HomeMy WebLinkAboutPermit Building 2005-01-04SFItllrlCFlSfS
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-07123ISSUED: 0110412005APPLIEDz 1211412004
EXPIRESz 0710412005VALUE: $ 199,509.00
SITE ADDRESS: 6006 Pebble Ct Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Jasper Meadows subdivision lot 120 - single family residence - (NOT)same as
coM2004-01208
Owner:
Address:
HAYDEN ENTERPRISES
26225W GLACIERPL#llo R"EDMOND OR 97756
PhoneNumber: 541-461-5091
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET HEATING INC
Phone
541-501-4332
541-686-41s1
54r-672-9510
s03-363-2334
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
teleph one
Norifi cation
# of Stories:800-332 -2344)2 Lot Size:
Height of Structure 26.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: nla
I
R-3
U
VN
3
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,840
1,008
1,046
400
20.50
r3.00
19.90
17.70
25.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
4
Yes
20.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: Connect to storm sewer stub No hook-up to sanitary or CO until Public Improvements are accepted by the City
r2n7t2004 cA.s
DEVELOPMENT
Pase I of4
,\L]L
Oregon Date
are set
952_00
l-007_001
maY obtain
1
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
C
Building/Combination Permit
PERMIT NO: COM2004-01523ISSUED: 0l/04120os
APPLIEDz 1211412004
EXPIRESz 0710412005VALUE: $ 199,509.00
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,054.00
400.00
VaIue
$189,789.60
$9,720.00
$199,509.60
Date Calculated
12t29t2004
t2t29t2004
Amount Paid
Total Value of Project
Date PaidFee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0oA Administrative Fee
+ 1Vo State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
PIan Review Major - Planning
Plan Review Residential
PW Mult 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
$100.00
$10.00
$148.57
$104.00
$306.00
$31.00
$6.00
$890.6s
$7s.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$103.00
$478.92
$-30.00
$106.00
$s7.00
$493.s6
$649.08
$r0.00
$865.31
$82.03
$123.43
$63.67
$772.49
$175.13
$75.00
$694.40
$s0.00
$24.00
$1,000.00
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Receipt Number
1200400000000001740
1200s00000000000015
1200s00000000000015
1200s00000000000015
1200500000000000015
1200500000000000015
r200500000000000015
1200s000000000000r5
1200500000000000015
1200500000000000015
1200s00000000000015
1200500000000000015
1200500000000000015
1200s00000000000015
r200s00000000000015
1200s0000000000001s
120050000000000001s
12005000000000000r5
1200s0000000000001s
1200s0000000000001s
1200500000000000015
r200s0000000000001s
12005000000000000r5
1200s000000000000rs
r200s0000000000001s
1200500000000000015
r200500000000000015
120050000000000001s
120050000000000001s
1200500000000000015
1200s0000000000001s
r200500000000000015
1200500000000000015
Fees Pnid
Total Amount Paid $7,510.24
Paee 2 of 4
Valuation Descriotion I
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: COM2004-01523ISSUED: 0110412005APPLIEDz 1211412004
EXPIRESz 0710412005VALUE: $ 199,509.00
Plan Reviews
Initial Review
Planning Review
Planning Review
Public Works Review
Structural Review
12n6t2004
12n6t2004
12t29t2004
12n612004
12n6t2004
12n6t2004
12t2712004
t2t29t2004
rztr712004
APP
WE
APP
OK
SKG
TAJ
TAJ
CAS
This house may have a solar setback
problem. Called Jeff Harrison
today and left a message. I need to
talk to Liz too. tara
used performance option for solar
setback.
No hook-up to sanitary or CO until
Publlic Improvements are accepted
by the City.l2ll7l2004 CAS LDAP
required
Left voicemail for applicant after
talking w/ engineer. Engineering for
pervious (same-as) project does not
apply to this project. Therefore, this
is not "same-as". Corrections
needed for stacked ABP's. See
documents for plan review
comments.
APP DLM
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
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.
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.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to lloor 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.
Drywall: Prior to taPing.
Finat 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.
Paee 3 of4
Keouired lnsDecnons I
Status Issued
225Fifith Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01523ISSUED: 011041200sAPPLIED: 1211412004
EXPIRESz 0710412005VALUE: $ 199,509.00
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.
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 uired inspections are requested at the proper time, that each address is readable from the
street, that card is at the front of the property, and the approved set of plans will remain on the site at all
times /4"ur
or Signature Date
Pase 4 of 4
t
225 FIFTH STREET . SPRINGFIELD, OR97477 o PII:(541)726-3753 . FAXj
ELECTRI CAL P ERMIT AP P LI CATT A N
Ciry Job Number C,, l' i i3 Date
1
(r7.,
LEGAL DESCRIPTION
3
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address fra 4ar SoLf L)
City Ze"l*-Phone
Supervisor License Number o
'20 Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B.
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
L'-- $106.00 /06 90
a
$50.00
$ 63.00
$ 7s.00
s125.00
$r63.00
s37s.00
$ 50.00
$ 50.00
s 69.00
s100.00
$ 43.00
$ 3.00
H
C.
