HomeMy WebLinkAboutPermit Building 2007-5-9
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
SITE ADDRESS: 1891 King Henry Ct Springfield
ASSESSOR'S PARCEL NO.: KING HENRY'S COURT
PROJECT DESCRIPTION: Single Family Residence, Lot 7 - King Henry
Owner: DONALD & ALYSSA LINDSAY
Address: 2331 33RD STREET
SPRINGFIELD OR 97478
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: ll/09/2007
VALUE: $ 265,606.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
Phone Number: 541-726-4324
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
RB N ME CONTRACTORS INC
SOURCE ELECTRICAL INC
TOMS PLUMBING SERVICE INC
License
162665
160918
159425
Expiration Date
01/06/2009
07/28/2008
05/12/2008
Phone
541-521-8698
541-520-6466
541-607-8879
I BVILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
4
2
26.00
Wall Heat
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
902
6,149
914
1,750
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
20.00
5.83
22.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements: F II I d
u V mprove
Storm Sewer ~Talii~jl:ION:Oregon law reqUV'AS you to
Special Instrt.ali6DY rules adopted by the Oregon Utility
\Jotification Center. Those rules are set fortt
Notes: In OAR 952-o01-Q01 0 through OAR 952-001
0090. You may obtain copies of the rules t
calling the center. (Note: the telephone
number for the Oregon Utility Notification
~--'-.k: 1-800-332-2344).
Paee I of5
3
Yes
29.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK'
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechaoical Issuance Fee--
+ 10% Administrative Fee
+ 50/0 'Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Plan Review/Residential Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admio
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Vent Fan
WilIamalane Single Family
Total Amount Paid
Initial Review
Initial Review
10/13/2006
04/09/2007
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 1l/09/2007
VALUE: $ 265,606.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,446.00
902.00
Value
Date Calculated
$242,154.00
$23,452.00
$265,606.00
10/12/2006
10/12/2006
Total Value of Project
J(pp< V"W
Amount Paid
$718.35
$10.00
$163.45
$82.71
$116.49
$306.00
$31.00
$1,105.15
$6.00
$9.00
$178.30
$12.00
$198.00
$90.00
$534.34
$702.72
$10.00
$961.52
$91.61
$144.24
$68.39
$836.32
$189.58
$926.47
$18.00
$1,000.00
$8,509.64
.Date Paid
Receipt Number
10/12106
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
2200600000000001431
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
2200700000000000690
I Plan Reviews I
10/16/2006
04/09/2007
APP LLH
APP LLH
New plans submitted for review in
our office.
Paee 2 of5
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: cOM2006-01311
225 Fifth Street, Springfield, OR ISSUED: 05/09/2007
541-726-3753 Phone APPLIED: 10/12/2006
541-726-3676 Fax EXPIRES: 1l!09/2007
541-726-3769 Inspection Line VALUE: $ 265,606.00
Plan Review Comments 04/03/2007 10 LLH Letter mailed requesting
information to complete plan review.
See attached documents or address
file.
Plannine Review 04/25/2007 04/25/2007 APP TAJ
Plan nine Review 10/16/2006 WE SJS Waiting for final plat
Public Works Review 10/16/2006 10/16/2006 WE JLP Can not complete PW Review.-- No
final plat & Per Cheryl, many
inspection issues remain
un-resolved, RE: Sidewalks, Curbs,
Driveway Locations, Sanitary Lines,
and Storm Drainage.-- Waiting for
inspection "OK", and Recorded
Plat.JLP
Public Works Review 04/26/2007 04/26/2007 WE JLP Rcvd from Planning 4/26/2007---Plal
was released--Not yet filed-- Waiting
for Eng/Surveyor to file with LC &
verification from Jon D. for PW
review. JLP WI 4/26/07
Public Works Review 05/07/2007 05/0412007 10 JLP PW rvw completed Fri 5/4/07 --
Unable to input into Tidemark due
to computer issues. JLP 10 417/07
Public Works Review 05/07/2007 05/07/2007 APP JLP For this parcel in King Henry
Court, it is the recommendation to
the Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H2O
systems, until tbe subdivision is
accepted by City Council". Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
Structural Review 10/16/2006 11/2212006 WE LLH Forwarded to Tom Rogers for
review 10/16/06. Plan review letter
from Tom Rogers 11/22/06 attached.
