HomeMy WebLinkAboutPermit Building 2005-05-20Status 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: COM2005-00513ISSUED: 0512012005APPLIED: 05/02/2005EXPIRES: ll/20l200sVALUE: $ 128,810.00
SITE ADDRESS: 6026 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,lotl2Z,Jasper Meadows. SAME AS COM2005-00347 6044
Orchid Ln
Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
PhoneNumber: 541-461-5091
:gtrr r UIlllt/
are set forth
Contractor Tvpe
General
Electrical
Mechanical
# 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:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor
HAYDEN
THORNTON ELECTRIC
PACIFIC AIR COMFORT INC
JET HEATING INC
lor
Cen
3944
# ofStories: I
Height of Structure 19.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path I
Sprinkled Building: nla
Phone
541-s014332
541-686415r
s4r-672-9s10
s03-363-2334
I
R-3
U
VN
05/31/2005
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,401
1,235
410
3
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
2
Yes
30.40
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
yes
Curbside 5'
Curb and Gutter
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face 5/4/2005 CAS
PUBLIC IMPROVEMENTS
Pase 1 of4
tl!
License
ilgehstne
Date
11 U lr-Lrl1\ tr lN I (rKlYrA r !!-rlll
lnE. v
TL
'lUUl\tU20.10
7.80
12.10
19.90
18.50
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: COM2005-00513ISSUED: 0512012005APPLIED: 05/02/2005EXPIRESz 1112012005VALUE: $ 128,810.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,235.00
410.00
Value
$118,560.00
$10,250.00
$128,810.00
Date Calculated
05t02t2005
05t02t2005
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 14
Plan Review Major - Planning
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
Total Amount Paid
Amount Paid
$100.00
$10.00
$115.69
$80.98
$2s4.00
$31.00
$6s9.90
$6.00
$9.00
$12.00
$4.00
$103.00
$106.00
$38.00
$383.88
$s04.84
$10.00
$865.31
$82.03
$112.03
$64.95
$772.49
$17s.r3
$80.00
s745.92
$s0.00
$18.00
$1,ooo.oo
$6,394.15
Total Value of Project
Date Paid
s12l0s
st20t0s
5t20t0s
st20tos
5t20t05
st20tos
st20t05
5t20t05
st20l05
5t20t05
st20t05
5120105
5t20t05
5120105
st20t05
5t20t05
5t20t05
5t20t05
st20t05
st20tos
5t20tos
5t20t05
st20t0s
st20t0s
5t20t05
5t20t05
st20t0s
5120t05
Receipt Number
120050000000000055r
1200s00000000000649
1200s00000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200s00000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
r200500000000000649
1200500000000000649
r200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200500000000000649
1200s00000000000649
1200500000000000649
1200500000000000649
1200500000000000649
tr'pes Pqid
Plan Reviews
Initial Review
Planning Review
05/03/200s
05/03/2005
0s/03/2005
05/06/2005
APP
APP
Paee2 of 4
LLH
TAJ
LL]
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00513ISSUED: 0512012005APPLIED: 05/02/2005EXPIRES: lll}Ol200sVALUE: $ 128,810.00
Public Works Review
Structural Review
05/03/2005 05104t2005 APP CAS
0s/03/200s 05/03/2005 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 6044 Orchid Lane
Reouired Insnections
To Request an inspection call the 24 hour recording at 726-3769. AII 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 fotlowing 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 linish 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 coyer 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
Paee 3 of4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00513ISSUED: 0512012005
APPLIED: 05/02/2005
EXPIRESz 1112012005VALUE: $ 128,810.00
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.
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 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.
Contractors Signature Date
Page 4 of 4
-a s/2"/r
C*des iltGr'*'.DContmunity Services Oivisiao - ,
APMSNT SEPYTCES {541 ) 726-s753
FAX (541) 726-3676
Name of Owner
Address of Prbject:
Tax Map:Tax Lot Subdivision
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 fill materials and drainage for this site must
be done under the direct supervision of a properly licensed Professional Engineer or Architect to
verify 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 may 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 City 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 recetved snd approved by this office
before footing or foundation inspection aoproval will be sranted bv the Citv Building Inspector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soii stabilization, including excavation, fill, 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.
Notice to Permit Applicant
Soils stabili zation required for subdivision sites
Permit: [b.b6
Signature
Name Affiliation to owner
Date s/z"rl"*
CITY OF S, r(INGFIELD SYSTEMS DEVELOPMET\ ,ORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00513
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
Homes
6026 Pebble Ct
Meadows 2ndLot 122
SINGLE FAMILY RESIDENCE
COST PER S.F
$0.3 l0
BUTLDTNG SrZE (SF) 1862 LOT SZE (SF):
CHARGE
$745.92
5410
I. STORM DRAINAGE
DIRECTRUNOFFTO CITY STORM SYSTEM
IMPERVIOUS S.F.
