HomeMy WebLinkAboutPermit Building 2010-06-28scA 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
PERNIIT NO: COM20l0-00631ISSUED: 0612812010
APPLIED: 05/1812010
EXPTRES-. 12t28t2010VALUE: $ 185,000.00
SITE ADDRESS: 521 S 48TH PL
ASSESSOR'S PARCELNO.: 1702324407100
PROJECT DESCRIPTION: Single family residence
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-228-6935Owner:
Address:
Contractor Type
General
Electrical
HAYDEN ENTERPRISES
26225W GLACIER PL #IIO
REDMOND OR 97756
Contractor
HAYDEN ENTERPRISES
Mechanical
Plumbing
ATTENTT
follow rul
License
92208
172366
39237
3r747
I
18.33
Forced Air Gas
Gas
Gas
nla
Expiration Date
071291201t
09t29t2010
03125t2012
0611212012
Phone
541-228-6935
5,1I -3I7- 1998
541-672-9510
541 -928-89,12es
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,603
1,290
400
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms: 3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
CE
PE[
15.00
5.00
10.46
22.36
0.00
OverlavDist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
,,
Yes
30.00
S ubdivision Not Accepted
Street Improvements: Fu[v Improvea. Sidewalk Type: Curbside 5'
Storm Sewer Available: Yes Downspouts/Drains: To Storm Sewer
Special Instruction: For this parcel in Westwind Estates, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H2O systems, until the
Notes: All stormwater druhdigbkplixnscflfdby6itn€rilUooilts.public stormwater system via the service lateral provided
forlot2l. Consultengineerofrecordforlocationsofstormwaterandsanitarysewerservicelaterals.
PUBLIC IMPROVEMENTS
Pase I of 5
L(J1\ I t(AL r UK 11\ r U_jlry]
# of Units:
Primary
Secondary
ol
the
I".,I!VII,LUTNTLN I INTUK1YIA T IUN I
CITY F PRIN FIELD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2010-00631ISSUED: 0612812010APPLIED: 05/1812010
EXPIRESz 1212812010VALUE: $ 185,000.00
Valuation Descrintion
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 185,000.00
Total Value of Project
Amount Paid Date Paid
Value
$185,000.00
$185,000.00
Date Calculated
05/18/201 0
Fee Description
Plan Review Residential
+ lzoh State Surcharge
+ 57o Technology Fee
lst Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets l-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 - Improvement
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
Receipt Number
220 I 000000000000523
l 20 l 000000000000762
I 201 000000000000762
r 20 l 000000000000762
r201000000000000762
1201000000000000762
120r000000000000762
1 201 000000000000762
1201000000000000762
120r 000000000000762
1201000000000000762
l 20 l 000000000000762
1 20 r 000000000000762
r 20 r 000000000000762
l 201000000000000762
l20r 000000000000762
I 201 000000000000762
1201000000000000762
1201 000000000000762
1201000000000000762
1201 000000000000762
l 201 000000000000762
I 201000000000000762
1201 000000000000762
l 201 000000000000762
r 20r 000000000000762
I 20 l 000000000000762
I 20 l 000000000000762
1201000000000000762
I 201 000000000000762
1 20 r 000000000000762
I 201 000000000000762
r20r000000000000762
$685.56
$210.92
$105.73
$79.00
$337.00
$38.00
$9.00
$1,054.70
$88.00
$9.00
$13.00
$84.50
$7.00
$211.00
$-30.00
$134.00 ,
$25.00
$772.80
sL,292.16
$10.00
$22.63
$1,333.57
$101.97
$189.80
$590.34
$164.16
$1,140.17
$279.54
$9s.s7
$88.00
$63.00
$27.00
$2,858.00
s/r 8/l 0
6t28n0
6t28n0
6t28n0
6t28n0
6t28n0
6t28fi0
6t28n0
6t28lt0
6t28tr0
6t28n0
6t28n0
6t28n0
6t28fi0
6t28t70
6t28n0
6t28n0
6t28n0
6t28lt0
6t28n0
6t28n0
6t28lt0
6t28lt0
6t28n0
6t28n0
6t28lt0
6t28t70
6t28tr0
6128fi0
6t28n0
6t28/l0
6t28n0
6128/10
Fees Paid
Total Amount Paid $12,090.12
Pase 2 of 5
CITY F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 lnspection Line
PERMIT NO: COM2OI0-00631ISSUED: 0612812010
APPLIED: 05/1812010
EXPIRESz 1212812010VALUE: $ 185,000.00
Plan Reviews
Initial Review
Planning Review
Planning Review
Public Works Review
Structural Review
Structural Review
0st20t2010
05t2012010
05t20t2010
05t2|2010
05t25t2010 05125/2010 APP DDK
05t2512010 05t27t2010 APP TSS
06t2u2010 06/2U2010 APP RWC
no truss docs.
