HomeMy WebLinkAboutPermit Building 2008-6-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00786
ISSUED: 06/09/2008
APPLIED: 06/04/2008
EXPIRES: 12/09/2008
VALUE: $ 140,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5754 PUMICE PL
ASSESSOR'S PARCEL NO.: 1802033209300
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence And Garage
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-6935
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
TOP NOTCH ELECTRIC INC 172366
PACIFIC AIR COMFORT INC 39237
PLUMBING PLUS IN'UTENTION' nrt:lnM I .. ~0482
~~~'1mr6~~~~;~t~~j~!~
in OA~ 9: _ ""'1;;'. I se rules are setfoJh
0090. ~~tgiits<?01 ~ thro~gh OAR 95~-001!-ot Size:
callilMWfif or gi!WfhF@Ples of th~q:Ulhs biq Ft Ist Floor:
numw%pl~r. (NoN:i~ ~Je~ne Sq Ft 2nd Floor:
Wetm't flelegon UtIlity NotitRmtion Sq Ft Basement:
Range y;e:1-800-332-2344). Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building No Occupant Load:
License
Expiration Date
Phone
09/28/2008
03/25/2010
05/10/2009
541-317-1998
541-672-9510
541-926-3190
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
1,234
406
3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
18.00 Overlay Dist:
11.00 # Street Trees R9d:
10.72 Paved Drive Rqd:
22.00 NOT'Cfo/~. of Lot Coverage:
0.00
;~'.T>>~~
Fullv F,s ABANoON~'"i\'illlt Type:
~Q DAY PERIOD. Downspouts/Drains:
2
Yes
29.10
Curbside 7'
Curb and Gutter
Notes: Storm to curb
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00786
ISSUED: 06/09/2008
APPLIED: 06/04/2008
EXPIRES: 12/09/2008
VALUE: $ 140,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,234.00
406.00
Value
Date Calculated
Description
Total Value of Project
$129,570.00
$11,368.00
$140,938.00
06/04/2008
06/04/2008
~
Fee Description Amount Paid Date Paid Receipt Number
-Mech Iss 2+ Appliances- $40.00 6/9/08 1200800000000000612
+ 10% Administrative Fee $144.46 6/9/08 1200800000000000612
+ 12% State Surcharge $163.51 6/9/08 1200800000000000612
+ 5% Technology Fee $78.38 6/9/08 1200800000000000612
2 Baths One or Two Family $280.00 6/9/08 1200800000000000612
Addressing Assignment $35.00 6/9/08 1200800000000000612
Appliance Vent $7.00 6/9/08 1200800000000000612
Building Permit $769.62 6/9/08 1200800000000000612
Dryer Vent $7.00 6/9/08 1200800000000000612
Exhaust Hoods $10.00 6/9/08 1200800000000000612
Fire SF Fee - Residential $82.00 6/9/08 1200800000000000612
Fireplace (Listed) $17.00 6/9/08 1200800000000000612
Furnace - up to 100,000 btu $14.00 6/9/08 1200800000000000612
Gas Outlets 1-4 $5.00 6/9/08 1200800000000000612
Gas Outlets 4+ $2.00 6/9/08 1200800000000000612
Plan Review Major - Planning $205.00 6/9/08 1200800000000000612
Plan Review Same As $220.00 6/9/08 1200800000000000612
Residence Wiring 1000 Sq Ft $117.00 6/9/08 1200800000000000612
Residence Wiring Ea Addtl 500 $42.00 6/9/08 1200800000000000612
Sanitary Sewer - Improvement $469.29 6/9/08 1200800000000000612
Sanitary Sewer - Reimbursement $617.17 6/9/08 1200800000000000612
SDC MWMC Administration $10.00 6/9/08 1200800000000000612
SDC MWMC Improvement $990.39 6/9/08 1200800000000000612
SDC MWMC Reimbursement $95.35 6/9/08 1200800000000000612
SDC Sanitary/Storm Admin $127.47 6/9/08 1200800000000000612
SDC Transpo Improvement $862.25 6/9/08 1200800000000000612
SDC Transpo Reimbursement $195.48 6/9/08 1200800000000000612
SDC Transportation Admin $72.80 6/9/08 1200800000000000612
Storm Drainage Impervious Area $765.40 6/9/08 1200800000000000612
Temp Power 200 amps or less $55,00 6/9/08 1200800000000000612
Vent Fan $21.00 6/9/08 1200800000000000612
Water Line - Each Addtll00' $16.00 6/9/08 1200800000000000612
Willamalane Single Family $2,513.00 6/9/08 1200800000000000612
Total Amount Paid $9,049.57
Pa2e 2 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00786
ISSUED: 06/09/2008
APPLIED: 06/04/2008
EXPIRES: 12/09/2008
VALUE: $ 140,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
Structural Review
06/04/2008
06/04/2008
I Plan Reviews I
06/04/2008 APP
06/04/2008 APP
LKW
DLM
Storm to curb & gutter
Approved as noted on the plans.
