HomeMy WebLinkAboutPermit Building 2005-05-20Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00514ISSUED: 0512012005APPLIED: 05/02/2005
EXPIREST 1112012005VALUE: $ 154,576.00
SITE ADDRESS: 6034 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, Lotl23, Jasper Meadows 2nd SAME AS COM 2004-01526
6045 Orchid Ln
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
26225W GLACIER PL #110
REDMOND OR 97756
PhoneNumber: 541-461-5091
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET HEATING INC
License
92208
116329
39237
3944
Expiration Date
07t29t2007
10t0u2006
03t2512006
05/31/2005
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
CONTRACTOR INFORMATION
law to# 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:
S ub division N ot A ccepte d
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
yes
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
COMMENCED
ANY 1BO DAY
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
RK
OI Curbside 5'
Curb and Gutter
I
R-3
U
VN
3
5,400
1,506
20.00
s.80
6.00
20.20
15.00
les
2
Yes
3s.20
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to curb
face 5/4/2005 CAS
DEVELOPMENT INFORMATION
Page I of4
# of Stories:
Oregon
the center.
Ft Basement:
ffiIhflill,oad:
R
D
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: COM2005-00514ISSUED: 0512012005APPLIED: 05/02/2005EXPIRES: 1112012005VALUE: $ 154,576.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
s96.00
$2s.00
Square Footage
or Bid Amount
1,506.00
400.00
Value
$144,576.00
$10,000.00
$154,576.00
Date Calculated
05t02t200s
05t02t200s
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l$Yo 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 1-4
Heat Pump
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC NIWMC Improvement
SDC MWMC 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
Amount Paid
$100.00
$10.00
$120.34
s84.24
$2s4.00
$31.00
$744.40
$6.00
$9.00
$12.00
$4.00
$12.00
$103.00
$106.00
$38.00
$383.88
$504.84
$10.00
$86s.31
$82.03
$114.81
$64.62
$772.49
$175.13
$80.00
$794.84
$18.00
$1,000.00
$6,499.93
Total Value of Project
Date Paid
512105
5120105
5t20t05
5t20t05
st20t05
st20tos
5t20105
5t20t05
5t20105
5t20t05
5t20t05
5t20t05
st20t05
5t20105
5t20t05
st20t0s
5120105
st20t0s
5t20105
5t20t05
5t20t0s
5t20t0s
st20t05
st20tos
5t20t05
st20t05
5t20t05
5120105
Receipt Number
1200s00000000000552
1200500000000000648
1200500000000000648
1200500000000000648
r200s00000000000648
r200s00000000000648
1200s00000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200s00000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200500000000000648
1200500000000000648
r200s00000000000648
1200500000000000648
1200500000000000648
1200s00000000000648
1200500000000000648
1200s00000000000648
1200500000000000648
1200500000000000648
1200s00000000000648
Fpps Peid
Plan Reviews
Initial Review
Planning Review
05/03/200s
05/03/200s
05/03/2005
0s/06/200s
APP
APP
Paee 2 of 4
LLH
TAJ
*
Valuation Description I
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: COM2005-00514ISSUED: 0512012005APPLIED: 05/02/2005
EXPIRESz 1112012005VALUE: $ 154,576.00
Public Works Review
Structural Review
0s/03/200s 05t04t2005 APP CAS
05/03/2005 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 6045 Orchid Lane
. To Request an inspection call the 24 hour recording at726-3769. 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 lilling 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
f,l pnrrirpd f nsnpcfinns
Paee 3 of4
I-,.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00514ISSUED: 0512012005APPLIED: 05/02/2005EXPIRESz 1112012005VALUE: $ 154,576.00
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 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.a /r21r-.
