HomeMy WebLinkAboutPermit Building 2007-03-08Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00095ISSUED: 0310812007APPLIED: 0112212007EXPIRES: 09/0812007VALUE: $ 173,437.00
SITE ADDRESS: 5769 MONTCLAIRE WAY
ASSESSOR'S PARCEL NO.: 1802030002300
PROJECT DESCRIPTION:
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
single family residence -Jasper MDS 3add 4ph lot 157 SAME As coM2006-01047
5791 Peridot Wy
PhoneNumber: 541-228-6935Owner:
Address
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES INC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
License
92208
67362
Expiration Date
07t29t2007
06n9t2007
03125t2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
CONTRACTOR INFORMATION
PACIFIC
DENNIS
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ubdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
! i tLilv ,'ii.iliif #|3ILI iit
the
Notificat
3
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,156
1,579
400
Energy Path:
Sprinkled Building:
I
Path I
nla
N(lTIGE:
Hffi,','-l*f
e0il[M EN C ED 0A dSABghr'&8mE0 FOR
At{T180 DAY PERIOD.
Fully Improved
Yes
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
HE WORK
IT IS NOT
I
No
35.80
Sidewalk Type:
Downspouts/Drains:
Notes: For this parcel in Jasper Meadows Phase 4, 3rd Addition, it is the recommendation to the Building Division, by the
City Engineer: "that final occupancy should not be granted until the subdivision is accepted by City Council".
Storm to curb & gutter.
PUBLIC IMPROVEMENTS
Paee I of4
d
rr.D v tllJt rlvr[t.I I tl\ [ Lrx.lvlA I l(r1\ |
Status Issued
225Fitth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00095ISSUED: 0310812007APPLIED: 0112212007
EXPIRES: 09/0812007VALUE: $ 173,437.00
Valu ation f)escrintion
Description
Dwellinss
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,579.00
400.00
Value
$162,637.00
$10,800.00
$173,437.00
Date Calculated
0u2212007
0u22t2007
Fee Description
Plan Review Same As
+ l0o/o Administrative Fee
+ 5%o Technology Fee
+ 87o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
PIan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo lmprovement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Amount Paid
Total Value of Project
Date Paid Receipt Number
1200700000000000058
12007000000000002s0
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
12007000000000002s0
1200700000000000250
1200700000000000250
1200700000000000250
12007000000000002s0
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
12007000000000002s0
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
1200700000000000250
$200.00
$148.4r
$85.66
$110.81
$306.00
$31.00
$12.00
$806.1s
$80.00
$6.00
$9.00
$98.9s
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$38.00
$474.97
$624.64
$10.00
$961.s2
$91.61
$134.84
$69.3s
$836.32
$189.58
$80.00
$895.09
$s0.00
$24.00
$2,303.00
u22t07
3t8t07
3t8t07
3t8107
3t8107
3t8t07
3t8,t07
3t8107
3t8t07
3t8t07
3t&t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
318107
3t8t07
3t8t07
3t&t07
3t&t07
3t&t07
3t8107
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
Fees Pnid
Total Amount Paid $8,978.90
Paee 2 of 4
\,
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00095ISSUED: 0310812007APPLIED: 0112212007
EXPIRES: 09/0812007VALUE: $ 173,437.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
0U2312007
0u23t2007
0u23t2007
02t20t2007
0u23t2007
02t2712007
0u2612007
02t20t2007
WI JLP
APP JLP
APP
APP
LLH
TAJ Survey required because of
minimum side setbacks.
I backyard tree is required to be
planted. Choose a tree from page
6-3 ofthe street tree handout for
planter strips 8-12' wide.
Rcvd 1/26l07--Waiting in order PW
rcvd for rvw.JLP
For this parcel in Jasper Meadows
Phase 4, 3rd Addition, it is the
recommendation to the Building
Division, by the City Engineer: "thal
final occupancy should not be
granted until the subdivision is
accepted by City Council". Storm
H2O to curb & gutter.JlP
Structural Review 0u23t2007 02t28t2007 APP RWC
To Request an inspection call the24 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.
