HomeMy WebLinkAboutPermit Building 2007-03-08Status 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: COM2007-00099ISSUED: 0310812007
APPLIEDz 0l/2212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
SITE ADDRESS: 5752 PERIDOT WAY
ASSESSOR'S PARCEL NO.: 1802030002600
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
pROJECT DESCRIpTION: Singte family residence -Jasper MDS 3add 4ph lot 160 SAME AS COM2006-00692
5774 Montclaire
Owner:
Address
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
26225W GLACIER PL #110
REDMOND OR 97756
Phone Number:
Phone Number:
541-228-108r
541-228-6935 TiI
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC
PACIFIC AIR
DENNIS SCOTT
n
/q.
Expiration Date
07t2912007
06n9t2007
0312s12010
05/05/2010
Phone
541-228-108r
541-754-6171
541-672-9510
s41-459-01 r0
# 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:
Fullv Improved
Yes
I
R-3
U
VB
?r
INC
Energy
Sprinkled
TED
Dist:
Trees Rqd:
Rqd:
License
92208
67362
39237
142776
he
rg7es
of
1 Size:
Sq Ft Other:
Occupant Load:
Ft lst Floor:
Ft 2nd Floor:
Ft Basement:
Ft Garage/Carport
5,015
1,008
1,005
480
Curbside 5'
Curb and Gutter
f3
ttg
r
4
Yes
31.90
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Notes: For this parcel in Jasper Meadows Phase 4, 3rd Addition, it is the recommendation to the Building Division, by the
City Engineer: "that final occupancy should not be granted until the subdivision is accepted by City Council".
CONTRACTOR INFORMATION
Pase I of4
uvrrKLry{lx+r!{\ r D'l
0g
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: COM2007-00099ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
Description
Dwellings
Garage
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Boiler/Comp Up To 100,000 btu
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 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 Value of Project
Date Paid Receipt Number
1200700000000000055
1200700000000000253
12007000000000002s3
1200700000000000253
1200700000000000253
1200700000000000253
r200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
12007000000000002s3
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
12007000000000002s3
1200700000000000253
1200700000000000253
12007000000000002s3
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
1200700000000000253
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
2,453.00
480.00
Value
$252,659.00
$12,960.00
$265,619.00
Date Calculated
0U22t2007
0u22/2007
Amount Paid
$200.00
$10.00
$176.98
$98.66
$r3r.6r
$254.00
$31.00
$12.00
$1,105.15
$80.00
$6.00
$9.00
$124.6s
$r2.00
$4.00
$12.00
$r98.00
$-30.00
$106.00
$57.00
$6r3.sr
$806.82
$10.00
$961.52
$91.61
$r42.16
$68.60
$836.32
$189.s8
$80.00
$70s.80
$50.00
$18.00
$2,303.00
u22t07
3t8t07
3t8t07
3t8107
3t8107
3t8107
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8107
3t8t07
3t8t07
3t8t07
3t8/07
3t8t07
3t8t07
3/8t07
3t8107
3t8t07
3t8/07
3t8t07
3t8t07
3t8t07
3t8107
3t8t07
Fees Paid
Paee 2 of 4
h
Valuation Descriotion I
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
Total Amount Paid
Building/C o mbination Permit
PERMIT NO: COM2007-00099ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
$9,474.97
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
0u2312007
0u2312007
0U2312007
02t20t2007
0u23t2007
02t2712007
0u2612007
02t20t2007
APP
APP
WI
APP
LLH
TAJ
JLP
JLP
I backyard tree is also required.
Choose from list on page 6-3 oftreet
tree hand out for planter strips 8-12'
wide.
Rcvd 1/26l07---Waiting in order PW
rcvd for rvw.JLP
For this parcel in Jasper Meadows
Phase 4,3rd Addition, it is the
recommendation to the Building
Division, by the City Engineer: "thal
final occupancy should not be
granted until the subdivision is
accepted by City Council". Storm
H2O to curb & gutter.JlP
Structural Review 0u23/2007 02t28t2007 APP RWC
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Reouired Insnections
Page 3 of4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007-00099ISSUED: 0310812007APPLIED: 0112212007EXPIRES: 09/0812007VALUE: $ 265,619.00
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Shower Pan. Prior to covering 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.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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
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 allinformation hereon is true and correct, and I further certify that any ara au woit performed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andthat No OCCUPANCY will be made of any structure without permission or tn" co--uiity Services Division, Building Safety.I further certify that only contractors and employees who are in compliance with oRS 701.005 wiil be used on this project. Ifurther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
:,I"""J#::T.X:il'ffi: is located at the front of the propertv, and the apiroved set of prans wirt remain on the sire at all
Owner or Contractors Signature
Pase 4 of 4
Date
t-o )
JOURNAL ORJOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLING UNITS
I. STORM DRAINAGE
DIRECTRIINOFF TO CITY STORM SYSTEM
CITY OF SI'xINGFIELD SYSTEMS DEVELOPMEN'r -,ORKSHEET
coM2007-00099
Ent
5752 Peridot
Ph43rdAdd--Lot# 160
SINGLE FAMILY RESIDENCE
BUTLDTNG SIZE (SFl 1600 LOT SZE (SF):501 5
IMPERVIOUS S.F
2103.00
ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F
s0.336
COST PER S.F
$0.336
COST PER DFU
$26.03
$r9.79
NUMBER OF UNITS
I
NUMBER OF UNITS
I
ADM. FEE RATE
5o/o
CHARGE
$705.80
DISCOUNT RATE
5OYo
DISCOUNT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER- CIry
A. REIMBURSEMENT
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
B. IMPROVEMENT COST:
NUMBER OF DFU's
3l
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$4,215.16
xx
xx
COST PER TRIP
$ 19.81
COST PER TRIP
$87.39
NEW TRIP FACTOR
r.00
NEW TRIP FACTOR
r.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NT'MBER OF FEU'S
I
x
B. IMPROVEMENT COST:
NTII\4BER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
CHARGE
s210.76
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw 212012007
IMPERVIOUS S.F
0.00
$806.82
$189.58
$836.32
$961.52
142.16
1070
I 091
1092
1 093
1094
I 054
1 055
1056
1079
l 078
a
rrln
\JU
&
E]Fa
trl
IEil
IIE
NUMBER OF DFU's
3r
,420.33
$1,025.!
