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HomeMy WebLinkAboutPermit Building 2008-6-9 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/0412008 EXPIRES: 12/09/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1832 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033209700 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 Contractor License Expiration Date Phone General OWNER Electrical TOP NOTCH ELECTRIC INC 172366 09/28/2008 541-317-1998 Mechanical PACIFIC AIR COMFORT INC 39237 03/25/2010 541-672-9510 Plumbing PLUMBING PLUS INC 904.S.~ 05/10/2009 541-926-3190 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: _ ..p.... uv- >. lNF ." -"W AiiEN dopte e se or\h iOIOW i'u\esC~{)!tSt1)we~!3 ru\e~~k 952-001- 1 ~~\i~~~~~_O<ff~~~~lI6fthe rules 'lltoo \n@ y u m~,e~<i1~ . the ~~~ft. Gas ~B~~\lin~ tne ~mtaf.T~~:~ti\ity NotlUcatlO'Cas umber ior {bat!'\.~ ~:332-2344). 3' Genl9feIFgy-J}: t'h: Path 1 Sprinkled Building No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,148 400 / DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 7.60 21.00 24.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 28.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: IPUBLICI~~~ENTSI THIS PERMIT SHALL iM~mikllf)1iU~ WORK AUTHORIZED UNDERJWf PERMlT IS ~OT COMMENCED OR IS ABA~ trd~ttrffiff' ANY 180 DAY PERIOD. Notes: Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/04/2008 EXPIRES: 12/09/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotio~ Dwelline:s Garae:e V Wood Frame Garae:e $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 1,148.00 400.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $120,540.00 $11,200.00 $131,740.00 06/04/2008 06/04/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 6/9/08 1200800000000000611 + 10% Administrative Fee $138.88 6/9/08 1200800000000000611 + 12% State Surcharge $157.37 6/9/08 1200800000000000611 + 5% Technology Fee $75.82 6/9/08 1200800000000000611 2 Baths One or Two Family $280.00 6/9/08 1200800000000000611 Addressing Assignment $35.00 6/9/08 1200800000000000611 Appliance Vent $7.00 6/9/08 1200800000000000611 Building Permit $737.40 6/9/08 1200800000000000611 Curbcut Permit $85.00 6/9/08 1200800000000000611 Dryer Vent $7.00 6/9/08 1200800000000000611 Exhaust Hoods $10.00 6/9/08 1200800000000000611 Fire SF Fee - Residential $77.40 6/9/08 1200800000000000611 Furnace - up to 100,000 btu $14.00 6/9/08 1200800000000000611 Gas Outlets 1-4 $5.00 6/9/08 1200800000000000611 Plan Review Major - Planning $205.00 6/9/08 1200800000000000611 Plan Review Same As $220.00 6/9/08 1200800000000000611 Residence Wiring 1000 Sq Ft $117.00 6/9/08 1200800000000000611 Residence Wiring Ea AddtI 500 $42.00 6/9/08 1200800000000000611 Sanitary Sewer - Improvement $469.29 6/9/08 1200800000000000611 Sanitary Sewer - Reimbursement $617.17 6/9/08 1200800000000000611 SDC MWMC Administration $10.00 6/9/08 1200800000000000611 SDC MWMC Improvement $990.39 6/9/08 1200800000000000611 SDC MWMC Reimbursement $95.35 6/9/08 