HomeMy WebLinkAboutPermit Building 2006-11-22F
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: COM2006-01045ISSUED: 1112212006APPLIED: 08/1412006EXPIRES: 05122/2007VALUE: $ 124,502.00
SITE ADDRESS: 5775 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 176
SAME AS COM2006-00974 1547 S 58th St
PhoneNumber: 541-228-1081Owner:
Address:
HAYDEN ENTERPRISES
26225W GLACIER PL #1IO
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
142776
Expiration Date
07t29t2007
06n912007
03t2512010
05/05/2010
Phone
541-228-1081
541-754-6171
54r-672-9510
541-459-01 10
CONTRACTOII
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
AU
Overlay HOR
I
, 15.00
Forced Air Gas
Gas
Gas
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:
5,003
1,148
400
ARKING
7
Curbside 5'
Curb and Gutter
I
R-3
U
VN
3
#
Paved
o/o of Lot
S ubdivision Not Accepted
Street Improvements: Fuily lmproved Sidewalk Type:
Storm Sewer Available: Yes Downspouts/Drains;
Special lnstruction: No Final Occupancy until subdivison is accepted by City council.
20.10
5.00
s.00
29.10
0.00
PUBLIC IMPROVEMENTS
Notes: Storm Drainage to curb & gutter.JlP
Pase I of4
*
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01045ISSUED: 1112212006
APPLIED: 08/1412006
EXPIRESz 0512212007VALUE: $ 124,502.00
Description
Dwellines
Garage
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0'/o Administrative Fee
+ 57o Technology Fee
+ 87o 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
PIan 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
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid
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
Value
$113,652.00
$10,400.00
$124,052.00
Date Calculated
08n4t2006
08n412006
Amount Paid Receipt Number
1200600000000001256
r200600000000001677
r20060000000000r677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
r200600000000001677
r200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
r200600000000001677
r200600000000001677
1200600000000001677
r200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
r200600000000001677
1200600000000001677
1200600000000001677
1200600000000001677
r200600000000001677
l 200600000000001 677
1200600000000001677
$200.00
$10.00
$l r8.33
$71.69
$88.47
$254.00
$31.00
$646.90
$80.00
$6.00
$9.00
s77.40
$12.00
$4.00
$12.00
$198.00
$-30.00
$r06.00
$38.00
$455.18
$598.61
$10.00
$96r.s2
$9r.61
$122.40
$70.77
$836.32
$189.58
$80.00
s720.57
$18.00
$1,ooo.oo
8tr4t06
tU22t06
tu22l06
tu22t06
tu22t06
tu22l06
ty22t06
rU22t06
tu22t06
tu22t06
ty22t06
tU22t06
tU22t06
tu22t06
tu22t06
tu22t06
tu22t06
tu22l06
tt/22t06
tu22t06
tu22t06
tu22t06
tU22t06
1t/22t06
tr/22t06
tu22t06
tu22t06
tu22t06
tt/22t06
tU22t06
tu22/06
ty22t06
tr'ees Paid
Total Amount Paid $7,087.35
Pase2 of 4
T
Valuation Description I
G
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01045ISSUED: 1112212006APPLIED: 08/1412006
EXPIREST 0512212007VALUE: $ 124,502.00
Plan Reviews
Initial Review
Planning Review
08n6t2006
0811712006
08n712006
09/08/2006
APP
APP
LLH
TAJ
Public Works Review 08n7t2006 08t28t2006 APP JLP
Structural Review 08n7t2006 09/08/2006 APP RJB
To Request an inspection call the 24 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 coYer.
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.
Water Line: Prior to filling trench and including required testing.
Survey required because of
minimum side setbacks.
No Final Occupancy until
subdivison is accepted by City
council.Storm drainage to curb &
gutter.JLP
Reonired Insnections
Paee 3 of4
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Ftx
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01045ISSUED: 1112212006
APPLIED: 08/1412006
EXPIRESz 0512212007VALUE: $ 124,502.00
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.
