HomeMy WebLinkAboutPermit Building 2005-07-05Status: Issued
225 Fifth Street, Springfield, OR
5414264753 Phone
541-7263676Frx
54lJ 2637 69 Ins pe ction Line
OFS
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2005-00666ISSUED: 0710512005APPLIED: 06/0312005E)PIRES: 01/0512006VALUE: $ 203,248.00
SITE ADDRESS: 6068 Pebble Ct
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 ADI
PROJECT DESCRIPTION:
Springfield TYPE OF Single Family Residence
TYPE OF USE: New Residential
Single family residence - Jasper Meadows 2nd lot 126. SAME AS COM2005-00147
6066 Orchid Ln
PhoneNumber: 541-461-5091Owner:
Address:
Contractor TYpe
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
26225W GLACMR PL #110
REDMOND OR 97756
ATTENTION: Oregon law re quires you tofollow rules adopted by the Oregon Utitity
oAH 952-001-
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET HEATING INC
39237
3944
03125t2006
05t3u2007
Phone
541-228-1081
541-686-4r51
541-672-9510
503-363-2334
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Sub tlivision Not Accepted
Sheet
Storm SewerAvailable:
Speciat Insfruction:
Fullv Improved
Yes
1
Yes
21.90
Sidewalk Type:
Downspouts/Drains
REQUIRED PARI(NG
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
I
R-3
U
vt[
# ofStories:
Height of
Type of Heat:
Water \pe:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
2
26.25
Forced Air Gas
Gas
Electric
Path I
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,410
1,008
1,005
400
3
20.00
s.30
8.70
60.00
3s.00
Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face 6/7/2005 CAS
DEVELOPMENT INFORMATION
lof4
LI
Irullrl-rlL\1J llr.C \rI\]VIfrr It 1\l
rJl
CITY
Buitdin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00666ISSUED: 0710512005APPLIED: 06/0312005E)?IRES: 01/0512006VALUE: $ 203,248.00
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or muhiplier
$96.00
$2s.00
Square Footage
or Bid Amount
2,013.00
400.00
Value
$193,248.00
$1o,ooo.oo
$203,248.00
Date Calculated
06/03/2005
06/03/2005
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7%o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
PIan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Vent Fan
Willamalane Single Family
Total Amount
Amount Paid
Total Value of Project
Date Paid Receipt Number
1200500000000000757
1200500000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200s00000000000937
1200500000000000937
1200500000000000937
1200s00000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200s00000000000937
1200s00000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200s00000000000937
1200s00000000000937
1200500000000000937
1200500000000000937
1200500000000000937
1200s00000000000937
1200500000000000937
1200500000000000937
$r00.00
$10.00
$143.67
$100.s7
$306.00
$31.00
$903.65
$6.00
$9.00
$12.00
$1s.00
$4.00
$103.00
$106.00
$s7.00
$493.s6
$649.08
$10.00
$86s.31
$82.03
$123.30
$63.68
s772.49
$175.13
$80.00
$692.08
$18.00
$1,000.00
6t3tos
715105
715105
7lsl0s
7tst05
7l5l0s
7t5t05
7t5t0s
7t5to5
715105
7t5t05
715105
7t5t05
7t5t05
7t5t05
7t5t05
715105
715105
7t5t05
7t5t05
7t5t05
7t5l0s
7t5105
7lsl05
7tst05
7t5t05
7lslo'
7t510s
$6,931.55
Plan Reviews
Initial Review
Planning Review
06/06/2005
06t07t200s
06t07t200s
06t2u2005
APP
APP
2oI 4
LLH
TAJ
T tH
Valuafion Description I
H'ees Paid I
CITY OF SPRIN
Buildin g/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: COM2005-00666ISSUED: 0710s12005APPLIED: 06/0312005E)GIRES: 01/0512006VALUE: $ 203,248.00
Public Works Review
Structural Review
06t07t2005 06t07t2005 APP CAS
06t07/200s 06t07t2005 APP RJB
No hook-up to City infrastructure
until Public improvements accepted
by the City; Storm drainage piped tc
curb face 6/7/2005 CAS
Same as 6066 Orchid
To Request an inspection call the24 hour recording at 7264769. 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 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.
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.
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 backlill.
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.
3 of 4
Keoulreo rnsDecuons l
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-72G3676Fa,x
541:7 2637 69 Inspe ction Line
OF
Buildin g/Co mbination Permit
PERMIT NO: COM2005-00666ISSUED: 0710512005APPLIED: 06/0312005E)PIRES: 01/0512006VALUE: $ 203,248.00
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
By signaturer l state and agreeo 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 shalt be done in rccordance
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 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 2,/s/,r
Owner or Signature Date
4of4
Seruices Diyision -
Name of
Address of Project:
Signature
Codes .D
TNENT (541) 726-3753
FAX {541) 726-3676
Notice to Permit Applicant
Soils stabili zation required for subdivision sites
Permit: ob\.\oLz
Tax Map 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 o. "..hit..t (design profesiional). 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 sigued
and stamped report from the engineer or architect must be received and aporoved hv this office
before footins or foundation insoection approvol will be granted bv the Citv Buildins Insoector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil 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.
Name Affiliation to owner
Date zklr
r* rot' UL\p
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o
ELECTRICAL
City Job Number
TION
3.
JOB DESCRIPTION
Permits are .ble and work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
7
Electrical Contractor
"$0
1a\?
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
tl{lB
lno
f
$106.00
$ 19.00
$50.00
Ue-e
_5Ld
LEGAL DESCRIPTION
t?.,rnng3Aoo hb
A.
