HomeMy WebLinkAboutPermit Building 2010-06-25F
S
artst
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: COM20L0-00627ISSUED: 0612512010APPLIED: 05/1812010EXPIRES: 1212512010VALUE: $ 190,000.00
SITE ADDRESS: 520 S 48TH ST SPRINGFIETYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702324406500
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - SAME AS COM20l0-00203
Owner:
Address:
Contractor Type
General
HAYDEN ENTERPRISES
26225W GLACIER PL #IIO
REDMOND OR 97756
PhoneNumber: 541-228-6935
Contractor
HAYDEN ENTERPRISES
License
92208
Expiration Date
07 t29t20t1
Phone
54r-228-6935
CONTRACTOR INFORMATION
Orego# 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'h of Lot Coverage:
it is the
ry service latet OB \S
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
To Storm Sewer
ing Division, by the City
O systems, until the
It engineer of record fbr
YoumaY
forth I
952-001- 18.s8
thdsrkd b$tr
telePhone
Notitication
'Gas
Gas
Gas
Nn
)
Yes
32.37
Sidewalk Type:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,126
1,408
400
15.00
5.95
7.00
25.03
0.00
S ubdivision Not Accepted
Street Improvements:
Fully Improved
Storm Sewer Available: yes
Special Instruction: For this parcel in Westwind
Engineer: "that noNotes: StormwatershalbuhNtieitthin aegeptvth
locations ofstorm and sanita
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description Type of Construction
Pase I of5
Value Date Calculated
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: COM20L0-00627ISSUED: 0612512010APPLIED: 05/1812010
EXPIRESz 12/2512010VALUE: $ 190,000.00
Estimate
Garage/Misc
SF/Duplex
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
190,000.00
400.00
1,408.00
$190,000.00
$15,088.00
$136,336.64
$341,424.64
05/18/2010
06/18/20r 0
06fi8t2010
$1.00
$37.72
$96.83
Fee Description
Plan Review Same As
+ l2'/o State Surcharge
+ 5olo Technology Fee
lst Appliance
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
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 Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$1 1,979.18
Receipt Number
2201000000000000s1 9
1201000000000000756
I 201000000000000756
1201000000000000756
l 20 l 000000000000756
l 20 l 000000000000756
120r000000000000756
1201000000000000756
1201000000000000756
12010000000000007s6
1201000000000000756
1201000000000000756
1201000000000000756
1201000000000000756
1201000000000000756
r2010000000000007s6
I 20 I 000000000000756
l 201000000000000756
I 201000000000000756
12010000000000007s6
1201000000000000756
1201000000000000756
1201000000000000756
12010000000000007s6
12010000000000007s6
1201000000000000756
r20r0000000000007s6
I 201000000000000756
r 20 I 000000000000756
I 20 I 000000000000756
I 20 l 000000000000756
1201000000000000756
I 201 0000000000007s6
$250.00
$217.69
$108.55
$79.00
$337.00
$38.00
$1,075.05
$88.00
$9.00
$13.00
$90.40
$20.00
$7.00
$211.00
$-30.00
$134.00
$s0.00
s772.80
$1,292.16
s10.00
$22.63
$1,333.57
$101.97
$203.1s
s778.71
$216.s4
$1,140.17
s279.54
$94.2s
$88.00
$63.00
s27.00
$2,858.00
5/18/10
6t2sn0
6t2sn0
6t25fio
6t25n0
6t25n0
6t25n0
6t25n0
6t25tr0
6t25n0
6t25n0
6t25n0
6/2sn0
6t25n0
6125n0
6t25n0
6t25n0
6t25n0
6t25n0
6t25/t0
6t25fi0
6t25t70
6/2sn0
6t25n0
6/25n0
6t25n0
6t25fi0
6/25n0
6t25/10
6125fi0
6/25fi0
6l2s/10
6t25fi0
F ees Paid
Reviews
Structural Review 0st20t2010
Page 2 of5
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: COM20L0-00627ISSUED: 0612512010APPLIED: 05/1812010EXPIRES: 1212512010VALUE: $ 190,000.00
Initial Review
Planning Review
Planning Review
Public Works Review
Public Works Review
Structural Review
05/20t2010
05t20t2010
05t25t2010
06/tU20t0
06t2U2010
05t20/2010
05t2u2010
0st26t2010
06/1 l/201 0
APP
WE
DJB
DDK
WE
APP
APP KLK
05/20t2010 05t25/2010 APP DDK
On hold - Plot plan doesn't show
extended porch. Tim will come in
on Monday to revise plot plan. -
5l25ll0 Tim came in and revised plot
plan.
Front elevations are site specific and
contain REQUIRED design
elements. Inspectors will field check
that actual elevations match
submitted designs as shown on the
approved set of plans.