Plot plan doesn't show 3'walkway
or extended porch. Tim will come in
and revise plot plan. - 5/25110 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.
For this parcel in (name of project)
'it is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H2O
systems, until the subdivision is
accepted by City Council".
All stormwater shall be coveyed to
public stormwater system via servict
lateral for lot 21. Consult engineer
of record for locations of sanitary
and storm service laterals.
Waitting for interior review from
Planning and Public works
DJB
DDK
05t20t2010 0st28/2010 WE RWC waitting lbr truss details
To Request an inspection call the 24 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.
Paee 3 of 5
Renuired Insnecti
APP
WE
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: COM2010-00631ISSUED: 0612812010APPLIED: 05/1812010
EXPIRESz 1212812010VALUE: $ 185,000.00
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 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.
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 backlill.
Underfloor Ptumbing: 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 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
Pase 4 of 5
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
ITY F
Building/Combination Permit
PERMIT NO: COM2OI0-00631ISSUED: 0612812010APPLIED: 05/1812010
EXPIRESz 1212812010VALUE: $ 185,000.00
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 liom 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.
tz'" "dg za
Owner or Contractors Signature
(*.
Date
Page 5 of 5
Electrical Permit A I'' ation DEPA
SPRINGFIELD l:i-:!=i
^ cro-o o 6j IPermit no.:
225 Fifth Street t Springfi el d, oR 97 47 7 ) PH(541)726-3753 r FAX (5 4l)7 26-3689
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.
us
S-t 8-Date:o
Zonngapproval verified? [ Yes E No
BResidential f] Government ! Commercial
Jobsiteaddress: -tJl 5i qft^ PL
City: $",.-r$ri6>(State: g(ZIP:17,t78
Lot no.:Sub It.sl hlJ s
r/\
tJ
Name
Address:
City: Qod^o^ ol State: d Q zIP:J77fQ
Pax:?lt-71//- psz?Phone: ,Li/-.AE- 6"t>f
E-mail
This installation is being made on residential or farm properry
owned by me or a member of my immediate famiiy. This
is not intended for sale, exchange, lease, or rent. OAR
1) and a79.s60(l).
properfy
479.s40(
Signature:
IBusiness name:
Address:
SYate: dR ZWCity: E:",r\
Fax:Phone:! \-3t1- l9Q€
E-mail
BCD license noCCB license no
Signing supervisor's license no.: 4O5+5
Signature of signing
Residential, per unit, service included:
1,000 sq. ft. or less (4)I $134.00 $
Each additional 500 sq. ft. or portion
thereof ($ 2s.00 $
Limited energy (2)$ 32.00 $
Each manufactured home or modular
dwelling service or feeder (2)s 63.00 $
Services or feeders : ins tal I ati on, a lte ration, r e I oc ation
200 amps or less (2)t s 81.00 $
201 to 400 amps (2)s 95.00 $
401 to 600 amps (2)$1s8.00 $
601 to 1,000 amps (2)$20s.00 $
Over 1,000 amps or volts (2)s469.00 $
Reconnect only (2)$ 63.00 $
Temporary services or feeders: installatio4 alteration, relocarion
200 amps or less (2)I $ 63.00 $
201 to 400 amps (2)$ 87.00 $
401 to 600 amps (2)$126.00 $
Over 600 amps or 1,000 volts, see seryices or feeders section above
Branch circuits; new, alteration, extension per panel
a. Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit S 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)$ 55.00 $
S 6.00 $Each additional branch circuit
Miscellaneous fees: service orfeeder not included
Each pump or irrigation circte (2)s 63.00 $
Each sigrr 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 l2olo surcharge (.12 x [A])$
(C) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through C):$
440-2584-l(9/08/COI\,,f)
ffi
$.