1200800000000000611 SDC Sanitary/Storm Admin $129.90 6/9/08 1200800000000000611 SDC Transpo Improvement $862.25 6/9/08 1200800000000000611 SDC Transpo Reimbursement $195.48 6/9/08 1200800000000000611 SDC Transportation Admin $72.51 6/9/08 1200800000000000611 Sidewalk Permit $85.00 6/9/08 1200800000000000611 Storm Drainage Impervious Area $808.30 6/9/08 1200800000000000611 Storm Sewer Each Addtll00' $16.00 6/9/08 1200800000000000611 Temp Power 200 amps or less $55.00 6/9/08 1200800000000000611 Vent Fan $21.00 6/9/08 1200800000000000611 Willamalane Single Family $2,513.00 6/9/08 1200800000000000611 Total Amount Paid $9,194.51 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/04/2008 EXPIRES: 12/09/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review Public Works Review 06/04/2008 06/04/2008 I Plan Reviews' 06/04/2008 APP 06/04/2008 APP TAJ EW Storm water to curb Structural Review 06/06/2008 06/05/2008 APP 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. l..ReouiredJnsnections. 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. 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. Vnderfloor 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. Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/04/2008 EXPIRES: 12/09/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. ~ /2.~ , - <0 - 'l- 0 <C Owner or Contractors Signature Date Page 4 of 4 SPRINGFIELD "",,~"=-O' LON i .tl- V ,:~ .J)}/''''\'-'\'2~~1i(''~,i~~ lNlTlAl.S - n fY' ,,~~,,~,,'.,,~, ~- :!,:;t~ DATE & I J G 108' ~r'1."'''",\,;;J-p~ J,~'\.'jo !h;?5d~,~t'i..!::":... ~ ~ SOURCE I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX. (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number ~~ -t!)01~7 ft11~~~I3'~t:T'{14~I::W~~~ lr, 1 /~EQ@A.TiL([i) . ,fa: E:t~,~~;ltrf,t.~ji<:;': 3rll'''-1~lu.N , /~12.. J, ~_7ij ,PL, LEGAL DESCRIPTION /802- e>:312- JOB DESCRIPTION Date ;1 /t) /()K I,~ {~~1f"-0!lt.;\~r,j,'1j'~J~:,lI!.V."Jl~"'1 ,';~,"F'~J,~~"'!:~!~r.~411'1~1 ~~~i-Y;\:'-I\ ~'1j"l;-,t-~" ~'l~''i~~q'r~'k~l''l ;f:"' l,...,r.,\,,r, I "-,,.,rI7~\ 3. ~~I CON11:'l!ETE:~ISCHEl)'()~~BELo.,W<;'~ -/ ::,t:: :~i.i~ !,1"!r r" "f"~' ; l~;~~ 1...lJ.L~r_ _ ~~J- oJ ... M~~J."" :~;;.~ .1.. I, (u'~ ~ ~ I'.! l..l.ti.l~.:.!.l.!.t; _i_ iJ. ~:,;:'.1'" J _f...~'::,' }.'.......t"... L"~' J.~.....~~.-. ,b. _\.....:: _-t':', ' .J' ..:.- ~i ~-~~-- ~ 1';~~1~'ft:\!f.":~~,~\ft~!l~;I~-.:"lI:.tlfJ{,~~Str~1..lq~~fJ"~~,~1~, ,~,~~l,}~ ~'f~}}_~~;r.~~::~~ni',~TCf' '\I',,'j, '1~r,,~ ",1'~\.'7,f'l'~u:i;; (' j;l ,'-11 A. r'~N'ew:B:~ - id'~n'f'"' t'7-\S'ii~li'()}j'MUlp~.:Fir "1 y e' ~ dwcllin" "uri"t~", ')".' 1 ~11.:~ ~1.1.1h}b~~ ~~~ta~&.c."JVl..o::.,~~..~-J"'~"'Ill.l.~_\:'.-...!.~,~.!t "~~""Il~'J..~I~.L.~t~I~RM.r, L. ~,-, ..._M ~ \..Ll, J_ -'- 3 \ l!Yf 7th'1 Service Included 1000 sq. ft or less Each addItional 500 sq ft or portion thereof I 2- $ 21 00 $117 00 II 7"H .#2 t>.-:J !Jew ~It'~ ; u~~ Permits are non-transferable and expIre If work IS Each Manufact'd Home or not started wIthin 180 days of issuance or If work is Modular Dwelling ServIce or _ _ _ __Suspended-fOl:-180-days_-- _n ___ ____ __________ ____Fe.eder--- $55 00 '''''''~'''''''''"'~rll"''~ -n !JtWj~ !,'J!t~'~.'