HomeMy WebLinkAboutPermit Building 2006-07-07Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00691ISSUED: 0710712006APPLIEDz 0610712006EXPIRES: 0211012007VALUE: S 251,367.00
SITE ADDRESS: 5798 Montclaire Way Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4 lot 150
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
2622 SW GLACIER PL #TIO
REDMOND OR 97756
PhoneNumber: 541-228-1081
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
t42776
Expiration Date
07t29t2007
06fi9t2007
03t25t2010
0s/0s/2010
Phone
54r-228-1081
541-754-6171
s4t-672-9510
541-459-0110
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S u bdivis io n N ot Accepted
Street Improvements:
Storm Sewer Available:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,843
1,008
1,005
400
Curbside 5'
Curb and Gutter
I
R-3
U
VN
)
24.00
Wall Heat
Electric
Electric
Path I
nla
21.00
17.90
19.90
26.70
0.00
I
Yes
17.90
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
yes
Special Instruction:
No'es :
il:J,TIJJ J;,1?#l;;HLfiT rffi p'sms-s-lll'o """' d rain a ge piped,o cu rb
Page I of4
f,UIIJL'II'IU 11\I (JI11VIA I I('1\ I
ttc r Centet
:4n
iling u
nber ior the
Center S 1-BI
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: COM2006-00691ISSUED: 0710712006APPLIEDz 0610712006
EXPIRESz 0211012007VALUE: $ 251,367.00
Description Type of Construction
V Wood Frame
Garage
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
$26.00
Square Footage
or Bid Amount
2,413.00
400.00
80.00
Value
$238,887.00
$10,400.00
$2,080.00
$251,367.00
Date Calculated
0610712006
06t07t2006
07107t2006
Dwellines
Garage
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lDoh Administrative Fee
+ 87o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Plan Review Residential
Plan Review/Residential Hourly
PW Disc - 2nd Permit (Street)
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 lmpervious Area
Vent Fan
Willamalane Single Family
+ l0o Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Total Value of Project
Date Paid Receipt Number
2200600000000000758
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
r20060000000000r034
1200600000000001034
r200600000000001034
1200600000000001034
r200600000000001034
120060000000000r034
I 20060000000000r034
120060000000000r034
r200600000000001034
r200600000000001034
1 200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
120060000000000r034
1200600000000001034
120060000000000r034
r200600000000001034
1200600000000001034
1200600000000001034
1200600000000001302
r200600000000001302
1200600000000001302
Amount Paid
$684.5s
$10.00
$153.13
$112.85
$306.00
$3r.00
$1,059.65
$s.50
$0.7s
$80.00
$6.00
$9.00
$120.65
$6.00
$198.00
$4.22
$45.00
$-30.00
$572.10
$752.10
$10.00
$86s.31
$82.03
$134.53
$65.01
$805.70
$182.69
$80.00
$720.94
$24.00
$1,000.00
$16.30
$8.1s
$r3.04
6t8t06
7 t7 t06
7 t7 t06
7 t7 t06
7t7t06
7t1t06
7 t7 t06
7 t7106
717106
7 t7 t06
7 t7106
7 t7 t06
7t7t06
717106
717106
7 t7 t06
7 t7 t06
717106
7 t7 t06
7 t7 t06
7t7t06
7 t7 t06
7 t7 t06
7 t7 /06
1t7t06
7 t7 t06
7 t7106
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
8/18/06
8/18/06
8/18/06
Fees Peid
Paee 2 of 4
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00691ISSUED: 0710712006APPLIED: 0610712006EXPIRES: 0211012007VALUE: $ 251,367.00
Residence Wiring I000 Sq Ft
Residence Wiring Ea Addtl500
Total Amount Paid
$106.00
$s7.00
$8,297.20
8/18/06
8/18/06
r 200600000000001302
r 200600000000001302
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
06/09t2006
06t09t2006
06t09t2006
06t09t2006
06/30t2006
06n4t2006
APP
APP
APP
LLH
TAJ
CJS No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to curb face (weep
hole at curb) 06114106 CJS
06t09t2006 0612012006 0K RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: 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
fou ndation 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Pase 3 of4
Keourred lnsDecttons
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: COM2006-00691ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRESz 0211012007VALUE: $ 251,367.00
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Cify 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 Communify 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.
