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
SITE ADDRESS: 5784 PERIDOT WAy
ASSESSOR'S PARCEL NO.: 1802030003000
PROJECT DESCRIPTION:
Building/Combination permit
PERMIT NO: COMZ007 -00097ISSUED: 03t08t2007APPLIED: 01t22t2007EXPIRES: 09/08 t2007VALUE: $ 129,044.00
SPRINGFIE TypE OF WORK: Singte Famity Residence
TYPEOFUSE: New Residential
-Jasper MDS 3add 4ph SAME AS COM2006-01453
Phone N
Single family residence
5753 Montclaire
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
HAYDEN ENTERPRISES
2622 SW GLACIER PL #I10
REDMOND OR 97756
umber: 541-228-1081
umber: 541-228-6935TirN
t1,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ubdivision Not Accepted
Street Improvements:
Storm Sewer Available;
Special Instruction:
Contractor
HAYDEN
M & W ELECTRIC
PACIFIC AIR
DENNIS SCOTT
I
R-3
U
VB
20.00
5.00
5.00
56.60
12.50
TED
Water
Range Type:
Energy Path:
Sprinkled Build
,*oat
-228-l 081
t7t
-672-9510
-459-0110
67362
39237
142776
I
15.00
Air Gas
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,208
1,148
440
3
ing:
Fullv Improved
Yes
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
1
Yes
25.50
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Notes: For this parcel in Jasper Meadows Phase 4, 3rd Additiono 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".
PUBLIC IMPROVEMENTS
Paee 1 of5
uDf LLnr\ft_f,L\ I ll\I\rll(lvtAI tut\ l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2007 -00097ISSUED: 0310812007APPLIEDz 0112212007EXPIRES: 09/0812007VALUE: $ 129,044.00
Description
Dwellinss
Garage
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
0u22/2007
0t/22t2007
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
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 l-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 Sin gle Family
Amount Paid
$200.00
$10.00
$126.36
$75.61
$94.73
$254.00
$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
s474.97
$624.64
$10.00
$961.52
$91.61
$r24.44
$70.s2
$836.32
$189.58
$80.00
$710.s0
$50.00
$18.00
$2,303.00
Total Value of Project
Date Paid
u22t07
3t8t07
3t8/07
3t8/07
3t8t07
3t8/07
3t8t07
3t8/07
3t8t07
3t8t07
3t8t07
3t8t07
318107
3t8t07
318107
3t8,t07
3t8t07
3t8t07
3/8t07
3t8t07
3t8t07
3t8t07
3t8/07
3/8t07
3t8t07
3/8t07
3t8t07
3t8t07
318t07
3t8t07
3t8t07
3t8t07
3/8t07
3t8t07
Receipt Number
12007000000000000s7
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
12007000000000002s2
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
r200700000000000252
1200700000000000252
12007000000000002s2
1200700000000000252
1200700000000000252
12007000000000002s2
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
1200700000000000252
12007000000000002s2
1200700000000000252
r200700000000000252
Paee 2 of 5
Valuation Description ]
Bpps Prrd I
Plan Reviews
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Total Amount Paid
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
Building/Combination permit
PERMIT NO: COMZ007 -00097ISSUED: 03t08t2007APPLIED: 01t22t2007EXPIRES: 09/08 t2007VALUE: $ 129,044.00
$8,526.35
0U23t2007
01t23t2007
0U23t2007
02/20t2007
0U23t2007
02t27t2007
01t26t2007
02/20/2007
APP
APP
LLH
TAJ
0u23t2007 02t28t2007 APP RWC
Survey required because of
minimum side setbacks.
I backyard tree is required. Choose
from the list on page 6-3 ofthe streel
tree handout for planter strips g_12'
wide.
Rcvd l/26107--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
WI
APP
JLP
JLP
To Request an inspection call the 24 hour recording
a.m. will be made the same working day, inspections
work day.
at726-3769. AII inspections requested before 7:00
requested after 7:00 a.m. will be made the following
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.
