walkway from porch to street,
window grids, and windows in the
garage door.
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that no counections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council". - MS
9/10/2007
Girder truss ETGR is not correct
(shows bearing wall where none
exists) Requested revised truss
documents from coutr. 9110/07dlm.
Reveived revised truss information
9/11Point load at location T on truss
is 1400+# more than similar truss on
same-as bldg. Called the truss Co.
for clarification. They will re-run
the truss designs to determine the
correct reaction at point T for truss
designs Jefferson 1 & Jefferson 2.
9/11/07dlm Received Revised truss
dwgs & revised Engr. cales. OK
9/12/07dlm
MS
DLM
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
work day.
~e(]uiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 3 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-01372
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 03/13/2008
VALUE: $ 189,027.00
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-01372
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 03/13/2008
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 701.005 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?~ c~
9 /IJ~?-
D~ (
Owner or Contractors Signature
Paee 5 of5
. ,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER I ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE \979
\979
\980
198\
\982
1983
1984
1985
1986
\987
\988
\989
\990
199\
\992
\993
\994
\995
1996
]997
1998
\999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
!I
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
=
$0.00
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM ORAINAGE
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
COM2007-01372
Hayden Homes
5743 Mt Vernon
18020300 TL 05300
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF:
LOT SIZE (SF):
2889
crJ
~
Cl
o
U
~
~
t-<
r:f1
......
o
~
o
DISCOUNT
$0.00
$658.13
11070
::'1, ".'
$751.33
1091
$571.31
1092
=1
ITEM 2 TOTAL - CITY SANlTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
$1,322.65
INUMBEROYUNITS x
I r
x NEW TRIP F ACTOR I
1.00. I
COST PER TRIP
2Q.43
$195.48
1093
I NUMBER OF UNITS I Jf'
, ] I
ITEM 3 TOTAL - TRANSPORTATION SDC
=1
COST PER TRIP
$90. ] 0
$1,057.73
x NEW TRIP FACTOR
1.00
$862.25
1094
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I ] I $91.6] = $91.61 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 1 I $961.52 = , $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0.00 1054
MWMC ADMINISTRATIVE FEE = I $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $1,063.13
SUBTOT AL (~D ITEMS 1; 2, 3, & 4) . = I $4,101.64
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE CHARGE
$4,101.64 5% $205.08
TOtAL SANITARY ADMINISTRATION FEE: 133.69 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $71.39 ,1078
Matt Stouder 9/1 0/2007 TOTAL SHC CHARGES =1 . $4,306. 72
PREPARED BY DATE
Date
ZON / f'I2-
INITIALS IJ M
~. DATE Cwf -I Y ,.. 0.7
~ . SOURCE -1Y\ ('S.oe.:.
.
q/"lS / 2-tru,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689
ELECTRICAL PEP#{T 4K.1 1!NftAT10N
City Job Number :J l~ \'t)' I'v
._ . ._ _....,'<<..;_~"'_ '_~~"'_":'_'_'~~"(' ;'_"_;:~: ~':'_.'_,_"':""<O"'_--:-' _,' ~- .,.:'_' ';'
1. LOCA1'lON OF-IN.. STALLA110!V:h if"\ J 3. COMPLETE FEE SCHEDULE BELOW
.~~... .t\J0l'.. " \LC\
_ _ _ \.A \{\[J\
LW[Dm' (J;::>tiJ
JO~~;\r~trflW .
p"m'" m no~an'fmbl' and ,;pi" 'fw
not started within 180 days of issuance or if w
Suspended for 180 days.
Expiration Date
con'tr.contr.~~
Expiration Da;e
/ Over.600 i\.mps or 1~00 Volts see HB" abo."e.
Si7gnture ;[ Supervising Electrici~ D. fBranchCi~c\.lH~
New Alteration or Extension Per Panel
One Circuit
.. c;fr\ (/J.rI\ ' Each Additional Circuit or with
ff\ U ~ \2Il~ Service or Feeder Permit
I ) ("" \rl.c..11.X E. Miscell,llrieous .cServi,~~/!eeder not included) -Each Installation
Pho e~ ~~(a;)
2. ,'2?~RL!P_TOR1NS~ALIjt,!!ON ONLY.
Address
City
Supervisor License
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
- ,~~- ~:'::>;r
A. New Residential"': Single_o.rl\1ul~~F_!II1_ilY per dwelling unit.
Service Included
$117.00
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof $ 21.00
Each Ma ATltW~Q~6pregon law requires you,to
M dular mttfr~b~~~i~d.gpted by the Oregon Utility
Fe~der Kfotlffdftion Cenler. Those rules aN$$l<forth
LI}Qt\R 9q2-QOJ:.Q01Q through QAR fi52-o01.
B. ' Servj(.QQ~P.f~rfSl8y~~&p,Pi.M~tMm {Nlltl~tion:
. . calling the center. (Note: the telephone
200 AmpsflhlfiYJtter for the Oreg~.!' ~t~it.t ~~~on
201 Ampst0400R~p~ter is 1-8~.00
401 Amps to 600 Amps $138.00
601 Amps to 1000 Amps $180.00
Over 1000 AmpsNolts $413.00
Reco140ME: $ 55.00
THIS PERMIT SHALL EXPIRE IF THEWQBK
c. '1.e'Jl.mA'B'f~FlrtJev~mIS PERMIT IS NOT
r.n\\nMf,~ICEQ OH JS.ABANDONED FOR
Insta~~~n18de6~\Y'PMOb~atlon . 1 ~~ N'\
200 A:mps or ~ess \ $ 55.00 ,-.1fj~
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
$ 48.00
$ 4.00
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.09
Limited EnergylCommercial $ 50.00
Minimum E~ectr.ic,Permit ,[n,p",tiO" F" " $50.00 + sn'5~
4. SUBTOTAL OF ABOVE .
.... __ __._.._. ___~....v ·
8% State Surcharge ·
10% Administrative Fee ~ ~J
5% Technology Fee A" ~
lo'l.lo5
TOTAL
Shared Drive(T:)/Building Fanus/Electrical Permit Application 7-07.doc
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-0 1372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
COM2007-01372
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
Addressing Assignment
WiIlamalane Single Family
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
~Mech Iss 2+ Appliances~
Temp Power 200 amps or less
Fire SF Fee - Residential
Plan Review Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ERIC HENDRICKSON
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001446
Date: 09/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 056897 In Person
Payment Total:
Page I of 1
9:59:57 AM
Amount Due
658.13
751.33
571.31
195.48
862.25
91.61
96 1.52
10.00
133.69
71.39
205.00
945.04
35.00
2,303.00
337.00
16.00
14.00
28.00
7.00
]0.00
7.00
5.00
17.00
40.00
55.00
106.85
394.28
82.30
115.28
154.79
$9,184.25
Amount Paid
$9,]84.25
$9,184.25
9/13/2007