2406.19
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
2l
B. IMPROVEMENT COST:
NUMBEROFDFU's
2t
ADT TRIP RATE
9.s7
B.IMPROVEMENT COST:
ADTTRIPRATE
9.57
SUBTOTAL
$3,539.60
COST PER S.F
$0.3 r 0
COST PER DFU
$24.04
$ r 8.28
NT]MBER OF TINITS
I
NUMBER OF UNITS
I
ADM. FEE RATE
5v,
DISCOLINTRATE
50o/o
s745.92
DISCOTINT
$0.00
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:
$888.72
COST PER TRIP
$r 8.30
COST PER TRIP
$80.72
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBT'RSEMENT COST:
NUMBEROFFEU's
I
B. IMPROVEMENT COST:
NUMBEROFFEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4')
5. ADMINISTRATIVE FEE:
$9s7.34
CHARGE
$ 176.98
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPOR ADMINISTRATION FEE:
Cheryl Slaymaker 5/412005
COSTPERFEU
$82.03
$383.88
$r75.13
$772.49
$82.03
$865.31
$r0.00
$3,716.58
1070
1091
1092
1093
1094
105 5
1 056
1079
078
ar!oo()
r',HFo
oH&
I
I
COST PER FEU
s865.31
i,539.60
PREPARED BY DATE
TOTAL SDC CIIARGES
x
x
$947.62
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)
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES X I.,NIT EQUIVALENT: DRAINAGE FXTURE UNITS
FOR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
TYPE NEW OLD
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FD(TT]RE UNITS
isa toa uit sel a1 I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
LINITS
0
2
2
1979
BEFORE 1979 $5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
1979
1980
'198',I
1982
1983
I 984
x1985
1986
1987
1988
1 989
1990
1991
t992
1993
1994
1995
1996
1997
1998
1999
2001
VALUE/ IOOO
$0.00
CREDIT RATE
$5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
2 0 3 bBATHTUB
0 0 1 0DRINKING FOI.INTAIN
0 0 3 0FLOORDRAIN
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6
0 0 2 0LAT'NDRY TI.-IB
CLOTHESWASHER / MOP SINK 1 0 3 3
0 6 0CLOTT{ESWASHER - 3 OR MORE (EA)0
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0
0 0 2 0SHOWER, SINGLE STALL
SHOWE& GANG (NI.A,IBER OF HEADS)0 0 2 0
1 0 3 3SINK: COMMERCTAL/RESIDENTTAL KITCHEN
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
1 0 1 1SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL. STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 b 0
2 0 3 6TOILET, PRTVATE INSTALLATION
2l
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALIIE
00
2000
NTIMBER OF EDU'S
225 Fifth Street
Springfi el,I, Oregon 97 47 7
541-726-3759 Phone
City of Springfield Official Receipt
)evelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000649 Date: 0512012005 9:44:37/tM
Job/Journal Number
coM200s-00513
coM2005-00513
coM2005-00513
coM2005-00s13
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM2005-00513
coM200s-00s13
coM2005-00513
coM2005-00s13
coM200s-00s13
coM2005-00513
coM2005-00513
coM200s-00513
coM2005-00513
coM2005-00513
coM200s-00s13
coM2005-00513
coM2005-00513
coM2005-00s13
coM2005-00513
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
Temp Power 200 amps or less
+ 7% State Surcharge
+ l0% 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 Adminiskation
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Item Total:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check
I
HAYDEN ENT djb 17042 In Person $6,294.15
Paymenttotat: @
.t
5/2012005 Page I of I
tFriHm[nr]
Amount Due
659.90
31.00
1,000.00
254.00
12.00
18.00
9.00
6.00
4.00
10.00
106.00
38.00
50.00
80.98
I15.69
80.00
745.92
504.84
383.88
. 175.t3
772.49
82.03
865.31
10.00
ttz.o3
64.95
103.00
$6,294.15
l
tj
225 FTFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 . FAXj
ELECTRICAL
Ciry Job Number
Supervisor License Number o
Expiration Date /0- /-{) 1o
Constr. Contr. Numbo / / b 487
JOB DESCRIPTION
{
non-transfera expire if work
not started within 180 days of issuance or if work is
Suspended for 180 days.
1
Electrical Contractor
Address a,
lol\ow
City Ezc;*'Phone
U
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
200
6m
TION
Date
$ 106.00
$ 19.0^
$s0.00
B.
1-00'1
ob-
You
the
rnay
cenre(
rheCI
Center is
to
1-
e
icatton
s 63.00
$ 75.00
$12s.00
$163.00
$37s.00
s 50.00epln
0090 oillN
Installation, Alteration or Relocation
200 Amps or less ,
201 Amps to 400 AmPs
401 Amps to 600 AmPs
sso.oo_g0.0D
Expiration Date
Sigaature of Supervising
Owners Name
Address
City
OWNERINSTALLATION
The installation is being made on properly I own which
is not intended for sale, lease or rent.
Owners Signature:
Each Additioual Circuit orwith
Service or Feeder Permit $ 3'00
s100.00
s s0.00
$ 50.00
/(r- /- o L-_--__7--Over 600 or 1000 Volts see "B" above.
New Alteration or Extension Per Panel
one circuit s 43'oo
D.
(Pump or irrigation
Sign/Outline Lighting
Limited EnergyA.esidential s 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
@
7Yo State Surcharge
10% Administrative Fee
TOTALInspection Request: 726-37 69
4.
Shared Drive(T:/Building Fonns/Electrical Pennit Application 143'doc
3.
A.
QPr"
l'
{)-
N0Tt0!,Ptn
1\E.
0l\AMtC
AN\B