Planninl!: Review
06/05/2008
06/06/2008
APP T AJ
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.
~eouire<Unsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete,
Vfer 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.
Vnderfloor Plumbing: Prior to insulation or decking.
Vnderfloor 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.
Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
Pal!:e 3 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00786
ISSUED: 06/09/2008
APPLIED: 06/04/2008
EXPIRES: 12/09/2008
VALUE: $ 140,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
--z:o~~
~- p-O g'
Owner or Contractors Signature
Date
Page 4 of 4
SPRINGFIELD [<-<..<:'~'".~l>
~ /0. ..c""'h--I~
~ JM- ~\~""." ;, ~,.,~i~j ~ .~~:r:~
l\~~ ~'t""1iI;J
1":'i'F.fl1<:i*",. (~ ,,~-l1;,\:j
~~\!/l<;!'-'tj\~~,,~}.l- ..""!,. y~ I ~
/ ".. ,/
IDN "'c..,( y
INITIALS ~___
DATE 0/IO/O~
SOURCE '
2251'U' uI STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FA,''': (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~2..d1J$ -~O 7~
lif'hrtI3tl~I~)~~i'~"tr~~'1 \tl ~~ - ~i'/l~'J~~lt~;lt.Vjl~"'ll.lt 1(1J~\,
'FTIXN.T: ..,)7\F(.( >1\1. B. t' Sewic~,1bt~'
2. l/f, rj;-f,rt\'~f~lt'.! .!~l' / "W~\:!'*, ~~!:? ",\,"1J,I.S;~_:\~~_~<,'_',,,_,".~.I\~! ~ ~j~!'_!)""li,,-rt.t'r..
~. ..,l,;~"'>l!..lc~,j' l....l!......'l,,~~""_,.~ '_;;...,.. 1;..1'-- ._ ~''--~ ~-~.. 1"-")--
E]ectncal Contractor -r;f)Jbkh .r-Iec 200 Amps or less
201 Amps to 400 Amps
Address ;;20819 ~.;f (. t~'l,~es '/~~~ 401 Amps to 600 Amps
___ _ _(J ..kt.It\QIt' O'e9~ IlIe 0Ie~O\~e\ \;,.:;'.601 Amps to 1000 Amps
C~ --,b~\""'tU~~ s~- _9venOOo-AmpsNo]ts
'o\\o~ ~\On cen\e~,\ 0 \,,{O\1~n ~ \"e {\ '.'. ; R.econnect Only
~o\\\\Ca: 52-00,\-0 . co?\es 0 e\P<'~
~"''i\ 9 """...~\a,~~~. \"e \:', - ~,..J('\111t':'\tr,H!~~if,117<,
S . L ,.,,..,, ".p. ~LI).\ ....., o~. - C I'~h~m "jj
upervlsor Icen ~l1lU" ~ WV \\\\\\'1 \" , . ,iI&j;"<[);,\L.II~,.d~"
Ca,\\\ng \n {\"e o{e~~O.~2-2~'"').