Additional information needed to
completed plan review.
Structural Review 11/08/2006 12/20/2006 WE LLH Additional information requested by
Rogers Engineering to complete
plan review.
Structural Review 04/27/2007 05/08/2007 APP LLH Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Structural Review 04/09/2007 04/27/2007 10 LLH New drawings.' Charge per hour for
review.Forwarded to the Building
Department for structural review
under contract with the City of
Springfield.
Pa2e 3 of5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 11I09/2007
VALUE: $ 265,606.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
, Rpnll~lly~t~(I" ~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undertloor Plumbing: Prior to insulation or decking.
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.
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 4 of5
-li:iI~"
'a
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 11/09/2007
VALUE: $ 265,606.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, tbat 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 tbe 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
ti~:~ ~_ r-07
Owner or c61ractors Signature Date
Paee 5 of5
'.
CITY OF SaG FIELD SYSTEMS DEVELOPMEN.RKSHEET
JOURNAL OR JOB NUMBER: C0M2006-013l1
NAME OR COMPANY: Donald Lindsav
LOCATION: 1891 Kin!\. HCl!fv Ct
TAX LOT NUMBER: Lot # 7 King.!le_~ Court
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SiZE (SF 1760 LOT SIZE (SF):
I. STORM DRAINAGE
1-
Ig]
o
o
U
0::
6149 ~
'"
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
2760.50 $0.336 I = I $926.47
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x I COST PER S.F. I x 1 DISCOUNT RATE 1 1
0.00 1 I $0.336 1 50"10 1 ~ I
ITEM 1 TOTAL - STORM DRAINAGE SDC $926.47
DISCOUNT
$0.00
2 SANITARY SEWER - CITY
l
$926.47 _11070
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I x
1 27 I
COST PER DFU
$26.03
$702.72
1091
B. IMPROVEMENT COST:
1 NUMBER OF DFU's I x
1 27 $19.79
ITEM 2 TOTAL- CITY SANITARY SEWERSDC
$534.34
= ,
$1,237.06
.J TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP F ACTOi
1 9.57 1 I 1 $19.81 I 1.00 $189.58 1093
B. IMPROVEMENT COST:
1 ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP F ACTORI
1 9.57 1 1 I $87.39 I 1.00 $836.32 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC = I $1,025.90 ~ .
4 SANITARY SF.WER~. MWMC II
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU I
1 I 1 $91.61 = $91.61 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's 1 x ICOST PER FEU
1 I , 1 $961.52 = $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13 I I
- II
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ , $4,252.56 I
-
5. ADMINISTRA TIVF. FEE:
1 SUBTOTAL I x 1 ADM. FEE RATE 1= CHARGE
I $4.252.56 I I 5% I $212.63 I
TOTAL SANITARY ADMINISTRATION FEE: 144.24 11079
.TOTAL TRANSPORTATION ADMINISTRATION FEE: $68.39 11078
Jeff Proeiw 5/412007 TOTAL SDC CHARGES =, $4,465.19 JL
PREPARED BY DATE
. . '"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES', UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS
(NOTE; FOR REMODELS, CALCULATE ONL V THE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
iDRINKING FQUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
ilNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TIJB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG /WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC. 1 0 3 = 3
iSHOWER. SINGLE STALL 0 0 2 = 0
iSHOWER,GANG (NUMBER OF HEADS) 0 0 2 = 0
iSINK: COMMERCiAuREsIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
iSINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 3 0 1 = 3
URINAL. STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRN ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
-EDU (Equivalent Dwelling Unit) is a discharge equivalent ~Jl._~e family dwelling unit (20 DFtrs) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I
I
I
I
I
I
I
I
I
,I
YEAR
ANNEXED
BEFORE 1979
1979
1980
19B1
19&2
1983
I'"
1985
19&6
1987
19&&
19&9
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO II
ASSESSED V Al.UE
.' . $5.29.';
~~c,:',".:;.~~:ir;;.;" .
. ..... $"4:98.
$4.80. ..
