HomeMy WebLinkAboutPermit Building 2007-01-31Status 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: COM2006-01595ISSUED: 0113112007APPLIEDz 1211212006
EXPTRES| 07t3u2007VALUE: $ 134,745.00
SITE ADDRESS: 5777 Montclaire Way Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802030002200
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence -3rd add ph4lot 156 Same as COM2006-00840 1477 S 58th St
PhoneNumber: 541-228-1081Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
2622 SW GLACIER PL #I1O
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
t42776
Expiration Date
0712912007
06n912007
03t25t2010
0s/0s/2010
Phone
541-228-1081
541-754-6171
s41-672-9510
541-459-0110
# 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;
Street Improvements:
Storm Sewer Available:
Special Instruction:
Range Type:Day 0g /s
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Ft 2nd Floor:
)/ou to
arport
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
5,484
1,235
480
Curbside 5'
Curb and Gutter
II
nla
#of r
R-3 S,g4 I
U
VB
3
20.00
s.00
s.00
35.50
0.00
I
of I
Fully Improved
Yes
DEVELOPMENT INFORMATION
Notes: Storm H2O to curb & gutter.JlP
Paee I of4
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: COM2006-01595ISSUED: 0113112007APPLIED: 1211212006
EXPIRESz 0713112007VALUE: $ 134,745.00
Description
Garage
Tvpe of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 480.00
Total Value of Project
Amount Paid Date Paid
Value
$12,480.00
$12,480.00
Date Calculated
12n8t2006
Fee Description
Plan Review Same As
-Mechanical lssuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
$200.00
$r0.00
$128.62
$76.42
$96.03
$254.00
$31.00
$6.00
$12.00
$679.40
$80.00
$6.00
$85.75
$1s.00
$12.00
$4.00
$198.00
$-30.00
$106.00
$38.00
$474.97
$624.64
$10.00
$961.52
$91.61
$125.23
$70.43
$836.32
$189.58
$80.00
$724.60
$s0.00
$18.00
$1,ooo.oo
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U3u07
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U3U07
U3u07
u3U01
Receipt Number
2200600000000001689
r200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
r200700000000000098
1200700000000000098
r200700000000000098
r200700000000000098
1200700000000000098
1 200700000000000098
r 200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
r200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
1200700000000000098
Fees Paid
Total Amount Paid s7,265.12
Pase 2 of 4
Valuation Descrintion I
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: COM2006-01595ISSUED: 0113112007APPLIED: 1211212006EXPIRES: 07/3112007VALUE: $ 134,745.00
Plan Reviews
Initial Review
Plannine Review
Public Works Review
Public Works Review
Structural Review
12n312006
12fi8t2006
12t18t2006
0ut2t2007
12n812006
12n812006
0u30t2007
0u04t2007
0u12t2007
0u29t2007
LLH
TAJ
JLP
JLP
DLM
APP
APP
WI
APP
APP
Survey required because of
minimum side setbacks.
I backyard tree is required to be
planted per agreement between
Mark V and Andy L dated 7121106.
Choose a tree from page 6-3 ofthe
street tree handout for planter strips
8-12' wide, at least 2" caliper tree.
No occupancy is allowed until the
tree is planted. Contact Tara Jones,
736-1003 when ready to inspect.
Waiting in order rcvd for rvw.JLP
Storm H2O to curb & gutter.JlP
See docvuments for Plan review
comments
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewatk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Paee 3 of4
Reouired Insnecttons I
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: COM2006-01595ISSUED: 0113112007APPLIED: 1211212006
EXPIRES: 0713112007VALUE: $ 134,745.00
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
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.
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 properfy, and the approved set of plans will remain on the site at all
times during construction.
/- sz* o2
Owner or Contractors Signatu
Page 4 of4
Date
*Z
JOI-IRNAL ORJOB
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENTTYPE:
NEW DWELLING TIMTS
I. STORM DRAINAGE
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT . JRKSHEET
595
Ent
5777 Montclaire
Mdws Lot# 156
SINGLE FAMILY RESIDENCE
BUU-DrNG SIZE(SF. 1277 LOT SIZE (SF)
STORM SYSTEM
548/.
