HomeMy WebLinkAboutPermit Building 2010-06-11eFr*t6{fiFrtt.s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
511-726-3676 Fax
541 -7 26-37 69 I nspection Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2010-00626ISSUED: 0611112010APPLIED: 05/1812010EXPIRES: l2llll20l0VALUE: $ 204,000.00
SC&X{T:I
SITE ADDRESS: 507 S 48TH PL SPRINGFIETYPE OF WORK: Single Family Residence
ASSESSOR'S PARCELNO.: 1702324407000
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - SAME AS COM20l0-00076
Phone Number: 541-228-6935Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
HAYDEN ENTERPRISES
2622 SW GLACIER PL #TTO
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
License
92208
172366
39237
31747
Expiration Date
07t2912011
09t29t20t0
03t25t2012
0611212012
Phone
541-228-6935
541 -3 I 7-r 998
54r-672-9510
541-928-8942
\o
CONTRACTOR INFORMATION
PACIFIC AIR COMFORT
STUTZMAN SERVIC
# of Units:
Primary Occupancy G
Secondary Occupancy
Primary Construction
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ubdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Piived Drive Rqd:
% of Lot Covgrsgei
-''ot
I
19.50
Forced Air Gas
Gas
Gas
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQ
Total:
6,092
1,579
400
13.00
15.95
s.00
27.08
0.00
3
Yes
PARKING
)
Curbside 5'
,the Building
or storm H20
DEVELOPMENT INFORMATION
Notes:
Paee I of5
\t
Type:
\$
Fully Improved
Yes
Storm water to tap/ For this parcel in
Division, by the City Engineer 'rthat
systems, until the subdivision is Council"
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM20t0-00626ISSUED: 0611112010APPLIED: 05/1812010
EXPIRES: 72llll20l0VALUE: S 204,000.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 2o4,o0o.oo
Total Value of Project
Amount Paid Date Paid
Value
s204,000.00
$204,000.00
Date Calculated
05/18/2010
Fee Description
Plan Review Same As
+ l2oh State Surcharge
+ 57o Technology Fee
lst Appliance
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets l-4
Heat Pump
Low Voltage - Residential
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 Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - lmprovement
SDC Storm - Reimbursement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
$250.00
$226.92
$112.40-..""
$79.00
$337.00
$38.00
$1,132.03
$88.00
$13.00
$98.95
$7.00
$r7.00
$32.00
$211.00
$-30.00
$r34.00
s50.00
$772.80
$1,292.16
$10.00
$22.63
$1,333.57
$101.97
$210.88
$247.06
$888.45
s279.s4
$1,140.17
$93.54
$88.00
$63.00
$27.00
$2,858.00
5/18/10
6nt/10
6nUt0
6nut0
6nUt0
6nUt0
6nUt0
6tlut0
6nyt0
6nUt0
6fiy10
6fiU10
6nln0
6nyl0
6/tut0
6nut0
6fit/10
6nut0
6nt/10
6ltI/t0
6nyt0
6n|r0
6fi1/10
6fiU10
6nu10
6nut0
6nt/10
6nut0
6nt/10
6nyt0
6/1u10
6nt/10
6fiu10
Receipt Number
2201000000000000520
120r000000000000661
1201000000000000661
1201000000000000661
1201000000000000661
l 201000000000000661
1201000000000000661
1201 000000000000661
1201 000000000000661
1201000000000000661
1201000000000000661
1201000000000000661
1201 000000000000661
1201000000000000661
120r000000000000661
r201000000000000661
1201000000000000661
1201000000000000661
1201000000000000661
1201000000000000661
1201000000000000661
l 201 000000000000661
120100000000000066r
1 20 l 00000000000066 l
1201000000000000661
r201000000000000661
r201000000000000661
1201000000000000661
r201000000000000661
1201000000000000661
120100000000000066 I
1201000000000000661
l 201 00000000000066r
tr'eps Pnid
Total Amount Paid $12,225.07
Pase 2 of 5
Valuation Descrintion I
sFsir${iFl€l-s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
S4l-726-3676 Fax
541-726-37 69 Inspection Line
F
Building/Combination Permit
PERMIT NO: COM2010-00626ISSUED: 0611112010
APPLIED: 05/1812010
EXPIRESz l2llll20l0VALUE: $ 204,000.00
Plan Reviews
Initial Review
Plannine Review
Planning Review
Public Works Review
0512012010
05t20t2010
05t2012010
05t2u2010
DJB
DDK
APP
WE
05t20/2010 05t25t2010 APP DDK
05t2u20r0 0st25/2010 APP LKW
On hold - plot plan doesn't show 3'
walkway. Tim will come in and
revise drawings on Monday.
5l25ll0 - Tim came in and revised
plot plan.
