HomeMy WebLinkAboutPermit Building 2007-03-08Status 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: COM2007-00098ISSUED: 0310812007APPLIED: 0112212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
TION
SITE ADDRESS: 5796 PERIDOT WAY
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
SPRINGFIE TYPE OF WORK: Single Family Residence
1802030003200
TYPE OF USE: New Residential
Single famity residence -Jasper MDS 3add 4ph lot 166 SAME AS COM2006-00692
5774 Montclaire
Owner:
Address:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ubdivision Not Accepled
Street Improvements:
Storm Sewer Available:
Special Instruction:
HAYDEN ENTERPRISES
26225W GLACIER PL #IIO
REDMOND OR 97756
PhoneNumber: 541-228-1081
License Expiration Date PhoneContractor Tvpe Contractor
General
Electrical
Mechanical
Plumbing
# of Units: I
Primary Occupancy Group: R-3
Secondary Occupancy Group: U
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
HAYDEN ENTERPRISES An ENrr 922,08 07t29t2007
M & W ELECTRIC INCORPORAfrI,D wf 67362 06n9t2007e!Uir labv t l0
541-228-1081
s4t-754-6171
541-672-9510
541-459-01 I 0
PACIFIC AIR COMFORT INC 'ation
DENNIS SCOTT EGGERS
#of fcrr
Ce'nler.
sel toit
Gas Sq Garage/Carport
Path I Sq Ft Other:
nla Occupant Load:
erJ Dythe 10
l0
hin
6,161
1,008
1,005
480
'No
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path;
Building
c
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
20.00
12.90
5.00
40.00
30.00
ANY 18ff
Fully Improved
Yes
o/" of Lot
Notes: 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".
CONTRACTOR INFORMATION
PUBLIC IMPROVEMENTS
Page I of4
Status 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: COM2007-00098ISSUED: 0310812007
APPLIEDz 0112212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
Description
Dwellings
Garage
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
3 Baths One & 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 Single Family
Total Value of Project
Date Paid Receipt Number
1 200700000000000059
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
r200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
r200700000000000249
r200700000000000249
1200700000000000249
1200700000000000249
1 200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
1200700000000000249
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
2,453.00
480.00
Value
$252,659.00
$12,960.00
$265,619.00
Date Calculated
0u22t2007
0u2212007
Amount Paid
$200.00
$10.00
$r82.73
$10r.56
$136.25
$306.00
$31.00
$12.00
$1,105.15
$80.00
$6.00
$9.00
$124.15
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$57.00
$593.72
$780.80
$10.00
$961.52
$91.61
$14r.58
$68.6s
$836.32
$189.58
$80.00
$741.04
$s0.00
$24.00
$2,303.00
u22t07
3t8t07
3t8t07
3t8t07
318107
3t8t07
3t8107
3t8/07
318107
3t8t07
3t8,t07
3t8t07
3t8107
3t8t01
3t8t01
3t8t07
3t8t07
3t8107
3t8t07
3t8107
3t8t07
3t8t07
3t8107
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
3t8107
3t8t07
3t8t07
3t8t07
3t8t07
3t8t07
ees Paid
Paee 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
GFIE
Building/Combination Permit
PERMIT NO: COM2007-00098ISSUED: 03/08/2007APPLIED: 0112212007
EXPIRES: 09/0812007VALUE: $ 265,619.00
Total Amount Paid $9,534.66
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
0u23t2007
0u23t2007
0u23/2007
02t20t2007
0u2312007
02t2712007
0y26t2007
02t20t2007
WI JLP
APP
APP
LLH
TAJ
APP JLP
Structural Review 0u2312007 02t2812007 APP RWC
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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 [nspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
I backyard tree is required. Choose
from list on page 6-3 ofthe street
tree handout for planter strips 8-12'
wide.
Rcvd 1/26l07--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: "thal
final occupancy should not be
granted until the subdivision is
accepted by City Council". Storm
H2O to curb & gutter.JlP
Renrrirerl fnsnecf
Paee 3 of4
G
G
Status Issued
225 Fifith Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00098ISSUED: 0310812007APPLIEDz 0112212007EXPIRES: 09/0812007VALUE: $ 265,619.00
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Shower Pan. Prior to covering 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
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.
j-{- o7.