DIRECT RI.]NOFF TO CIry
I nvPER\rlOUS Sf.-
| 21s9.00
IMPERVIOUS S.F
0.00
NLIMBER OF DFU's
24
COST:
COST:
COST PER S.F
s0.336
COST PER S.F.
$0-336
CHARGE
$724.60
DISCOIJNTRATE
50o/o
s724.60
DISCOLINT
$0,00
x
x
x
x
x
x
x
x
RUNOFF ROUTED TO DRYWELL DESIGNEDAND CONSTR UCTED TO CITY STANDARDS
x
ITEM l TOTAL- STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A REIMBLIRSEMENT COST:
B.
COST PER DFU
$26.03
$19.79
NTIN{BER OF T]NITS
I
NUMBER OF UMTS
I
ADM. FEERATE
5o/o
COST PER TRIP
$19.81
COSTPER TRIP
$87.39
NEWTRIP FACTOR
1.00
ITEM 2 TOTAL - CITY SANTTARY SEWER SDC $1,099.61
3. TRANSPORTATION
COST:
xx
A
B.
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A COST:
B. IMPROVEMENT COST:
NIIMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3,& 4\
5. ADMINISTRATIVE FEE:
SUBTOTAL
s3,913.24
TOTAL SA].{ITARY ADMINISTRATION FEE:
TRANSPORT
Jeff Prociw Ut2/2007
CTIARGE
$195.66
FEE:
NUMBER OF DFU's
24
TRIP F
1.00
$474.97
$961.52
$10.00
125.23
108.90
I 070
l09l
1092
I 093
1094
1054
I 055
l 056
V)
rI]
U
&
rI]Fa
o
rrl
078
rcW
IXE
ItrlN
ADT TRIP RATE
9.57
ADT TRIP RATE
9.57
025.90
NUMBER OF FEU's
1
COST PER FEU
$91.61
COST PER FEU
s96t.s2
063.13
9t3.24
PREPARMBY DATE
TOTAL SDC CIIARGES
x
DRAINAGE FDffURE T]NIT CALCULATION TABLE
NI.]MBER OF NEWFXTURES X UNIT EQI,JIVALENT = DRAINAGE FD(TURE UNTTS
CALCUI-ATE ONLY T}IENET ADDMONALFOR
NO. OF FD(TIjRES
UNIT
FDffL]RE TYPE NEW OLD ALENT
MSCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TI]RE TJNITS
isa toa mit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COTINTY ASSESSED VALUE
DRAINAGE
FXTI-IRE
TINITS
0
2
1979
*EDU
BEFORE 1979
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
@nter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
@nter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
t979
1980
l98l
1982
1983
1984
x1985
1986
1987
1988
1989
1990
1991
1992
1993
1998
1999
2001
$5.29
$s.19
$5.12
$2.73
$2.25
$1.80
VALUE/ 1000
$0.00
CREDITRATE
$5.29
2
CREDTT FOR IMPROVEMENT (rF AFTER ANNEXAION)
VALIIE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
1995
1996
1994
1.997
$1.59
$1.45
$1.2s
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
3 b20BATHTI-]B
0 1 00DRINKING FOUNTAIN
0 0 3 0FLOORDRAIN
0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 b 00INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0 0 2 0LAUNDRYTUB
3 310CLOTTIESWASHER / MOP SINK
0 6 0CLOTTIESWASHER - 3 OR MORE (EA)0
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)
0001RECEPTOR FOR REFRIG / WATER STATION / ETC.
