HomeMy WebLinkAboutPermit Building 2006-10-27Status 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: COM2006-00997ISSUED: 1012712006APPLIED: 08/0412006EXPIRES: 0412712007VALUE: $ 232,062.00
SITE ADDRESS: 5783 Peridot Way
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Single family residence - Jasper Meadows 3rd add ph 4 lot 175
Same As COM2006-00696 5790 Montclaire
Residential
PhoneNumber: 541-228-1081Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
26225W GLACIER PL #110
REDMOND OR 97756
IC urres yUU aL
on Utility
Contractor in OAR 9sZ-001-00
HAYDEN You may obt
M & W ELECTRIC nte
PACIFIC AIR COMFO rforthe Or
DENNIS SCOTT EGGERS
Phone
541-228-l 081
541-754-6171
s4t-672-95t0
541-459-01 l0
ORMATION
# 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:
# of Stories:
. Height of Structure
Type of Heat:
24.00
Forced Air Gas
Gas
2 Lot Size;
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
,rt X:Garaee/carPort
S l,J@trcupant Load:
4,634
1,154
664
480
Curbside 5'
Curb and Gutter
I
R-3
VN
3
Water Type:
Range Type:
Energy Path:
ALL EXPIBE
F#iDR THIS
C i.t 11fi[{u0{Ef
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
PE
20.00
s.00
s.00
15.00
0.00
1
Yes
35.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
S u bd ivis io n Not Accepted
Street Improvements: Fullv Improved Sidewalk rype;
Storm Sewer Available: Yes Downspouts/Drains:
Special Instruction: No Final Occupancy until subdivison is accepted by city council.
PUBLIC IMPROVEMENTS
Notes: Storm drainage to curb & gutter.
Page I of4
c
92208
Date
)
j i j
Ai-,
F
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: COM2006-00997ISSUED: 1012712006
APPLIED: 08/0412006EXPIRES: 04127/2007VALUE: $ 232,062.00
Description
Dwellings
Garage
Type 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
8t4/06
t0t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27/06
10t27t06
10t27/06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
10127t06
10t27t06
10t27t06
10t27t06
10t27t06
10t27t06
t0/27t06
10t27t06
10t27t06
10t27t06
10/27t06
Value
$219,582.00
$12,480.00
$232,062.00
Date Calculated
08t04t2006
08t04t2006
Total Value of Project
Date PaidFee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
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
Amount Paid
$200.00
$10.00
$171.38
$96.35
$127.91
$306.00
$3r.00
$997.90
$80.00
$6.00
$9.00
$1r4.90
$12.00
$rs.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$s7.00
$455.18
$598.61
$10.00
$961.52
$91.61
$118.28
$71.28
$836.32
$189.s8
$80.00
$648.41
$s0.00
$24.00
$1,000.00
Receipt Number
1200600000000001203
2200600000000001 513
2200600000000001 513
2200600000000001513
220060000000000r513
2200600000000001 s13
220060000000000r513
2200600000000001 s13
2200600000000001513
220060000000000rs13
2200600000000001513
2200600000000001513
2200600000000001 513
2200600000000001513
2200600000000001 513
2200600000000001 513
2200600000000001 513
2200600000000001 513
2200600000000001 513
2200600000000001513
2200600000000001 sl3
2200600000000001 513
2200600000000001 513
2200600000000001 513
2200600000000001513
2200600000000001s13
2200600000000001 513
2200600000000001 513
2200600000000001513
220060000000000r 513
2200600000000001 513
2200600000000001513
220060000000000r513
2200600000000001s13
F ees Paid
Paee 2 of 4
I
Valuation Descrintion I
FIE
Building/Combination Permit
PERMIT NO: COM2006-00997ISSUED: 1012712006APPLIED: 08/0412006EXPIRES: 0412712007VALUE: S 232,062.00
F
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 $7,659,23
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
08t04t2006
08t04t2006
08t04t2006
09t07t2006
APP
APP
LLH
TAJ
08t04t2006 08/10/2006 APP JLP
08t04t2006 09/08/2006 APP RJB
Survey required because of
minimum side setbacks.
