HomeMy WebLinkAboutPermit Building 2002-09-09SPR!NGFIELD
Job# 02-00668-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 4
Job Number: 02-00668-01
Office:726-3759
I nspection Line: 7 26-37 69
Tax Lot #: 00507
Subdivision : Jasper Meadows
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 5905 Montclaire Ln Spr
AssessorsMap#: 18020300
Lot:5 Block: Addition
ctTY oF SPRTNGFIELD, OREGON
Owner: Hayden Enterprises
Address: 2622 SW Glacier Place #110
Scope Of Work: Single Family Residence
Same As 02-00307-01
Phone Number:
City/State/Zip:
New
541-923-6607
Redmond, OR 97756
Value: $113,772
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
Hayden Enterprises
26225W Glacier Place #110, Redmond,
oR 97756
Christenson Services Llc
111 Sw Columbia Suite 480, Porfland, OR
97201-5886
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
147520 4t13t2003
84164 6t25t2003
84164 6t25t2003
Registration #
,/gzzoa
Expiration Date
7t29t2003
Phone
541-923-6607
503-2414812
541-345-2838
541-345-2838
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
4RSE
1
(VN) Wood Frame
Electric
Office
Zoning Code:
Bed
ildings: 1
ncy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1420
To request an inspection call the 24 hour
a.m. will be made the same working day,
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Shear Wall Nailing
inspections requested before 7:00
7:00 a.m. will be made the followingafter
usl
Required lnspections
Build
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
Land Use: Single
Framing
Walllnsulation
Dryrvall
Bolts installed in
concrete
Hold Downs lnstalled
Vapor Barrier/lnsulation
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanica!
Rough Gas
Rough Mechanical
Gas Service
FinalGas
Final Mechanical
SW-Curbside
CC-Standard
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Fully lmproved
!mprovement Agr.?
6-4
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
I
To Curb and Gutter
6
00/00/0000 00:00:00
Job# 02-00668-01 Page2 of 4
Required lnspections
Building
-Prior to cover.
-Prior to Cover
-Prior to taping.
-To be done by a State Certlfied Special lnspector. Provide inspection test reports to City Buildinl
-To be made after insulation and required vapor barriers are in place, but prior to any wall coverir
-When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole.
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
Plumbinq
-Prior to insulation or decking.
-Prior to cover or placement of concrete.
-Prior to cover.
- Prior to filling trench.
-Prior to filling trench.
-Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill
-When all plumbing work is complete.
Mechanical
-Prior to insulation or decking.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all gas work is complete.
-When all mechanicalwork is complete.
Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
00/00/0000 00:00:00
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? ! Wetlands? ['l
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Journa! numbers
1 : 2000-01-0015 2: 2002-04-0121
Comments :Subdivision/LDAP
Overlay District:
# of Street Trees:
Glenwood Area?
3
3:
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Job# 02-00568-01 Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? Z
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
HandicapAccess? [
Area (Sq.
Main: 1420 Accessory4O0
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Same As Plan Review
Total Plan Check
09t09t2002 10549 $100.00
$100.00
Building
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
09t09t2002
09t09t2002
09109t2002
1 0549
10549
10549
113,772 $611.1s
$42.78
$48.89
$702.82
Electrical
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
09t09t2002
09t09t2002
09t09t2002
09t09t2002
09t09t2002
10549
1 0549
1 0549
10549
10549
$.00
$106.00
$38.00
$10.08
$11.52
$165.60
1
2
Plum
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
09t09t2002
09t09t2002
09t09t2002
09t09t2002
10s49
10549
10549
10549
10549
10549
1 0549
10549
10549
10549
10549
$.00
$306.00
$21.42
$24.48
$351.90
$e.00
$4.00
$.00
$4.40
$12.00
$24.00
$6.00
1
Mechanical
09t09t2002
09t09t2002
09t09t2002
09t09t2002
09t09t2002
09t09t2002
09t09t2002
1
1
1
4
1
1
Job# 02-00668-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical lssuance
State Surcharge - Mechanical
TotalMechanical
Mechanical
09109t2002
09t09t2002
1 0549
1 0549
$10.00
$3.85
$73.25
Public Works
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
09109t2002
09t09t2002
09t09t2002
10549
10549
10549
80
1
1
$75.00
$75.00
$-30.00
$120.00
Residential - Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
System Devetopment
09t09t2002 10549
09t09t2002 10549
09109t2002 10549
09t09t2002 10549
09t09t2002 10549
09t09t2002 10549
09t09t2002 10549
09t09t2002 10549
09t09t2002 10549
36
1
1
1
1
1
24
24
71 $473.93
$34.83
$10.00
$128.46
$332.86
$659.76
$155.13
$512.88
$389.76
$2,697.61
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
09t09t2002 10549 1 $1,000.00
$1,ooo.oo
Planning
09t09t2002 10549 1Planning Plan Review
Tota! Planning
$55.00
$5s.00
Address Assignment
Total Permits w/o Srchg
Permits w/o Srchg
09t0912002 10549 1 $8.00
$8.00
Grand Total
PIan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Denny Wright
Liz Miller
Bob Barnhart
Date Completed
06t06t2002
06t12t2002
06t12t2002
06t11t2002
$5,274.18
Comment
No hook-up for sanitary & storm until
infrastructure is accepted by the City.
east to west measurement of setbacks and
house equal 51. Lot width is 49.16
time, that each
the property, an
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used
this project.