Owner or Contractors Signature
Paee 4 of 4
Date
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNTIMBER:
DEVELOPMENT TYPE:
NEW DWELLING LINITS
I. STORMDRAINAGE
DIRECT RLTNOFF TO CIry STORM SYSTEM
CITY OF SPXIN GFIELD SYSTEMS DEVELOPMEN] .,ORKSHEET
coM2007-00098
Ent
5796 Peridot
Meadows Ph4 3rd Add - Lot # I
SINGLE FAMILY RESIDENCE
BUILDING SIZE LOT SIZE (SF)61 61
RLTNOFF ROUTED TO DRYWELL DESIGNED AND CONSTR T]CTED TO CITY STANDARDS
I IMPERVIOTJS s.F.f-frdro
NUMBER OF DFU's
30
B. IMPROVEMENT COST:
NLIMBER OF DFU's
30
ADTTRIP RATE
9.57
SUBTOTAL
$4,204.s8
COST PER S.F
$0-336
COST PER S.F
s0.336
COST PER DFU
$26.03
$ r 9.79
NUMBER OF TINITS
I
NUMBER OF L]NITS
1
ADM. FEE RATE
5"/o
CHARGE
$741.04
DISCOTINT RATE
50o/o
$741.04
DISCOT]NT
$0.00
x
x
x
x
x
x
x
x
IMPERVIOUS S.F
0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBT]RSEMENT COST:
x
ITEM 2 TOTAL - CITY SANITARY SEIVER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
xx
xx
COST PER TRIP
$ 19.81
COST PER TRIP
s87.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBTIRSEMENT COST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBEROF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD rTEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
CHARGE
$210.23
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION
Jeff Prociw 2/2012007
I
$7E0.80
,72
$189.s8
$836.32
$91.61
$961.52
$10.00
141 .58
$4,414.81
I 070
I 091
1092
1093
1094
I 055
I 056
1079
l 078
ar!o
U
&rl]Fa
or!d
I
I
02s.90
COST PERFEU
$91.6r
COST PER FEU
$961,52
063.13
204.58
PREPARED BY DATE
TOTAL SDC CHARGES
x
74.51
DRAINAGE FIXTT]RE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNTT EQUryALENT: DRAINAGE FD<TURE UN]TS
FOR CAICULATE ONLY THE NET ADDITIONAL
NO. OF FIXTTIRES
UNIT
DRAINAGE
FIXTURE
UNITS
0
2
1979
TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TURf, I.INITS
toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
*EDU a
BEFORE 1979
1979
I 980
l98l
1982
I 983
I 984
I 985
1 986
1987
I 988
I 989
1990
l99t
1992
1994
1995
1996
1997
I 998
1999
$5.29
$5.19
$5.12
$4.98
fi.80
$4.63
$+.+o
$4.07
$3.67
$3.22
$2.73
$2.25
$1,80
VALUE/ IOOO
$0.00
CREDIT RATE
$5.29
IS LAND ELGIBLE FORANNEXATION CREDII1
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CBEPIT FOR LAND (IF APPLICABLE)
2
x
CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT
1993
$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
BATHTT]B 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
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LALINDRY TUB 1 0 2 2
CLOTTIESWAS}IER / MOP SINK 1 0 3 3
CLoTHESWASF{ER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DIS}TWASHER / ETC.1 0 3 3
SHOWER, SINGLE STALL 0 0 2 0
sHowER, G4NG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCTAL/RESIDENTIAL KITCHEN I 0 3 3
SINK: COMMERCTALBAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 I 2
LIRINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 3 0 3 9
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALLIE
2000
200r
SF ='IILD
Date
zoN L-De-
TMTTALS Ilrn
DATE
SOURCE%,
-7
225FIF-THSTREET r SPRINGFIELD.OR97477 r PII:(541)725-3751 rFAl{:(S{I)726-35E9
ELECTRICAL
City.Job Number
PERMIT APPI,ICA?TON0,\-q?
1.
q
LEGAL DESCRIPTiONtD o3)1il
not started within 180 days of issuanee or if work is
Suspended for X80 rlays.
Service ltncludedl
1000 sq, ft or Iess
Each additionai 500 sq. ft. or
portion thereof
Each Mauufact'd Home or
Modular Dwelling Servico or
Feeder
u{trii
r8$$Amps
3.
.,
Electrical Contractor t,D
Address eq8'd1 fl
Expiri*iou Date
: ',qX0;1ffitrlde6Q Amps
j,
i i i,,ffii,#l:3Q0 eooo amps
if 2r0.p__gi I'ffid [{fttps & ole
Reconnect Only
$ 63.00
$ 7s.00
s125.00
$163.00
$375.00
$ 50.00
s s0.00
$ 69.00
$100.00
5"J
A.
C:.
$r06.00
$ 19.00
lN"rugP
f-
8r. (N.,,
*ilcsn t
Ciry rnone -.I11-251_kt1
Supervisor License Number .i s
Expiration Dare Instellation, Alteration or Relocation
Signatrue of Supervising Electricia
Owners Name
Address
City Phone
OIIINER INSTALLATION
Tire installation is being made on property I own which
is not intended for sale, lease or renL
Owners Signature:
hspection Requesh 72&3769
2C,C AMPS o less
to 400 Amps
(o 600 Amps
or 1000 Volts see'B" above.
New Alteration or Ertension Per Panel
One Cireuit $ 43.00
Each Additional Circuit or with
Service orFeeder Permit S 3.00
E. ,:
Prrmp or irrigation
SigrrlOutlinc Li ghting
I .i rn i ted Energ,/Residential
Limited Enorgy/Commercial
Minimum Electric P'er,rnit Inspection Fee is $45,00 + Surcharges
Coast.Contr.Numb *'M,
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
D<\@
.R I 'l-
Bd)
6R/0t
4
8% State Surcharge
l07o Administrative Fee
iE&fF ,J%D,lns
ryBuilding Forms/Eletrical Permit applicaion I1b {6doc
/q7
roo E O'IiIidDNTUdS JO IIIC
Shared Drive(T:
68989e1I?9 r}'g 60:0T iI0J g0trr/ L0
E;'
3
JOB
Pei:mits are and if work is
fu'{)
rHts
zcttrg,
-:-
tf-
A
- !-1;
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Q;+v 6f Springfield Official Receipt
L elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000249 Date: 0310812007 2:26:06PM
Job/Journal Number
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
coM2007-00098
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
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
31.00
2,303.00
106.00
57.00
50.00
124,15
80.00
80.00
(30.00)
741.04
780.80
593.72
189.58
836.32
91.61
961.52
10.00
l4l .58
68.65
198.00
1,105.15
306.00
12,00
12.00
24.00
9.00
6.00
4.00
12.00
10.00
101.56
136.25
182.73
Item Total:$9,334.66
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check HAYDEN ENT djb 30827 In Person $9,334.66
Payment totat:
-Sffi
cReceint I Page I of I 3/812007
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