HomeMy WebLinkAboutPermit Building 2007-02-13Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01620ISSUED: 0211312007
APPLIEDz 1211812006
EXPIRES: 08/1312007VALUE: $ 166,721.00
SITE ADDRESS: 5768 Peridot Way
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
1802030002800
TYPE OF USE: New
Single family residence - Jasper Meadows 3rd add ph 4 lot 162
Same As COM2006-00838 1411 S 58th St
Springfield TYPE OF WORK: Single Family Residence
Residential
PhoneNumber: 541-228-1081
Phone
541-228-1081
541-754-6171
541-672-9510
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
26225W GLACIER PL #110
REDMOND OR 97756
Contractor License Expiration Date
HAYDEN ENTERPRISES. 92208 O7I29I2OO7
M & w ElEcrRrdfit8tlilibnc,rpo 67362 06nst2007
pACrFrc am contrHdhffiffiMlT SHAL[- EXP!}Hit THt-- W0Rt(03nsa0t0
CONTRACTOR INFORMATION
MASTER PL ORIZED UNDER THIS PERMIT IS NOT
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Imnroved
yes
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
R-3
U
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
1
20.00
Gas
Gas
Gas
952-001
copi€s of th€ rul€s b\
tha telePhone"
Notifkafron
Yes
'36.40
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
1,579
400
009020.00
5.00
5.00
23.70
20.00
PUBLIC IMPROVEMENTS
Notes: Storm H2O to curb & gutter.JlP
Page I of4
law
the
Utility
Load:
Status Issued
225 Fifth Streeto Springfield' OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01620ISSUED: 0211312007
APPLIEDz 1211812006
EXPIRES: 08/1312007VALUE: $ 166,721.00
Description
Garage
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
2 Baths One or Two Family
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
PIan Review Major - Planning
Plan Review/Residential Hourly
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
Type of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 400.00
Total Value of Project
Amount Paid Date Paid
Value
$10,400.00
$10,400.00
Date Calculated
12fi8,t2006
$200.00
$10.00
$140.04
$81.47
$104.11
$2s4.00
$6.00
$783.40
$80.00
$6.00
$9.00
$98.9s
$rs.00
$12.00
$4.00
$198.00
$45.00
$-30.00
$106.00
$38.00
s474.97
s624.64
$10.00
$961.52
$91.61
$141.31
$68.68
$836.32
$r89.58
$80.00
$1,011.21
s50.00
$18.00
$1,000.00
t2lt8l06
2n3t07
2n3t07
2n3t07
2n3t07
2t13t07
2n3t07
2n3t07
2n3t07
2n3t07
2n3t07
2n3t07
2n3t07
2tr3t07
2n3t07
2n3t07
2n3t07
2n3/07
2n3t07
2n3107
2n3t07
2n3107
2n3t07
2n3107
2n3t07
2n3t07
2t13t07
2fi3107
2t13t07
2n3t07
2n3t07
2n3t07
2n3t07
2n3t07
Receipt Number
1200600000000001768
r 200700000000000155
1200700000000000155
1200700000000000155
12007000000000001ss
1200700000000000155
1200700000000000155
r200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1 200700000000000155
1200700000000000155
1200700000000000155
r200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
1200700000000000155
12007000000000001ss
1200700000000000155
1200700000000000155
120070000000000015s
1200700000000000155
1200700000000000r55
1200700000000000rs5
Eees Peid
Total Amount Paid $7,718.81
Pase 2 of 4
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-126-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01620ISSUED: 0211312007APPLIED: 1211812006
EXPIRES: 08/1312007VALUE: S 166,721.00
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Public Works Review
Structural Review
t2t2u2006
12tzu2006
12t2u2006
0u12t2007
12t2u2006
0u30t2007
0u04t2007
0u12t2007
02t02t2007
APP
APP
WI
APP
APP
NJM
TAJ
JLP
JLP
DLM
Survey required because of
minimum side setbacks.
I backyard tree is required to be
planted per agreement between
Mark V and Andy L dated 7121106.