Exprrabon Date _nu~~ \5 \-
New Alteration or Extension Per Panel
One CrrcUlt
Each Addltiona] Crrcwt or with
/ / L 17 I Service or Feeder Penrut $ 4 00
~::: N';"; (r~ ~1 ~'~ +.-.iJ E. ,M~~li~iill~\ii"1!i'I~"": :~~~~2~::i;;~Ji~,Lii~~;'f:1"~l;.ri.i,o';;
C,ty \i,~ t\Q~~{r ~Lf1 E If mE':' _no" "-"'"'''''''"7~:;'''"'' ,,,CWo",
1l\~l\OR\IED UNDER 1~ P~~e L,ghting $ 5500
_~WNER INSTALLAT~O~U Ml'AENC~D OR \S f\~f\ND ~~!~d Energy/Resldentla] $ 28 00
The m.stallatIOn IS bemg mad~~rfBu'\)M~QP. Llillited Energy/Commer<ial- - - ------ -- -- -- $ 5000
IS not mtended for sale, lease ~I~i!nt. Mimmum Electric Permit Inspection Fee is $50.00 + Surcharges
, ,'Gl~~~ir ~~W~i" }"'1~7"'i' J lltl!': '11~1 ll"I' '''il'
4 f~1 ", n ~~ '''t, ~,J~i~L~t ...:1", ' ;L~.\t~ $
. ,I , ''(>1,,' 1"'1"i1",,!.t '",,"< "J .a.JlI
~::~~I\I~}lr~\1]tl:~.. ,1!J~ ~ _ _.. ~ ....
- 12% State Surcharge ~ _ -r . "
10% Administrative Fee::J;
5% Technology Fee ,~
...,~xr''1''r1l\ru('T'\I.,.r'''~1~1~.J'f";l...lr''''#~,~all~~1'.1~18'1Yilt''''M'''<i\' I"\l~ l""~~'l-l 'I " I' 'I" J'l'~ f!r~ 'i)
1 ~~tri~0~trolVJtJ~lmsi~ 'r' L1 '. ':ribN::J'~l:':!" \J '~~~ ~
. 1,,'" '. 'l""c":,',"'.~>r,c,.l.I~'<i:...",_.:0i.<:;,~",,, ~w'" ~. ",' , u . "._ ,,,,. , ... ", ,,' e
575-4 ~~hfrc.C ftl.
, , .
LEGAL DESCRIPTION
/'60 2... D~ ~ 2- /'J1tf 31YD
JOB DESCRIPTION.
~/NA!c ~ A1P1'. f 4~1!
- , ... '.
PermIts are non-transferable and expIre If work IS
not started within 180 days of Issuance or if work is
_ -Suspended fOl:J80-days- - - - -- -- --
Constr Contr Number
/7 '2 ~~~
:2etJ 7'
ExprratIOn Date
SIgnal 'Ie of S~pervJsm~ P.lectnclan
~ ( r. \ l -, l.i ~
-:J ~~~L~ ~ ~ \RX-l-r j~
Owners SIgnature'
Inspection Request: 726-3769
/J /; () /1):1
Date
./ /
3. l~'C'oMPM1B:m:s'clmDbfif1iELdw<~(:" ", ,
(.~" A = ~,_1..#~r("~I' 'U~~'...}.!~"",;h- ~'.'L~"'...l. ~,_ 'f '-'--
, )~,,;' ( , ' : ~ ' !-, :
\' l'~)~f~~~l~l'\r;.~\\l\[I~j;~r~lr't~~~~q~'l'11':l~llrr~rtt>>"f]l.1 ?~.Ltn~'r""~"~~'rt -;r:~~rn);l ~,' It'~ ".~..-,~ 't ,Z'# \Ii-':; ( , , I;"','
A. ")~r~~y:J;{~~iq;Nwa'f.:S!~glr~r:':M~H:i~,~hipjly':per:dwelbng> u,4n: "':,
.I,(.~ tlLl! \)~~..1.1L,..I~IJ~",trd.oJl.t..!..tlra !!'I,~,!...ll.. ,_I,~~,,,..'!_...J.!","'H..t~""l. I ,t ~ -', ,\' lL' ,
Service Included
1000 sq. ft or less
Each addItional 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modu]ar Dwellmg ServIce or
_ FeedeL.. _ __ -- -- -- - - ----
I
z
$117 00 I J 7 tH
$2100 .(2 H
$55.00
'ffi"""~I""f'~"'''' ~I"t'-' "!i"C""-''''''' rJ' ";: ~" .,tX'I"";-" .