~'i'l~ I IJ!.1.(I ~2" ttt...l~il , ' n;v.'OAJJ'liV,l'(~ o. .' t."iv f~'..fll 'T~I\'trrl~f~Jr il....~it~Wb.Il' >J. ~~..l.~.I~:"';:~" ..'-"''\......~I~f'''f'''....''i'LHr-I!-b''.... ...~b',.,~..-.,"hf":~ "r. ...... "f!Mr.':f''l~ '1....x ~~lr.',,~~lk:jl;~\~,~,llt;'.0i .fp! ~\,~'I~\<trij\'t1~.tll,;1 +,~~J~~,l'~'/I 1\ .tl\tl,~ t bou' ~'i~'\:.lLera ~lOl1S~O nReloca tJOn:i' '>:1~' ~JJ~~/::,i!]Y;L'..~jJ:b:iL~~~~t~t~ ll:L:~'.~:.t..~~l "-::~J.;j~"::"~.1~~~~ t 1!~ Electncal Contractor ~f)J~fcj1 ["'lee Address ;;208--;9 ~ (.J- CIty ,g~?( -Phone Yo/r-3n76)'7'8 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps uver fOOo-ADlpsNohs Reconnect Only $ 70 00 $ 83 00 $138.00 $18000 ---$Ll13~OO- $ 55 00 . .L.J......oO:l\€Vf~uires you to i~' Supervlsor Llc~~t5~J:(eIN: Ore~,.r {he' Oregon UtilityC. (!~L~b<..I..\ll;,..:t,;;:iJ fo\\OI1~ r~19S aoopled uy les are set forth ExprratJon Dat~oLiilCai.lO~ 6~~seur~\'l OAR 952-001- Installation, Alteration or Relocation ill OAK \j::>t:-u . bta,in ;;ples of the rules by 200 Amps or less / Constr Contr.~~lrt~~p.r~M6!e: thet~\~pho~e 201 Amps to 400 Amps ~:mber 191; !~e Oregon UU\l1~~)llficat'on 401 Amps to 600 Amps ExprratlOn Date ~ ii 1-800-332- · Over 600 Am s or 1000 Volts see "B" above ~f;~ 11'~jV~,?;,~~ I 1tfl:~';~ ~\' . ~ , 11' \lb.. t~I".1 " .1 f' J, 1<"" ~ ~l I . (mrlj~ll~~~l1l:!~'::,:;~:.:~~: $ 55 00 ~6-() $ 76 00 $110 00 SIgnal Te of S~pervjslDg ;Electncwn 0~~~~~~ Owners N~e j U-a~ L Rc <... ~rJs Address ';:2-("5677 ~ c + City '>~ Phone ,)4 ( 'Pig ~n Pump or imgation $ 55 00 \\t.~line LIghting $ 55 00 - _~~R INST ~LA Tl~c.~';. _ _ U-~~'~t. \~ 1\1\~Ql1Energy/ReSidentl~!__ ____ ______ $ 28 00 The lD.stallatlOn IS belDl!Q(\Q~\1e~~ ~~\$ ~t.~ D ~ted Energy/CommercIal $ 50 00 ------ --- IS not mtended for sale~"\:e~O~\tt.t).\!~t S ~~~~QO~n1mum Electric Permit InspectIOn Fee is $50.00 + Surcharges ~\J1 t.\Ccn OR " 1':'1[;-'1 l\~l\~t\~ \;.V Ot) 4 .[ '\~ ~ Owners Signature. CO\\I\\'J\ ('\ r,.'\.1 oCR\.. ," ,:--, ~!'~\;?J. tf-i 11.1\\" "'8Q Vr" r\;. :li. .ill~II' l'Jd ..G:-?c-_~. ....\'\11 \ - 12% State Surcharge ~ ~ Cl'. 10% Arlmini.strative Fee ?~.,eO 5% Technology Fee /n. ?D , TOTAL 2-2/. 7' Shared Dnve(T )/BUlldmg FonnslElectncaJ Pemllt Application] -08 doc New Alteration or Extension Per Panel One Crrcuit Each AdditlOnal Crrcwt or WIth Service or Feeder Permit $ 48 00 $ 400 E ~il~~~IH:01~~rl:qfl~~~~~~~;J.i~~~1l11~J1j~li!~I~!:~~':jl;"1!J.';1f 1~~~"1;1~~I~~~l'i,,'V\\I~; 1'1~1 j;~ill;:lj; ',t~/,:l~~i ,:' ::; \ :1:l1 ~~'~ ,I,' II1X):j j T ') , J p '\\ . r'),;! -!i1s'F:'I;~ ~ n~O.~Sn ~~J:.Vi<;e1:re'cd'~17,~nO t!,ill'c)'ti ded~,~Each!c..:'l1s fu ihi hOltl WJ..&JLlI.il'~\~.k1i.F.r..f2i~!:!hltJ~Jlw:!:..ml!!ll'.1.::.~lilr{f~~:~i.Ui...!lh)tr~~'::I\~~U~ tli::.t...l~lAOOI~I~'i...\:::d~ }~~)'.!.l&h:~J l'..nAL J.!:{~lJ~..