HomeMy WebLinkAboutPermit Building 2007-03-08Status 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: COM2007-00096ISSUED: 0310812007
APPLIEDz 01t22t2007
EXPIRES: 09/0812007VALUE: $ 129,044.00
SITE ADDRESS: 5760 PERIDOT WAY SPRINGFIE TYPE OF WORK: Single Family Residence
ASSESSOR'SPARCELNO.: 1802030002700
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence -Jasper MDS 3add 4ph lot 161 SAME AS COM2006-01453
5753 Montclaire
Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
PhoneNumber: 541-228-1081
Phone Number: 541-228-6935 Tir
CONTRACTOR INFORMATION
Contractor Type
General
Electrical
Mechanical
Plumbing
# 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:
Subdivision Nol Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
)
Expiration Date
07/29t2007
06n9t2007
03t25t2010
0s/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
*
I 4,919
1,148
440
R-3
U
I
Yes
32.20
Sidewalk Type:
Downspouts/Drains:
r:
REQUIRED PARKTNG
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Path:
Building:
20.00
5.00
5.00
17.10
7.50
#
o/o of
Fully Improved
Yes
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".
Page I of5
# of Stories:
Height of
of Heat:
Type:
Type:
t
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: COM2007-00096ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 129,044.00
Description
Dwellinss
Garage
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
3 Baths One & 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 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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid Receipt Number
1200700000000000056
12007000000000002s1
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
12007000000000002s1
r200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
r200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
120070000000000025r
1200700000000000251
1 200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
r200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
1200700000000000251
12007000000000002s1
1200700000000000251
1200700000000000251
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,148.00
400.00
Value
$118,244.00
$10,800.00
$129,044.00
Date Calculated
0U2212007
0y2212007
Amount Paid
$200.00
$10.00
$132.16
$78.51
$99.37
$306.00
$31.00
$12.00
$663.15
$80.00
$6.00
$9.00
$79.40
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$38.00
$474.97
$624.64
$10.00
$96r.s2
$91.61
$124.03
$70.s7
$836.32
$189.58
$80.00
$703.4s
$s0.00
$24.00
$2,303.00
u22t07
3t&t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t&t07
3t8t07
3t8t07
318107
3t8t07
3t8t07
3t8107
3t8t07
3t&t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
Fees Paid
Paee 2 of 5
Valuation Descrintion 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: COM2007-00096ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 129,044.00
Total Amount Paid $8,590.28
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
0u2312007
0u2312007
0u23t2007
02t20t2007
0u23t2007
02t27t2007
0u26t2007
02t20t2007
WI JLP
APP
APP
LLH
TAJ
APP JLP
0U2312007 02t28t2007 APP RWC
Survey required because of
minimum side setbacks.
I backyard tree is required. Choose
from the list on page 6-3 in the streel
tree handout for planter strips 8-12'
wide. Contact Tara Jones
(736-1003) when ready to inspect.
Rcvdll26l07--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: "that
final occupancy should not be
granted until the subdivision is
accepted by City Council". Storm
H2O to curb & gutter.JlP
To Request an inspection call the24 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.
Reorrired Insnections
Pase 3 of5
LD
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: COM2007-00096ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 129,044.00
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coYer.
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.
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 Ser"vice: 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.
Page 4 of 5
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: COM2007-00096ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 129,044.00
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 Safefy.
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.
3- F-d7
Owner or Contractors Signature Date
Page 5 of 5
-:
Zn:-,2
225FIF-THSTREET. SPIIINGFIEI".D,OR97411 r Ptl:(541)72G375.3 cFAlt:(54I)'726-36E9
ELECTRTCAL TTO.hr
sPr :rrll-E zoN LJE
IMTTALS
DATE
SoURCE fn.5*TTYffT 3--q- 01City'Job Number
1.3.
LEGAL DESCRIPTION
Lsr?])30c1 ouUJ Service lincluded
1C,00 sq. fr or less
Each adclitionai 500 sq. ft. or
portion hereof
Each Mauufact'd Home or
Modular Dwelling Senrice or
Fereder ' J
f $106.00 _lDJop
,, $re.oo -78,e
A-
JOB
1
t
Permits non-transferatrie expire if work is
not started wfithin 180 days of issuance or if work is
Suspended for n80 rlays. : r r '
AUTHORIZFD I
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00
_ge_",]NDER
ORISA
[r.
4.
:ii
Electrical Contractor tuJ
Address eq8'd'1
City
3 S^)
Phone SLtl-75..(-b11[
200 Amps or iess
201 Amps b 400 Arnps .
40i AEps'to 600Amps
6ttl Amps to i000 Amps
Over 1000 Amts& oits
Reconneot Oni'y
t)
Superuisor License llumbff 'li7r/ S -C:.
Expiration Dafe to,/ol
Signature of Supervising Electrieim
Constr. Contr. Number a
Expiration Date t/n /j MY 180 DAY PER|OD
kmHTP fr'f",lliifi 3'Rerocation r
181,fiffi{ItHi,asro; L
ftflu000r60ffie;,
HALI
Orrer 600 Amps or 1000 Voits see "B" above.
t'ni=i;tfr lC#tGftii;.,F;!g:trt:;i.i,j,;iit#l#i'r+ri+i#i'",ri'd;i{*i:.iffi;iirL..i-;...:.:..j.::i,-a4r;:!g!=.:r+:,rjiii:i:?i.j:ii:k:ija:-i"jiii;i*9:rr;ii.Ii:.ji:ila,if:."ijj;a-:iT:1-j;.::-:ir.