Choose a tree from page 6-3 ofthe
street tree handout for planter strips
8-12' wide, at least 2" caliper tree.
No occupancy is allowed until the
tree is planted. Contact Tara Jones
736-1003 when ready to inspect.
Waiting in order rcvd for rvw.JLP
Storm H2O to curb & gutter.JlP
Same-as permit
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.
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.
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.
Paee 3 of4
Rennired fnsnections
hE"
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2006-01620ISSUED: 0211312007
APPLIEDz 1211812006
EXPIRES: 08/1312007VALUE: $ 166,721.00
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to coyer or placement of concrete.
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.
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing senice.
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 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 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.
2 -/-z*a 7
Owner or Contractors
Pase 4 of4
Date
JOURNAL OR JOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING TINITS
I. STORMDRAINAGE
CITY OF SPRINGFIELD SYSTEMS DEVELO PMENI ',ORKSHEET
t620
Ent
5768
Mdws Lot # I
SINGLE FAMILY RESIDENCE
BUILDING STTE (sF) 3010 LOT SIZE (SF)
STORM SYSTEM
Jr
5433
DIRECT RUNOFF TO CITY
MPERVIOUS S.F.
I rot r.oo
x COST PER S.F
s0.336
TO DRYWELL DESIGNED AND CONSTRUCTED TO
CI{ARGE
$1,011.21
CIry STANDARDS
DISCOI.TNTRATE
5l%r
$1,011.21
RLINOFF
COST:
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
xx
ITEM 1 TOTAL - STORM DRAINAGE SDC
COST:
COST PER S.F
$0.336
COST PER DFU
$26.03
$19.79
NI.IMBER OF I'NITS
I
NUMBEROF UNITS
1
ADM. FEE RATE
5o/o
FEE
DISCOLINT
$0.00
A-
B.
x
x
x
x
x
x
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
3. TRANSPORTATION
A REIMBI.]RSEMENT COST:
xx
xx
COST PER TRIP
$19.8r
COSTPER TRIP
$87.39
NEW TRiP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBT'RSEMENT COST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NT]MBER OF FEU'S
I
MWMC CREDIT tr APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANTTARY SEWER SDC
SUBTOTAL (ADD ITEMS IJ 2, 3, & 4)
5. ADMIMSTRATIVE FEE:
$1,063.13
CHARGE
s209.99
TOTAL SAI{ITARY ADMIMSTRATION FEE:
TOTAL
Jeff Prociw r/12/2007
IMPERVIOUS S.F
0.00
NUMBER OFDFU's
24
$474.97
$r89.s8
s83632
$96r.52
$r0.00
I
I 070
1091
1092
I 093
1094
t 054
l 0s6
1079
a
rrl
Ho()
&
E]Fa
rrlil
ItrEI
NUMBEROF DFU's
24
-x@I
COST PER FEU
$91.61
COST PER FEU
$961.52
SUBTOTAL
I 85
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRATNAGE FXTURE T]NIT CALCULATION TABLE
NUMBER OFNEWFD(TURES x UNTT EQUTVALENT: DRAINAGE FXTURE L]NITS
FOR THENETADDMONAI
NO. OF FD(TTIRES
NUMBER OF EDU'S
TINIT
DRAINAGE
FD(TURE
LINITS
0
2
2
1979
NEW OLD
unil se1 at I 67
IS LA}ID ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDM?
@nter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (tr APPLICABLE)
20
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE tr'D(TI]RE UNTTS
.EDU lsa
BEFORE 1979
1979
1980
l98l
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
toa
MWMC CRJDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALTIE
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
s3.22
$2.73
$2.25
$1.80
VALUE / IOOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALT]E / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.4s
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTI.]B 2 0 3 6
DRINKING FOLNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0.