~l I {~;w~lf,~~f~~~ll;~~t.;;1iI~ I~$ fil!<.Y\\ft~~'t{1 ~~~\~J1I~ '11~' 'f~"" )~r;l~:f1.~~iI 1\ ~\~i/( l
a tJou\\iAhera olls,;onRelocatJon:,;:/;W
h"!.W:~uJl L,,&-0~~,<!.LiJ:k.J~~~;:,!tr:l>: ~11.t ~~l ~,..L.\:l..."~_ '--;.,1 ~l.' _ ~,~,~~~:"':.nl t 1-1'
$ 70 00
$ 83 00
$]38.00
$180.00
- $413-00
$ 55 00
~1F~~~'1\tl,/;"'~~11L:\~jll:~~,' "
ifll' I r,\I~I<\ t~IJ,. filiI / I, ,,,,,[r ,I I
~U1~Ll,(t1'.:l1 ~~:!.'.l, L;}~":: ';:':~~Ii:: ,"
Installation, Alteration or Re]ocation
200 Amps or less I
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55 00
$ 76 00
$11 0 00
55~
Over 600 Amps or 1000 Volts see "B" above
! .Jl'l '1-';... Il'l.p !I""llllt I' -'~"J' Ill' , ' ,
D 'I ''':'B'1'-'1 ..q'Jl\~h~,l~' J.'tlr'l,'~"t '~'~!'., J~ u\\l''1t..;f.,.,;." ", 11':1'1' J '" '
. ~:i~,~~l' ~~q!t!~~~~~dl:~ ~~~~~~~~~~~ij'J:~li~tl:,~:~l~~{:~~\:~,,:!::~~~ I,,;
$ 48 00
roUL ~11U
Shared Dnve(T )/BUl1dmg FonnslE1ectncal Pennlt Application 1-0& doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER'
NAMEORCOMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMENT TYPE
NEW DWELLING UNITS
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x COST PER S F CHARGE
221200 $0346 = I $76540 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS SF x I COST PER S F I x I DISCOUNT RATE I'
I 0 00 I $0 346 I I 50% I '
ITEM 1 TOTAL - STORM DRAINAGE SDC '$765.40'
COM2008-00786
Hayden Homes
5754 Pumice
o
SmgIe Family Residence
1 BUILDING SIZE (SF:
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's x
I 23
B IMPROVEMENT COST.
I NUMBER OF DFU's x
I 23
COST PER DFU
$26 83
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$1,086.46
3 TRANSPORTATION
A REIMBURSEMENT COST
ADT TRIP RATE x NUMBER OF UNITS x
957 1
COST PER TRIP
2043
B IMPROVEMENT COST.
ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP
9 57 I 1 I $90 10
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I 1
1634
LOT SIZE (SF)
5603
~ 1-
m
~
Cl
o
U
~
~
t-<
m
......
o
~
1070
1091
1092
'J
1093
1094
COST PER FEU
$9535
B IMPROVEMENT COST
INUMBER OF FEU's I x
I 1 I
I COST. PER FEU
I $990.39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM '4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5 ADMINISTRATIVE FEE
I SUBTOTAL x ADM FEE RATE 1=
$4,005 33 5% I
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
$1,095.74
DISCOUNT
$000
$765.40
$617.17
$469.29
,x INEW TRIP FACTOR
I 100
$195.48
1054
1055
I 1054
11056
, $4,005.33
x I NEW TRIP FACTOR
1 100
$862.25
I
I
II
: ~
CHARGE
$200 27
u.~. _.___. ....