Owner or Contractors Signature Date
Pase 4 of 4
L
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
of of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 1200600000000001302 Date: 08/18/2006 3:50:02PM
Job/Journal Number
coM2006-00691
coM2006-0069r
coM2006-00691
coM2006-00691
coM2006-00691
Description
+ 57o Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Amount Due
8.15
13.04
16.30
106.00
57.00
Item Total:$200.49
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CreditCard HAYDENHOMES djb 097242 In Person $200.49
Payment Total:
-Si6TJiF
cReceintl Page I of 1 811812006
uhecl(Number Authortzatron
'
\IGFIELE}zoN
225 FIF-rH STREET . SPIIINGFIELD.oR9T4TT r PH:(54I)726-3i53 r FAt(: (s41)726.2fi9
ELECTKICAL PERMTT APPLICATTAN .
Citv Job Number COvUZoc 6- OO 6? /Date a dl
| $106.00
3 $ le.oo
INITLALS
DATE
SOURCE
$s0.00
s 63.00
$ 75.00
$125.00
$163.00
$37s.00
$ 50.00
1.3.
57 ? g yylo*AtG'
LEGAL DESCRIPNON
E4isf zct ot-lq
JOB DES
se-uh 0-e'
Permits are non-transferabie and expire if work is
not started within I80 days of issuauce or if work is
Surpended for X80 rlays.
2.
Service Lncluded
I Ct00 sq. fr or less
Each additional 500 sq. ft. or
portion tirereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
A
o6
lt
E.
C.
f).
:i: ;:
Eiectrical Contractor tq){-
Address aq8'61 t1"r? 3{ 5^)
Ciry Phoue SLll'75'l-btlI
Supervisor License Number ,177r/ S
Expiration Date
Const. Contr. Number 1
Expiration Date
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
6Ctl Amps to 1000 Amps
Over 1000 AmpsA/olre
Reconnect Orrly
Over 600 or I000 VolE see '8" above.
New Alteratiou or Extension Per Panel
Oue Creuit
Each Additional Circuit or with
Service or Feeder Permirlb,,Oumers Name a{
Address ZZ
City J pbone Zz?491s-
OWNER INSTALLATIO}I
The installation is being made onproperty I own which
is uot intended for sale, lease or rpnL
Owners Sigaature
Inspection Request: 72G3169
Minimum Eleetric P'errnit Inspection Fee is $45.00 + Surchar€es
E.
hrmp or irrigatioo
SignrOudinc Lighting
Limited Energl,E esidential
Uuiited Energly'Commercial
$ 43.00
$ 3.00
s 50.00
$ s0.00
$ 2s.00
$ 45.00
/[j
8% State Surcharge
10%Admiaistrative Fee5'/. Trce fuTOTAL
/30{
/6zo8,t
Shared Driv{T:/Building FormVElctrical Permit Appticaian, *ffi a'
t?l (
Too E fiirrdeNruds J0 trJro 6898922119 XYg 60:0I iutJ, go/tt1LC
t
t-+ / so
i,/ra
ro ./a't
Signature of Supenising Electician
I,
L._*
Instaltation, Alteration or Relocation
200 Amps or lesi $ 50.00
201 Amps to 400 Amps .__ $ 69.00
'401 Amps ro 600 Amps $100.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
,f G
Building/Combination Permit
PERMIT NO: COM2006-00691ISSUED: 0710712006APPLIEDz 0610712006
EXPIREST 0110712007VALUE: $ 251,367.00
SITE ADDRESS: 5798 Montclaire Way Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH
TYPE OF USE:
Meadows
New
50
Residential
Phone
541-228-1081
54t-672-9510
541-459-0110
PROJECT DESCRIPTION: Single family residence 3rd add ph 4 lot I HI\
Owner:
Address:
Contractor Type
General
Mechanical
Plumbing
ANDONE umber: 541'228-1081
Contractor
HAYDEN ENTERPRISES
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
39237
142776
Expiration Date
07t29t2007
03t2st2010
05/05/2010
CONTRACTOR INFORMATION
BUILDING II
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S u bdivis io n N ot Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories: 2 Lot Size:
Height of Structure 24,00 Sq Ft lst Floor:
Type of Heat: Wall Heat Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I
R-3
U
VN
1
7,843
1,008
1,005
400
7Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
I REQUIRED PARKING]52-001-C
21.00
17.90
19.90
26.70
0.00
Total:
I Handicapped:
Yes Compact:
17.90
Fully Improved
yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hookup to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to curb
face (weep hole at curb) 06/14106 CJS
PUBLIC IMPROVEMENTS
Page I of4
NY 1BO v PERtOn.