B.
D.
t
Address
Constr. Contr. Number 32
Expiration Date lo-l-ay
Si gnature of Supervising Eiectrician
Owners Name
Address
- i '1 'ZZ.200 Amps or less
201 to,l roN
follow rules
Phone
$ 63.00
to $ 75.00
Utility
forth _
952-001'
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 or 1000 Volts see "B" above.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Zo
City
$125.00
$ 163.00
$375.00
$ s0.00
$ 69.00
$ 100.00
in OAB 2-001 of the rules by $ so'oo
0090. You may n
SupervisorLicenseNumber 3Ol Z S calling the
numbe r for
Expiration Date l0 'l - O '7 Cente r*tthfl*h9 1ft3.1?tth,. Reroc atio n
E.
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Pump or irrigation
Sigr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
92b.tE,{
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
7%o State Surcharge
l0% Administrative Fee
TOTAL tqo.1 IInspection Request: 726-3769
4
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc
CFIELD, ORSCONCITY OF
Fr,E1' rl LOCATIANOT"W,STATT TIO.IY
Ntw
BELOW
or Multi-Family pei d$lqUing unit.
INSTALI-ATION ONLY Services or Feeders - Installation, Alterations or Relocation:
?
Miscellan*aus fService/feeder nqt included)-Each Installation
SWTOTALOFABOUE
CITY OF SrrtlNGFlELD SYSTEMS DEVELOPMEI ATORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00666
NAME OR COMPANY Homes
LOCATION:6068 Pebble Ct
TAX LOTNUMBER:I 802033400r 73
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RLNOFF TO CIry STORM SYSTEM
COST PER S,F
$0.3 l0
BUTLDTNG SrZE (SF. 1630 LOT SrZE (SF):6/10
CHARGE
$692.08
IMPERVIOUS S.F x
2232.50
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
27
B. IMPROVEMENT COST:
NUMBER OF DF'U's
27
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
COSTPER S.F
$0.3 l0
COST PER DFU
s24.04
$ r 8.28
NI.]MBER OF TNITS
I
NT'MBER OF TINITS
I
ADM. FEE RATE
5Yo
DISCOTINT RATE
50Yo
$692.08
DISCOLINT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
s1,142.64
COST PER TRIP
$r 8.30
COST PER TRIP
$80.72
s947.62
NEW TRIP FACTOR
r.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
I\,[WMC ADMINISTRATTVE FEE
ITEM 4 TOTAL- MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITELS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$9s7.34
$3,739.68
CHARGE
$r 86.98
x
TOTAL SANITARY ADMIMSTRATION FEE
TOTAL TRANSPORTATION
CherylSlaymaker
FEE:
6t7t2005
COST PER FEU
s82.03
$692.08
$175.r3
$82.03
$0.00
$t0.00
r23.30
I 070
t09l
1092
I 093
1094
1054
I 055
1054
1056
1079
1 078
a
F.Io
O
&r!Fa
o
F.l&
I@
COST PER FEU
$865.31
STJBTOTAL
PREPARED BY DATE
TOTAL SDC CHARGES
s3.739.68
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUIVAIENT: DRAINAGE FXTURE I.]NITS
FOR CALCULATE ONLY THENET ADDITIONAL
NO. OF FXTURES
I]NIT
FIXTIJRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTURE T]NITS
lsa a unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COTINTY ASSESSED VALUE
20
DRAINAGE
FD(TURE
TINITS
0
2
*EDU
BEFORE 1979
1979
I 980
l98l
t982
I 983
I 984
I 985
l 986
1987
1988
't989
I 990
l99l
1992
1993
1994
I 995
1996
1997
I 998
1999
$5.19
$5.12
$4.98
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
CREDIT FORLAND (IF APPLICABLE)
2
1979
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / IOOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MVYMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.e2
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTI]B 2 0 3 b
DRINKING FOLTNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
I-AUNDRY TUB 1 0 2 2
CLOTHESWASHER / MOP SINK I 0 3 3
CLOTT{ESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWE& SINGLE STALL 0 0 2 0
SHOWE& GANG (NTIMBER OF TIEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITC}IEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOT]BLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL IW1J-L 0 0 5 0
TOILET, PUBLIC IN STALLATION 0 0 6 0
TOILET, PRIVATE IN STALLATION 3 0 3 o
27
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VAI.UE
$0.00
0
$0.00
2000
2001
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
City of Springfield Official Receipt
)evelopment Services Department
Public Works Department
RECEIPT#: 1200500000000000937 Date: 0710512005 8:12:l2AM
Job/Journal Number
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM200s-00666
coM200s-00666
coM2005-00666
coM200s-00666
ccM200s-00666
coM2005-00666
coM2005-00666
c fM2005-00666
coM200s-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
coM2005-00666
Description
Building Permit
Addressing Assigament
Willamalane Single Family
3 Baths One & Two Family
Fumace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Gas Fireplace
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7oh 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 Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Ammnt Due
903.65
31.00
1,000.00
306.00
12.00
18.00
9.00
6.00
4.00
15.00
10.00
106.00
57.00
100.57
143.67
80.00
692.08
649.08
493.56
t75.13
772.49
82.03
865.31
10.00
t23.30
63.68
103.00
Item Total:$6,831.55
Ppyments:
Tipe of Payment Paid By
CheckNumber Aut[orization
Received By Batch Number Number How Received Amount Paid
Check HAYDEN ENT djb 17693 In Person $6,831.55
Payment total:
-56FTiB
il
;i
1
71512005 lofl
raxraffi.tt
-\