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 requiredtesting. 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
Final Electric: When all electrical work is complete'
Pase 3 of 5
-
Building/Combination permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
P-E_RMIT NO: COM 2007 _00097ISSUED: 0Bt0Bt2007APPLIEDz 01t22t2007EXPIRES: 09/08 t2007VALUE: S 129,044.00
curbcut - standard: After forms are erected but prior to pracement 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 insta[ed.
yr'rTr'#:f,fi:i*ilr'.d: Install ground rod at footing and call for inspecrion in conjunction wirh footing and/or
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 materiars.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: prior to cover.
Ceiting Insulation: prior to cover.
Drywall: Prior to taping.
fflil,|fiilJJ.tfl:tot Special Inspection performed prior to placement of concrere. provide report to ciry
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: prior to fi[ing the trench and incruding required testing.
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 fiiling trench and incruding required testing.
sanitary sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filting trench.
Final Plumbing: When all plumbing work is complete.
Paee 4 of 5
-
q;
:
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 -00097ISSUED: 0310812007APPLIED: 0112212007EXPIRES: 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 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-d7
Owner or Contractors Signature Date
Page 5 of 5
225 FIFTHSTREET . SPRINGF|ELD,oRgt{ii r pH:(54t)7x:-37s.t c FAtr(: (s4l)72c36s9
ELECTRICAL
City'Job Number
3.
A-
SP' IFTILD
Date
zoN
IMTTALS
DATE
SOURCE
I
ffi)
JOB DES
Permits nsferatrie and if work is
not started wf;thin I80 days of issuance or if work is
Suspended for 180 rlays.
$L4
Se.rvice ltncludec+l
I C00 sq. fr or less
Each additional 500 sq. ft. or
pc,rtion thereof
Each Manufact'd Home or
Modular Dwelling Serwice or
Fereder
200 Amps or less
201 Amps to 400 Amps
$106.00 JblrP
$re.oo 4-Pa
$50.00
$ 63.00
$ 75.00
$125_00
$163.00
s375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
",
Electrical Contractor tq)
Acidress aq861 f1d!/3
Bl.
City
LGn,
Suporvisor License Number 'l|'7./ S
Expiration Date lo /ot
Expiratiou Dare
Installation,
2Ct0 Amps or less
201 Arrps to 400 Amps
401 Amps to 600 Amps
Puimp or irrigatioa
S igr/Cutline Lighting
Limited Energl,lResidential
Limited Energpy'Coucmercial
Altr:ration or Relocation
I
Signature of Supenising Electician
ttR
Owners Name
Address
City Phone
OWNER INSTAILATION
The installation is being made on pnoperfy I ovru which
is not intended for saie, lease or renl
Owners Signature:
Inspection Request: 72G3769
Minimum Electric P'ermit Inspection Fee is $45.00 + Surcharges
4.
E.
8% State Surcharge
t0% Administrative Fee
$ s0.00
$ 50.00
$ 2s.00
$ 4s.00
,J)
.{QlAip 9to Q...rD
shared Driv(r:/Budinc Formtreu,iiyr*,,3-%, b\t
\rr
>'{2--F,
Too E OTIIId9NIUdS JO IIIC 68989U ZI?S r}-g 60 :0r UlJ 90/tT / Ls
A_
I
tiu
D.
Const'. Contr. Number (a13@Z
Over 600 or 1000 Volts see'B" above.
or Ertension Per Panel
$ 43.00
$ 3.00
v,n a)\-/\ / ,
t
0 frri
Circuit or with
Feeder Permit
CITY OF SPRTNGFIELD SYSTEMS DEVELOPM ENl ,,ORKSHEET
JOURNAL OR JOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
coM2007-00097
Ent
5784 Peridot
Meadows Ph4 3rd Add - Lot # 164
SINGLE FAMILY RESIDENCE
BUILDING SIZE 1 584
1. STORM DRAINAGE
DIRECT RTINOFF TO CIry STORM SYSTEM
IMPERVIOUS S.F x COST PER S.F
$0.33621t7.00
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
LOT SIZE (SF)6208
CHARGE
$710.50
IMPERVIOUS S.F
0.00
NTIMBER OF DFU's
24
B. IMPROVEMENT COST:
NTA4BER OF DFU'S
24
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$3.899. I 4
COST PER S.F
s0.336
COST PER DFU
s26.03
$ r 9.79
NUMBER OF TINITS
I
NUMBER OF LINITS
I
ADM. FEE RATE
5Yo
DISCOT]NT RATE
5l%o
$710.50
DISCOLINT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORJVT DRAINAGE SDC
2. SANITARY SEWER - CIry
A REIMBT]RSEMENTCOST:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$1,099.61
COST PER TRIP
$r9.8r
COST PER TRIP
$87.39
NEW TRIP FACTOR
r.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NLIMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS l, 2, 3, & 4)
5. ADMINISTRATTVE FEE:
$1,063.I3
$3,899.14
CHARGE
$ r 94.96
TOTAL SANITARY ADMTNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw 212012007
$7r0.s0
$474.97
$836.32
$0.00
$r0.00
10
I 070
1091
1092
r093
1094
1055
t0s4
1056
1079
I 078
a
El
l-.1o()
r!Fa
r!
