HomeMy WebLinkAboutPermit Building 2009-1-23
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
")~
PERMIT NO: COM2009-00098
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01/22/2009
06/22/2009
$ 170,000.00
Springfield TYPE OF WORK: Single Family Residence
SITE ADDRESS: 1953 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802033301200
Residential
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling Same as 5735 mineral
Owner:
Address:
Phone Nnmber: 541-228-6935
HA YDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
ATTENTION: area an law reauires vau to
follow rules adooted bv the area on Utility
NN€QNmRA()!f0R IJ1oIEORMNIIQN;{I forth
in UAH ;l0<<-UU1-UUIU mrougn UAH ",,,<<-001-
Contractor 0090. You may obtain copimlJicensCJles ilYxpiration Date
HAYDEN ENTERPIUSrSlthe center. (Note: t9i2lfsephone 07/29/2009
TOP NOTCH ELEc'ffi~riNcthe. Or,egon UtiIiL~i'33~fication 09/2912010
PACIFIC AIR COMFORti~er IS 1-BOO-332M~7)' 03/25/2010
PLUMBING PLUS INC 90482 05/1012009
Contractor Type
General
Electrical
Mechanical
Plnmbing
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Phone
541-228-1081
541-317-1998
541-672-9510
541-926-3190
BmLDING INFORMATION'
I # of Stories: I
R-3 Height of Structure 16.00
U Type of Heat: Forced Air Gas
v$IOTICE: Water Type: Gas
THIS PER~'rn~~~'tXPIRE IF TH~W~JlR<'
AUTHORIZWU!YJt~.~"i'~j~_PERMIT ISJ~OT
COMMENC~Br~K yg 'A~Jl.'iIJtTONED FoFfo ,
ANY DPWUPMHNiPINFORMATION I
Lot Size: 5,302
Sq Ft 1st Floor: 1,234
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 400
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
18.00
8.00
12.00
20.37
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
30.80
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Fnlly Improved
No
Sidewalk Type:
Cnrbside 7'
Cnrb and Gutter
Downspouts/Drains:
Notes: Storm water to cnrb via weep hole
Page I of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2009-00098
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01/22/2009
06/22/2009
$ 170,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valnation Descrintion I
Bid Amonnt Use Bid Amonnt
$ Per Sq Ft
or mnltiplier
$1.00
Sqnare Footage
or Bid Amonnt
170,000.00
Valne
Date Calcnlated
Description Type of Constrnction
Total Valne of Project
$170,000.00
$170,000.00
01/22/2009
Fpp< ~
Fee Description Amonnt Paid Date Paid Receipt Nnmber
SDC MWMC Administration $10.00 . 1/23/09 1200900000000000042
SDC MWMC Improvement $1,009.17 1/23/09 1200900000000000042
SDC MWMC Reimbursement $97.90 1/23/09 1200900000000000042
SDC Transpo Reimbursement $201.54 1/23/09 1200900000000000042
Willamalane Single Family $2,858.00 1/23/09 1200900000000000042
Total Amonnt Paid $4,176.61
I Plan Reviews I
Structnral Review 01/22/2009
Initial Review 01/2212009 01/2212009 APP LLH
Planoin!! Review 01/22/2009 01/22/2009 APP TAJ
Pnblic Works Review 01/22/2009 01/22/2009 APP LKW Storm water to curb
To Request an inspection caIl the 24 hour recording at 726-3769. AIl inspections reqnested before 7:00
a.m. will be made the same working day, inspections requested afte,: 7:00 a.m. will be made the foIlowing
work day.
I 'Rponirprl }n~,nprt~
Ufer Electrical Gronnd: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Fonndation: After forms are erected bnt prior to concrete placement.
Post and Beam: Prior to floor insnlation or decking.
Floor Insnlation: 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 Insnlation: Prior to cover.
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2009-00098
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01/22/2009
06/22/2009
$ 170,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insnlation: Prior to cover.
Underfloor Plnmbing: Prior to insnlation or decking.
Rongh Plnmbing: Prior to cover and inclnding reqnired testing.
Water Line: Prior to filling trench and inclnding reqnired testing.
Sanitary Se>>;er Line: Prior to filling trench and inclnding reqnired testing.
Storm Sewer Line: Prior to filling trench.
Underlloor Mechanical. Prior to insnlation or decking and inclnding reqnired testing.
I
Underfloor Gas: After line is installed and reqnired testing and capped if not attached to an appliance.
Rongh Gas: After line is installed and reqnii'ed testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimnm of one appliance inclnding reqnired
testing. Presnre test done at tbis point.
Rongh Mechanical: Prior to Cover
Rongh Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
Final Plnmbing: When all plnmbing work is complete.
Final Bnilding: After all required inspections have been reqnested and approved and the bnilding is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Cnrbside: After forms are erected bnt prior to placement of concrete.
Cnrbcut - Standard: After forms are erected but prior to placement 01' concrete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 strnctnre with~nt permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only cOif tractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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.
/'~~L
j-d"?-dJ
Ow;;';,r or Contractors Signaturu
Date
Page 3 0/'3
R-~ Willamalane
t~ Park & Recreation District
Job. No. Q.~ ~t1J ri\0
r ~Y,STEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME~q ~~n 1\t'J\'WlJ PHONE: M2>C()
ADDREss:{l.4~c4~~~) V :-D-~:_cn1t1p
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \ ~~'::J s _ b~
Plat Name: ~~. ~C ~ Tax Lot Number: ~)3~~ 0 \ Q.[X)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinale-Familv Detached
NO. OF UNITS \.
X $2,858 per unit =
$ ~b~ c;iJ
B. Sinale-Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinale Room Occuoancv
NO. OF UNITS.
