HomeMy WebLinkAboutPermit Building 2007-01-31Status 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: COM2006-01546ISSUED: 0113112007
APPLIEDz 1210412006
EXPIRESz 0713112007VALUE: $ 232,062.00
SITE ADDRESS: 5776 Peridot WaY Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802030002900
TYPE OF USE: New
pROJECT DESCRIPTION: Single family residence - SAME AS COM2006-00997 5783 Peridot
Residential
PhoneNumber: 541-228-1081Owner:
Address:
Contractor Type
General
Electrical
Mechanical
HAYDEN ENTERPRISES
26225W GLACIER PL #IIO
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC
PACIFIC AIR
DENNIS SCOTT
4
TED
#of
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
License
92208
67362
39237
142776
Forced
Expiration Date
07t2912007
06n9t2007
0312512010
05/05i2010
Phone
541-228-1081
541-7s4-6171
541-672-9510
s4l-4s9-01 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
R-3
I
U
VB
Size:
Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,096
1,154
664
480
Curbside 5'
Curb and Gutter
3
Building:
Gas
Gas
Path I
nla4
20.00
5.00
5.00
49.00
30.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
br
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
TION
Notes: Storm H2O to curb & gutter.JlP
Page I of4
Status 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: COM2006-01546ISSUED: 0113112007
APPLIEDz 1210412006
EXPIREST 0713112007VALUE: $ 232,062.00
Description
Dwellinss
Garage
Fee DescriPtion
Plan Review Same As
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 57o TechnologY Fee
+ 8Yo State Surcharge
3 Baths One & Two FamilY
Addressing Assignment
Appliance Vent
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
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 Imperwious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid
Tvne of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,218.00
480.00
Value
$219,582.00
$12,480.00
$232,062.00
Date Calculated
1210412006
1210412006
Amount Paid Receipt Number
220060000000000r652
r200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
r200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
1200700000000000099
$200.00
$r0.00
$u2.98
$97.15
$129.19
$306.00
$31.00
$6.00
$12.00
$997.90
$80.00
$6.00
$9.00
$114.90
$12.00
$4.00
$198.00
$-30.00
$106.00
$76.00
$593.72
$780.80
$10.00
$961.52
$91.61
$143.51
$68.46
$836.32
$189.58
$80.00
$775.9s
s50.00
$30.00
$1,000.00
t2l4l06
u3u07
u3u07
u3u07
1t3u07
u3u07
u3y07
u3u07
U3il07
u3,/07
u3y07
y3u07
u3u07
u3u07
u3u07
y3u07
u3u07
u3y07
u3ll07
u3,/07
u3u07
U3u07
u3u07
u3u07
u3y07
u3u07
U3t/07
u3u07
u3u07
y3u07
u3u07
t/31/07
y3u07
t/3U07
Pase 2 of 4
t3
Fees Paid 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: COM2006-01546ISSUED: 0113112007APPLIEDz 1210412006EXPIRES: 0713112007VALUE: 8 232,062.00
Total Amount Paid $8,149.59
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
12t05t2006
12t06t2006
12t06t2006
0u12t2007
t2t06/2006
12t06t2006
0u30t2007
0u12t2007
0u30t2007
LLH
TAJ
JLP
DLM
0U04t2007 WI JLP
A survey is required because of
minimum side setbacks.
I backyard tree is required to be
planted p€r 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'side, 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 PW rcvd for
rwv.JLP
Storm H2O to curb & gutter.JlP
Same -as permit
APP
APP
APP
APP
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followingwork 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 pracement of concrete.
|offff::Tlffi'#: Install ground rod at footing and call for inspection in conjunction with footing and/or
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete pracement.
Post and Beam: prior to floor insulation or decking.
Floor Insulation: prior to decking.
shear \yarl Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections haye been approved.WaII Insulation: prior to cover.
Ceiling Insulation: prior to cover.
Drywall: prior to taping.
Pas,e 3 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01546ISSUED: 0113112007APPLIED: 1210412006
EXPIRESz 0713112007VALUE: $ 232,062.00
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.
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.
Sanitary Sewer Line: Prior to lilling 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 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.
/ 3/- "7
Owner or Contractors Signature
Page 4 of4
Date
":
aiP. .E'I]LE'zoN
INITTALS
DATE
SOURCE
225 FIFTII STREET r I
ELECTRjTCAL
Ciry Job Number
SPRINGFIELD.gP97477 r PH
APPLICA
:(s41)72G3753 o FAI{: (541I2G36E9
?TO.NI
Date
3.
1.
A
Bl.
Service llncluded
1000 sq. ft or less
additional500 sq. ft. or
thereof
Each Mauufrct'd Home or
Modular Dwelling Servioo or
Feeder
I
$ 106.00
$ 19.00
$s0.00Permits are non-transferable and expire if.york is
;;;"d within 180 days' of issuance or if work is
Suspended for X80 ilaYs'
1
Electrical Contractor
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
T
Address -c;q)3"{ 5.)
Ciry Phone Sr{l-7S.1-
Supervisor License }lumber ,l).71/s
Expiration Date lo
Constr. Contr. Number {,2 13a,
E;rpiration Date /*rt
SignatBre of Supenising Electrician
f,
Owners
v
OWNER INSTALLATIOI\I
The installarion is being made on prop=rlry I owu which
is not inteuded for sale, lease or renL
Owr:ers Signahrre:
Inspection Request: 72G3769
cr.
Installation'
Service or Feeder Permit
hrmp orirrigation
Sign/Ouilinc Lighting
5DP
a
3b
orwith
$ 43.00
$ 3.00
$ 50.00
_ $ so.oo
E
City
I imited Energl'/?.esidential $ 25.00
I.imitedEnergy/Coumcrcial _ $45.00 _
Miniurum Electric Permit Inspection Fee is S45.00 + Surcharges
8% State Surcharge
10% Arl'ninistahve Fee
.?CITET_.