No Final Occupancy until
subdivison is accepted by city
council. Storm drainage to curb &
gutter.
All houses in this subdivision will
require site engineering, house may
not be finaled until city has
enginering doc.
To Request an inspection call the24 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utilify 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.
Sidewalk - Curbside: 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 lnspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Page 3 of4
Reouired Insnecfions
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: COM2006-00997ISSUED: 1012712006APPLIED: 08/0412006EXPIRES: 0412712007VALUE: $ 232,062.00
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.
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.
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 furlher 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
/o-d 7-oc
Owner or Contractors Signature Date
Pase 4 of 4
Fttl-tt UYLzoN
IMTTALS
DATE T -ot -c
SOURCE2Z5FIF-IHSTREET. SPRINGFIELD.OR97477 r Ptl:(541)72G375f, oFAl{:(S41X2G35E9
ELECTR[CAL TTO.N
City Job Number
1.J.
stLse e-
l\-c\-z6beDate
Serviee hcludedl
I Ct00 sq. ft. or less
Each adctitionai 500 sq. ft. on
portion thereof
Eacb Mauufact'd Home or
Modular Dwelling Servioe or
Feoder
200 Amps or less
201 Amps to 400 Amps
4Ct1 Amps to 600 Amps
6ttl Amps to 1000 Amps
Over 1000 AmpsVolts
Reconnect 0nly
Installation, Altr:ration on
2Cl0 Amps or less 1
201 Amps to 400 Amps I
'401 Amps to 600 Amps :
D $ 106.00
$ 19.00
$s0.00
<-l cl)
-J t.
1
Ciry
t
Permits nsferatrle and if work is
not started wfithin I8(} days, of issuance or if work is
Suspended for X80 riays.
Elecrrical Contractor nfu qd,rtc >^U
Address e78d"1 rt,41 3'{ 5^)
Phone SLll-1\'l- Utl(
Supervisor I-icense }{umber 'lJ'7,1S
Expiration Date to ,/ol
Constr. Contr. Number Lra3QZ
Expiration Date t /n/x^t
Signature of Supervising Electriciaa
.lI
Ourners
Inspection R"equest; 72637 69
Over 600 Volts see'B" above.
New Alteration or Exteusion Per Panel
One Creuit
Each Additional Circuit or with
Service or Feeder Permit
hrmp or irrigation
SignrOuilinc Li.ghting
Limited Energl,/Ii.esidential
$ 50.00
$ 50.00
$ 2s.00
$ 45.00
F'ee is.$45.00 + Surcharges
@
B;.
D.
'telpcationtY t'oru $ 5o.oo0r $ 69.00
\, $i00.00
$ 43.00
$ 3.00
@
City
EXP/
BA|,.
'0&ft,it
Inspectiou
8% State Surcharge
l0% Administrative Fee-"r
Shared Driv(T:/Building Forms/Eletrical permit ^&{e
Too E ffItIIdDNIUdS .{O TITs 68S8SU 1,rtr9 Xyc 60 :0T IIIIJ, 90/II / Li
',pa.ttu1uti##,ffiiffi,:il,niiiwi1,iiriii;iliii:li;;*,
\o k \15
lDLa@
$ 63.00
$ 75.00
$125-00
s163-00
$37s.00
$ 50.00
owI\iERrNsrALLATroN rHls PEB
'tttT
The installation is being marle
is uot inteuded for saie, lease
0B /s
Owners Signature:DAY
GITY OF SPx,il{GFIELD SYSTEMS DEVELOPMENT -,ORKSHEET
JOURNAL OR JOB NUMBER: COM2006-00997
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING LTNITS
Ent
5783 Peridot
0
SINGLE FAMILY RESIDENCE
BT]ILDING STZE
I. STORMDRAINAGE
DIRECT RTJNOFF TO CITY STORM SYSTEM
COST PER S.F,
$0.336
IMPERVIOUS S.F
1932.00
IMPERVIOUS S.F
0,00
NUMBER OF DFU's
23
B. IMPROVEMENT COST:
NUMBER OF DFI,]'S
23
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
Meadows 3rd Add Lot#775
C}IARGE
$648.41
DISCOLINT RATE
50o/o
$648.41
1552 LOT SrZE (SF)
DISCOTINT
$0.00
COST PER S.F
$0.336
COST PER DFU
$26.03
$19.79
NUMBER OF UNITS
I
NUMBEROF UNITS
I
ADM. FEE RATE
5Yo
0
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
ITEM 1 TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC
3. TRANSPORTATION
COST:A.
