HomeMy WebLinkAboutPermit Building 2006-11-22Status 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: COM2006-01080ISSUED: 1112212006APPLIED. 0812112006
EXPIRESz 0512212007VALUE: $ 124,052.00
SITE ADDRESS: 5751 Peridot Way Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence -Jasper MDS 3add 4ph lot 179
SAME AS COM2006-01046 5799 Peridot Way
PhoneNumber: 541-228-1081Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
t42776
Expiration Date
07t29t2007
0611912007
0312512010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
CONTRACTOR INFORMATION
# 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:
S ubdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories: I
Height of Structure 15.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I
R-3
U
VN
5,640
1,148
3
21.00
5.00
10.00
28.00
0.00
4U
4Ny I
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Fully Improved
Yes
Notes: No Final occupancy until subdivision is accepted by cify council per Denny W. Storm drainage to curb & gutter.JlP
PUBLIC IMPROVEMENTS
Page I of4
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400
4
YesIF
/s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-01080ISSUED: 1112212006APPLIED: 0812112006EXPIRES: 0512212007VALUE: $ 124,052.00
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,148.00
400.00
8t2u06
tu22t06
tu22/06
tU22t06
tu22t06
tu22t06
tu22t06
tu22t06
tu22t06
tu22t06
tU22t06
tt/22t06
tu22t06
tU22t06
tu22t06
tu22/06
tu22t06
tu22t06
tU22t06
tu22t06
tu22t06
ty22t06
tu22t06
tu22t06
tu22t06
tu22t06
tu22t06
tu22t06
tU22t06
tu22t06
lu22t06
tU22t06
tt/22t06
Value
$113,652.00
$1o,4oo.oo
$124,052.00
Date Calculated
08t2u2006
08t2u2006
Amount Paid
Total Value of Project
Date PaidFee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ lO"h Administratiye Fee
+ 57o Technology Fee
+ 8olo State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC lmprovement
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
$200.00
$10.00
$123.33
$64.30
s92.47
$254.00
$31.00
$646.90
$80.00
$6.00
$9.00
$77.40
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$38.00
$455.18
$s98.61
$10.00
$961.52
$91.61
$123.38
$70.6s
$836.32
$189.58
$80.00
s737.69
$50.00
$18.00
$1,000.00
Receipt Number
1200600000000001313
r200600000000001678
120060000000000r678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
r200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
r200600000000001678
r20060000000000r678
1200600000000001678
r20060000000000r678
1200600000000001678
1200600000000001678
1200600000000001678
r200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
1200600000000001678
r200600000000001678
Fees Paid
Total Amount Paid $7,156.94
Paee 2 of 4
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01080ISSUED: 1112212006
APPLIEDz 0812112006
EXPIRESz 0512212007VALUE: $ 124,052.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
4 street trees are required: 3 on S
57th Pl and I on Peridot.
Waiting for Tim @ Hayden to verify
which options will be built.
No Final occupancy until
subdivision is accepted by city
council per Denny W. Storm
drainage to curb & gutter.JlP
08t25t2006 0911112006 APP RJB
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.
Curbcut - Standard: 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
08t22t2006
08t2512006
08t2st2006
09t07t2006
08t24t2006
09t29t2006
08/31/2006
09t06t2006
APP
APP
WE
APP
LLH
TAJ
JLP
JLP
Pase3 of4
Structural Review
I(eoutred lnsDecfions I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01080ISSUED: 1112212006
APPLIEDz 0812112006
EXPIRESz 0512212007VALUE: $ 124,052.00
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 tine 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.
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.
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 Cify 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.
/r^Jz -ce
Owner or Contractors Signature - _)Date
Pas,e 4 of 4
225 FIFTH STREET . SPRINGFIELD, OR 97,{77 r PH:(541)726-3753 r FAI{: (541[26.35E9
ELECTWCAL
City Job Number a
SP iFlELf'
Date
zoN
IMTTALS
DATE
t.
LEGAL DESCRIPTION
CRIPTIOL'
Permils are and expire if work is
nol; started 180 days of issuance or if work is
Suspended for X80 rlays.
1
Eiectrical Contractor {Yt"t ildic >nr-
Address 3'1 5^)
Phone SLU-7|'|-bt1{
Supervisor License )iumber .)s
Expiration Dafe o
Constr. Contr. Number {213A{.-
Expiration Date
Se.rviee lmcludeCl
I C,00 sq. ft or less
Eachadditional 500 sq. ft. or
pc,aion 6ermf
Each Maaufact'd Home or
Modular Dwelling Sewioo or
Feeder
J.
B;.
C:.
D.
IVCF
DA
E.
A-
a
$ t06.00
$ r 9.00
$s0.00
l0@
TRlO
Ciry
200 Amps or less
201 Amps to 400 Amps
401 Amps to 500Amps
601 Amps to 1000 Amps
Over 1000 Amps,A/olts
Reconneit Only
Oirer 500 or 1000 Volts see oB" above.
ti[iNeE or Exteruion Per Panel
H1ffi:':il,Tratiou
or Reroc'tion,
$ 50.00 ?@
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
$ 63.00
$ 75.00
$125.00
$i63.00
$375.00
$ 50.00
l'r-.