Sharcd Driv(T:/Buiiding
a
?,1r
Toom oTgI"{9NrUds JO I.IIC 68989zLlts xvs 60:0I f,IlJ gotIT/LO
&
\DloP.
)\LP
i.r,fitd %t*ic Eur- - il0T itllzoo Amps or less
THE WOfittsIF
lslfist-F0r-
taw
Aops
Each
4.
ctw oF s P ^., l.I G FI ELD SYSTEMS DEVELOPM ENT JRKSHEET
coM2006-01546
Ent
5776Peidot
Mdws Lot #163
SINGLE Y RESIDENCE
BUTLDING SIZE (SFl 1il0 LOT SrTF (SF):6096
CIIARGE
$775,95
DESIGNED AND CONSTRUCTED TO CITY STANDARDS
JOURNAL ORJOBNUMBER:
NAMEORCOMPANY:
LOCATION:
TAXLOTNUMBEk
DEVELOPMENT TYPE:
NEW DWELLING LINITS
I. STORMDRAINAGE
DIRECT RI.INOFF TO CIryI nrPER\rtous s-F.
I zttz.oo
RUNOFF ROUTED DRYWELL
x
x
x
COST PER S.F
s0.336
COST PER DFU
$26.03
$19.79
NUMBEROF UNITS
I
NUMBER OF TINITS
I
ADM. FEE RATE
5Yo
DISCOTINT RATE
5lYo
$775.95
DISCOTINT
$0.00
x
ITEM I TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER - CIry
A COST:
x
ITEM 2 TOTAL. CITY SANITARY SEWER SDC $1J74.51
3. TRANSPORTATION
COST:
B. IMPROYEMENT COST:
NLMBER OF DFI-Is
30
COST:
SI-IBTOTAL
s4,239.49
A
B
xx
xx
COST PER TRIP
$19.81
COST PER TRIP
$87.39
NEW TRIP FACTOR
1.00
x
ITEM 3 TOTAL. TRANSPORTATION SDC
COST:
COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBT0TAL (ADD rrEMS 1,2,3, & 4)
x
A
B.
x
x CHARGE
s21r.97
TOTAL SANITARY ADMIMSTRATION FEE:
ADMIMSTRA
Jeff Prociw Ut212007
COST PER S.F
$0.336
IMPERVIOUS S.F
0.00
NI-IMBER OF DFU's
30
TRIP F
r.00
$775.95
$780.80
$593.72
$961.52
$0.00
143.51
1070
l09l
1092
1093
1094
I 054
I 055
1054
I 056
1079
l 078
a
trlaoO
rrlFa
El&
IXIE
ADT TRIP RATE
9.57
ADT TRIP RATE
9.57
025.90
NLIMBER OF FEU's
I
COST PER FEU
$91.61
COST PER FEU
$961.52
-x@il239.49
PREPARM BY DATE
TOTAL SDC CHARGES
1
x
DRATNAGE FDffURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UN]T EQUTVALENT: DRAINAGE FDffURE T]NTTS
FOR ONLY THE NET ADDITIONAL
NO. OF FXTURES
TINIT
FXTTIRE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU"S
TOTAL DRAINAGE FD(TI]RE I]NITS
isa toa unit set al I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE 1979
IS LAND ELGIBLE FORANNEXATION CREDIT?
@nter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
@nter I for Yes, 2 for No)
BASE YEAR
$5.29
cREDrr FOR LAND (r 4ltLlC4ELD
DRAINAGE
FDffURE
UNITS
2
t979
1979
1980
I 981
1982
1983
1984
x1985
1986
1987
1988
1989
1990
l99l
t993
1994
1998
1999
2001
2
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUEi IOOO
$0.00
CREDITRATE
$5.29
CREDIT FOR IMPROVEMENT (IFAFTER ANNEXANON)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT1992
,995
1997
1996
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 2 0 3 6
DRINKING FOTINTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / ATITO WASH / ETC.0 0 b 0
LAUNDRY TUB 1 0 2 2
CLOT}IESWASHER / MOP SINK 1 0 3 3
CLOT}IESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR CON{. SINK / DISHWASIIER / ETC.1 0 3 3
SHOWER SINGLE STALL 0 0 2 0
SHOWER, GANG (NT]MBER OF IIEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCFIEN 1 0 3 3
SINK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTI,AL BAR 2 0 1 2
LIRINAL, STALL / WALL 0 0 5 0
0 6 0TOILET, PUBLIC INSTALLATI ON 0
TOILET. PRTVATE INSTALLATION 3 0 3 o
YEAR
ANNE)(ED
CREDIT RATE/$I,OOO
ASSESSED VALI]E
2000
-rl
20
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir-' of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000099 Date: 0113112007 2:21:42PNt
Job/Journal Number
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01s46
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01s46
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-0r s46
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
coM2006-01546
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
3 Baths One & Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
PIan Review Major - Planning
+ 5%o Technology Fee
+ 8% State Surcharge
+ lUyo Administrative Fee
Item Total
Type ofPayment Paid By
CreditCard HAYDEN ENT
Received By Batch Number Number How Received
djb 052182 In Person
Payment Total:
Amount Paid
$7,949.59
-trTioB'
cReceint I
Page I ofl
1/31/2007
Amount Due
31.00
1,000.00
106.00
76.00
50.00
114.90
80.00
80.00
(30.00)
775.95
780.80
593.72
189.s8
836.32
91.61
961.52
10.00
143.5 I
68.46
997.90
306.00
12.00
12.00
30.00
6.00
9.00
6.00
4.00
10.00
198.00
97.15
129.19
172.98
-
$7,949.59