$4:~~";::1~; ~ .';
, $4.~qi.. ~"~ ~';
$4.07,: ,: .::,
$3.67 .' ". .
..:~:~;:~~: .,..
'.' . . ~~:~~;;,~n: _
$1.59"',: .
<$1:45'./ : .
'.'$1.25>::-" -
$1.09 .'
$0.92 :
. $0.72 .
$0.48;
. $0.28'
$0,09,'
. $0.05.,'
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
~
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / ] 000 CREDIT RATE
$0.00 x $5.29
=1
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/IOOO CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
I
I
I
I
225 Fifth Street
Sp.ringfield, Oregon 97477
541-726-3759 Phone
.
~
wr..... '
<& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1311
COM2006-0 1311
COM2006-0 1311
COM2006-01311
COM2006-0 1311
COM2006-0 1311
COM2006-0 1311
COM2006-0 1311
COM2006-0 1311
COM2006-01311
COM2006-01311
COM2006-0131 I
COM2006-01311
COM2006-01311
COM2006-01311
COM2006-01311
COM2006-01311
COM2006-0 1311
COM2006-01311
COM2006-01311
COM2006-01311
COM2006-01311
COM2006-0 1311
COM2006-01311
COM2006-0 1311
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000000690
Date: 05/09/2007
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Plan Review Major - Planning
Plan Review/Residential Hourly
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 Sanitary/Storm Admin
SDC Transpo Admin
. Building Permit
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JACK LOUIE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 368655 Phone
Payment Total:
Page I of I
7:35:00AM
Amount Due
31.00
1,000.00
178.30
198.00
90,00
926.4 7
702,72
534.34
189.58
836.32
91.61
961.52
10.00
144.24
68.39
1,105,15
306.00
18,00
9.00
6.00
12.00
10.00
82.71
116.49
163.45
$7,791.29
Amount Paid
$7,791.29
$7,791.29
5/912007
ZON 4Jz..-
INITIALS N rv"
DATE '{-Cf.o"-Cfl
SOURCE m~,
Date 1- a<.a ,.- (J,
(C'll1D'f (Q) IF' '~n>>~Uk~(Q}fFil IE1LJlj)~ ,(Q)W~JE((](Q)JNl'
r~
-. ~ ~(""
225 FlI' In STREET. SPRINGFIELD, OR 9':1477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO vVt 7_~ 0 b.~ 0 I :s I I
Ut~~ J/~Jr~
Owners Name 1::::0 N L, "'- J .5:,.~
S J a..cl ~}-' E. Miscellaneous (Service/feeder not included) -Each Installation
Phone 7 2 b, ~ .-Lj 321{
Pump or irrigati(;m' $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy~esidentiai $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
NOTICE: 4. SUBTOTAL OF ABOVE 20 (
THIS PERMIT SHALL EXPIRE IF TJ;iE~Q.~TCharge' /6 0 ~
/ AUTHORIZED. UNUtn THIS PERfv\\T~strative Fee z..cj /Q
COMMENCED OR IS ABANOONE~iE)&hnology Fee 10 or
ANY 180 DAY PERIOD. 21
InQsCPegc~~n\~~es\~?36-3169 TOTAL Z l.{ 7 .
_. 1.O\J ""I '6 Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06.doc
t
t7L;if't l /' 2.g,.,D
J. /8OC;7Nit::T~: el-
f ,
LEGAL DESCRIPTION: L-ur ~
/7D32434 04 fOD
JOB DESCRIPTION:
/~'A..~ (-/ . WIIL~
/ I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. . . CONTRACTOR INSTALIATIONONLY
Electrical Contractor ~\...\ -rc,e.. E l-e.c.. +r. "c. I:~( ~
Address 3411>5 ~v- ~ ~
City t: \A~-el\-e.
Phone 5' 2.0 - w c..{ {p &,
Supervisor License Number
32~5.s
Expiration Date
\0- 1- 20C"T'
20- 5iP/C
c- \ -2,-008'
"' Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Address
Z-331
~'PF~
City
OWNER INSTALLATION
e installation is being made on property I own which
s not intended for sale, lease or rent.