,_...... ..........
TOTAL SDC CHARGES
=, $4,205.60
Kaye Wilson
6/4/2008
PREPARED BY
DATE
=
$95.35
=
$990.39
$0.00
$10.00
12747
$72 80
- - - - -.-
..."- - - - --...
11079
1078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
!INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
!LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
\CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURlNAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EqUivalent Dwellmg Urnt) lS a dlscharge eqUivalent to a smgle falmly dwellmg urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
]981
1982
]983
]984
1985
1986
]987
1988
]989
1990
1991
1992
1993
1994
]995
1996
]997
1998
]999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$1 80
$159
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
$0 00 x $0 00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $0 00
TOTAL MWMC CREDIT
=
2
2
2005
= ,
$000
o
$000
Job. No. ~2IJ!J' .tro.7~
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: ~~eu ~/j~ PHONE: 2-2$-fo<1rr
ADDRESS:~F nv~~'2'TY ~)LlflJ1f1i , STATE:~ZJP: 977.r~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 5".7c; 4. ~~/eC /J t~
Plat Name: JItf~ //tebf-lJPw L Tax Lot Number: /BtJ2.. t!J ~ , 2.. f){)q 1d"D
, -
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back. }
A. Sinale-Familv Detached
NO.OF.UNITS I X $2,513 per unit = $ 2S- / :1
B. Sinale-Familv Attached
NO. OF UNITS X $2,726 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS X $2,323 per unit = $
D. Sinale Room Occuoancv
NO. OF UNITS X $1,162 per unit = $
E. Accessorv Dwellina Unit
NO. OF UNITS X $1,257 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.} $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $ 2.5" 15
DZ] h, 7, ? r.:::> c t
Development Services Department Date
City of Springfield
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
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
CO M2008-00786
CO M2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
CO M2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
COM2008-00786
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000612
Date: 06/09/2008
DescriptIOn
Plan RevIew Same As
Storm DraInage ImpervIous Area
Samtary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC Rel1llbursement
SDC MWMC Improvement
SDC MWMC AdmInIstratIon
SDC Samtary/Storm AdmIn
SDC TransportatIon Admin
BUIldIng PermIt
AddressIng AssIgnment
WllIamalane SIngle FamIly
2 Baths One or Two FamIly
Water LIne - Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
ApplIance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
FIreplace (LIsted)
~Mech Iss 2+ ApplIances~
ReSIdence WIrIng 1000 Sq Ft
ReSIdence WIrIng Ea Addtl 500
Temp Power 200 amps or less
FIre SF Fee - ReSIdentIal
Plan RevIew Major - Planmng
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
HAYDEN HOMES
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 050966 In Person
Payment Total:
Page 1 of 1
9:44:00AM
Amount Due
22000
765 40
61717
469 29
195 48
862.25
9535
990 39
10 00
12747
72 80
76962
3500
2,513 00
280 00
1600
1400
2100
700
10 00
700
500
200
1700
4000
11 7 00
4200
5500
8200
205 00
7838
16351
144 46
$9,049.57
Amount Paid
$9,049 57
$9,049.57
6/9/2008
Status
Issued