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing 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.
red fnsnecfions
Page 3 of4
d
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00095ISSUED: 0310812007
APPLIED: 0112212007
EXPIRES: 09/0812007VALUE: $ 173,437.00
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building [nspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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.
3- f,- o2
Owner or Contractors
Pase 4 of 4
Date
i,:
Signatu?/
CITY OF SrtilNGFlELD SYSTEMS DEVELOPMEN, JITORKSHEET
JOURNAL OR JOB NUMBER: COM2007-00095
I. STORM DRAINAGE
DIRECT RT]NOFF TO CITY STORM SYSTEM
BUTLDTNG SIZE (SF) 1980 LOT SIZE (SF):
CHARGE
$895.09
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING TINITS
B. IMPROVEMENT COST:
NUMBER OF DFU's
24
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$4,083.73
Ent
5769 Montclaire
Meadows Ph4 3rd Add - Lot # 157
SINGLE FAMILY RESIDENCE
5516
IMPERVIOUS S.F
2667.00
RLINOFF ROUTED TO DRYWELL
IMPERVIOUS S.F
0.00
ITEM I TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBURSEMENT
COST PER S.F
$0.336
COST PER S.F.
s0.336
COST PER DFU
$26.03
$ r 9.79
NT]MBER OF LINITS
I
NUMBEROF L'NITS
I
ADM. FEE RATE
5'/o
DISCOT]NTRATE
s0%
$89s.09
DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x
x
x
x
x
x
x DISCOLINT
$0.00
ITEM 2 TOTAL - CITY SAITITARY SEWER SDC
3. TRANSPORTANON
A. REIMBT]RSEMENT COST:
xx
xx
COST PER TRIP
$ 19.81
COST PER TRIP
s87.39
$1,025.90
NEW TRIP FACTOR
r,00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRAI\SPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBI.-]RSEMENT COST:
NIIMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDITIF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SAI\-ITARY SEWER SDC
SLIBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
CHARGE
$204.19
TOTAL SANITARY ADMINISTRATION FEE:
TOTALTRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw 212012007
NUMBER OF DFU'S
24
$E9s.09
$624.64
$189.58
$836.32
$9r.61
$0.00
134.84
5
$4,287.92
1070
l09l
1092
1093
1094
1055
I 056
I 078
a
E]
t-to(-)
&rI]FV)
or!&
1
COST PER FEU
$9r.61
COST PER FEU
$96r.52
063.13
083.73
PREPARED BY DATE
TOTAL SDC CHARGES
x
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNTI EQUTVALENT: DRAINAGE FXTURE LINTTS
FOR CALCULATE ONLY THENET ADDITIONAL
NO. OF FTXTURES
LINIT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TI]RE UNITS
isa toa mit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COI]NTY ASSESSED VALUE
20
DRAINAGE
FTXTT'RE
UNITS
0
2
2
1979
*EDU
BEFORE 1979
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
1979
l98l
I 980
$5.29
$5.1 I
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80----T1se-
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
1982
I 983
I 984
x1985
I 986
1987
1988
1989
1990
t99t
1992
1993
1994
I 995
1996
1997
I 998
1999
2001
VALUE / IOOO
$0.00
CREDITRATE
$5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $s.29
TOTAL MWMC CREDIT
BATHTUB 2 0 3 6
DRINKING FOLTNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
TNTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0
LAUNDRY TUB 0 0 2 0
CLOTHESWAS}#R / MOP SINK 1 0 3 3
CLOTI{ESWASIIER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWER, SINGLE STALL 0 0 2 0
sHowE& GANG OUMBER OF HEADS)0 0 2 0
SINK: COMMERCTAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASTN/DOTIBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBIiIC INSTALLATION 0 0 b 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
24
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
2Z5FIF-rHSTREET. SPRINGFIELD.OR97471 . Ftl:(54I)726-3753 cFAl{:(S41)72C36E9
ELE,CTRICAL PERMIT APPLICA?TOjV
City Job Number
ICiFI ELE
Date
zoN t-n
INITTALS
DATE
SOURCE
1. 'l 3.
LEGAL DESCRIPNON
tgD1J)3?@
A-
E;.