Approval pending LDAP submittal.
LDAP application received 614ll0.
Review determined that it will be an
over the counter permit with
additional lot grading and drainage
to be constructed under
LDP2010-00050.
TSS
TSS
0
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.
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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or degking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 3 of 5
Reonired
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
IELD
Building/Combination Permit
PERMIT NO: COM20I0-00627ISSUED: 0612512010APPLIED: 05/1812010
EXPIRESz 1212512010VALUE: $ 190,000.00
Framing lnspection: 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.
Masonry:
Roof Sheathing/l'{ailing: Before covering sheathing with finish material.
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.
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.
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
Final Electric: When all electrical work is corh"plete. -
Electric Service: Approval required prior to utility company energizing service.
Pase 4 of 5
, ,'l i
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: COM20I0-00627ISSUED: 0612512010APPLIED: 05/18/2010EXPIRES: 1212512010VALUE: $ 190,000.00
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 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
6)-:€-/O
Or'z\--
Owner or Contractors Signature Date
Pase 5 of 5
5 tfl
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or ifwork is suspended for 180 days.
Electrical Permit App., ation ='R,NGF,ED rji.i,-
_r..;.#1{j.+
225 Fifth Streeil Springfield, oR 97477 .PH(541)726-3753 r FAX(s4r)726-3689
DEPARTMENT U
Permit no
a^-o -6bc r
\^s\!p
5-r 8- t <>Date:
Zontngapproval verified? [ Ves n No
I Government flCommercialEResidential
Job site address
State: $Q zrY 17.t79'.City: .fi,.^r(,,. i6>(
WeSl t*rl.rotSSubdi Lotno.: q].
6/r\€Name:
6hr; n,Address: )q6Ll So.t
State: d R zIP:177fGCity: Qoduno^ ol
Fax:S>lt-?t//- #zZPhone: SLtt-2t- aq>f
E-mail
This installation is being made on residential or farrr, properly
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
47 9.s40(1) and 479.560(l).
t€
Business name:
Address:
sYate:dR ZTP:City: &",",{
Fax:Phone:! q-3r1- lQ?<
E-mail:
BCD license noCCB license no
Signing supervisor's license no.: 44d+ €
Print name of signing erylsor:
Sigpature of signing supervisor:
Residential, per unit, service included:
1,000 sq. ft. or Iess (4)\$134.00 $
Each additional 500 sq. ft. or portion
thereof rl,$ 2s.00 $5D
Limited energy (2)$ 32.00 $
Each manufactured home or modular
dwelling service or feeder (2)s 63.00 $
Services or feeders: installatton, alteration, relocation
200 amps or less (2)$ 81.00 $
201 to 400 amps (2)$ 95.00 oo
s158.00 s401 to 600 amps (2)
601 to 1,000 amps (2)s20s.00 $
Over 'l ,000 amps or volts (2)$469.00 $
Reconnect only (2)$ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)t $ 63.00 $aq!
20t to 400 amps (2)$ 87.00 $
401 to 600 amps (2)$126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extersionper panel
a. Fee for branch circuits with purchase of a service or feeder fee:
$ 6.00 $Each branch circuit
b. Fee for branch circuits without purchase ofa service or feeder fee:
$ 5s.00 $First branch circuit (2)
Each additional branch circuit s 6.00 $
Miscellaneous feesz service or feeder not included
$ 63.00 $Each pump or irrigation circle (2)
Each siga or outline lighting (2)$ 63.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)$ 63.00 $
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $58.00)
Each additional inspection: (l)$s8.00 $
$
(B) Enter l2o% surcharge (.12 x [A])$
(C) Technology Fee (s% of [A])$\0 Ar
440-2s84 -J (9/08/COIv!
N w
,*F
, e--
I rI
TOTAL fees and surcharges (A through C):7Q I
SANE
Strur ' Permit Applicati
225 Fifth Street r Springfield. oR 97477 | PH(541)?26-3753 o F,AX(54.l)726-3689
DEPARTMENT USE ONLY
Aza^Z6ro-o 6621
Permit no.:
Date: 5-( 8-lO
AS fil5
Cto'zo2
?rln
SPBINGFIELL
This permit is issued under OAR 918-460-0030. Permits expire if rvork is not started t'ithin 180 days of issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval
S ign ature:Date:
This project has DEQ approval.
Signature:Date:
Zor,ingapproval verified: n Yes E r"-o
Properrl, is rvithin flood plain: fI Yes I No
OF CONSTRUCTION
E Residential fl Govemment I Commercial
A ND LOCATIONJOB SITE
l.b ri" "ddr.s*;I, - S qCt!
Ci4,'. {rr,,*{,.1;1 .State: 6R ztP.77?7s.
