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 .
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