HAYDEN ENTERPRISES
26225W GLACIER PL #I1O
REDMOND OR 97756
CO MMENCE DOR\SA
A
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: COM2006-0069IISSUED: 0710712006
APPLIEDz 0610712006
EXPIRESz 0110712007VALUE: $ 251,367.00
Description Tvpe of Construction
V Wood Frame
Garage
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
$26.00
Square Footage
or Bid Amount
2,413.00
400.00
80.00
Value
$238,887.00
$10,400.00
$2,080.00
$251,367.00
Date Calculated
06t07t2006
06t0712006
07t0712006
Dwellinss
Garage
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 87o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Plan Review Residential
Plan Review/Residential Hou rly
PW Disc - 2nd Permit (Street)
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
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid Receipt Number
2200600000000000758
1200600000000001034
1200600000000001034
I 200600000000001 034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
r200600000000001034
r200600000000001034
r200600000000001034
1200600000000001034
1200600000000001034
r200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
r200600000000001034
I 200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
Amount Paid
$684.5s
$10.00
$153.13
$112.85
$306.00
$31.00
$1,059.65
$5.s0
$0.75
$80.00
$6.00
$9.00
$120.6s
$6.00
$198.00
s4.22
$45.00
$-30.00
$572.10
$752.10
$10.00
$865.31
$82.03
$134.53
$65.01
$805.70
$182.69
$80.00
s720.94
$24.00
$1,000.00
6t8t06
7 t7106
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7106
7 t7 t06
7 t7 t06
7 t7 t06
717106
7 t7 t06
7 t7 t06
7 t7106
7 t7 t06
7 t7106
717106
717106
717106
7 t7 /06
7 t7 t06
7 t7106
7 t7 t06
7 t7 t06
7 t7106
7 t7 t06
['ees
Total Amount Paid $8,096.71
Paee2 of 4
[3
Valuation Descriotion 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: COM2006-00691ISSUED: 0710712006APPLIEDz 0610712006EXPIRES: 0110712007VALUE: $ 251,367.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
06t09t2006
06t09t2006
06t09t2006
06t09t2006
06t30t2006
06n4t2006
APP
APP
APP
LLH
TAJ
CJS No hookup to City infrastructure
until Public lmprovements are
accepted by the City; storm
drainage piped to curb face (weep
hole at curb) 06/14106 CJS
06t09/2006 06t20t2006 OK RJB
To Request an inspection call the24 hour recording at 726-3769. All inspection 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
nsnections
Paee 3 of4
o
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: COM2006-00691ISSUED: 0710712006APPLIEDz 0610712006EXPIRES: 0110712007VALUE: $ 251,367.00
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 apptication 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.
7-7=cG
Owner or Contractors Signatuf,J Date
Page 4 oI 4
JOTIRNAL ORJOBNUMBER:
NAMEORCOMPANY:
LOCATTON:
TAX LOTNTIMBER:
DEVELOPMENT TYPE:
NEW DWELLING TINITS
I. STORM DRAINAGE
DIRECT RLINOFF TO CIry STORM SYSTEM
CITY OF Sr,<INGFIELD SYSTEMS DEVELOPMEN, IIIORKSHEET
coM2006-00697
Homes
5758 Montclaire
Lot 145 3rd
SINGLE FAMILY RESIDENCE
BUTLDTNG SIZE (SF, 1572 LOT SIZE (SF):5752
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
1997.00
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
32
B. IMPROVEMENT COST:
NUMBER OF DFII's
32
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
s4,003.24
COSTPER S.F
$0.323
COST PER S.F.