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included I JDb
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or ~ Cfj
portion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
,/
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 AmpsNolts
Reconnect Only
$ 63.00
$ 75,00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less AI I t:NTI0N: Oreaon liWJl~uJrM you to
201 Amps to 400 ArJ9.Jlow rules adopted bV~<Oreaon UtilitY
401 Amps to 600 ^ j g,tlfication center. T11Wl~ are eet forth
lLlU,'OAR 952-Qu I-\)\'I j u ihrough OM 852-4X'1.
Over 600 Amps or 10090{ oVttdtWIay'~copIee oflhe rules by
D.Branch Circuits calling the center. (Note: the telephone
number for the Oregon UtIlity Notification
New ~Ite~ation or ExtensiodmlflMC'-800.332_2344).
One CrrcUlt $ 43.00 . .
Each Additional Circuit or with
Service or Feeder Permit
$ 3.00 .
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/19/2007
VALUE: $ 265,606.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1891 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 7 - King Henry
Owner: DONALD & ALYSSA LIND SA Y
Address: 2331 33RD STREET
SPRINGFIELD OR 97478
Phone Number: 541-726-4324
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
RB N ME CONTRACTORS INC 162665
SOURCE ELECTRICAL INC 160918
USA HEATING & AIR CONDITIONING INC 154663
TOMS PLUMBING SERVICE INC 159425
BUILDING INFORMATION I
Expiration Date
01/06/2009
07/28/2008
03/10/2009
05/12/2008
Phone
541-521-8698
541-520-6466
541-942-1401
541-607-8879
# of Units: 1 # of Stories: 2 Lot Size: 6,149
Primary Occupancy Group: R-3 Height of Structure: 26.00 Sq Ft 1st Floor: 914
Secondary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 1,750
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 902
# of Bedrooms: 4 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
20.00
5.83
22.00
0.00
Overlay Dist: Total:
# Street Trees Rqd: ATTENTION: ~egon la~I.. ~~u to
. . follow rules ~toted by n Utility
Paved Dnve Rqd. Notl'fl'catl'on~ ~ Th . f h
o . r, ose ru are set ort
Yo of Lot Coverage. in OAR 952- 1- 010 through OAR 952-001.
0090. You may obtain copies of the rules by
I PUBLIC IMPROVEMENTI;:'.;dlllll\J me cernet. \NOle: metel8Jjnone
. ~. mber for the Oregon Utility Notification
, Fullv Improved ~Q~,n~MQO-332-2344). Curbside 5'
Yes Downspouts/Drains: Curb and Gutter
2
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE \F THE WORK
'AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/19/2007
VALUE: $ 265,606.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
v Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,446.00
902.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$242,154.00
$23,452.00
$265,606.00
10/12/2006
10/12/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $718.35 10/12/06 2200600000000001431
-Mechanical Issuance Fee- $10.00 5/9/07 2200700000000000690
+ 10% Administrative Fee $163.45 5/9/07 2200700000000000690
+ 5% Technology Fee $82.71 5/9/07 2200700000000000690
+ 8% State Surcharge $116.49 5/9/07 2200700000000000690
3 Baths One & Two Family $306.00 5/9/07 2200700000000000690
Addressing Assignment $31.00 5/9/07 2200700000000000690
Building Permit $1,105.15 5/9/07 2200700000000000690
Dryer Vent $6.00 5/9/07 2200700000000000690
Exhaust Hoods $9.00 5/9/07 2200700000000000690
Fire SF Fee - Residential $178.30 5/9/07 2200700000000000690
Minimum/Adjustment Mechanical $12.00 5/9/07 2200700000000000690
Plan Review Major - Planning $198.00 5/9/07 2200700000000000690
Plan ReviewIResidential Hourly $90.00 5/9/07 2200700000000000690
Sanitary Sewer - Improvement $534.34 5/9/07 2200700000000000690
Sanitary Sewer - Reimbursement $702.72 5/9/07 2200700000000000690
SDC MWMC Administration $10.00 5/9/07 2200700000000000690
SDC MWMC Improvement $961.52 5/9/07 2200700000000000690
SDC MWMC Reimbursement $91.61 5/9/07 2200700000000000690
SDC Sanitary/Storm Admin $144.24 5/9/07 2200700000000000690