$1,053.79
COSTPERTRIP
$19.8r
COST PER TRIP
$87.39
$1,025.90
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
I
x
STIBTOTAL
s3,791.23
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINI STRATTVE FEE
ITEM 4 TOTAL - M1YMC SANITARY SE$'ER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$1,063.13
$3,791.23
CTIARGE
$189.56
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION
Jeff Prociw 8/t5t2006
ADT TRIP RATE
9.s7
$648.41
$s98.6r
$189.s8
$836.32
$91.61
$96r
$10.00
118.28
I
79
1070
l09l
1092
1093
1094
r055
1056
079
a
rrl
oU
&HFa
oa&
I
I
COST PER FEU
$91.61
COST PER FEU
$961.52
PREPARED BY DATE
TOTAL SDC CHARGES
x
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UMT EQUIVALENT: DRAINAGE FIXTURE TINITS
FOR CAICLII-ATE ONLY TIIE NET ADDMONAL
NO. OF FXTURES
UMT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TI.]RE IJMTS
lsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FD(TT]RE
0
2
2
1979
*EDU
BEFORE 1979 $5.29
$5.29
$5.19
$5.1 2
$4.98
$4.80
$4.63
M.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
VALUE / 1OOO
$0.00
CREDIT RATE
$5.29
IS LAND ELGIBLE FOR ANNEXATION 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
1981
1982
1983
1984
x1985
1986
1987
1988
1989
1990
1991
1995
1996
1997
1998
1999
2001
CREDIT FOR IMPROYEMENT (IF AFTERANNEXATION)
VALI.'E / 1OOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT1992
1994
1993
$0.48
$0.28
$0.09
$0.05
BATIITUB 1 0 3 3
DRINKING FOTINTAIN 0 0 1 0
FLOORDR{N 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRYTUB 1 0 2 2
CLOT}IESWASHER / MOP SINK 1 0 3 3
CLOTTIESWASIIER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASI{ER / ETC.,|0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWE& GANG (NTJMBER OF FMADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET. PUBLIC INSTALLATION 0 0 6 0
TOILET, PRTVATE INSTALLATION 2 0 3 6
ta
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
IEI
IUI
20
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci*' of Springfield Official Receipt
L __:lopment Services Department
Public Works Department
RECEIPT #: 2200600000000001513 Date: 1012712006 3:08:10PM
Job/Journal Number
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
coM2006-00997
Amount Due
31.00
1,000.00
106.00
57.00
50.00
1r4.90
80.00
80.00
(30.00)
648.41
598.61
455.1 8
189.58
836,32
91.61
961.52
10.00
I 18.28
71.28
r 98.00
997.90
306.00
12.00
24.00
9.00
6.00
4.00
I 5.00
12.00
10.00
96.35
127.91
17r.38
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
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets I -4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 5%o Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Item Total:s7,459.23
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard HAYDEN HOMES djb 040717 In Person
Payment Total:
$t ,459.23
$7,459.23
cReceintl Page I of I 1012712006