HomeMy WebLinkAboutPermit Building 2005-08-09Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
CITY O
Building/Co mbination Permit
PERMIT NO: COM2005-00900ISSUED: 08/09/2005APPLED: 0711212005E)PIRES: 0210912006VALUE: $ 250,804.00
SITE ADDRESS: 6043 PEBBLE CT Springfield TYPE OF
ASSESSORS PARCEL NO.: 1802033400178
TYPE OF USE:
PROJECT DESCRIPTION: Single family residence - Jasper Meadows 2nd lot 131
Single Family Residence
New Residential
Number: 541-228-1081' Owner:
Address:
HAYDEN ENTERPRISES INC
26225W GLACIER PL #110
REDMOI\D OR 97756
Contractor TYpe
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET MECHANICAL LLC
License
92208
116329
39237
158633
Expiration Date
07t29t2007
10/01/2006
03t25t2006
02tr0t2006
Phone
541-228-108r
541-686-4151
541-672-9510
503-363-2334
# of UniS:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyrrd Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
1ATTENT
R-trollow r
number
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,382
1,008
1,381Hotification
v\{-, onn ssz
400
ttz
20.00
7.20
17.90
21.90
0.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
)
Yes
26.t0
Sidewalk Type:
Downspouts/Drains
REQUIRED PARIilNG
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Fully Improved
Yes
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face7ll5l2005 CAS
PUBLIC IMPROVEMENTS
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law
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-72636768ax
541:7 26-37 69 Ins pe ction Line
OF
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2005-00900ISSUED: 08/09/200sAPPLIED: 0711212005E)GIRESz 0210912006VALUE: $ 250,804.00
Description
A.C. - Residen
Deck/Balcony
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lDYo Administrative Fee
+ 77o State Surcharge
3 Baths One & Two FamilY
Addressing Assignment
Appliance Not Listed
Building Permit
Dryer Vent
Exhaust lloods
Furnace - uP to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
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
Storm Sewer Each Addtl 100'
Vent Fan
Willamalane Single FamilY
Total Value of Project
Date Paid Receipt Number
1200500000000000986
r200s00000000001164
1200s00000000001164
1200s00000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200s00000000001164
1200500000000001164
1200500000000001164
1200s00000000001164
1200500000000001164
1200s00000000001164
1200500000000001164
1200500000000001164
1200s00000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
1200500000000001164
Type of Construction
AC - Residential
Deck
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$4.00
$17.00
$96.00
$25.00
Square Footage
or Bid Amount
2,389.00
l r2.00
2,389.00
400.00
Value
s9,556.00
$1,904.00
$229,344.00
$10,000.00
$250,804.00
Date Calculated
07t22t200s
07t22t2005
07t221200s
07n21200s
Amount Paid
$587.37
$r0.00
$163.s4
$1r4.48
$306.00
$31.00
$27.00
$1,056.40
$6.00
$9.00
$12.00
$4.00
$1s0.00
$99.29
$106.00
$s7.00
s476.75
$626.7s
$10.00
$86s.31
$82.03
$121.31
$66.34
$805.70
$182.69
$80.00
$703.82
$28.00
$24.00
$1,000.00
7n2105
8/9/0s
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/0s
8/9/05
8/9/05
8/9/05
8/9/05
8t9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/0s
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/0s
819105
8/9/05
8i9l0s
Total Amount $7,811.78
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Valuation Descrintion I
I'ees Patd I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
5414 2647 69 I nspe ction Line
Buildin g/Co mbination Permit
PERMIT NO: COM2005-00900ISSUED: 08/09/2005APPLIEDz 0711212005E)GIRESz 0210912006VALUE: $ 250,804.00
Plan Reviews
Initial Review
Initial Review
Planning Review
Public Works Review
Structural Review
07n3t2005 07n3t2005 APP LLH Plans forwarded to Jason Bush for
review. Unable to enter Structural
review due to tag entered by Steve
Barnes/PW
Structural Review approved.