$0.323
COST PER DFU
s25.07
$ 19.07
NTIMBER OF LTNITS
I
NUMBER OF TINITS
I
ADM. FEE RATE
5o/o
CHARGE
$645.03
DISCOTINT RATE
50o/o
DISCOUNT
$0.00
x
x
x
x
x
x
x
x
x
ITEM I TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANTTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$1,412.48
COST PER TRIP
$19.09
COST PER TRIP
$84. l 9
$988.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBEROF FEU's
I
B. IMPROVEMENT COST:
NUMBEROF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SAIYITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
CHARGE
$200. l 6
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker 611212006
COST PER FEU
s82.03
$610.24
$0.00
$10.00
135.21
1070
1091
1092
r093
1094
1 054
I 056
1079
aHn
U
&rI]Fa
o
IJ]&
-M
COST PER FEU
$865.3 r
003.24
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEW FIXTURES X TIN]T EQUIVALENT: DRAINAGEFXTTIRE UMTS
FOR CALCULATE ONLY TIIENET ADDITIONAL
NO. OF FXTURES
TINIT
FTXTURE T\?E NEW OLD ALENT
NUMBEROF EDU'S
TOTAL DRAINAGE FIXTURD UI{ITS
isa toa rmit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIxTURE
UNITS
0
2
2
1979
BEFORE 1979
1979
1980
1982
1983
1984
1985
1986
1987
1988
r989
1990
1992
1994
1996
1997
1998
1999
$5"29
$5-29
$5.19
$5.12
$4.98
$4.80
$4.63
$+.+o
$4.O7
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1-25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
VALUE / IOOO
$0.00
CREDITRATE
$5.29
I 981
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
x
CREDIT FOR IMPROVEMENT (IF A.F'TER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
l99t
1993
1995
0 3 62BATHTTIB
0 0 1 0DRINKINGFOLNTAIN
3 000FLOORDRAIN
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0 2 21LAT]NDRY TUB
1 0 3 3CLOTMSWASHER/MOP SINK
0 0 6 0CLOTMSWASHER - 3 OR MORE (EA)
12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0
0 0 1 0RECEPTORFORREFRIG/ WATER STATION / ETC.
1 0 3 3RECEPTOR FOR COM. SINK / DISI]WASHER / ETC.
2 2SHOWER SINGLE STALL 1 0
0 0 2 0SHOWER" GANG (I\UMBER OF HEADS)
1 0 3 3SINK: COMMERCIAL/RESIDENTIAL KITCTMN
2 0SINK: COMMERCIAL BAR 0 0
1 0 2 2SINK: WASH BASIN/DOUBLE LAVATORY
2 0 1 2SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0TIRINAL. STALL / WALL 0 0 5
0 0 b 0TOILET. PT]BLIC INSTALLATION
3 0 3 oTOILET, PRTVATE INSTALLATION
32
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALI-]E
0
00
2000
@l
2001
MISCELLANEOUS DFU TYPE
RECEIPT#: 1200600000000001039 te:0710712006 3:22:07PM
Job/Journal Number
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
coM2006-00697
Description
Plan Review Same As
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
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
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
M inimum/Adj ustment Mechanical
Plan Review Major - Planning
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
100.00
31.00
1,000.00
I14.90
80.00
80.00
(30.00)
645.03
802.24
6t0.24
182.69
805.70
82.03
865.3 I
r 0.00
135.21
64.95
997,90
306.00
24.00
9.00
6.00
10.00
6.00
198.00
107.91
146.3 8
Item Total:$7,390.49
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check
CreditCard
HAYDEN ENTERPRISES
HAYDEN HOMES
dlm
dlm
25675
03 8 869
In Person $7,274.68
In Person Sl15.81
Payment total:
-5ffi07i9-
cReceinl I Paee 2 of 2 7 t7 t2006
CI
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00691ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRES: 0110712007VALUE: $ 251,367.00
ADEVE
CIM
SITE ADDRESS: 5798 Montclaire Way Springfield TYPE OF WORK: Single Family Residence
ASSESSOR.S PARCEL NO.: JASPER MDS 3 ADD PH,
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4 lot 150
PhoneNumber: 541-228-1081Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #1IO
REDMOND OR 97756
Contractor Type
General
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy GrouP:
Primary Construction Type
Seconda ry Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special lnstruction:
Contractor
HAYDEN ENTERPRISES
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
39237
142776
Expiration Date
0712912007
0312512010
10