225 Filth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn LlUe
SITE ADDRESS 5754 PUMICE PL
ASSESSOR'S PARCEL NO 1802033209300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE:
COM2008-00786
06/0912008
06/0412008
01/09/2009
$ 140,938.00
SPRINGFIETYPE OF WORK SlUgle Family Residence
TYPE OF USE New
Resldeutl3l
PROJECT DESCRIPTION SlUgle Family ResIdence And Garage
Contractor License ExpIration Date
OWNER ?rYOU to
TOP NOTCH EL~GT[RIel'-NC Oregon law re~;~~& Utility 09/28/2008
PACIFIC AIR COMFPRT,IN<U:lopted by the \~~j3J set iorth 03/25/2010
PLUMBING PLViI,N~tlon Cen\~:. !~~::"r~h P\ltll\2352-001- 05/10/2009
~o~~BWiPl~~(~~~~,~1l~~I~~:Y
ca'lin~t:;~~:ecion Utility Notlftcatlpn
numb ~ellns'rlil!V6-~2-2344)'16 00
Type of Heat Forced AIr Gas
Water Type Gas
Range Type
Euergy Path
Sprlukled BillldlUg
Owner HAYDEN ENTERPRISES
Address 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
Genel al
Electrical
Mechamcal
PlumblUg
# of Umts
Primary Occupancy Group
Secondary Occupancy Group
PrImary CoustructlOn Type
Secondary ConstructIOn Type
# of Bedrooms
1
R-3
U
VB
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
1800
11 00
1072
2200
000
Street Improvemeuts
Storm Sewer Available
Speclallustrucholl
Phoue Number 541-228-6935
I CONTRACTOR INFORMATION'
Phone
541-317-1998
541-672-9510
541-926-3190
3
Path 1
No
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basemeut
Sq Ft Gal age/Carport
Sq Ft Other
Occupaut Load
406
1,234
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dlst
NOliW"'t Trees Rqd E~RK
THIg'~~MtTvSIt~ EXPIRE IF TH e\,
AU1'Yt(yR~I!l<<~ THIS PERMI1 d,OT
COMMENCED OR IS ABANDONED FOR
mMJIC !(MlJR'ijf@E~
Total
Haudlcapped
Compact
2
SIdewalk Type
Downspouts/DraIns
Fullv Improved
Yes
Notes Storm to curb
CurbSIde 7'
Curb and Gutter
Pa2e 1 of 4
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00786
ISSUED. 06/09/2008
APPLIED. 06/04/2008
EXPIRES: 01109/2009
VALUE: $ 140,938.00
225 FIfth Street, Sprlugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOu Lme
I ValuatJon DescrintJon I
Dwelhne:s
Garae:e
V Wood Frame
Garae:e
$ Per Sq Ft
or multlpher
$10500
$28 00
Square Footage
or Bid Amount
1,234 00
406 00
Value
Date Calculated
DescriptIOn
Type of CoustructlOn
Total Value of ProJect
$129,57000
$11 ,368 00
$140,93800
06/04/2008
06/04/2008
L.F~p< p~
Fee Description Amount PaId Date P dId ReceIpt Number
-Mech Iss 2+ Apphances- $40 00 6/9/08 1200800000000000612
+ 10% Admlmstratlve Fee $14446 6/9/08 1200800000000000612
+ 12% State Surcharge $163 51 6/9/08 1200800000000000612
+ 5% Technology Fee $78 38 6/9/08 1200800000000000612
2 Baths Due or Two Family $280 00 6/9/08 1200800000000000612
Addl essmg Assignment $35 00 6/9/08 1200800000000000612
Apphance Veut $700 6/9/08 1200800000000000612
BUlldmg PermIt $769 62 6/9/08 1200800000000000612
Dryer Veut $700 6/9/08 1200800000000000612
Exhdust Hoods $10 00 6/9/08 1200800000000000612
FIre SF Fee - ResIdential $82 00 6/9/08 1200800000000000612
FIreplace (LIsted) $17 00 6/9/08 1200800000000000612
Furnace - up to 100,000 btu $1400 6/9/08 1200800000000000612
Gas Outlets 1-4 $500 6/9/08 1200800000000000612
Gas Outlets 4+ $200 6/9/08 1200800000000000612
Plan Review Major - Plaumng $205 00 6/9/08 1200800000000000612