SDC Transpo Admin $68.39 5/9/07 2200700000000000690
SDC Transpo Improvement $836.32 5/9/07 2200700000000000690
SDC Transpo Reimbursement $189.58 5/9/07 2200700000000000690
Storm Drainage Impervious Area $926.47 5/9/07 2200700000000000690
Vent Fan $18.00 5/9/07 2200700000000000690
Willamalane Single Family $1,000.00 5/9/07 2200700000000000690
+ 10% Administrative Fee $20.10 7/5/07 1200700000000000869
+ 5% Technology Fee $10.05 7/5/07 1200700000000000869
+ 8% State Surcharge $16.08 7/5/07 1200700000000000869
Residence Wiring 1000 Sq Ft $106.00 7/5/07 1200700000000000869
Residence Wiring Ea Addtl 500 $95.00 7/5/07 1200700000000000869
Total Amount Paid $8,756.87
Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2006-01311
225 Fifth Street, Springfield, OR ISSUED: 05/09/2007
541-726-3753 Phone APPLIED: 10/12/2006
541-726-3676 Fax EXPIRES: 12/19/2007
541-726-3769 Inspection Line VALUE: $ 265,606.00
I Plan Reviews I
Initial Review 10/13/2006 10/16/2006 APP LLH
Initial Review 04/09/2007 04/09/2007 APP LLH New plans submitted for review in
our office.
Plan Review Comments 04/03/2007 10 LLH Letter mailed requesting
information to complete plan review
See attached documents or address
file.
Planninl! Review 04/25/2007 04/25/2007 APP TAJ
Planninl! Review 10/16/2006 WE SJS Waiting for final plat
Public Works Review 10/16/2 006 10/16/2006 WE JLP Can not complete PW Review.-- No
final plat & Per Cheryl, many
inspection issues remain
un-resolved, RE: Sidewalks, Curbs,
Driveway Locations, Sanitary Lines,
and Storm Drainage.-- Waiting for
inspection "OK", and Recorded
Plat.JLP
Public Works Review 04/26/2007 04/26/2007 WE JLP Rcvd from Planning 4/26/2007---Plal
was released--Not yet filed-- Waiting
for Eng/Surveyor to file with LC &
verification from Jon D. for PW
review. JLP WI 4/26/07
Public Works Review 05/07/2007 05/04/2007 10 JLP PW rvw completed Fri 5/4/07 --
Unable to input into Tidemark due
to computer issues. JLP 10 4/7/07
Public Works Review 05/07/2007 05/07/2007 APP JLP For this parcel in King Henry
Court, it is the recommendation to
the Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H2O
systems, until the subdivision is
accepted by City Council". Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
Structural Review 10/16/2006 11122/2006 WE LLH Forwarded to Tom Rogers for
review 10/16/06. Plan review letter
from Tom Rogers 11/22/06 attached.
Additional information needed to
completed plan review.
Structural Review 11/08/2006 12/20/2006 WE LLH Additional information requested by
Rogers Engineering to complete
plan review.
Structural Review 04/27/2007 05/08/2007 APP LLH Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Pal!:e 3 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/19/2007
VALUE: $ 265,606.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/09/2007
04/27/2007
10
LLH
New drawings. Charge per hour for
review.Forwarded to the Building
Department for structural review
under contract with the City of
Springfield.
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,
l....Pe(]uire~nsDections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
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.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01311
ISSUED: 05/09/2007
APPLIED: 10/1212006
EXPIRES: 12/19/2007
VALUE: $ 265,606.00
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 during construction.
Owner or Contractors Signature
Date
Pal!e 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/,Journal Number
COM2006-013] ]
COM2006-0 13] ]
COM2006-01311
COM2006-01311
COM2006-0 1311
Payments:
Type of Payment
Check
'cReceint 1
RECEIPT #:
1200700000000000869
Date: 07/05/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PALADIN WORKS
BOOKKEEPING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6231
In Person
Payment Total:
Page I of]
11:31:03AM
Amount Due
106.00
95,00
10.05
16,08
20,]0
$247.23
Amount Paid
$247.23
$247.23
7/5/2007