Subd sion "sr w Lot no.
Reierence:
-t
Taxlot:
PROPERTY OWNER
Name:
Address:
City: Redvnon7,al State: 6 Q ZIP
Phone:.y11 -*.Aq)f Fax:
E-mail
This installation is being made on residential or farm properry owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701 .0 I 0.
Sign here:
CO NTRACTOR TION
Business name: /./orr) tn ilor-rc g
Address
City: Rzo/r.t"nd -State: /(-zrv.777S4
Phone:?ll -X- 6QSS Fax:511 - kt -JfD
E-mail
CCB license no.
Print name:
S ignature
FEE SCHEDULE
1. Valuation information
(a) Job description I
Occupancy {27 q
Constnrction tl,pe: ,/ 6
Square feet: /1Og * t/d &
Cost per square foot:
Other information:
Type ofHeat: (ro S
Energy Path: eA
M new E alteration ! addition
(b) Foundation-only permit? E Yes ,ffNo
Total valuation $ /7O.ooo
(a) Pernrit fee (use valuation table)$
(b) lrrvestigative fee (equal to [2a]):)
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)b
(d) Enter l2oZ surcharge (.12xrl1a+Zb+2c))i $
(e) Subtotal of fees above (2a through 2d):$
,i
(a) Plan review (650% x permit fee [2a]): >''-I5 $?9
(b) Fire and life safety (40% x permit fee [2a]):$
(c) Subtotal of fees above (3a and 3b)S
(a) Seismic fee, 1%o (.01 x permit fee [2a]):$
TOTAL fees and surcharges (2e+3c+4a):$
Phone NumberNameCCB License Number
1trr>Electrica I u1a[
9*rrlCzonGr.]l7l'lPlumbing
n r'r C -(tr>t-,IVlechanical 3q231
h
tvtA I lL
€&urll-,..mglp,n.
Job. No
SYSTEM DEVELOPMENT CHARGE WORKS HEET
January lJune 30, 2010
enoNz, Wb.l/(33
4rr5bADDP
LOCATION OF PROPOSED BUILDING SITE
Street Address:b
Plat Name,Tax Lot Number: \-10 ?-22-+4 D b@
1. -DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Familv Detached
No. oF uNrrs t $2,8s8 per unir = S ?AWrgfl
V
Lb58P
X
B. Sinqle-Familv Attached
NO. OF UNITS $3,100 per unit = $
C. Multi-Familv Apartment
NO. OF UNITS x $2,641per unit = $
D. Sinqle Room Occupancv
NO. OF UNITS $1,321 per unit = $
E. Accessorv Dwellinq Unit
NO. OF UNITS x$1 ,550 per unit = $
WILLAMALANE SDC
2. SDC CREDIT (tf applicable) SDC payer must turnish proof of
\Mllamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
oo
$
$
$
Js,-Lb
5
City of Springfield
Department
US
Date
ln0
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
D :lopment Services Department
Public Works Department
RECEIPT #: 1201000000000000756 Date: 0612512010 10:03:47AM
Job/Journal Number
coM20r0-00627
coM20l0-00627
coM20l0-00627
coM20t 0-00627
coM20l0-00627
coM2010-00627
coM2010-00627
coM20l0-00627
coM20t0-00627
coM20l0-00627
coM20l0-00627
coM20r0-00627
coM20l0-00627
coM20l0-00627
coM20l0-00627
coM2010-00627
coM2010-00627
coM20l0-00627
coM20l0-00627
coM2010-00627
coM20l0-00627
coM20l0-00627
coM2010-00627
coM20l0-00627
coM2010-00627
coM20t0-00627
coM20 r 0-00627
coM20l0-00627
coM2010-00627
coM2010-00627
coM20l0-00627
coM2010-00627
Description
Plan Review Major - Planning
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
SDC Storm - Reimbursement
SDC Storm - Improvement
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 MWMC Compliance Charge
SDC Transportation Admin
Fire SF Fee - Residential
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
lst Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ l2o State Surcharge
+ 5olo Technology Fee
Amount Due
2l r .00
88.00
88.00
(30.00)
2t6.54
778.71
1,292.16
772.80
279.54
1 ,140.17
101.97
1 ,333.57
10.00
203. 1 5
22.63
94.25
90.40
1,075.05
38.00
2,858.00
337.00
79.00
27.00
13.00
9.00
7.00
20.00
134.00
50.00
63.00
217.69
108.55
Item Total:$l1,729.18
Payments:
Type of Payment Paid By -----
- eheck Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check HAYDEN HOMES LLC djb 26165 In Person
Payment Total:
$ I 1,729.l8rcTE"
cReceint I Page I of I 6t2sl20t0