Front and street side elevations are
site specific and contain
REQUIRED design elements.
Inspectors will lield check that
actual elevations match submitted
designs as shown on the approved
set of plans. 3 Street Trees - I on S.
48th Place and 2 on S.48th Street.
Storm water to tap/ For this parcel
in Westwinds, it is the
recommendation to the Building
Division, by the City Engineer "that
no connection shall be made to
sainitary or storm H20 systems,
until the subdivision is accepted by
City Council"
Structural Review 05t20t2010 06/08/20r 0 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call lbr 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.
Paee 3 of 5
Reorrired Insnections
OF
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
PERMIT NO: COM2010-00626ISSUED: 0611112010
APPLIED: 05/1812010
EXPIRES: l2llll20l0VALUE: $ 204,000.00
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 cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping. ,r ,
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
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.
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.
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'n*as 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.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Paee 4 of 5
F
Building/Combination Permit
Status lssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM20L0-00626ISSUED: 0611112010APPLIED: 05/18/2010EXPIRES: l2lll/2010VALUE: $ 204,000.00
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 wilt 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 ersure 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.
/q *//'-lo
Owner or Contractors Signature Date
Page 5 of 5
SCANNED
SPtrINGFIELD
}g\iEIOP\IENT SE!,\.'IC E S DEP \RT}.,iENT .,.5rr$f,
HIGH-trFFICIENCY LI GIITIN G SYSTEN'IS
oRtrGoN RESIDENTIAL SPECIT\LTY CODE (ORSC)
,Iur-isdiction
225 FIFTH SIREET
SPRITVGF/ELD, OR 97477
PHONE (511)726-s7s3
FAX (s4i)726-3689
r,lu+t.ci.springf ield. or. us
Pernrit t.\tt.:-lo- 6eco
Site Adclt-ess:L
S u b cliv is io n/Lo t
and/or-
N'Iap ancl Tax Lot
By my sisnatlire below, i certify that a minimurn of E fifty (50) pei'cent, * ffseventi'five (75) percent, cf
the per-manently instaiied iighting fixtnres in the above nrentioned building have L,eeti installed u,ith cornpact
or Iipear flnorescent, or a iighting source that has u 6inimr-tm efficacy of 40 lumens per input watt. (Cregon
Resrdentjal Specialty Code N1 107 .2)1
* Check theT5oh box if the additional measure selected to comply with ORSCN1101.1 andTable
N1 i0i.1(2) requiresl5oh of lighting fixtures to have energy efficient lan-rps.
Sign ecl :
-'/2oZ Date: ,/A -tg -
l-
Orr,n erlC e n e ra! Con tractor/A u th orized r\ gen t
Pr-irt t
Name
Corrtractor's CCB H /725)A Expiratiorr Drte t-tf - P
I ORSC Section N I 107.2. High-Efficier-rcy Lighting Systems. A minimr-rnl of fifty (50) percent of the pernrane ntly installed
)ighting fixnrres, seventy-l'ive (75Vo)percent, if the selected adciitional etterg)/ code tleasur..es in tht fable N1101.1(2) reqr.rires
l[l lLrrlrerrs lter inytrrl ri,;rtl. Scrrrr,-in cor-nltact fluoresceirt larrrps cr-rnrpli, r',,ith this recluiltnreut.
._. ^ .--r-_;..-,,_1. .,{1a,,.",.,, "}-.1r't 1,,,..,,,.. ,_,,,. ,,.-.,,, r.,rI
{o7
3.,'
77t* /\c,/,trc--/
Electrical Permit A li rtion s P R I N G FI A D ::i,'.:!::^-fi,
' ,,,,--,. ', 1,r.f,Ot
.t,a. h,,"i.:
permit no., C I o -oo 6Z L
.. DEPARTM
225 Fifth street o Spri n gfi el d, oR 97 47 7 . PH(541)726-3753 . FAX(54 I )726-3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
aays bf issuance or if work is suspended for 180 days.
Date:
Zorr:r;lg approval verifi ed?
n Commercial! GovernmentE,Residential
laJob site address L
ftYes n No
Residential, per unit, service included:
s134.00
s 2s.00 $t
$/1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
s 32.00 $State: $(.Limited energy (2)City:;!7,.-r$.
s 63.00 $
Each manufactured home or modular
dwelling service or feeder (2)
Lot no.
