HomeMy WebLinkAboutPermit Building 2006-11-06SITE ADDRESS: 5799 Peridot WaY
lsiisson'S PARCEL No': JAsPER MDS 3 ADD PH
Buildin g/C ombination Permit
coM2006-01046
ty0612006
0811412006
TYPE OF USE: New Residential
PhoneNumber: 541-228-1081
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3616 Fax
541 -7 26'37 69 InsPection Line
Owner:
Address:
Contractor TvPe
General
Electrical
Mechanical
Plumbing
# 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:
EXPIRES: 05/0612007VALUE: $ 124,052'00
Springfield TYPE OF WORK: Single Family Residence
PERMIT NO:
ISSUED:
APPLIED:
*R'JECTDESCRIpTION:Singlefamily_residence-JasperMDS3add4phlotlT3seilrE AS coM2006-00974 1547 s sSth st
HAYDEN ENTERPRISES
ieztisw GLAcIER PL #l1o
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
ATTEN I
License
92208
61362
39237
142776
8A
IHIS PER lvll I
6,018
1,148
480
Curbside 5'
Curb and Gutter
Expiration Date
0712912001
0611912007
0312512010
05/05/2010
Phone
541-228-r081
541-754-6171
541-612-9510
541-459-0110
I
R-3
U
VN
20.40
17.90
s.00
22.20
0.00
3
#of
Type n
Wr
u may obtai
the center,
Overlay Dist:
# Street Trees Rqd:
Rqd:
IS PER[4II
arport
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
RK
-2344)
4
Yes
27.00
S ubdivision Not AccePted
Street ImProvements:
Storm Sewer Available:
Special Instruction:
FullY rmpror.oAilY 1g0 D AY PERIOD
rwffie#
Yes
No Final Occupancy until subdivison is accepted by Cify council'
S
Notes: Storm Drainage to curb & gutter.JlP
Page I of4
a
T
I
d
-001
Status Issued
225 Fifth Street, SPringfield' OR
541-126-3153 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
Building/C ombin ation Permit
PERMIT NO: COM2006-0I046
ISSUED: 1110612006
APPLIED: 08/1412006
EXPIRES: 05/0612007
VALUE: $ 124,052.00
Description
Dwellings
Garage
Fee DescriPtion
Plan Review Same As
-Mechanical Issuance Fee-
+ l0% 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
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 Impervious Area
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid
Tvpe 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
0811412006
08/14/2006
Amount Paid Receipt Number
1200600000000001255
r200600000000001618
1200600000000001618
r200600000000001618
1200600000000001618
1200600000000001618
r200600000000001618
1200600000000001618
1200600000000001618
120060000000000r618
12006000000000016r8
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
120060000000000r618
1200600000000001618
r200600000000001618
1200600000000001618
120060000000000r618
12006000000000016r8
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001618
1200600000000001 6r8
120060000000000161 8
$200.00
$10.00
$r18.73
$7r.69
$88.47
$254.00
$31.00
$646.90
$80.00
$6.00
$9.00
$81.40
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$38.00
$455.18
$598.61
$10.00
$961.52
$91.61
$121.31
$70.90
$836.32
$r89.s8
$80.00
$701.44
$18.00
$1,000.00
8n4106
tu6l06
tu6l06
ty6l06
tu6l06
tll6l06
tu6l06
tll6l06
ty6l06
tu6l06
ru6t06
ru6l06
ty6106
r1/6/06
tu6106
tu6t06
tll6l06
tu6l06
tu6l06
tu6t06
tu6/06
tu6l06
tu6l06
tu6/06
tu6l06
tll6t06
lu6l06
tu6t06
tu6t06
tu6t06
tU6l06
tr/6/06
Total Amount Paid $7,071.66
Paee 2 of 4
Fees Paid I
\-OF
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fzx
S4l -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01046ISSUED: 1110612006APPLIED: 08/1412006EXPIRES: 05/0612007VALUE: $ 124,052.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
08n612006
08n7t2006
08n7t2006
09t08t2006
APP
APP
LLH
TAJ
08n7t2006 08t02t2006 APP JLP
08n7t2006 0et08t2006 APP RJB
4 Street trees are required: I on
Peridot,3onS5Sth.
No Final Occupancy until
subdivison is accepted by City
council, Storm drainage to curb &
gutter,JLP
requires site engineering befor final
building
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: Instatt 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 Cify
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 filling trench and including required testing.
Paee 3 of4
Reorrired Insnecf
Building/Combination Permit
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: COM2006-01046ISSUED: 1110612006APPLIEDz 0811412006
EXPIRES: 05/0612007VALUE: $ 124,052.00
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.fuo /*oG og
Owner or Contractors ss@{Date
Pase 4 of 4
SF iFI ELE
INITTALS
DATE
zoN
2zS FIF-IH STREET . SPRINGFIEL.D.OR97477 . PI'I:(54I)72G3751 o FAI(: (54I)'726.36E9
ELECTRICAL ?roN
City'Job Number
1.3.