Phone
541-228-r081
541-672-9510
541-459-0110
I
R-3
U
VN
3
Height of Structure
Type of Heat:
# of Stories:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
rlay Dist:
24.00
Electric
Path 1
n/a
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,843
1,008
1,005
400
Curbside 5'
Curb and Gutter
21.00
17.90
19.90
26.70
0.00
I
Yes
17.90
E
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
No hookup to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to curb
face (weep hole at curb) 06/14106 CJS
Pase 1 of4
cs
?o Qre
1r
set
lst Floor:
2nd Floor:
Basement:
tutllt
{ne 1
IF THE I
R/r4lI /s
Notes:
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00691ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRESz 0110712007VALUE: $ 251,367.00
Description
Dwellinss
Garage
Garage
Fee Description
Plan Review Residential
-Mechanical lssuance Fee-
+ l0"h Administrative Fee
+ 8oZ State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adj ustment Mechanical
Plan Review Major - Planning
Plan Review Residential
PIan Review/Residential HourlY
PW Disc - 2nd Permit (Street)
Sanitary Sewer - lmprovement
Sanitary Sewer - Reimbursement
SDC NIWMC Administration
SDC IUWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid Receipt Number
2200600000000000758
r200600000000001034
r20060000000000r034
1200600000000001034
1200600000000001034
1200600000000001034
r200600000000001034
120060000000000r034
1200600000000001034
r20060000000000r034
120060000000000r034
r200600000000001034
120060000000000r034
1200600000000001034
1200600000000001034
1200600000000001034
120060000000000r034
1200600000000001034
r200600000000001034
120060000000000r034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
1200600000000001034
Type of Construction
V Wood Frame
Garage
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
$26.00
Square Footage
or Bid Amount
2,413.00
400.00
80.00
Value
$238,887.00
$10,400.00
$2,080.00
$2s1J67.00
Date Calculated
06t0712006
06t0712006
0710712006
Amount Paid
$684.5s
$10.00
$153.13
$il2.85
$306.00
$31.00
$1,059.65
$s.50
$0.7s
$80.00
$6.00
$9.00
$r20.65
$6.00
$r98.00
s4.22
$45.00
$-30.00
$s72.10
$7s2.10
$r0.00
$865.31
$82.03
$134.53
$65.01
$805.70
$182.69
$80.00
$720.94
$24.00
$1,000.00
6t8t06
717106
7 t7 t06
7 /7106
7 t7106
7 t7106
7 t7106
7 t7 t06
7 t7 t06
7t7106
717106
717106
7 t7 t06
7 t7 t06
7t7t06
7 t7 t06
7 t7106
7 t7106
7 t7 t06
7t7t06
7 t7 t06
7t7t06
717106
717106
717106
7t7t06
7 t7 t06
7 t7106
7t7106
7 t7106
7t7106
Fees I
Total Amount Paid $8,096.71
Page 2 of 4
Valuation Description I
OF
Buildin g/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00691ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRES: 01107/2007VALUE: $ 251,367.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
06t09t2006
06t09t2006
06t09t2006
06t0912006
06t3012006
06n4t2006
APP
APP
APP
LLH
TAJ
CJS No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to curb face (weep
hole at curb) 06/14106 CJS
Structural Review 0610912006 0612012006 0K RJB
To Request an inspection call the24 hour recording at 726-3769. All inspection 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Page 3 of 4
red Insnections
Building/Combination Permit
Status: lssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2006-00691ISSUED: 0710712006
APPLIEDz 06/0712006
EXPIRESz 01107/2007VALUE: $ 251,367.00
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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
77-+
Owner or Contractors Date
Pase 4 of 4
JOL]RNAL ORJOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNTIMBER:
DEVELOPMENT TYPE:
NEWDWELLING UNITS
I. STORMDRAINAGE
DIRECT RT]NOFF TO CITY STORM SYSTEM
crry oF irn or,=LD sysrEMS DEVELopMEI.. woRKSHEET
coM2006-00691
5798 Montclaire
Meadows 3rd Add Ph 4 Lot 150
SINGLE FAMILY RESIDENCE
BUILDING SIZE (S fr'2413 LOT SrZE (SF):
IMPERVIOUS S.F
2232.00
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
30
B. IMPROVEMENT COST:
NUMBER OF DFU's
30
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$3,990.87
COST PER S.F
$0.323
COST PER S.F.