$
$
Services or feeders: installation, alteration, relocation
S Bl.oo200 amps or less (2)
s 95.00201 to 400 amps (2)
is1
tJ
(2)
/.1Cv7
$
$
$
$
q
$
$
City:od
or
Signature
Phone: SLlt-2t- G,"I>
E-mail:
feeders: tnstallation, alteration, relocation
State: d
Fax:
Name
Address:
$1s8.00
$ 63.00
$205.00
$469.00
Over 600 amps or 1,000 volts, see services orfeeders section above
Branch circuits: new, alteration, extension per panel
less (2)$ 63.00
201 to 400 amps (2)s 87.00
401 to 600 amps (2)s126.00
a. Fee for branch circuits with purchase of a service or feeder fee:Business name: -lio \h
$ 6.00 $€s (Each branch circuitAddress:
b. Fee for branch circuits without purchase ofa service or feeder fee:ZWsiate: dRCity: & ",d $ s5.00 $First branch circuit (2)Fax:Phone:! tt-3r) - llQC
it01o.oo $
license no,
Each additional branch circuitE-mail:
CCB license no.:q4\d
u r.-$ 63.00 $
$ 63.00 $
pane[,a
(2)alteration, or
Signal
s license no.:
Print name of signing
Signature of signing $$ 63.00
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $58.00)
Each additional inspection: (l)
sz41
$s8.oo $
(B) Enter 127o surcharge (.12 x [A])$
(C) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through C))?1
440-2s84-t (9/08/COM)
,.Fff",s
\d
's
$h,,Y
N\!A'-
ztP:17lZE'l
\ts)
I Each pump or irrigation circle (2)
I s".r,'iettft,yliHbhstiS:Hpl'
willamalane
Park and Recreation District
Job. No.c/o -b>c
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January lJune 30, 2010
NAME H-AYDET{ ttO PHoNE:fGil-22-8.6?35
ADDRESS:2161 At Akatte cffyfuz-srArE:la ztp:97?fO
LOCATION OF PROPOSED BUILDING SITE:
Street Address /t-
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Familv Detached
NO. OF UNITS $2,858 per unif = $ zn{tr
B. Sinole-Familv Attached
NO. OF UNITS x$3 ,100 per unit = $
C. Multi-Familv Apartment
NO. OF UN]TS $2,641per uni[ = $
D. Sinqle Room Occupancv
NO. OF UNITS x$1 ,321 per unit = $
E.Accessorv Unit
NO. OF UNITS X $1,550 per unit = $
WILLAMALANE SDC $2;rff,
2. SDC CREDIT (lf applicabte) SDC payer must furnish proof of
\A/illamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
1)
--L
/o
$
$
Development Services Department
Cily of Springfield
Date
5
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
City of Springfield Official Receipt
D lopment Services Department
Public Works Department
RECEIPT #: 1201000000000000661 Date: 0611112010 9:03:0lAM
Job/Journal Number
coM20r0-00626
coM20r0-00626
coM20l0-00626
coM20l0-00626
coM20l0-00626
coM20l0-00626
coM2010-00626
coM20 r 0-00626
coM20 t 0-00626
coM20l0-00626
coM20l0-00626
coM20r0-00626
coM20 r 0-00626
coM20 r 0-00626
coM20 r 0-00626
coM20t0-00626
coM20 t 0-00626
coM20 r 0-00626
coM20l0-00626
coM20l0-00626
coM20l0-00626
coM20 r 0-00626
coM20l0-00626
coM20l0-00626
coM20l0-00626
coM2010-00626
coM20l0-00626
coM20 r 0-00626
coM20l0-00626
coM20l0-00626
coM20l0-00626
coM20r0-00626
Description
Plan Review Major - Planning
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit
SDC Storm - Improvement
SDC Storm - Reimbursement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC Sanitary/Storm Admin
SDC Transportation Admin
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Low Voltage - Residential
lst Appliance
Heat Pump
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
+ 12o/o State Surcharge
+ 5%o Technology Fee
Amount Due
2l r.00
88.00
88.00
(30.00)
247.06
888.45
1,292.16
772.80
279.54
1 ,140.17
I 01 .97
1,333.57
10.00
22.63
210.88
93.54
I,132.03
33 7.00
27.00
1 3.00
7.00
134.00
50.00
63.00
32.00
79.00
r 7.00
3 8.00
2,85 8.00
98.95
226.92
n2.40
Item Total $l I,975.07
Payments:
Type of Payment Paid By
CheckNumber Authortzatlon
Received By Batch Number Number How Received Amount Paid
Check HAYDEN HOMES LLC djb 25635 In Person
Payment Total:
$ I I ,975.07ffid7
cReceintl Page I of I 6lt | 120t0
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
De opment Services Department
Public Works Department
RECEIPT #: 2201000000000000520 Date: 05/18/2010 9:ll:44AM
Job/Journal Number
coM20l0-00626
Description
Plan Review Same As
Amount Due
250.00
Item Total:$2s0.00
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard HAYDEN ENT djb 065156 In Person
Payment Total:
$250.00
-S2so-30'-
cReceintl Page I of I 5lt8120t0