HomeMy WebLinkAboutPermit Building 2005-05-20Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00515ISSUED: 051201200sAPPLIED: 05/0212005EXPIRES: 1112012005VALUE: $ 120,208.00
SITE ADDRESS: 6018 Pebble Ct Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence, Lotl2l, Jasper Meadows 2nd SAME AS COM2005-00346
6028 Orchid Ln
PhoneNumber: 541-461-5091Owner:
Address:
HAYDEN ENTERPRISES
26225W GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIRCOMFORT INC
JET HEATING INC
License
92208
116329
39237
3944
Expiration Date
0712912007
1010u2006
Phone
541-501-4332
541-686-4151
s4t-672-9510
503-363-2334
CONTRACTOR INFORMATION
# 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:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
2
Yes
27.90
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total: 2
Handicapped:
Compact:
5,547
1,148
400
Curbside 5'
Curb and Gutter
I
R-3
U
VN
rules are set forth
rgh OAR 952-001-
# of Stories: 1 Lot Size:
Height of Structure 16.25 Sq Ft lst Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
3
20.00
6.80
13.00
23.70
10.00
Fully Improved
yes
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City: storm drainage piped to curb
face 5/4/2005 CAS
Paee I of4
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rir
t t vt1,L(rr1vt|,N I ll\r(rr(rYrArr(ri\
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00515ISSUED: 0512012005APPLIED: 0510212005EXPIRES: 1112012005VALUE: $ 120,208.00
Description
Dwellinss
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,149.00
400.00
st2t0s
5t20t05
st20t0s
st20t0s
5120105
st20t0s
5t20t05
5t20t05
st20t0s
5t20t05
5t20t05
5t20t05
5t20t0s
5t20tos
5t20t05
5t20t05
st20t0s
5t20t05
5t20t05
st20l0s
5t20t05
st20tos
5120105
5t20t05
5t20t05
5t20t05
5120t05
Value
$110,208.00
$10,000.00
$120,208.00
Date Calculated
ost02t2005
05t02t200s
Amount Paid
Total Value of Project
Date PaidFee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ lAYo Administrative Fee
+ 1oh Stile Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC LWMC Improvement
SDC NIWMC 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 Amount Paid
Receipt Number
1200s00000000000553
r200500000000000650
1200s000000000006s0
12005000000000006s0
1200s000000000006s0
12005000000000006s0
1200s00000000000650
1200500000000000650
12005000000000006s0
1200s000000000006s0
1200500000000000650
1200500000000000650
12005000000000006s0
1200500000000000650
1200500000000000650
1200s00000000000650
1200500000000000650
1200s000000000006s0
1200500000000000650
1200500000000000650
12005000000000006s0
1200s00000000000650
1200500000000000650
1200500000000000650
1200500000000000650
1200500000000000650
1200s000000000006s0
$100.00
$10.00
$108.09
$75.66
$2s4.00
$31.00
$633.90
$6.00
$9.00
$12.00
$4.00
$103.00
$106.00
$38.00
$365.60
$480.80
$10.00
$865.31
$82.03
$103.47
$66.03
$772.49
$175.13
$80.00
$638.60
$18.00
$1,000.00
$6,148.11
tr'ees Paid
Plan Reviews
Initial Review
Planning Review
05/03/200s
0s/03/200s
05/03/2005
05/06/2005
APP
APP
LLH
TAJ
Paee2 oI 4
Valuation Descrintion
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00515ISSUED: 0512012005APPLIED: 05/0212005
EXPIRESz 1112012005VALUE: $ 120,208.00
Public Works Review
Structural Review
05/03/2005 0s/04/200s APP CAS
0s/03/200s 0s/03/2005 APP RJB
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
curb face 5/4/2005 CAS
Same as 6028 Orchid Lane
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.
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.
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.
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.
Finat 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
leorrired fnsnections
Paee 3 of4
E mLJ
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: COM2005-00515ISSUED: 0512012005APPLIED: 05/02/2005
EXPIRESz 1112012005VALUE: $ 120,208.00
Final Gas: When all gas work is complete.
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.
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.
By signature, I state and agree, that I have carefully examined the completed appHcation 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 Springlield 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.
*r/""-ffi Date
Page 4 of 4
L
CITY OF SPxINGFIELD SYSTEMS DEVELOPMEN.. ORKSHEET
JOURNAL OR JOB NLIMBER: COM2005-00515
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLING TINITS
Homes
6018 Pebble Ct
Meadows 2ndLot 121
SINGLE FAMILY RESIDENCE
BUILDING SZE 1 LOT SIZE (SF)5547
I. STORMDRAINAGE
DIRECT RUNOFF TO CIry STORM SYSTEM
IMPERVIOUS S.F. X
2060.00
RIINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
NTIMBEROFDFU's
20
B. IMPROVEMENT COST:
NUMBEROFDFU'S
20
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
STIBTOTAL
$3,389.96
COST PER S.F
$0.3 r0
COST PER S.F
$0.3 l0
COSTPER DFU
$24.04
$ 18.28
NTIMBER OF UNITS
I
NI']\,IBER OF I'NITS
I
ADM. FEE RATE
5Yo
CHARGE
$638.60
DISCOLNTRATE
50Y.