0 3 31RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 2 0SHOWER SINGLE STALL
0002SHOWER, GANG (NT]MBER OF HEADS)
0 3 3SINK: COMMERCI.ALIRESIDENTIAL KITCHEN 1
0 0 2 0SINK: COMMERCIAL BAR
2 210SINK: WASH BASIN/DOUBLE I-AVATORY
1 0 1 1SINK: SINGLE L.4.VATORY/RESIDENTTAL BAR
0005TIRINAL, STALL / WALL
0 b 00TOILET, PTIBLIC INSTALLATION
2 0 3 6TOILET, PRIVATE INSTALLATION
CREDIT RATE/$I,OOO
ASSESSED VALUE
YEAR
ANNE)(ED
00
2000
IIELI
20
I
22s FIF-IH STREET . SPRINGFIELD, OR 9747? . Pt{:(54I)72G37Si r FAI{: (S4I)7ZG3Or9
ELECTRICAL
Ciry'Job Number
SP iFIILTI
Date
zoN
IMTLALS
DATE
SOURCE
t.3.
*I$if;T€U J\^-A.
JOB I
Perrnits are and ls
not started within I80 days ofissuance or work is
Suspended for X80 rlays.
",
ElectricalContractor'{ltnl J,ut-
Address Yl'al 3{ 5,^)
Ciry Phone SLll-l5'(-btll
Supervisor License }iumber .)s
Expiration Date il0
Constr. Contr. Num&UTH UN DER THIS PERMI
c0 C NED
Expfu'ation Date
Signature of Supervising Electricim
1\
Ourners Name
City
0090.
owNERrNsrALLATroN catlin0 the conter.
numbor ffitho
The installadon is being marie on
is not intendeC for sale, lease or renl
Owners Signature
Inspection Request: 72G31 69
Service Lncluded
1 Cl00 sq. fL or less
additional 500 sq. ft. or
t]rereof
Each Mauufact'd Home or
Modular Dwelliug Sewice or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps /olr
Reconaect Only
cr.
It THE T[SH[trio&Alteratiou or Relocation
B;.
$s0.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ s0.00
tDtoP
-M
1 1$il$Ps o lesi
Fqfiffiil[:ffi
$ s0.00=i0.@
$ 69.00
$100.00
!r.
Amps
Amps
Orrer 600 or I000 Volts see'B" above.
New Alteration or Extension Per Pand
One Circuit
Ll.
Minimum Electric P'ermit Inspection Bee is $45.00 + Surcharges
8% State Surcharge
l0% Adminishadve Fee
TOTAL
Shared Driv(T:)iBuilding Forms/Elcctrical Permit Application I 46.dos
Circuit or with
$ 43.00
$ 3.00Permit
$ s0.00
$ 2s.00
$ 4s.00
roo E G'ISI.{ENIUdS JO IITC 689S9eZIi9 Xv.{ 60:0T II0J g0/tI/Lo
rlG(
$ I06_00
$ 19.00
t
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci-- of Springfield Official Receipt
L ;lopment Serryices Department
Public Works Department
RECEIPT #: 1200700000000000098 Date: 0113112007 2:19:26PM
Job/Journal Number
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-0 r s9s
coM2006-01595
coM2006-0 r 595
coM2006-01s95
coM2006-0159s
coM2006-01595
coM2006-01595
coM2006-0r 595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-0l s9s
coM2006-0r 595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-0r 595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-01595
coM2006-0 t 595
coM2006-0r 595
coM2006-01595
coM2006-01595
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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 Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Dryer Vent
Gas Outlets I -4
-Mechanical Issuance Fee-
Fireplace (Listed)
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ lUYo Administrative Fee
Item Total:
Payments:
Type of Payment Paid By Received By
eheckTlumber
Batch Number
Authorization
Number How Received Amount Paid
CreditCard HAYDEN ENT djb 0't7456 In Person $7 ,065.12
Payment total:
-5Z675TI
cReceint I Page I of I I 13t 12007
ffimffi
Amount Due
31.00
1,000.00
106.00
38.00
50.00
85.75
80.00
80.00
(30.00)
724.60
624.64
474.97
189.58
836.32
9l.61
961.52
10.00
125.23
70.43
679.40
254.00
12.00
12.00
18.00
6.00
6.00
4.00
10.00
15.00
198.00
76.42
96.03
128.62
$7,065.12