:^0Pt""
Print name of signing supervisor: l,
Strut 'Permit APPlicati DEPARTMENT USE ONLY
5PE'NGFIELO Co'abto. oo 631
Pernrit no.:
225 Fifth Srreer r Springfield. oR 97.177 r PH(5a l)726-1753 r F.aj((5al)726-1689
This permit is issued under OAR 918-{60-0030. Pernrits expire if rvork is not started x'ithin 180 days of issuance or if rvork is
suspended for 180 days.
Date: 5 -o
LOCAL GOVERNMENT APPROVAL
Date
This project has final land-use approval
Si
Date:
This project has DEQ aPProval
Signature
Zor,tngapproval verified: I Yes E t.*o
Properry is rvithin flcod Plain -'JL_l Y es Ll l\o
CAT RNST UCTICO ONEGFoOR
I Con-'ri',ercialI GovernmentEl Residential
AND LOCATIONJOB SITE I
4Job site address
ZlP v.State: 6City:
Lot no.: J
Taxlot:
Subd sion:
Ret'erence:
PROPERTY OWNER
Name
Address
ZIPState:a
Fax:Phone:
E-rnail
This installation is being made on residential or
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
farm property owned bY
Sign here:
Business name
Address:
ZIPState:C
Phone: ?l -
E-nrail
CCB license no.
Print name:
S ignature
FEE SCHEDULE
&\ce
VR
(-\
tioinformaVr1al
Construction q,pe
Occupancy
(a) Job description: S,
)
Cost per square loot
Square feet:
Other information.
Type of Heat: 1>c, S
EI new n alteration fl addition
Energy Path: AA
(b) Foundation-only permit? [ Yes ,E1!o
s tff,oceTotal valuation
$(a) Permit fee (use valuation table)
(b) investigative fee (equal to [2a])
](c) Reinspection ($ per hour):
(number ofhours x fee per hour)
$(d) Enter I 2% surcharge (. I 2 x +2b+2cl):
(e) Subtotal offees above (2a through 2d):
(a) Plan review (65% x permit fee [2a]):s
$(b) Fire and Iife safery (40oh x permit fee [2a])
(c) Subtotal offees above (3a and 3b):
(a) Seismic fee, I % (.01 x t lee [2al)
STOTAL fees and surcharges (2e+3c'r4a)
B-CON RI
Name CCB License Numl-'er Phone Number
Electrir:al tlJlu
Plumbing 317t1
IVIechan ical 3q231
hw,
City: Redo,.on.)
Fax..r.tl - kt ')TD
S
S
S
,8e Willarnalane
Park & Recreation District
Job. No.
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2OO9
NAME frr,-f O{v/PHONE
ADDRESS 2 q k)STATE:@ZIP: ?22)Z
LOCATION OF PROPOSED BUILDING SITE:
Street Address:f2r 1{h /t-
\-tnZf t+O-l\d)
-6J /
Plat Na Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are orf the
back.)