LEG.PI DESCRIPTION A-
SOURCE
uJOB D
Permits are nsferatrie and if work is
not started within I80 days of issuance or if work is
Suspended for X80 rlays.
t
601 Amps to i000 Arrps
Over 1000 AmpsA/olts
Reconaect Only
Serviee Lncludedl
1C)00 sq. ft. or less
Each additional 500 sq. ft. or
pcrrtion tirereof
Each Mauufact'd Home or
Modular Dwelling Servioe or
Feeder
89'o State Surcharge
I 0% Arlrninistrahrre Fee
rQT:{L 5l0b
$s0.00
$ 63.00
$ 75.00
$125.00
$i63.00
$375.00
$ 50.00
s0.00
$106.00 \fltP
$re.oow,o
$ s0.00
$ s0.00
$ 2s.00
$ 45.00
Electrical Contractor
Address eq8'd1 Tlat 3'{ 5,^)
City Phone SLtt-75'(-(ttll
SupervisorlicenseNumber l]14 S
,l1int {.t.^*.ic >"t-zooaaps.,@iY'i
201 Amps to 400 Arnps
401 Amps to 600 Amps
B;.
C.
Expiration Date to ,/ol
Const. Contr. Number {2a3QL
t/n -t
Inst*llation, Alteration or Relocetion
200 Amps or less $
Expiration Date
Siguature of Supenising Electrician
lt
Owners Name
Address
City Phone
OWNER INSTALLATION
The installation Lq being made on prroperfy I own which
is not intended for sale, [ease or renl
Ovmers Signahrre:
Inspection Request: 72G37 69
201 Aarps to 400 Amps
401 Amps to 600 Amps
Over 600 orl
D.
$ 43.00
$ 3.00
E.
Mininnum Electric P'ermit Inspection Fee is $45.00 + Surchar€es
4.t4A.d
1"wShared Drive(T:)/Building Forms/Eletrical Pennit
roo D o'IiridoNruds J0 ItIc 6898921ItrS ryd 60:0T lIoJ goitT/LO
D"E \\ f ob( z(hQ
1
A\b,^,_-&.E---f-
\r\'5r
hrmp orirrigation
SigdOutlinc Lighting
Limited Energl,/Lasidential
Limited Enorgy/Coumercial
JOURNAL ORJOBNUMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RLINOFF TO CIry STORM SYSTEM
CITY OF SP{NGFIELD SYSTEMS DEVELOPMEN'r ,JORKSHEET
coM2006-01046
Ent
5799 Peridot Mdws lot #173
SINGLE FAMILY RESIDENCE
BUTLDTNG SIZE (SF. 1588 LOT SIZE (SF):6018
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
f rMPERVrous s-F.
I zoqo.oo
NUMBER OF DFU's
23
COST:
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SI.IBTOTAL
s3,844.26
COST PER S.F
s0.336
COST PER S.F
$0.336
COST PER DFU
$26.03
$ r 9.79
NT]MBER OF UNITS
I
NUMBER OF LTNITS
I
ADM. FEE RATE
5%
CHARGE
$701.44
DISCOTINT RATE
5j%o
s701.44
DISCOIJNT
$0.00
x
x
x
x
x
x
x
x
IMPERVIOUS S,F
0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
x
B.
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBTIRSEMENT COST:
$1,053.79
COST PER TRIP
$19.81
COST PER TRIP
$87.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBI.]RSEMENT COST:
NUMBEROF FEU's
I
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$1,063.13
CHARGE
s192.21
TOTAL SANITARY ADMTNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
Jeff Prociw 812812006
NLMBER OF DFU's
23
$701.44
$s98.61
$836.32
s4,036.47
I 070
1091
1092
I 093
1094
t055
r 056
1079
I 078
a
EI
t-.1
t()
&
tr.lFa
E]&
I
I
IEil
IU
IEil
025.90
COST PER FEU
$9r.61
COST PER FEU
s96r.52
844.26
PRFPARED BY DATE
TOTAL SDC CIIARGES
DRAINAGE FD(TURE UNIT CALCULATION TABLE
NUMBER OF }.IEW FXTURES x T]NTT EQUIVALENT: DRAINAGE FD(TURE UNITS
FOR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
TINIT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NT]MBER OF EDU'S
TOTAL DRAINAGE FD(TI]RE UNITS
rsa toa mit set a1 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
LINITS
0
2
2
1979
AEDU
BEFORE I979
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDTT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
1979
I 980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
I 998
1999
$5.29
$5.19
$s.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / IOOO
s0.00
CREDIT RATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.0s
BATHTUB 2 0 3 6
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARKTRAP (I PERTRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWER SINGLE STALL 0 0 2 0
sHowER, GANG (NUMBER OF FTEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL / WALL 0 0 5 0
TOILET, PT]BLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
23
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALT]E
0
2000
2001
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir 'rf Springfield Official Receipt
Dc- - .opment Services DePartment
Public Works Department
RECEIPT#: 1200600000000001618 Date: 1110612006 3:01:52PM
Job/Journal Number
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-0 r 046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
coM2006-01046
Amount Due
3 r.00
1,000,00
106.00
3 8.00
8l.40
80.00
80.00
(30.00)
701.44
598.61
455.18
189.58
836.32
9t.61
961.s2
10.00
t2t.3t
70.90
198,00
646.90
254.00
r 2.00
18.00
9.00
6.00
4.00
r 2.00
10.00
88.47
I 18.73
71.69
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
+ l0o/o Administrative Fee
+ 5oZ Technology Fee
Item Total:$6,871.66
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Creditcard HAYDEN HOMES djb 085723 In Person
Payment Total:
$6,871 .66
-S6-,.8-ffi-
cReceintl Page I of 1 111612006