Storm drainage piped to curb face
7/15/2005 CAS
Approved as noted on plans
071141200s
07fi3t2005
07n3t2005
07120t2005
07t27t2005
07n51200s
APP
APP
APP
LLH
TAJ
CAS
07fi412005 0712012005 APP JB
To Request an inspection call the24 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.
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.
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.
leouired fnsnecfions
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T -
CITY O
Buildin g/Co mbin ation Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
PERMIT NO: COM2005-00900ISSUED: 08/09/2005APPLIED: 0711212005E)CIRES: 0210912006VALUE: $ 250,804.00
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.
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.
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 certi$ that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCI PAIICY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiS 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 construction
6-qeY
Owner or Contractors Signature Date
4of4
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Seruices Division - ,ding Cades
(541) 726-3753
FAX (541) 726-3676
Notice to Permit Applicant
Soils stabilization re quired for subdivision sites
Name of Owner Permit
Address of Project:
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
subdivision, 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 repoJfrom thl engineer or architect must be received and approved bv this office
before footing or foundation inspection aporoval will be eranted bV the Citv Buildinq Insoector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabil ization, 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.
Signature
Name Affiliation to owner
Date SatS-
CITY OF S}..{NGFIELD SYSTEMS DEVELOPMEN iORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00900
NAMEORCOMPAI.ry Homes
LOCATION 6043 Pebble Ct
TAX LOTNUMBER:I 8020334001 78
DEVELOPMENT TYPE SINGLE FAMILY RESIDENCE
NEWDWELLING UNITS BUILDING SIZE
1. STORMDRAINAGE
DIRECT RLINOFF TO CITY STORM SYSTEM
LOT SrZE (SF):5382
IMPERVIOUS S.F
2179.00
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F.
$0.323
COST PER S.F
$0.323
CHARGE
$703.82
DISCOUNT RATE
50"/o
$703.82
DISCOLTNT
$0.00
xIMPERVIOUS S.F
0.00
ITEM T TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER. CIry
A, REIMBURSEMENT COST:
x
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,103.50
3. TRANSPORTATION
A. REIMBURSEMENT COST:
NUMBER OF DFU's
25
B. IMPROVEMENT COST:
NUMBER OF DFU's
25
ADT TRIP RATE
9.57
COST PER DFU
$25.07
$19.07
NUMBER OF TINITS
1
NUMBER OF T]NITS
I
ADM. FEE RATE
5o/o
COST PER TRIP
$ r 9.09
COST PER TRIP
s84. I 9
$988.39
NEW TRIP FACTOR
r.00
NEW TRIP FACTOR
r.00
xx
xx
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBT]RSEMENT COST:
NLMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4\
5. ADMINISTRATIVE FEE:
SUBTOTAL
$3,753.05
TOTAL SANITARY ADMINISTRATION FEE
TOTAL ATION
$9s734
$3,753.05
CHARGE
$r 87.65
FEE:
Cheryl Slaymaker 7 t1512005
COST PER FEU
$82.03
v76.75
$182.69
$80s.70
$82.03
1.31
$3,940.70
1070
1091
1092
1093
1094
1 054
1055
1056
1079
I 078
asl
t-.1
O
rJlFa
()
E]&
I
I@
IU
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CIIARGES
x
x
FXTURE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FIXTTIRE TINITS
+EDU lsa
BEFORE 1979
t979
r 980
l98l
1982
I 983
1984
I 985
I 986
1988
I 989
I 990
l99l
1992
I 993
1994
1995
1996
1997
1998
1999
DRAINAGE FD(TURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FIXTTIRE UNITS
FOR REMODELS, CALCUI-ATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
NEW OLD ALENT
NUMBEROF EDU'S
20
DRA]NAGE
FIXTL]RE
TINITS
0
toa unit set at I 67
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIP
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
2
$s.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
2
1979
VALUE / IOOO
$0.00
CREDIT RATE
s5.29x
987 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.052001
BATHTUB 2 0 3 6
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 0 0 2 0
CI,OTIJESWASHER / MOP SINK 1 0 3 3
cLoTr-tESwASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEP'|OR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG OTIJMBER OF HEADS)0 0 2 0
SINK: COMMERCTAL/RESTDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE I.AVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
T]RINAL. STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE IN STALLATION 3 0 3 I
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
00
2000
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)72G3753 o tr'
E LECTRI CAL PE RM IT APPLI CATION
City Job Number
AX:
\g
aod
6\
1
A.LEGAL Dq,
Permits ,bte if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
C.