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 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.-ZZor,z-/t-sz - oG ,
Date
Page 4 of4
SP JFIELD
Date
INITTALS
DATE
SOURCE
zoN
225 FIFrISTREET . SPRINGFIELD.OR97477 . Ptt:(541)726-3753 c FA){: (Ml[26-3589
E IfrCTRTCAL PERMTT APPIT CATTON
Ciry'Job Number 0lo, \CJAF ,t/-D&
1.
LEG.AI DESCRIPNON
3.
RIZE
A-
B;.
C:.
DAY
!r.
E.
JOB DESCRIPTIO\
Permits are 'ansferatrle and if work is
not started wfithin 180 days of issuance or if work is
Suspended for n80 days.
Serviee lincludedl
lCt00 sq, ft. or less
Eachadditionai 500 sq. ft. or
portiou tjrereof
Each Manufact'd Home or
M odular Dwelliug Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 500 Amps
601 Amps to 1000 Anrps
Over 1000 AmpsA/olts
Reconnect Only
Instellation, Alteration or Relocetion
ER[4'lz$fiAi"h
'&xFm
*b sr
$9.00L06.00 $h9
t]ic/o
tJt'lo
$s0.00
1
Etectrical Contractor '{Ytt"l {ld.ic >.^nt--
Address aq?tl rt'l? 3{ 5^)
City Phone SLlt-1|'l-btll
Supervisor License }{umber 'la7'/ S
$ 63.00
$ 75.00
$125.00
$163.00
$37s.00
s 50.00
rufi-tGE:
Expiration Date U
Conss. Contr. Number Lt13QZ [r ilt!
INCFD@&4SHSA
HE WOR KII IS NO
AUIHO IF $ s0.00
$ 69.00
$100.00
$ 43.00
$ 3.00
rrvtyfM
Expiration Date u/n INY 1 80
Signature of Supenrising Electricim
or fOB **'rt" above.
New Alteration or Extension Per Panel
One Cireuit
Each Additional Circuit or with
Service or Feeder Permit
-
Oumers Name
Address
City
OWNER INSTALLATIOI\I
The installatior Lc b€ing nade on properlry I own which
is uot intended for saie, iease or renl
Owners Siglature:
Inspection Request: 72G37 69
Minimum Electric P'ermit Inspection Fee is $45.00 + Surcharges
4.
hrmp or irrigation
SigrlOutline Li.ghting
Lirnited Energl,/X.esidential
I jrrited Energpy'Commercial
8% State Surcharge
lQo/s trdministrahve Fee
$ s0.00
_ $ s0.oo
$ 2s.00
$ 4s.00
,pw
T6TAL q)
Shared Driv(T:)'Building FormVEleuical Pennit
roo E fluId9NIUdS J0 ItrC 6898922119 XYC 60:0I IIm 90/Ir/10
A\Lr,^^,
-r=----f-_
r_
vrco"t)Ab-1fr6
-
CITY OF SPxINGFIELD SYSTEMS DEVELOPMEN r -tIORKSHEET
JOURNAL OR JOB NUMBER: COM2006-01045
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING T]NITS
Ent
5775 Peridot Wr Jr Mdws Lot #176
0
I. STORM DRAINAGE
DIRECTRTNOFF TO CIry STORM SYSTEM
SINGLE FAMILY RESIDENCE
COST PER S.F
$0.336
IMPERVIOUS S.F. X
2147.00
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
BUTLDTNG SZE (SF, 1597 LOT SIZE (SF):5003
C}IARGE
$720.57
IMPERVIOUS S.F
0.00
B. IMPROYEMENT COST:
NUMBER OF DFU's
23
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
$:f6::q-
COST PER S.F
$0.336
COST PERDFU
$26.03
$19.79
NUMBER OF TINITS
I
NT]MBER OF UNITS
I
ADM.FEE RATE
5Yo
DISCOT]NTRATE
50o/o
s720.57
DISCOLNT
$0.00
x
x
x
x
x
x
x
ITEM 1 TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER- CITY
A REIMBT]RSEMENT
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC
3. TRANSPORTATION
A. REIMBT]RSEMENT COST:
xx
xx
COST PER TRIP
$19.81
COST PER TRIP
$87.39
NEWTRIPFACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBLIRSEMENT COST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NLMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD rTEMS t, 2, 3, & 4)
x CHARGE
$leji-TOTAL SANITARY ADMINISTRATION FEE:
Jeff Prociw 8/28/2006
$s98.61
$455.18
$10.00
I
a
rrl
O
r!F(n
o
+.1
I 091
1093
079
078
1 070
1092
1094
I 054
I 055
1056
NUMBEROFDFU's
23
053.79
02s.90
COST PER FEU
$91.6r
COST PER FEU$e6lrr-
PREPARED BY
DATE
TOTAL SDC CHARGES
x
LIBTOTAL
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEWFDCTIRES x UNIT EQUWALENT: DRAINAGE FXTURE T]NTTS
FOR CALCULATE ONLY THE NET ADDIT]ONAL
NO. OF FXTTIRES
LNIT
FIXTTIRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NIIMBEROF EDU'S
TOTAL DRAINAGE FXTI]RE T]NITS
lsa toa unit set at 1 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE 1979 $5.29
$5.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
20
DRAINAGE
FIXTURE
LTNITS
0
*EDU
2
2
1979
1980
1 981
1982
1983
I 984
1985
1986
1987
1988
1989
1990
l99l
1992
1993
1994
1995
1996
1997
1998
1999
$5.1 9
$5.12
$4.98
$4.80
$4.63
$4'40
$4.07
$3.67
CREDITFORLAND (rF
1979
VALUE / 1OOO
$0.00
CREDITRATE
$s.29x
$3.22
$2.73
$2.25
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1OOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0-48
$0-28
$0'09
$0-05
BATHTLIB 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
0INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b
LALINDRYTUB 0 0 2 0
CLOTHESWAS}IER / MOP SINK 1 0 3 3
0 0 b 0CLOTMSWASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1
RECEPTOR FOR COM. SINK / DISI{WASIIER / ETC.1 0 3 3
2 0SHOWE& SINGLE STALL 0 0
0 0 2 0SHOWE& GANG (NT]MBER OF HEADS)
3103SINK: COMMERCIAL/RESIDENTLA.L KITCHEN
0 2 0SINK: COMMERCIALBAR 0
0 0 2 0SINK: WASH BASIN/DOUBLE LAVATORY
2201SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0 5 00URINAL, STALL/WALL
0006TOILET. PUBLIC IN STALLATION
3 620TOILET, PRIVATE INSTALLATI ON
CREDIT RATE/$1,OOO
ASSESSED VALUE
YEAR
ANNEXED
00
2000
2001
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
CiF- of Springfield Official Receipt
D -lopment Services Department
Public Works Department
RECEIPT#: 1200600000000001677 Date: 1112212006 2:14:00PM
Job/Journal Number
coM2006-01045
coM2006-0104s
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-0 r 045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-0r045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-01045
coM2006-0104s
coM2006-0104s
coM2006-01045
coM2006-0104s
coM2006-01045
coM2006-01045
coM2006-01045
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Heat Pump
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10%o Administrative Fee
+ 5olo Technology Fee
Amount Due
31.00
1,000.00
106.00
38.00
77.40
80.00
80.00
(30.00)
720.57
598.61
455. I 8
189.58
836.32
91.61
961.s2
10.00
122.40
70.77
198.00
646.90
254.00
12.00
18.00
9.00
6.00
4.00
12.00
10.00
88.47
I 18.33
71.69
Item Total:$6,887.35
Payments:
Type ofPayment Paid By Received By
Check Number A
Batch Number Number How Received Amount Paid
CreditCard HAYDEN HOMES djb 009142 In Person
Payment Total;
$6,887.35
$6,887.35
cReceint I Page I of I 11t22/2006