).9)
JOB DESCRIPTION \q1 q
Se.rvice lincluded
lcf00 sq. ft. or less
Each additional 500 sq. ft. on
portion tirereof
Each Manufact'd Homc or
Modular Dwelling Service or
Feeder
$rod.oo lil!'e
$ 1e.00 3B.ot
Permits non-tra expire if work is
not started within 180 days of issuance or if work is
Suspended for n80 rlays.
. r::,,.,
$50.00
$ 63.00
$ 75.00
s125.00
$163.00
s375.00
$ 50.00
s s0.00
$ 69.00
s100_00
$ 43.00
$ 3.00
1
Elecrrical Confizctor '{ltnl *d.ic >ru
Address Jqzl1 Xg1 31 l4
Ciry Phone SLll-75'l'b11l
200 Anrps or less
201 Amps to 400Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps^/olts
Re*onnect Only
cr.
20C Amps or less
201 Anps to 400 Amps
'401 Amps to 600 Amps
or 10C0 Voits see'B" above.
New Alteration or Extension Per Panel
One Cucuit
Each Additional Circuit or with
Service or Feeder Permit
E. i'
totSupervisor License }lumber
Expiration Dath o
Const. Contr. Number
r(
h
Inst*llation, Altr:ration or Relocation
l d
h
E>rpiration Date
Signature of Supervising Electricim
!'tl
D.
NO CF
Owners Name
^Address UT,
vt
Phone
hR/00
,DONF
Ft
tttt 8(irrigation
Lighting
$ 50.00
$ s0.00
$ 2s.00
$ 45.00
City
fi
OWNER INSTAILATIOI.I
The installatisn Lr being made on properry I owo which
is uot inteuded for saie, lease or renL
Orrmers Sigaaurre:
Inspection Request: 72G37 69
Energl,/F.esidential
Limited Energly'Commercial
Minimurn Electric P'ermit Inspection Fee is $45.00 + Surcharges
4. ,;94 d)
\SSI)-8% State Surcharge
10,% Administrative Fee FND
T€fFAh-5c/o
C\.-1D
Shared Driv(T:)/Buiidins FormsElctrical Permit AnRlicatfrn I {6.doc
.93StP'J-
68989ZZIrS XY.{ 60:0I illJ SA/Tl/LAroo E o'IilidcNr[ds J0 rJ,lc
A
Al lr
may obtain 50
Dy
fLrr
--_----
225 Fifrh Street
Springfield, Oregon 97 477
541-726-3759 phone
*-n ,f Springfield Official Receipt
- rvelopment Services Departmeit
Public Works Department
RECEIPT #:1200700000000000250 Date: 0310812007 2:27:30pNrJob/Journal Number
coM2007_0009s
coM2007-0009s
coM2007_00095
coM2007-00095
coM2007_00095
coM2007_0009s
coM2007_00095
coM2007_0009s
coM2007_00095
coM2007-00095
coM2007_00095
coM2007-0009s
coM2007_0009s
coM2007_00095
coM2007-00095
coM2007_00095
coM2007-00095
coM2007-00095
coM2007_00095
coM2007-0009s
coM2007-00095
coM2007_00095
coM2007-00095
coM2007_00095
coM2007-00095
coM2007-00095
loM2007-00095
loM2007-00095
loM2007-00095
loM2007-0009s
)oM2007_00095
:oM2007-0009s
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Adminisrration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
+ 5oZ Technology Fee
+ 8% State Surcharge
+ lUYo Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Amount Due
3l.00
2,303.00
98.95
80.00
80.00
(30.00)
895.09
624.64
474.97
189.58
836.32
91.61
961.52
10.00
t34.84
69.35
198.00
806. I 5
306.00
12.00
t2.00
24.00
9.00
6.00
4.00
12.00
85.66
l 10.81
148.41
106.00
3 8.00
50.00
Item Total:ayments:Numberrpe of Payment paid By Received By Batch Number Number How Received Amount PaidreckHAYDEN ENT djb 30827 In Person
Payment Total:
$8,778.90
$8,779.90
eintl Page I of 1
31812007
-s87ffi0-