~ Inspection Request: 726-3769 " CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY 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 2336 00 $0 346 = $808 30 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F x I COST PER S F I x DISCOUNT RATE I I 0 00 i $0 346' 50% '"' I C0M2008-00787 Hayden Homes 1832 S 57th Place 1802033209700 Single Farody Residence 1 BUlLDING SIZE (SF' 1940 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DfU's I x I 23 I r COST PER DFU I $26 83 B IMPROVEMENT COST I NUMBER OF DFU's x l 23 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 I NUMBER OF UNITS I x I 1 I B IMPROVEMENT COST ADT TRIP RATE J x I NUMBER OF UNITS x I 9.57 I I I ITEM 3 TOTAL - TRANSPORTATION SDC = , 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST: INlJMBER-oF-FEtJ's- x COSJPER-FElj I 1 $9535 B IMPROVEMENT COST INUMBER OF FEU's x I 1 ICOST PER FEU I $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBT9T AL (ADD ITEMS 1,2,3, & 4) = I $808.30 = , $1,086.46 LOT SIZE (SF) DISCOUNT $000 COST PER TRIP 2043 x NEW TRIP F ACTOR I 100 I = I COST PER TRIP $90 10 $1,057.73 x INEWTRIPFACTOR I 1 00 = , $1,095.74 I L -- - - $4,048.23 5 ADMINISTRATIVE FEE SUBTOTAL x ADM. FEE RATE $4,048 23 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Eric Walter PREPARED BY DATE CHARGE $202 41 = , '"" =1 5401 $808.30 = , $617.17 TOTAL SDC CHARGES = I $4,250.64 .-:~ $469.29 $195.48 $862.25 = $95.35 $990.39 $0.00 $10.00 12990 $72 51 VJ ~ ~ o u ~ ~ f-< VJ >-< o ~ ,I , 1070 1091 1092 1093 1094 1054 1055 1054 1056 1079 i 1078 Job. No.UtJ,t1Z#f:Jg-lJO 7~ 7 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: ~ hJ~AI ~ t::"-f PHONE: :;2.z.g -~~-_~ r ADDRESS:~~ SJV 6~<<CITY ,(~tJrJl STATE:~ZIP:_'7zr~ /Il. LOCATION OF PROPOSED BUILDING SITE: Street Address: 11J., 2- 'S. 51!JJ /I L · Plat Name:-.JM~tJt /KCi4-OLJUf Tax Lot Number: j"()2.0t.32.L>97l)O J 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) , A. Sinale-Familv Detached NO. OF UNITS / X $2,513 per unit = $25/3 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 Occuoanc'{ 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) $ 25/3 b I 7 11?~ Date , ~--P"6. Development Services Department 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 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 CO M2008-007 87 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 COM2008-00787 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000611 Date: 06/09/2008 DescriptIOn SDC TransportatIOn AdmIn Plan Review Major - PlannIng + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Curbcut PermIt SIdewalk PermIt Plan ReVIew Same As BUildIng PermIt AddressIng AssIgnment WIllamalane Single Family 2 Baths One or 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 -Mech Iss 2+ ApplIances- ResIdence WIrIng 1000 Sq Ft ResIdence WIrIng Ea Addtl 500 Temp Power 200 amps or less FIre SF Fee - ResIdential 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 Samtary/Storm AdmIn Paid By HAYDEN HOMES Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 074869 In Person Payment Total: Page I