PJdu RevIew Same As $220 00 6/9/08 1200800000000000612
ResIdence Wmug 1000 Sq Ft $11700 6/9/08 1200800000000000612
ResIdence Wmug Ea Addtl 500 $42 00 6/9/08 1200800000000000612
Samtary Sewer - Improvemeut $469 29 6/9/08 1200800000000000612
Samtdry Sewer - Relmbursemeut $617.17 6/9/08 1200800000000000612
SDC MWMC AdmIDlstratlOu $10.00 6/9/08 1200800000000000612
SDC MWMC Improvement $990 39 6/9/08 1200800000000000612
SDC MWMC Relmbursemeut $9535 6/9/08 1200800000000000612
SDC Samtary/Storm Admm $12747 6/9/08 1200800000000000612
SDC Trauspo Improvement $862 25 6/9/08 1200800000000000612
SDC Trdnspo ReImbursement $19548 6/9/08 1200800000000000612
SDC Tr dnsportatlOn AdmID $72 80 6/9/08 1200800000000000612
Storm Dramage ImpervIous Area $76540 6/9/08 1200800000000000612
Temp Power 200 amps or less $55 00 6/9/08 1200800000000000612
Vent Fan $2100 6/9/08 1200800000000000612
Water Lme - Each Addtl100' $1600 6/9/08 1200800000000000612
Wlllamdlane Smgle Family $2,513 00 6/9/08 1200800000000000612
+ 5% Technology Fee $250 7/14/08 1200800000000000770
RemspectlOn Fee Electrical $50 00 7/14/08 1200800000000000770
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00786
ISSUED' 06/09/2008
APPLIED: 06/04/2008
EXPIRES. 01/09/2009
VALUE. $ 140,938.00
225 FIfth Street, Sprlugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOu LlUe
Total Amouut PaId
$9,10207
I Plan RevIews I
Pubhc Works RevIew
Structural RevIew
06/04/2008
06/04/2008
06/04/2008
06/04/2008
APP
APP
LKW
DLM
Storm to curb & gutter
Approved as noted ou the plans
PlannlUe RevIew
06/05/2008
06/06/2008
APP TAJ
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All InspectIOns requested before 7 00
a.m. will be made the same workmg day, mspections requested after 7:00 a.m. wIll be made the followmg
work day
I !?pnmrprl Tn"npptInw
EroslOn/GradlUg IuspectlOn Prior to ground disturbance and alter eroslOu measures are IUstalled
SIdewalk - Curb"de After forms are erected but prior to placemeut of concrete
FlUal GaS When all gas work IS complete.
FlUal MechaDlcal Wheu all mechaDlcal work IS complete
Temporary Electnc Approval reqUIred prior to UtIhty Company energlzlUg pole
Rough ElectriC Prior to Cover
ElectriC ServIce Approval reqUIred prior to utIhty compauy euerglzlUg servIce
FlUal Electnc When all electrical work IS complete
SIdewalk - Setback After forms are erected but prior to placement of concrete
Ufer Electrical Grouud Iustall ground rod at 100tlUg aud call for IUspectlOn IU conJunctlOu WIth footlUg aud/or
foundatIon IDspectIon
FootlUg After treuches are excavated
FouudatlOu Aftel forms are erected but prior to coucrete placement
Post ,and Beam PrIor to floor msulatlOn or deckmg
Floor IusulatlOn Prior to decklUg
Shear Wall Nalhug Before coverlUg sheathlUg WIth fiUlsh materials
FramlUg luspectlOn Prior to cover and after all rough IU IUspectIons have beeu approved
WalllnsulatlOu Prior to cover
CedlUg InsulatIOn Prior to cover
Drywall Prior to taplUg
FlUal BuddlUg After all reqUIred IUspechons have been requested and approved aud the bUlldlUg IS complete
Uudertloor PlumblUg PrIOr to IUsulatlOu or decklUg
Paee 3 of 4
-~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00786
ISSUED: 06/09/2008
APPLIED: 06/04/2008
EXPIRES: 01/09/2009
VALUE: $ 140,938.00