$0.323
COSTPERDFU
szs.07
$19.07
NUMBER OF TJNITS
I
NT]MBER OF UNITS
I
ADM. FEE RATE
5%
CHARGE
$720.94
DISCOLINTRATE
50o/o
s720.94
DISCOT]NT
$0.00
x
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$1,324.20
COST PER TRIP
$r 9.09
COST PER TRIP
s84. I 9
$988.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
xx
xx
TTEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NT]MBER OF FEU'S
I
B. IMPROVEMENT COST:
NTIMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD mEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
CHARGE
$ 199.54
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker 611412006
COST PER FEU
$82.03
10
$8653r
$r0.00
134.53
I
4t
1070
1091
1092
I 093
1094
I 055
I 0s6
079
078
aI!aoU
&rI]Fa
(5
rI]&
I@NI
COST PER FEU
$865.31
990.E7
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTI]RE UNIT CALCULATION TABLE
NUMBER OFNEW FXTURES X I.]NIT EQUTVALENT: DRAINAGE FXTURE UNITS
FOR CALCULATE ONLY TT{E NET ADDITIONAL
NO. OF FXTURES
LTNIT
FXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NTII\{BER OF EDU'S
TOTAL DRAINAGE FXTURf, UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTURE
T]NITS
0
+EDU
BEFORE I979
1979
I 980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
$5.29
$5.1 9
$5.12
$4.98
$4.80
$4.63 VALUE / 1000
$0.00
CREDIT RATE
$5.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND OF APPLICABLE)
2
2
1979
x
CREDIT FOR IMPROVEMENT (IF ATTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CREDIT
0 3 6BATHTT]B 2
0 0 1 0DRINKING FOI.'NTAIN
3 000FLOORDRAIN
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC
0 0 b 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
2 2LAUNDRY TT'B 1 0
1 0 3 3CLOTIIESWASHER / MOP SINK
0006CLoTI{ESWASHER - 3 OR MORE (EA)
0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0
0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.
1 0 3 3RECEPTOR FOR COM. SINK / DISHWASMR / ETC.
0 2 0SHOWER. SINGLE STALL 0
0 0 2 0SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL/RESIDENTIAL KITCMN 1 0 3 3
2 0SINK: COMMERCIAL BAR 0 0
1 0 2 2SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
5 0URINAL, STALL / WALL 0 0
0 0 b 0TOILET, PUBLIC INSTALLATION
TOILET. PRTVATE INSTALLATION 3 0 3 o
30
CREDIT RATE/$I,OOO
ASSESSED VALUE
YEAR
ANNEXED
$0.00
0
$0.00
2000
2001
$0.48
20
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C-", of Springfield Official Receipt
L -/elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001034 Date: 0710712006 3:09:l8PM
Job/Journal Number
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-0069r
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-0069r
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-00691
coM2006-0069 r
coM2006-0069r
coM2006-0069r
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
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
3 Baths One & Two Family
Exhaust Hoods
Dryer Vent
Vent Fan
-Mechanical Issuance Fee-
Minimum/Adj ustment Mechanical
Plan Review Major - Planning
Plan Review/Residential Hourly
Copy 6th @75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Building Permit
Plan Review Residential
+ 8% State Surcharge
+ 1jYo Administrative Fee
Amount Due
3 r.00
1,000.00
120.65
80.00
80.00
(30.00)
720.94
752.10
572,10
182.69
805.70
82.03
865.31
10.00
134.53
65.01
306.00
9.00
6.00
24.00
10.00
6.00
198.00
45.00
0.75
5.50
r,059.65
4.22
I 12.85
153.13
Item Total s7,412.t6
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check HAYDEN ENTERPRISES dlm 25675 In Person 57,412.16
Payment Total:
-Sffi
cReceint I Page I of I 71712006