of 1 9:39:12AM Amount Due 72 51 205 00 7582 15737 13888 85.00 8500 220 00 73740 3500 2,51300 280 00 1600 1400 2100 700 10 00 700 500 4000 117 00 4200 5500 77 40 808 30 61717 469 29 195 48 862 25 9535 990 39 10 00 12990 $9,194.51 Amount Paid $9,19451 $9,194.51 6/9/2008 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/04/2008 EXPIRES 01/14/2009 VALUE: $ 131,74000 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 luspectlOu Lme SITE ADDRESS 1832 S 57TH PL ASSESSOR'S PARCEL NO 1802033209700 SPRINGFIETYPE OF WORK Smgle Family ResIdence TYPE OF USE New Resldeutlal PROJECT DESCRIPTION Smgle Family ResIdence dnd Garage Owuer HAYDEN ENTERPRISES Address 2622 SW GLACIER PL #110 REDMOND OR 97756 Phoue Number 541-228-6935 I CONTRACTOR INFORMA nON I Contractor Type Contractor LIcense ExpIratIOn Date Phone Geueral OWNER Electrical TOP NOTCH ELECTRIC INC 172366 09/28/2008 541-317-1998 Mechamcal PACIFIC AIR COMFORT INC 39237 03/25/2010 541-672-9510 Plumbmg PLUMBING PLUS INC 90482 05/10/2009 541-926-3190 3 BUILDING INFORMA nON I _.,.~ Tl()N Oregon law reqUires Y0 ~~ 1# oHilones' do ted by the Oregpn 0 lZe j(He,glfr\lf~t\,c&rerhose rul~1f se~ ! 1st Floor 1~'I:rPe'itli~.%1'-'001 <f\irlledQtiAm95u'- e 2nd Floor tn\VMr'l.rmay obtain cOpies qI;~e r h Basemeut OR~e~'f'1f\W'Center. (Note t~e ~e ~I~C fullt Garage/Carport Iffi'J~~~rMjlhe Oregon Utl\J'i~.t.~4~ q Ft Other ~'f[Ul1'l9&WIl'Bg\-800-332~~ ). Occupant Load I DEVELOPMENT INFORMATION I 1,148 # ofUmts Primary Occupancy Group Secoudary Occupancy Group Primary ConstructIOn Type Secondary ConstructlOu Type # of Bedrooms 1 R-3 U VB 400 REQUIRED PARKING Froutya. d Setback Side 1 Setback Side 2 Setbdck Redryard Setback Solar Setbacks 1800 760 2100 2400 000 Overlay Dlst # Street Trees Rqd Paved Dllve Rqd % of Lot Coverage 2 Yes 2860 Total Haudlcapped Compact 2 Notes I PUBLIC IM~~~n!YlENTS' THE WORK ~H\S PERMIi SH"'ll Wi~~€~ IS NOT AU1HORIZED UNDE: J!Zmq~t\6MQ~ COMMENCED OR \ ANY 180 DAY PERIOD. Street Improvements Storm Sewer Available SpecIal InstructIOn Page 1 of4 -~~ Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectlOu Lme DescrlPtlOu Dwelhnes Garaee Tvpe of Constructlou V Wood Frame Garal!C Fee DescrlPtlOu -Mech Iss 2+ Apphances- + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee 2 Baths Oue or Two FamIly Addressmg AssIgnment Apphauee Vent Bmldmg Permit Curbcut PermIt Dryer Veut Exhaust Hoods FIre SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan RevIew MdJor - Plaumug Piau RevIew Same As Resldeuce Wmng 1000 Sq Ft ResIdence Wmug Ea AddU 500 Sdmtary Sewer - Improvemeut Samtary Sewer - ReImbursement SDC MWMC AdmmlstratlOn SDC MWMC Improvement SDC MWMC Relmbursemeut SDC Samtary/Storm Admm SDC Transpo Improvement SDC Trduspo ReImbursement SDC TransportatIOn Admm SIdewalk PermIt Storm DI amage ImpervIOus Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Veut Fan Wlllamalaue Smgle FamIly + 5% Technology Fee RemspectlOn Fee Electrical I ValuatJon DescrmtlOn , $ Per Sq Ft or multlpher $ 105 00 $28 00 Amount