ffisignature Date
Pase 4 of 4
I.1,
CITY OF S, r(INGFIELD SYSTEMS DEVELOPMEh ,ORKSHEET
JOIjRNAL OR JOB NUMBER: COM2005-00514
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING TINITS
Homes
6034 Pebble Ct
Meadows 2ndLot 123
SINGLE FAMILY RESIDENCE
COST PER S.F
$0.3 l0
BUTLDTNG SIZE (SFl 1984 LOT SIZE (SF):
CHARGE
$794.84
5400
I. STORM DRAINAGE
DIRECT RLTNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F
2564.00
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
NI,]MBER OF DFU'S
2t
B. IMPROVEMENT COST:
NUMBER OF DFU's
2l
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SLIBTOTAL
$3,588.52
COST PER S.F
$0.3 r 0
COST PER DFU
s24.04
$ 18.28
NT]MBEROF LINITS
I
NUMBER OF LINITS
I
ADM. FEE RATE
5o/o
DISCOLINT RATE
50%
$794.84
DISCOLINT
$0.00
x
x
x
x
x
x
x
x
x
ITEM I TOTAL - STOR]VT DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
$888.72
COST PER TRIP
$18.30
COST PER TRIP
$80.72
s947.62
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER- MWMC
A. REIMBURSEMENTCOST:
N[A,[BER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDITIF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SAI\ITARY SEWER SDC
SUBTOTAL (ADD rTEr{S 1,2,3, & 4\
5. ADMINISTRATTVE FEE:
$957.34
C}IARGE
$179.43
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CherylSlaymaker s1412005
COST PER FEU
$82.03
$794.84
$s04.84
$l7s.l3
$772.49
$82.03
$r0.00
I14.81
$3,767.95
l 070
l09l
1092
I 093
1094
r 056
079
078
a
rrl
t-.1ot)
rrlFa
o
14&
COST PER FEU
$86s.31
s88.s2
PREPARED BY DATE
TOTAL SDC CHARGES
x
FXTURE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE TII\ITS
*EDU tsa
BEFORE I979
1979
l98l
1982
1983
1984
1985
1986
1988
1989
1990
l99l
1992
1993
1994
1995
1996
1997
1998
1999
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUTVAIENT : DRAINAGE FXTURE UN]TS
F'OR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTT]RES
UNIT
NEW OLD
NUMBER OF EDU'S
unit sel at 167
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
20
DRAINAGE
FIXruRE
UNITS
0
2
t979
toa
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$+.+o
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
2
980
987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALT]E / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MVYMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTT'B 2 0 3 6
DRINKING FOT]NTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC,0 0 b 0
LALINDRY TUB 0 0 2 0
CLOTT{ESWASHER / MOP SINK 1 0 3 3
CLOTTIESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER SINGLE STALL 0 0 2 0
SHOWE& GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOT]BLE LAVATORY I 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PT]BLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2000
2001
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
Sorvices 0ivision - ling Codes r'-r-D
(541 ) 726-3753
FAX (541) 726-3676
Notice to Permit Applicant
Soils stabili zation required for subdivision sites
Permit: uh.5\+Name of Owner
Address of Project:\oD okh\o- Cuur*,
Tax Map:
Signature
ZncL
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
subdivision, mty 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 reporf from the engineer or architect must be received and approved bv this office
before foitins or foundation insoection aoproval will be eranted bv the Citv Buildin? InsDector-
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabilization, including excavation, filI, 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.
tax tot: \Q3 Subdivision
Name Affiliation to owner
Dati o
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
)evelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000648 Date: 0512012005 e:43:444M
Job/Journal Number
coM2005-00514
coM2005-00514
coM200s-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
cbvrzoos-oosr+
coM200s-00s14
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM2005-00514
coM200s-00514
coM2005-00514
cbM2oos-oosl4
coM2005-00514
coM2005-00514
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
Heat Pump
-Mechanical Issuance 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
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7Yo State Surcharge
+ l0% Administrative Fee
Amount Due
744.40
3l.00
1,000.00
254.00
12.00
18.00
9.00
6.00
4.00
12.00
10.00
80.00
794.84
504.84
383.88
175.13
772.49
82.03
865.31
10.00
I14.81
64.62
r03.00
106.00
38.00
84.24
t20.34
Item Total:$6,399.93
Pavments:
Tlpe of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Peid
Check HAYDEN ENT djb 17042 In Person
Payment Total:
$6,399.93
-56ffi
J
512012005 Page I of I
I
CITY OF RINGFIELD, OREGON
{s'
225 FIFTH STREET . SPRINGFIELD, OR 97477 c PHz$a\726-3753 o FAX: (54r
ELECTRICAL
City Job Number
TION
3.
A.t
I
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
fl.eoo
$ 63.00
$ 7s.00
$ 12s.00
$163.00
$37s.00
$ s0.00
$106.00
$ 19.00
$s0.00
Permits non-transferable and if work is
not started within 180 days of rssuance or if work is
Suspended for 180 days.
1
Electrical Contractor T7,AT,ilTD"d EL
call,
City ezf/Phone ? s s -ao;>7v
Signature of Supervising Electrician
Phone
OWNER ALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
fotto
Supervisor License Number ?O 17 .S C. Temporary Services or Feeders
Expiration Date /u-l- o7 Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps
Expi rationDate /O'/ - D,
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Owners
Reconnect
Pump or irrigation
Sigrr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commerci al
$ 69.00
D.
vice/feeder not included) -Each lnstallation
$ 43.00
$ 3.00
$ s0.00
$ s0.00
$ 2s.00
$ 45.00
City
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
loh State Surcharge
l0% Administrative Fee
TOTAL
P
Inspection Request: 726-37 69
4.
Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc
l.I
per dwelling
[Dbn-md
CONT RACTOR IN STAL I-ATT ON ON LY
Address ,Z a. 4 ox L.I Ll
Constr.Contr.Number // b 3 2 ?
Alterations or Relocation:
IHIS P
u r rlUl
COMfiIE
ANY lBA
OFABOVE