Pump or irrigation
Sign/Outline Lighting
Limited EnergY/Residenti al
Limited EnergY/Commercial
$106.00 ldo,N;;;w'uoD
,B. Services or Feeders - Installation, Alterations or Relocation:
$ 63.00
$ 7s.00
$125.00
$375.00
$ s0.00
$ 43.00
$ 3.00
$ 50.00
$ 50.00
$ 2s.00
$ 45.00
*e-
\\t
Electrical Contractor
Address Zo 4*r SoLl q
City Eu"/Phone ?z= - 0027
Supervisor License Number 3 o/7 s
Expiration Date /ce-)-o7
Constr. Contr. Number t/b 32?
Expiration Date /O - l- O,
Signature of Supervising Electrician
Owners'
Address
City Phone
OWNERINST TION
The installation is being made on property I own which
is not intended for sale, lease or rent'
Owners Signature
$163.00
Installation, Alteration or Relocation
200 Amps or less $ 50'00
201 Amps to 400 AmPs $ 69'00
401 Amps to 600 AmPs $100'00
Over 600 Amps o1 1000 Volts see "B" above'
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
MinimumElectricPermitlnspectionFeeis$45.00+Surcharges
E.N{iscellaneous(Servicelfeedernotincluded)_Eachlnstallation
\7o StateSurcharge
l0% Administrative Fee
TOTALInspection Request: 726-37 69
4.
Shared Drive(T)/Building Forms/Electrical Permit Application 1-03'doc
CITY OF ORECON1
aS
INSTALI-A?ITON 3. COMPLETEFTE
per dwelling unit.
a
$s0.00
225 Fifth Street
Springfietd, Oregon 97 477
541-72G3759 Phone
RECEIPT#: 1200500000000001164 Date:08/09/2005 9:39:59AM
Job/Journal Number
coM2005-00900
coM2005-00900
coM200s-00900
coM2005-00900
coM2005-00900
coM200s-00900
coM2005-00900
coM2005-00900
coM2005-00900
coM200s-00900
coM2005-00900
coM2005-00900
coM2005-00900
coM2005-00900
coM200s-00900
coM2005-00900
coM2005-00900
cbM200s-00900
coM200s-00900
coM2005-00900
c5M20os-00900
coM2005-00900
coM2005-00900
coM2005-00900
coM200s-00900
coM200s-00900
coM200s-00900
coM200s-00900
coM200s-00900
I
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC lvtlVMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Residential
Building Permit
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Appliance Not Listed
-Mechanical Issuance Fee-
Plan Review Major - Planning
+ 7%o State Surcharge
+ l0%o Administrative Fee
Amount Due
31.00
1,000.00
106.00
57.00
80.00
703.82
626.75
476.75
182.69
805.70
82.03
865.31
10.00
tzt.3t
66.34
99.29
1,056.40
306.00
28.00
12.00
24.00
9.00
6.00
4.00
27.00
10.00
150.00
I14.48
163.54
Item Total:$7,224.41
Payments:
Tlpe of Palment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check HAYDEN ENT djb 18412 In Person
Payment Total:
$7,224.41@
li
a
8191200s lofl
City of Springfield Official Receipt
)evelopment Services Departm ent
Public Works Department-\