COST PER FEU
s9l.6r
COST PER FEU
$961 .52
063.13
$4,215.1(
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNTT EQUTVAI-ENT : DRAINAGE FXTURE I]NTTS
FOR CALCUI-ATE ONLY THE NET ADDITIONAL
NO. OF FXTURES
LTNIT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTURE UNTTS
lsa toa uit se1 at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
TINITS
0
2
1979
BEFORE 1979
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 FOR LAND (IF APPLICABLE)
1979
1980
l98l
1982
1983
I 984
x1985
1986
1987
l99l
1992
1993
1994
1995
1996
1997
I 998
$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
VALUE / r000
$0.00
CREDIT RATE
$5.29
1988
I 989
1990
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT
1999
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.0s
BATHTTIB 2 0 3 b
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 1 0 2 2
CLOTHESWASHER / MOP SINK 1 0 3 3
CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWE& GANG G\TUMBEB OF HEADS)0 0 2 0
SINK: COMMERCL{L/RESIDENTIAL KITCHEN 1 0 3 3
SINK:COMMERCTAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 I 3
URINAL, STALL / WALL 0 0 5 0
TOILET, PT'BLIC IN STALLATION 0 0 b 0
TOILET, PRryATE INSTALLATION 3 0 3 9
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
2001
SP' r?ICLO zoN U7
INITLALS
DATE
Nn--3-)
2Z5FIF-[{STREET r SPRINGFIELD.OR97477 r Ptl:(541)726-3753 oFA]{:(541)726.35E9
E LE CT RI CAL P ERMTT AP PI.T CATIO.NT
Ciry'Job Number 0,Q -q
SOURCE S
Date
--1 - K- 01
1.3.
A-
llr.
PI
ANDO
..il
LEGAL DESCRIPTION
JOB DESCRIPTTO}i
Permits are nsferahle and if work is
not started within t8B days of issuance or if work is
Suspeniled fer X80 rlays.
tgp?tBoo 02\eC0 Service fincluded{
I C00 sq. fr or Iess
Eachadditional 500 sq. ft. or
portion tirereof
Each Mauufact'd Home or
Modular Dwelling Servioo or
Fepder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Arnps
601 Amps to 1000 Amps
Over 1000 Amps,A/olts
Reconnect Only
AM $ 106.00
$ 19.00
$s0.00
frl*O
-w@
1 B.
Electrical Contractor '{Ytnt Qe}.ic >"r-
Address eq8'd1 il 3.i s^)
Supervisor License }iuurbff ' 1i7q S ,C:.
Expiration Dafc to,/ol
Coustr. Contr. Number t2)3AZ
E;rpiration Date
Insttllation, Alteration or Relocetion
or less
to 400 Amps
Bffi0e-ps
tionor 1000 Volts see'B" above.
New Alteration or Exteusion Per Panel
Oue Circuit
Each Additional Circuit or with
Service or Feeder Permit
r)
$ 63.00
s 75.00
$125.00
$i63-00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
-j0{r)
Signature of Supervising Electricia
I
Owners Name
Address t
The installation is being maie on properfy I own which
is uot intended for sale, lease or renl
Owners Signattrre:
Inspection Request: 72G3769
shared Drive(T:)/Building Formr/Adricat pennir
Jl "fr, pfq
$ 3.00
$ s0.00
$ 50.00
$ 2s.00
K
City
ANy 1s0
OWNER INSTALLATION
DAY PERIOD Linited Energl,E asidential
Linited Energly'Commercial S 45.00
Minimum Etectric Permit Inspection Fee is $45.00 * Surcharges
4 N
C tHdsfi
8% State Surcharge
I 096 Arrministative Fee
roo E OTSICENIUdS JO AIIS 689S9ZZTtS xvd 60r0I gIlJ, go/tT/LO
.4.
City AlLa", Phone SLtt-751-bt1l_<---r--:-_...:.--.-:.:-
ion Center.l-hose
t
Orogon
225 Fifth Street
Springiield, Oregon 97 477
541-726-3759 Phone
Ci*, of Springfield Official Receipt
\ _ elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000253 Date: 0310812007 2:30:37PM
Job/Journal Number
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
coM2007-00099
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
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
-Mechanical Issuance Fee-
+ 5%o Technology Fee
+ 8%o State Surcharge
+ l0o/, Administrative Fee
Amount Due
31.00
2,303.00
106.00
57.00
50.00
124.65
80.00
80.00
(30.00)
705.80
806.82
6l 3.5 1
189.58
836.32
91.61
961.52
10.00
142.16
68.60
198.00
1,105.15
254.00
12.00
12.00
18.00
9.00
6.00
4.00
12.00
10.00
98.66
131.61
176.98
Item Total:$9714sr
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check HAYDEN ENT djb 30827 In Person
Payment Total:
$9,274.97
-
s9,274.97
cReceint I
Page I ofl
3/8/2007
*MS*{*tsl*r,6