Expiration Date P- /-D1o
Constr. Contr. Number
Installa tion, Alteration or Relocatione fUli
arn coptes o f the ruiSgqrtpps
teleprid0A AtPt
or less
to 400 Amps
Expiration Date
Si gaature of Supervising
Owners Name
Address
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
401 Amps to 600 AmPS
). Over 600 Amps or 1000 Volts see "B" above.
numDe T
e
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
E.3
ctv )/A 77/Z pttorc 2.b-/o6/Pump or irrigation
Sigrr/Outline Li ghtin g
7o/o State Surcharge
10% Administrative Fee
TOTAL
$ 50.00
$ 50.00
Limited Energy/Residential $ 25'00
Limited Energy/Commercial S 45'00
Minimum Electric Permit Inspection Fee is $45'00 * Surcharges
2 1P
?/
/.702l
4.
Shared Drive(T:)iBuilding Forms/Electrical Pennit Application l -03'doc
/
?r3-m37
Inspection Request: 726-3769
GITY OF SPKINGFIELD SYSTEMS DEVELOPMENT JRKSHEET
JOURNAL OR JOB NUMBER: COM2004-01523
NAME ORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLINGUMTS
Homes
6006 Pebble Ct
Lot 120 Meadows 2nd
I. STORM DRAINAGE
DIRECT RTNOFF TO CITY STORM SYSTEM
COST PER S.F.
$0.310
BUTLDTNG SrZE (SFl 1624 LOT SrZE (SF):
CHARGE
$694.40
6840
IMPERVIOUS S.F
2240.00
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
B.IMPROVEMENT COST:
NUMBEROFDFU's
27
ADTTRIPRATE
9.57
B.IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$3,742.00
COST PER S.F.
$0.310
COSTPERDFU
s24.04
$18.28
NUMBER OF TINITS
I
NUMBER OF UNITS
I
ADM. FEE RATE
50i"
DISCOUNTRATE
50%
$694.40
DISCOTINT
$0.00
x
x
x
x
x
x
x
ITEM 1 TOTAL - STOR]VI DRATNAGE SDC
2. SANITARY SEWER- CIry
A.COST:
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBI.]RSEMENT COST:
xx
xx
COST PER TRIP
$r 8.30
COST PER TRIP
$80.72
s947.62
NEWTRIPFACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBI.'RSEMENT COST:
NUMBEROF FEU's
I
x
B. IMPROVEMENT COST:
NUMBER 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. ADMINISTRATIVEFEE:
$957.34
742.00
CHARGE
$1 87.10
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION
Cheryl Slaymaker t2lt7/2004
FEE:
NUMBEROFDFU's
27
$694.40
$649.08
$493.s6
$865.31
$10.00
123.43
$3,929.10
1070
1091
1092
1093
1094
1054
I 056
079
078
aH
o
C)
&r!Fa
orl]&
1
COST PER FEU
$82.03
COST PER FEU
s865.31
PREPAREDBY DATE
TOTAL SDC CIIARGES
I
142.64
FXTLIRETYPE
MISCELLANEOUS DFUTYPE
TOTAL DRAINAGE FXTURE TINITS
+EDU rsa
BEFORE 1979
1979
1980
198 I
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
199s
1996
1997
1998
1999
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEW FD(TURES x UNIT EQUTVALENT: DRAINAGE FXTURE UNITS
FOR CALCUI-ATE ONLY TTIE NET ADDITIONAL
NO. OFFXTL]RES
UNIT
NEW OLD
NLIMBEROFEDU'S
DRAINAGE
FIxTURE
UMTS
0
1979
IVTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
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
toa
$5.2s
unit 167
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1OOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (TF AFTERANNEXATION)
VALT]E / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CREDIT
BATIITUB 2 0 3 6
DRINKING FOUNTAIN 0 0 1 0
0 0FLOORDRAIN 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH/ETC.0 0 6 0
LAT]NDRYTUB 1 0 2 2
CLOTTIESWASTIER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 o 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTORFORREFRIG / WATER STATION /ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASTIER / ETC.0 0 3 0
SHOWER SINGLE STALL 0 0 2 0
SHOWE& GANG (NT]MBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCTIEN I 0 3 3
SINK: COMMERCLA.L BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
TIRINAL, STALL /WN,L 0 0 5 0
TOILET, PT]BLIC INSTALLATION 0 0 6 0
TOILET. PRIVATE INSTALLATION 3 0 3 I
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
2000
2001
20
I
I
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
225 Fifth Street
Springfield, Oregon 97 477
541-72:6-3759 Phone
SPetiloFta,LD city of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000015 Date: 0110412005 tt:57:47A][I
Job/Journal Number
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-0r523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01523
coM2004-01s23
coM2004-01523
coM2004-01s23
coM2004-01523
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mult 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
3 Baths One & Two Family
Fumace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Gas Fireplace
-Mechanical Issuance Fee-
Plan Review Residential
Plan Review Major - Planning
+ 7Yo Srp;rc Surcharge
+ l0% Administrative Fee
Amount Due
31.00
1,000.00
106.00
57.00
s0.00
75.00
75.00
(30.00)
694.40
649.08
493.56
t7s.t3
772.49
82.03
865.31
10.00
123.43
63.67
890.65
306.00
r2.00
24.00
6.00
9.00
6.00
4.00
15.00
10.00
478.92
103.00
104.00
148.57
$7,410.24Item Total:
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check HAYDEN ENT djb 14194 In Person 57,410.24
Payment Totat:
-57ZIT7I
U4/2005 Page I of I