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LALINDRY TTIB 0 0 2 0
CLOTHESWASTMR / MOP SINK 1 0 3 3
CLOTT{ESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASTIER / ETC.1 0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWER, GANG (I..rUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTTAL KITCHEN 1 0 3 3
SINK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
URINAL, STALL /WN-L 0 0 5 0
TOILET, PTIBLIC INSTAII/.TION 0 0 6 0
TOILET, PRTVATE INSTALLATION 2 0 3 b
24
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$0.00
2000
rl
2001
S 'GiF!ELE
Date
Serviee llncludedl
1Ct00 sq. ft or less
Each additional 500 sq. ft. or
pcrrtion tjrereof
Each Mauufact'd llome or
Modular Dwelling Servioe or
Feeder
t/ ' $106.00
L sg.qs
$50.00
zoN
IMTTALS
DATE
SOURCE225 FIF-IH STREET o SPRINCF'IEL,D, OR 97477 e Pli:(541)725-3753 c FAI{: (541)726'36Eq
E T,Jl,CTx/f CAL P ER|YITT AP PLI CA?TO.N
Ciry Job Numloer
1.
l''-t
LEGAL DESCRIPTiON
JOB DESCRTFTIO}'
A-
z u^:a
:3fr
Permils are non'kansferable and expire if work is
not started within l8S days of issuance or if work is
Suspended for 180 days.
1
Electrical Contractor ntu) elr.,*,ic >qu
Address aqSq fid'l 3Y 5^)
City
Supervisor License }lumber' '1474 S
Expiration Date o
Ei. ,
200 Amps or less
20i Amps to 400 Amps
401 Amps to 600Amps
601 to 1000 Amps
olts
s 63.00
$ 7s.00
$125_00
s163-00
$375.00
$ s0.00
$ s0.00
s 69.00
$100.00
$ 43.00
$ 3.00
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
bcSt f.
Owners Name
,-t/ O-
Address / bL Z-.tv,
City Ptone 22 ( -6 ? jf '
OWNER INSTAILATIO}I
The installation is being rnade on propeary I own which
is not inteuded for sale, lease or renl
Owners Signatrre:
Inspection Requesft 72G37 69
2tr0 Amps or less /g
201 Amps to 400 Amps
401 Amps to 600 Amps
or 1000 Volts see *8" above.
u4
or Extension Per Panel
{g
orwift
Permit
Sign/Or.rtline Li ghting
T i rn i ted Energl,/Lesidential
Limited Enorgly'Comrnercial
Consff. Contr. Number
Expiratiou Date
Minimum Electric P'ermit Inspeetion Bee is $45.00 * Surcharges
4.
89'o State Surcharge
l0'% Administranve Fee
+trF+tF fl, f**Y re
oo
tz
70
Shared Drive(T:/Building Form$Elctrical Permit Application I 46doc%TA/- ZSgaz
r0o E ("ISIdDNIUdS JO IIIC 689S9Z1113 ryd 60:0T IIIIJ 9A/TT/LO
3.:ga,ift"iffi,i...,, w.i l,. ffi,Iiip*,
A\b,"q Phone Slt-1|'l-Qt r-l
-----1.-.-__:.:1...-::.--::..,j
5ctu_
t1
().
rl
Signatrue of Supervising
cd.
I
225 Fifth S.treet
Springfield, Oregon 97 477
541-726-3759 Phone
Cifv of Springfield Official Receipt
[ ;lopment Services Department
Pubtic Works Department
RECEIPT #: 1200700000000000155 Date: 0211312007 3:01:50PM
Job/Journal Number
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-0r 620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
coM2006-01620
Description
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 MV/MC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
-Mechanical Issuance Fee-
Fireplace (Listed)
Plan Review,/Residential Hourly
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 57o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
98.95
80.00
80.00
(30.00)
1,011.21
624.64
474.97
189.58
836.32
91.61
961.52
10.00
l4t.3I
68.68
198.00
783.40
1,000.00
254.00
12.00
18.00
6.00
9.00
6.00
4.00
10.00
15.00
45.00
106.00
3 8.00
50.00
81.41
104.1I
140.04
Item Total:$7,518.81
Payments:
Type of Payment Paid By
rc
Received BY Batch Number
ffi
Number How Received Amount Paid
CreditCard HAYDEN ENT djb 006850 In Person $7,518.81
Paymenttotat: ffi
cReceintl Page I of I 2/1312007