A. Sinole-Familv Detached
NO. OF UNITS $2,858 per unit = $zt-ef
B. Sinqle-Familv Attached
NO. OF UNITS X $3,100 per unit = $
C. Multi-Familv Apartment
NO. OF UNITS $2,641per unit = $
D. Sinqle Room Occuoancv
NO. OF UNITS X $1,321 per unit = $
E. Accessorv Dwellinq Unit
NO. OF UNITS $1,550 per unit = $
WILLAMALANE SDC
2. SDC CREDIT (tf appticabte) SDC payer must fumish proof of
Willamalane Credit approval. )
$
$
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Development Services Department
City of Springfield
zs{f
6
Date
Jf ,r' '
5
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
[) - rlopment Services Department
Public Works Department
RECEIPT #: 1201000000000000762 Date: 0612812010 8t43:224M
Job/Journal Number
coM20l0-0063 r
coM20l0-00631
coM20l0-00631
coM20l0-0063 r
coM20r0-00631
coM20r0-00631
coM20r0-00631
coM20r0-00631
coM20r0-00631
coM2010-00631
coM20t0-00631
coM20l0-0063 I
coM20r 0-00631
coM20l0-00631
coM20l0-00631
coM20l0-00631
coM20 t 0-00631
coM20l0-00631
coM20l0-00631
coM20l0-00631
coM20l0-00631
coM20r0-00631
coM20t 0-00631
coM20l0-00631
coM20r0-00631
coM20l0-00631
coM20l0-00631
coM20l0-0063 r
coM20l0-00631
coM2010-00631
coM2010-00631
coM20l0-00631
Description
Plan Review Major - Planning
Sidewalk Permit
Curbcut 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
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ l2Yo State Surcharge
+ 5%o Technology Fee
Amount Due
2l 1.00
88.00
88.00
(30.00)
164.t6
s90.34
1,292.16
772.80
279.54
I ,140.17
101.97
1,333.57
10.00
I 89. 80
22.63
95.57
1,054.70
3 8.00
2,858.00
337.00
79.00
27.00
9.00
I 3.00
9.00
7.00
r34.00
2 5.00
63.00
84.50
2t0.92
105.73
Item Total -T1t4-04;56
Payments:
Type of Payment Paid By
CheckNumber Authortzatton
Received By Batch Number Number How Received Amount Paid
Check HAYDEN HOMES LLC djb 26166 In Person $l1,404.56
Payment Total: --Si]ffi
cReceint I Page 1 of I 6t28120t0
225Bifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
City
D
of Springfield Official Receipt
:lopment Services Department
Public Works Department
RECEIPT #: 2201000000000000523 Date: 05/18/2010 ezt4:27AM
Job/Journal Number
coM2010-00631
Description
Plan Review Residential
Amount Due
685.s6
Item Total;$68s.s6
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard HAYDEN ENT djb 094584 In Person
Payment Total:
s685.s6
-ffi
cReceintl Page I of I 5n812010
S PFI NGFI ELD
SCAI{$IED
D E\JE {.OP!tENT SEP.\./JCES DEPART}'IENT 225 FIFTH STREET
SPR/NGFIELD, OR97477
PHONE (541)726-3753
FA.X (541)726_s689
vt\ 4,,/.Ci.Springf ie/d. or.us
HIGH-EFFICIEN CY LI GHTIN G SYSTE,N'IS
OREGON RESIDtrNTIAL SPECIT\i-TY CODE (ORSC)
Perrrrit No.: (-/O '6 3t J u r-is rlic ti on
Site r\ddress +^
Subcliyisiorr/Lot: tetl 9l - WeSl,--tt',-lS
arrd/or
Ntlap and Tax Lot
B_.,, my signatnre beio.w, i certify that a minimum of n fifty (50) pei-cenl, ffi seventy-five (75) percent, of
the pem.aneltly instaiied iighturg fixtrires in the above nrentioned building have been installed i,r'iti-t colupact
or linear flnorescent, cr a lighting scurce that has a minimum efficacy of 40 ltunens per inptit watt. (Oregon
Residential Specialty Code NI 107 .2)1
* Clreck lhe7So/obox if the additionalmeasure seiected to comply r,r,ith ORSCNl101.1 and Table
Nl 101.1(2) requiresl5oh of lightir-rg fixtures to have energy efficiertt lamps.
Sign ecl Date: /o- tf- 19
Orvne r/Cener Contractor/Authorized r\gent
.tr{Al,
€tu aI
Prin t
Name:
Contractor's CCB #Expir-ation Date 7-tr^
I ORSC Section N1107 2. I-ligh-Elficiency Lighting Systen'rs A miniurtrr.n of fifty (50) percent of the penranently installed
liglrring fixnrres, seventy-iive (li'%\ percent, if the selected adciitional energy code measutes in tlrt table Nl 10i.1(2) requites
l[-] ltrrlerrs lter inl:rrt rrralt. Scle,.r,-iu compact flr-torescent larllts contpl,rr s';i111 111i5 Iecluir'.;nlent.