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Home My WebLink AboutPermit 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