PaId $40 00 $13888 $15737 $75 82 $280 00 $35 00 $700 $73740 $85 00 $700 $1000 $77 40 $1400 $500 $205 00 $220 00 $11700 $42 00 $469 29 $61717 $1000 $990 39 $95 35 $12990 $862 25 $19548 $72 51 $85 00 $808 30 $16 00 $55 00 $21 00 $2,513 00 $250 $50 00 Square Footage or BId Amouut 1,14800 400 00 Total Value of Project F~Pf P~1lU Date Paid 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 7/14/08 7/14/08 Paee 2 of4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00787 ISSUED: 06/09/2008 APPLIED: 06/04/2008 EXPIRES: 01/14/2009 VALUE: $ 131,740.00 Vdlue Date Calculated $120,54000 $11,20000 $131,74000 06/04/2008 06/04/2008 ReceIpt Number 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000611 1200800000000000771 1200800000000000771 -ii:~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00787 ISSUED' 06/09/2008 APPLIED. 06/04/2008 EXPIRES: 01/14/2009 VALUE: $ 131,74000 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 luspectlOn Lme Total Amount Paid $9,24701 Plan ReVIews I Planum!! ReView Pubhc Works ReVIew 06/04/2008 06/0412008 06/0412008 06/04/2008 APP APP TAJ EW Storm water to curb Structural ReView 06/0612008 06/06/2008 APP DLM To Request an IDspechon call the 24 hour recording at 726-3769. All inspectIOns requested before 7:00 a.m. wIll be made the same workmg day, mspectlOns requested after 7'00 a m will be made the followmg work day I R.,m~<rn~rl'n~ Ufer Electrical Ground Install ground rod at footmg and call for mspectlOu m COUjuuctlOn wIth footmg aud/or fouudatlOn mspechon Footmg After treuches are excavated FoundatlOlI After forms are erected but prIOr to coucrete placement Post and BeJm Prior to floor msulatlOn or deckmg Floor lusulJtlOn Prior to deckmg Shear Wall NaIlmg Before covermg sheathmg with fimsh mJterlals Frammg luspectlOn Prior to cover aud after JII rough m mspectlOus have beeu apploved Wall IusulatlOu Prior to cover Cedmg InsulatIOn Prior to cover Drywall Prior to tapmg Fmal BUlldmg After all reqUIred mspectlOns have heeu requested Jud approved and the bUlldmg IS complete Uuderfloor Plumbmg Prior to msulahou or deckmg Underfloor Dram Prior to cover or placement of concrete Rough Plumbmg Prior to cover aud mcludmg reqUIred testmg Water Lme Prior to filhng trench Jnd mcludmg reqUIred testmg Samtary Sewer Lme Prior to filhug treuch Jnd mcludmg required testmg Storm Sewer Lme Prior to filhng treuch Fmal Plumbmg When all plumbmg work IS complete Uuderfloor MechamcJI PrIor to msulahou or deckmg aud mcludmg reqUIred testmg Undertloor Gas After hne IS mstalled aud required testmg and cJpped If not attJched to In apphance Rough Gas After hne IS mstalled aud reqUIred testmg Jnd capped If not attached to an apphance Pa2e3 of 4 -~ CITY OF SPRINLnJ<..LD Building/Combination Permit Status Iss u ed PERMIT NO ISSUED. APPLIED: EXPIRES: VALUE: COM2008-00787 06/09/2008 06/04/2008 01/14/2009 $ 131,74000 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-37691nspectlOn Lme Gas ServIce Aftel hne IS mstalled and hue has been conuected to a