I further agree to ensure that all required inspections are requested at the proper
address is readable from the street, that the permit card is located at the front of
approved set of plans will remain on the site at all times during construction.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3'759
F
DES .rtt
ELECTRICAL PERMiT APPLICATION
oll Nrrm
FEE SC}IEDIJLE BELOW
A. Nerv Residential-Single or
Multi-Family per drvelling unit.
Seryice Included:
Items CostEcn,tg'
J BD C
Permits a re r10 rable
if rvork is not rvithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Christenson Electric, Inc. D.B.A.
Electrical' Contractor_plailips_fiLgg[ ric
Address 1298 Bethel Drlve
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Drvelling
Senice or Feeder
B. Services or Feeders
Installirtion, Alterations or
Relocation
Sum
_Mgot
&$reoo iSPd
!)"
200 amps or less
201 amps to 400
$
alnps $
$ r 06.00
'$125
$1
$ 3.00
OC
-l0i anrps to 600 amps
(-,().1 an4rs to 1000 amps
Over 1000 amps/r'olts
LzL
Expiration D
Signnturc of Supen'ising Electriciitn
$s
i
Over 600
"B" abo\,e
D. Branch Circrrits
Neu' Alteration or Extension Per Panel
PtsN
N
Du
S\
N\
N0
?
\$
\NL!
One
' -Each installation
Pump or irrigation
Sign/Outline Ligirting
Limited Energv/Res
Liniited EnergliComm
$0$
\tt\u\
@ritorwith
u
OWNER
not included)
$50
The installation is being made on
properry* I olvn which is not intended
for sale, lease or rent.
Orvners Signature:
\s0 u .00 ___
$50.00
$2s.00
$15.00
Nlinimunr Elcctric Permit Inspccti
4. SUBTOTALOF'ABOVE
7oh Stfie Surcharge
87, Administrative Fee
TOTAL
on Fee is S45.0
'le -t
I
F,rrsene - OR
Supen'isor
Reconnect Only
nu'i
$ 5o.oo _
$375.00 _
see
Orvncrs
C.
eIJ
uvgo.
6\sr'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSIIEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UMTS 1 BUILDING SITF: 1820 SF LOT SITF: 4917 SF
5905 Montclaire Ln.
18-02-03-00 Tax Lot # 00507
SINGLE FAMILY RESIDENCE
Hayden Enterprises
JOURNAL ORJOB NUMBER: 02-00668-01
IMPERVIOUS S.F PER S.F.DISCOUNT RATE
273 507o $0.000.00
IMPERVIOUS S.F.
1736.N
COST PER S.F.
$0.273
RUNOFFROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
i473.93
x
x x
1. STORM DRAINAGE
DIRECT RUNOTTTO CITY STORM SYSTEM
73.93ITEM l TOTAL. STORM DRAINAGE SDC
NUMBER
76$16.24
NUMBER OF DFU's
24
COST PER DFU
$21.37 $s 12.88
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER. CITY
A. REMBURSEMENT COST:
ITEM 2 TOTAL . CITY SANITARY SEWER SDC
NEW TRIPFACTORADTTRIP RATE NUMBER OF UNITS COST PER TRIP
7611.009.57
ADTTRIPRATE
9.57
NUMBEROFUNITS
I
COST PER TRIP
$16.21 $1ss.13
NEW TRIP FACTOR
1.00
B.IMPROVEMENT COST:
xxx
xxx
3. TRANSPORTATION
A. REIMBI]RSEMENT COST:
4.89ITEM 3 TOTAL. TRANSPORTATION SDC
$367.69
r0.00
NUMBER OF FEU'S
1
COST PER FEU
$332.86
NUMBER OFFEU's
1
COST PER FEU
$34.83 $34.83
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMIMSTRATIVE FEE
86
B.IMPROVEMENT COST:
x
MWMC CREDIT IFAPPLICABLE (SEE REYERSE)
4. SANITARY SEWER - MWMC
A. REMBURSEMENT COST:
.69ITEM 4 TOTAL . MWMC SANITARY SEWER SDC
69.15suBTorAL (ADD ITEMS 1,2,3, & 4)
ADM. FEERATESUBTOTAL
$128.4655Vo
5. ADMIMSTRATIVEFEE:
x
$2,697.61
o
r4noU
/,
E]
F-'t(t)
o
rJ]il
1070
1091
1092
1093
1094
1055
1056
1073
TOTAL SDC CHARGESSteve Templin 6n2t2002
DATESDC COORDINATOR
$902.64