Signature of Supervising Electrician
Owners Name
Address
City Phone
Owners Signature;
OWNER INSTALLATION
Tire installation is being made on property I own which
is not intended for sale, Iease or rent.
I lUIHOR t/[ory
MF,
lia
rH/S Pf
a
/&E /F
Prrmp or irrigation
E ign"toutlinc Li.ghting
Limited Energtr F.esidenrial
Limited Energtry'Comm.ercial
$ 43.00
$ 3.00
s s0.00
$ s0.00
$ 25.00
$ 45.00
Fermit
Inspecfion Reguest: lZG376g
Minimurn Dectric Fer.rnit Inspection Fee is $45,00 +Surcharges
4.
89'o State Surcharge
I0% Adminisharive Fee
n}Fd& T€clP
-
-o
T00 E (TSrd9Nruds J0 ,{.J,r3
Shared
6898924rrs ryd 60;0T ffll go/tT/LA
f]
D.i"(rr/Buird+o{tBtg,r
CITY OF SP(INGFIELD SYSTEMS DEVELOPMEN, ,T ORKSHEET
JOURNALORJOBNUMBER: COM2006-01080
NAME OR COMPANY Ent.
LOCATION 5751 Peridot
TAX LOTNUMBER:
DEVELOPMENTryPE SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS BUILDING SIZE
1. STORMDRAINAGE
DIRECTRLTNOFF TO CITY STORM SYSTEM
COST PER S.F
$0.336
0
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F. x
2198.00
IMPERVIOUS S.F.
0.00
NUMBER OF DFU's
23
B. IMPROVEMENT COST:
NUMBER OF DFU's
23
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
CHARGE
$737.69
DISCOUNTRATE
50Yo
$737.69
1597 LOT SrZE (SF)
DISCOUNT
$0.00
COST PER S.F
$0.336
COST PER DFU
$26.03
$19.79
NUMBER OF UNITS
1
NT]MBER OF UMTS
1
ADM. FEE RATE
loN FEE:
x
x
x
x
x
x
ITEM I TOTAL- STORM DRATNAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBT-]RSEMENT COST:
$1,053.79
COST PER TRIP
$ 19.8 r
COST PER TRIP
$87.39
$I,025.90
NEW TRIP FACTOR
L00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
A REIMBT]RSEMENTCOST:
NUMBEROFFEU's
I
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - IT{WMC SANITARY SEWER SDC
SUBTOTAL (ADD rTEMS t, 2, 3, & 4)
STIBTOTALffiss0.5l-x CIIARGE
$194.03TOTAL SANITARY ADMINISTRATION FEE:
Jeff Prociw 9/7/2006
COST PER FEU
$91.61
s737.69
I
89.s8
$836.32
$961.52
$0.00
123.38
$4,,074.54
I 070
I 091
1092
1093
r094
1055
1054
1056
a
ElaoQ
&HFa
oH&
078
COST PER FEU
$961.52
PREPARED BY
TION
DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNTT EQUIVALENT : DRAINAGE FXTURE UMTS
FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL
NO. OF FXTURES
TINIT
FIXTLIRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTURE fINITS
lsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
REFORE 1979
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
CREDITFORLAND OF APPLICABLE)
20
DRAINAGE
FIXTTIRE
LINITS
0
2
*EDU
21979
1980
1981
1982
l 983
l 984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
1979
VALUE / IOOO
$0.00
CREDITRATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5-29
TOTAL TUW1VIC CREDIT
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
BATTITT]B 2 0 3 6
DRINKING FOUNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0
LAI-]NDRY TUB 0 0 2 0
CLOTIIESWASTMR / MOP SINK 1 0 3 3
cLoTr{ESWASmR- 3 ORMORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTORFORREFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISI{WASHER / ETC.1 0 3 3
SHOWER, SINGLE STALL 0 0 2 0
SHOWER GANG (NLIMBER OF HEADS)0 002
SINK: COMMERCIAL/RESIDENTIAL KITC}IEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOT]BLE LAVATORY 0 0 02
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 I 2
URINAL, STALL / WALL 0 0 5 0
TOILET. PUBLI C INSTALLATION 0 0 b 0
TOILET, PRTVATE INSTALLATION 2 0 3 b
23
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALTIE
.00
$0.00
2000
EI
2001
$0.72
$0.48
$0.28
$0.09
$0.05
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;'.' of Springfield Official Receipt
L-elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001678 Date: 1112212006 2:19:47PN|
Job/Journal Number
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
coM2006-01080
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd 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
Building Permit
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-
+ 8% State Surcharge
+ lUoh Administrative Fee
+ 5olo Technology Fee
Plan Review Major - Planning
Amount Due
31.00
1,000.00
106.00
3 8.00
50.00
77.40
80.00
80.00
(30.00)
737.69
598.61
455.18
189.58
836.32
91.61
961.52
10.00
123.38
70.65
646.90
2s4.00
12.00
18.00
9.00
6.00
4.00
12.00
10.00
92.47
123.33
64.30
198.00
Item Total:---T6=Ps6--e4-
Payments:
Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid
Check Number
CreditCard HAYDEN HOMES djb 014414 In Person
Payment Total:
$6,956.94
$6,956.94
cReceintl
Page 1 of 1
11/22/2006
*$nl*HlF**s
AUInOrtZaItOn