mlUlmum of one apphauce mcludmg reqUIred testmg Presure test done dt thIS pOlllt Rough MechaUlcal Prim to Cover FlDdl Gas Wheu all gas work IS complete FlDal MechaUlcal Wheu all mechaUlcal work IS complete Temporary ElectriC Approval requIred prIOr to UtIlity Compauy energIZIng pole Rough ElectriC Prior to Cover ElectriC ServIce Approvdl reqUIred prior to utIlity company euerglZlng service Fmdl ElectriC When all electrlcdl work IS complete EroslOn/Gradmg InspectIOn PrIOr to ground dIsturbance and after erOSIOn measures are mstalled SIdewalk - Curb"de Alter forms are erected but prior to placement of coucrete Curbcut - Standard After forms are erected but prior to placemeut of coucrete By sIgnature, 1 state and agree, that 1 have carefully exammed the completed applicatIOn and do hereby certify that all mformatlOn hereou IS true and correct, and 1 further certify that auy and dll work perf 01 med shall be done m accordauce WIth the Ordmances of the CIty of Sprlugfield and the Laws of the State of 01 egon pertalDmg to the work described herelD, and that NO OCCUPANCY will be made of any structure WIthout permlsslOu of the CommuUlty ServIces DIvISIon, BUlldmg Safety 1 further certify that only contractors and employees who are m compliance With ORS 701 005 will be used on thIS project 1 further agree to ensure thdt all reqUIred mspectlOns are requested at the proper time, that edch address IS readable from the street, that the permit card IS locdted at the front ofthe property, and the approved set of plans WIll remalD ou the sIte at all times dunng constructIon /~A__ 7-/4--025 ~ Owner or Contractors Slgndture Date Pa!!e 4 of 4 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00787 COM2008-00787 Payments Type of Payment CredltCard cReCClOll RECEIPT #. DescnptlOn RemspectJon Fee ElectrIcal + 5% Technology Fee PaId By HA YDEN HOMES ~~ CIty of Sprmgfield OffiCIal Receipt Development ServIces Department PublIc Works Department 1200800000000000771 9 42 52AM Date. 07/14/2008 Item Total Check Number Authorization Received By Batch Number Number How Received Amount Due 5000 250 $52 50 Amount Paid dJb $52 50 $52 50 040448 In Person Paymeut Total Page 1 of I 7/14/2008 08/08/2008 08 18 5033901275 GALE CONTRACTOR SVCS PAGE 01/05 I ~~ ~ I !' ,"0'''''0.'' "'" I .~ ~ (It::::::) /11rga e i. 'j ...... ('6 contractor services ~ IIIiJ a MASCO Company 1If~ POBox 7261 . 4564 Ridge Or/ve N E . Salem, OR 97303 Salem (503) 390-1200 . McMlnnvllle (503) 472-2311 . Fax (503) 390-1275 11 Installed Insulation Certificate R FACTOR !? J$ 11~ We certIfy insulatIon m<HenaJ lJ!lted herem meeting apphcdble federal stale and local specifications ha~ been Installed at the followmg residence -.urroundmg conditioned space AREA TYPE INCHES/BAGS (BLOWN) _ / 7': 1~/J2~ f3C/<J5 J).15 g.eO ~S Fen EltJvv /? "'.VY1 Co ~ IK32 S ?t T)} S T C;)'r, rJ:::.,P,drL Address or lOI Number 7- -Ic'-DX' J -~ _ _ _ P,odUClIOI1 Mal1ngcl G.lle Contractor ScrVICC~ 503-390-1200 OJ ,,~ l..n~ j~~) U t J (i J . ------ -