225 FIfth Street, Sprlugfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-37691uspectlOn LlDe
U udertloor DralD Prior to cover or placement of concrete
Rough PlumblDg Prior to cover aud IDcludlDg reqUired testlDg
Water LlDe Prior to filhug treuch aud lIIc1udlllg reqUired testlDg
SaUltary Sewer LlDe Prior to filhug trench and IDcludlDg reqUired testlDg
Storm Sewer LlDe Prior to filhng trench
FlDal PlumblDg When all plumblDg WOI k IS complete
Undertloor MechaUlcal Prior to IDsulatlOu or decklDg and IDcludmg reqUired testlDg
Uudertloor Gas After hue IS IDstalled and reqUired testlDg and capped If not attached to au apphance
Rough Gas After hue IS IDstalled and reqUired testlDg and capped If uot attached to an apphance
Gas ServIce After hne IS IDstalled and hne has beeu connected to a mlDlmum of one apphance IDcludlDg reqUired
testlDg Presure test doue at thIs pOlDt
Rough MechaUlcal Prior to Cover
By slguature, 1 state and agree, that 1 have carefully examlDed the completed dpphcatIon and do hereby certIfy that all
IDformatlOn hereou IS true aud correct, and 1 further certIfy thdt auy aud all WOI k performed shall be doue ID accordance WIth
the OrdlDauces of the City of SprlDgfield aud the Laws of the State of Oregon pertalDlDg to the work described herelD, and
that NO OCCUPANCY wIll be made of any structure Without permIssIOn ofthe CommuUlty ServIces DIVISIOn, BuIldlDg Safety
I further certify that only coutractors and employees who are ID comphance With ORS 701 005 wIll be used on thIS project
1 further dgree to eusure that all reqUired IDspectlOus are requested at the proper tIme, that each dddress IS readable from the
street, thdt the permIt card IS located at the front of the property, and the approved set of plaus wIll remalD on the site at all
tI=ZOL
p- ~ II
Owner or ContractOl s Signature
'7~ 14 ~dc{
Date
Pa2e 4 014
225 FIfth Street
Sprn;lgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00786
COM2008-00786
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #,
Df'scrlptlOn
RemspectlOu Fee Electncal
+ 5% Technology Fee
PaId By
HA YDEN HOMES
~afiIj
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
1200800000000000770
Date 07/14/2008
Item Total
<":heck Number Authorization
Received By Batch Number Number How Received
dJb 040448 In Person
Paymeut Total
Page I of I
9 44 02AM
Amount Due
5000
250
$52 50
Amount Paid
$52 50
$52 50
7/14/2008
,o~s\CA4~sJQ
I "",,;:; I'ROHSS10NAl ~
< III '"
;; QUALITY 0
! INTEGRITY ~
9 /:'~............ ..
"~ .""1 !
1~/ C? ,"l'
"'f"B~1'
~ ~~
", ,:,\"~ ,~ ~
ale1<~i~{t' .~
g c!,ntra~:<se~~s 2w
a MASCO CopJpany
'"
P.O. Box 7261 . 4564 Ridge Drive N.E. . Salem, OR 973q3
Salem: (503) 390-1200 . McMinnville: (503) 472-2311 . Fax: (503) 390-1275
Installed Insulation Certificate
We certify insulation material listed herein meeting applicable federal. slate and local
specifications has been installed at the following residence surrounding conditioned space.
R FACTOR
/1, - "5!
AREA
TYPE
INCHES/BAGS (BLOWN)
. J/.!t~) 2~ &tqs
Fe 7?
lJ)/)lv
Certified by _V,-(e)/)-f,o
. .
C C'/- 1 ~ '~ .'
b " c;t!J L( jJ tv1>1..) re-IF.
j2.--Cl-LJ:::'~S 5..1{;?-./tJ,Mj",(J! 5I1y;/J/l(',-(o!tL...
Address o{ Lot Numbet T ,.J
)--Ic: -052
Title l..ns.../-6/ J~
...