(.,\New Alteration or Extension Per Panel
One Circuit
Each Additionat Circuit or with
Service or Fecder Perrnir
Owners
Address
OWNER INSTALLATION
The installarion is being made on properfy I own which
is not inteuded for sale, lease or renl
Owners Signanrre:
Inspection Request: 72O37 69
E.ii
hrmp or irrigation
SiguOutline Lighthg
Limited Energl,,S.esidential
Limite d Enorp-/Corq'il ercial
Minimum Electric Fermit Inspection Bee is $45.00 + Surcharges
City Phone $ s0.00
$ s0.00
$ 2s.00
$ 45.00
89io State Surcharge
10%Administratrve Fee
(p
'"-no**H5ff,@4/
60:OT trII}J 9O/TI/LO
*d Egr^-JA
Shared Driv{T:/Building Forms/Elctrical
o'I[Ig9NIlIds J0 LtIc 68989ZZI'S XVdroo E
Date
B,
8p,h,w4\
-
JOI.]RNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING I.INITS
t rMPERVrous s-F. x
J zoqo.oo
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'I -zORKSHEET
coM2007-00096
Ent
5760 Peridot Wr
Meadows Ph4 3rd Add - Lot # 16l
SINGLE FAMILY RESIDENCE
BUTLDTNG SrZE (SF. 1552 LOT SIZE (SF)
Jr
0
I. STORM DRAINAGE
DIRECT RTINOFF TO CITY STORM SYSTEM
RLTNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
24
B, IMPROVEMENT COST:
NLIMBEROF DFU's
24
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$3.892.09
COST PER S.F
$0.336
COST PER S.F
$0.336
COST PER DFU
$26.03
$r 9.79
NLMBER OF T'NITS
I
NI]MBER OF LTNITS
I
ADM. FEE RATE
sYo
CIIARGE
$703.45
DISCOT]NT RATE
5OYo
$703.45
DISCOTNT
$0.00
x
x
x
x
x
x
x
x
x
ITEM l TOTAL- STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
xxCOST PER TRIP
$19.81
COST PER TRIP
$87.39
$1,025.90
NEW TRIP FACTOR
r.00
NEW TRIP FACTOR
1.00
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBT}RSEMENT COST:
NUMBEROF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
ITEM 4 TOTAL - IT{WMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$1,063.t3
$3,892.09
CI{ARGE
$194.60
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION
Jeff Prociw 212012007
099.61
$624.64
$r89.s8
$836.32
$91.61
$961.52
$10.00
I
$4,0E6.69
I 070
l09l
1092
1093
1094
I 055
I 054
l 056
079
078
or!n
Q
&
tr.lFa(,
rrl
I
COST PER FEU
$9r.6r
COST PER FEU
$961.52
PREPARF-D BY DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNIT EQUIVALENT = DRAINAGE FD(TURE UNITS
FOR CAICULATE ONLY TFIE NET ADDITIONAL
NO. OF FIXTURES
TINIT
DRAINAGE
FIXTURE
0
2
2
1979
FXTTIRE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE I.]NITS
:EDU tsa
BEFORE I979
1979
I 980
1981
1982
1983
't984
1985
I 986
1987
1988
I 989
I 990
t99t
1992
1993
1994
1995
1996
1997
1998
1999
NT]MBEROF EDU'S
NEW OLD ALENT
unit set 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
CREDIT FOR LAND (IF APPLICABLE)
20
toa
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$5.29
$5.1 9
$5.12
$4.98
$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 MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTT]B 2 0 3 b
DRINKING FOLINTAIN 0 0 I 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH /ETC.0 0 b 0
LAT]NDRY TT]B 0 0 2 0
CLOTHESWASFIER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCIIEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: STNGLE LAVATORY/RESIDENTIAL BAR 3 0 I 3
T]RINAL, STALL/WALL 0 0 5 0
TOILET, PLIBLIC INSTALLATION 0 0 6 0
TOILET, PRTVATE INSTALLATION 2 0 3 6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2000
r
2001
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Citv of Springfield Official Receipt
[ .:lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000251 Date: 0310812007 2:28:27PM
Job/Journal Number
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
coM2007-00096
Description
Addressing Assignment
Willamalane Single Family
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
3 Baths One & 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-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 5%o Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
3 r.00
2,303.00
79.40
80.00
80.00
(30.00)
703.45
624.64
474.97
189.58
836.32
91.61
961.52
10.00
124.03
70.57
198.00
663. I 5
306.00
12.00
12.00
24.00
9.00
6.00
4.00
12.00
10.00
106,00
3 8.00
50.00
78.51
99.37
132.16
Item Total:$8,390.28
Payments:
Type of Payment Paid By
UheckNumber Autnorlzatron
Received By Batch Number Number How Received Amount Paid
Check HAYDEN ENT djb 30827 In Person
Payment Total:
$8,390.28
-55.Jeo-7E.
cReceintl Page I of I 31812007
t ffi*e