COST PER FEU
$91.6r
COST PER FEU
$96 r .52
PREPARED BY DATE
TOTAL SDC CHARGES
I
x
;1,025.90
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES X UNTT EQUTVALENT = DRAINAGE FXTURE UNITS
FOR CArcUI-ATE ONLY T}IE NET ADDMONAL
NO. OF FIXTURES
UNIT
NEW OLD ALENT
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TURE UNITS
+EDU tsa toa unit set at 167
TYPE
DRAINAGE
FIxTURE
T]NITS
0
2
2
1979
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)
20
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE 1979 $5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$+.+o
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
vALtrE / 1000
$0.00
CREDITRATE
$5.29
1979
I 980
l98l
1982
1983
1984
I 985
1986
1987
1988
1989
1991
1997
1995
1996
1997
1998
1999
2001
x
I 990
1994
1993
CREDIT FOR IMPROVEMENT gF AFTER ANNEXATION)
VALT]E/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.0s
b032BATHTUB
0100DRINKING FOUNTAIN
0030FLOOR DRAIN
0300INTERCEPTORSFOR GREASE / OIL / SOLIDS / ETC.
0600TNTERCEPTORSFOR SAND /AUTO WASH / ETC.
0020LAUNDRY TT}B
3301CLOTMSWASFIER / MOP SINK
00b0CLOTHESWASFMR- 3 OR MORE (EA)
01200MOBILE HOME PARK TRAP (l PER TB4{LEB)-0100WATERSTATIONETC.REFRIGFORRECEPTOR 3031RECEPTOR FOR COM.SINK/DISHWASHER/ETC.
0200SINGLE STALL
0020SHOWER GANG (NLMBEROF HEADS)
3031SINK: COMMERCIAL/RESIDENTTAL KITCHEN
0200SINK: COMMERCIAL BAR
0020YSINK: WASH BASIN/DOUBLE
1 330SINK: SINGLE LAVATORY/RESIDENTTAL BAR
0500IIRINAL, STALL / WALL
0060TOILET. PUBLIC INSTALLATION
6203TOILET, PRIVATE INSTALLATION
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$0,00
0
2000
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
RECEIPT #: 1200700000000000252
Ci+., e1 Springfield Official Receipt[ ;lopment Services Department
Public Works Department
Date: 0310812007 2:2e:2tPM
Job/Journal Number
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
coM2007-00097
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 Permir
2 Baths One or Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Heat Pump
-Mechanical Issuance Fee-
+ 5olo Technology Fee
+ 8% State Surcharge
+ lUYo Administrative Fee
Amount Due
31.00
2,303.00
106.00
38.00
50.00
79.40
80.00
80.00
(30.00)
710.50
624.64
474,97
189.58
836.32
91.61
961.52
10.00
124.44
70.s2
198.00
663. I s
254.00
12.00
12.00
18.00
9.00
6.00
4.00
12.00
10.00
75.61
94.73
126.36
Item Total:$8,326.35Payments:
Type of Payment
Check
Paid By
HAYDEN ENT
Received By Batch Number Number How Received
djb 30827 In Person
Payment Total:
Amount Paid
s8,326.35
$8,326.35
Check Number A
^D -^-i6r I
Page 1 of 1
3/8/2007
{ffi*n