$638.60
DISCOLINT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBT]RSEMENT COST:
TTEM 2 TOTAL - CITY SANITARY SEWER SDC $846.40
3. TRANSPORTATION
A REIMBURSEMENTCOST:
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. REIMBURSEMENT COST:
Nf {BER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATME FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS l, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
CHARGE
$ r 69.50
TOTAL SANITARY ADMINISTRATION FEE:
TOTAI TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker 5/4/2005
COST PER FEU
$82.03
$638.60
$r75.13
$772.49
$82.03
$0.00
103.47
$3,559.46
1070
l09l
1092
1 093
1094
I 055
1056
aH
t-.to(-)
&
E]Fa
r!&
COST PER FEU
$865.3 r
389.96
PREPARED BY DATE
I
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TI.JRES XUNIT EQUTVALENT:DRAINAGE FXTURE T,INITS
FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL
NO. OF FD(TURES
UNIT
FIXTURETYPE NEW OLD ALENT
MISCELLANEOUS DFU T\?E NUMBER OF EDU'S
TOTAL DRAINAGE FXTURE T]NITS
lsa toa mit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTT'RE
I]NITS
0
2
1979
+EDU
BEFORE I979
1979
1980
1982
1983
1984
1985
1986
1987
1988
1989
1990
1992
1994
I 995
"t996
1997
1998
I 999
$1.59
$1.45
$1.25
$1.09
$0.92
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter 1 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)
2
l98l
$4,63 VALLIE / lOOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / lOOO CREDIT RATE
$0.00 x $5.29
TOTAL IT,IWMC CREDIT
l99l
1993
2 0 3 6BATHTUB
0001DRINKING FOTINTAIN
3 000FLOORDRAIN
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
6 000INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0 2 00LATINDRY TUB
3103CLOTT{ESWASIIER / MOP SINK
6 000CLoTITESWASHER - 3 OR MORE (EA)
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAIT,ER)
0001RECEPTOR FOR REFRIG / WATER STATION / ETC.
3 000RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 2 00SHOWE& SINGLE STALL
0 0 2 0SHOWE& GANG (NUMBER OF I{EADS)
3 310SINK: COMMERCIAL/RESIDENTIAL KITC}IEN
0 0 2 0SINK: COMMERCIAL BAR
0002SINK: WASH BASIN/DOTIBLE LAVATORY
1 220SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0 0 5 0URINAL, STALL / WALL
000bTOILET, PUBLIC INSTALLATION
b203TOILET, PRIVATE IN STALLATION
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
.00
2000
2001
$0.28
$0.09
$0.05
Serviees Divisio* - 8,C*des frlNQFt-- -l
(541 ) 726-37s3
FAX (541) 726-3676
Notice to Permit Applicant
Soils stabilization required for subdivision sites
Name of owner. X[t rlf\o.n..NOcnonj Permit:Q5.55
Y
Address of Proj ect: \00\6 .lrStUo .Ccr,rrf
Tax Map:Tax Lot: '\&\ Subdivision
S{\Dt
The building site at the above address is located on property that has soils prone to shrink-swell or
other potential movement. Excavations, placement of fiII materials and drainage for this site must
be done under the direct supervision of a properly licensed Professional Engineer or Architect to
veriff the stability of the resulting building pad and the site.
The owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate
professional engineer or architect (design professional). The design professional shall provide
direction for the stabilization methods to be used for the building pad (and surrounding site, when
site stabilization is also necessary). The geotechnical report, which was prepared for this
subdivisionr fray be utilized to provide appropriate guidance for the methods of stabilization and
required compaction for the specific site.
The engineer or architect shall prepare a report to be submitted to the Cify stating how the soil
stabilization is being accomplished, including requirements not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and approved bv this oflice
before footins or foundation insoection aoproval will be granted bv the Citv Buildins Insoector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabilrzation, including excavation, f,ill, soil compaction and drainage, as provided in the
geotechnical report for the subdivision. The stabilization will be accomplished under the
direction of a licensed professional engineer or architect as noted above.
Signature Date
Name qa.J Affiliation to owner c
o:-
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C_ity of Springfield Oflicial Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200s00000000000650 Date: 0512012005 e:45226AM
Job/Journal Number
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00sls
coM2005-00515
coM2005-00515
coM2005-005r5
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00s15
coM2005-00515
coM2005-00515
coM2005-00sls
coM2005-00s15
coM2005-00515
cbuzoos-oosrs
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00515
coM2005-00515
coM200s-00515
Description
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7oh State Surcharge
+ l0o/o Administrative Fee
Sidewalk 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
Plan Review Major - Planning
Amount Due
633.90
31.00
1,000.00
254.00
12.00
18.00
9.00
6.00
4.00
10.00
106.00
38.00
7s.66
108.09
80.00
638.60
480.80
36s.60
175.13
772.49
82.03
865.31
10.00
103.47
66.03
103.00
Item Total:$6,048.11
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number [fow Received Amount Paid
Check HAYDEN ENT djb 17042 In Person $6,048.1 I
Payment totat: ftdiiB.TI
sl20l200s Page 1 of I
225tr'TFTHSTREET . SPRINGFIELD, OF.g7477 o pH:(541 )726-3753 r FAX: (54
ELECTRICAL APPLICATION
City Job Number r5 Date
3
AL
nter
A.
B.
D.
E.
JOB
Permits are 'ansferable and if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1
Electrical Contractor
Address a
, Services or Feeders -- Installation. Alterations or Relocation: I '
Service lncluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sigrr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
7%o State Surcharge
10% Administrative Fee
TOTAL
t*6 t $ 106.00
$ 19.00
$50.00
]tu
^sg
N
cirv &f-Phone
a
Supervisor License Number o
inOAi
$ 63.00
s 75.00
$ r25.00
$ r 63.00
$37s.00
$ 50.00
$ 43.00
$ 3.00
/0- /- O 1r>number f
1^
or th
onte
eo
ris
constr. conrr.Numb* i/ b 32 7
Expiration Date /(r- /- D L
Signature of Supervising Electrician
Owners
Address
City Phone
OWNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
$ s0.00
$ s0.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
Inspection Request: 7 26-37 69
4.
Shared Drive(T:)/Building Forrns/Electrical Pennit Application I -03.doc
1.
f)r9QoO
Expiration Date
rules bY