X $1,321 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approvaL)
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
\~~~ ",ered" IV
Development Services Dep ent
City of Springfield
Date
5
225 Fifth Street
SpringfieUI,Oregon97477
541-726-3759 Phone
Job/Journal Number
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Willamalane Single Family
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Paid By
TIM DREILING
,
City of Springfield Official Receipt
DevelopIl)ent Servic.es Department
Public Works Department
1200900000000000042
Date: '01/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 034643 In Person
Payment Total:
Page I of 1
10:42:49AM
Amount Due
2,858.00
201.54
97.90
1,009,17
10.00
$4,176.61
Amount Paid
$4,176,61
$4,176.61
1/23/2009
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00098
ISSUED: 03/1812009
APPLIED: 01/22/2009 .
EXPIRES: 09/18/2009
VALUE: $ 170,000.00
SITE ADDRESS: 1953 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802033301200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE; New
PROJECT DESCRIPTION: New single family dwelling Same as 5735 mineral
Owner: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechauical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustrnction Type
Secoudary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I CONTRACTOR INFORMATION I
3
No
DEVELOPMENT INFORMATION I
18.00
8.00
12.00
20.37
0.00
Residential
Phone Number: 541-228-6935
Expiration Date
07/29/2009
09/29/2010
03/25/2010
05/10/2009
Phone
541-228-1081
541-317-1998
541-672-9510
541-926-3190
Lot Size: 5,302
SqFt 1st Floor: 1,234
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport 400
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
Overlay nist: Total:
# Street Trees R!1d: 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 30:80 ~
'~H;':~ 1Y-r'I'C\,:"t\'\~'N~~1
I PUBLIC IMP~~,E~b'\.s\'\p..~~ 1\,\\5 I'f.RWlllfOR
\. . oRrl.l:\!UNO B/lkll1AA~O
Fully Improved p.,U11-\ NCEO OR ~~. .
No CO\lJ\Wlf.Q Op.,'{ 1'f.~spouts/Drains:
. p.,N'{ '\8 .
Notes: Storm waterto curb via weep hole
Contractor ,- License
HA YDEN ENTERPRISES 92208
TOP NOTCH ELECTRIC INC (J2366
PACIFIC AIR COMFORT ~w requires y~tiM\,737
PLUM~N[~~~?~r\ bV tM oreg~~~II~QtW2
10\\0'1'1 rt~'~~a';'~ILlhil0IN'F~RMM:I~ J
NotlilcaIO', 11\\"'/' II
OAR 952.-001-UU' ~ - op,ies onne u'v-~
In 1-(ou may o~~~BrIP.Slhe te\e~hOn, 1
OO~~;~1g the centli~~ti~o()\I!it1}o't'u:M'cat'on 16.00
nun\berlor the. T~I!6dd"~t'i.344).Forced Air Gas
VB Center 'Water Type: Gas,
Range Type: Electric
Energy Path:
Sprinkled Buildi"ng:
Page 1 of 4
Curbside 7'
Curb and Gutter
Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descrilltion Type of Construction
Bid Amount Use Bid Amount
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Reimbursement
Willamalane Siugle Family
+ 12% State Surcharge.
+ 5% Technology Fee
1st Appliance
2 Baths Oue or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Plan Review Major - Planning
Plan Rev!ew Same As
PW Disc - 2nd Permit
Residence Wiring 1000 SqFt
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sauitary/Storm Admin
SDC Transportation.Admin'
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Total Amount Paid
Structural Review
01/22/2009
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
170,000.00.
Total Value of Project
~
Amouut Paid
Date Paid
$10.00
$1,009.17
$97.90
$201.54
$2,858.00
$205.64
$103.53
$79.00
$337.00
$38.00
$993.65
$88.00
$9.00
$13.00 .
$81.70
$17.00
$211.00
$250.00
$-30.00
$134.00
$50.00
$504.88
$663.96
$146.76
$15.37
$88.00
. $755.23
$63.00
$18.00
1123/09
1123/09
1123/09
1/23/09
1/23109
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18109
3/18/09
3/18/09
3/18/09
3/18109
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
3/18/09
$9,012.33
I Plan Reviews I
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
,
PERMIT. NO: COM2009-00098
ISSUED: 03iI8/2009
APPLIED: 01/2212009
EXPIRES: 09/1812009
VALUE: $170,000.00
Value
Date Calculated.
$170,000.00
$ I 70,000.00
01/22/2009
Receipt Number
1200900000000000042
1200900000000000042
1200900000000000042
1200900000000000042
1200900000000000042
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
1200900000000000196
CITY VI' ~rKml>J:<IELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00098
ISSUED: 03/]8/2009
APPLIED: . 01/22/2009
EXPIRES: 09/]8/2009
VALUE: $ ]70,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Insp'ection Line
Initial Review
Plan nine: Review
Public Works Review
01/22/2009
01/22/2009
01/22/2009.
01/22/2009
01/22/2009
01/22/2009
APP
APP
APP
LLH
TAJ
LKW
Storm water to curb
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.
~Iir~~ '~nf'~ti~~
Ufer Electrical Ground: Install ground rod at footin'g and call for inspection in conjunction with footing andlor
foundation -inspection.
Footing: After trenches arc excavated. .
Foundation: After forms are erected but prio'r to concrete plae.ement.
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.
Ceilin~ Insulation: Prior to cover.
Underlloor Plumbing: Prior to insnlation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench aud iucluding required testing. .
Sanitary Sewer Line: Prior to filling: trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor Gas: Aflerline is installed and required testing and capped if uot attached to an appliance.
Rough Gas: After line is installed and required testiug 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 Mechauical: Prior to Cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing serviCe.
Final Electric: When all electrical work is complete.
Final Mechanical: When all mechauical work is complete.
Final Gas: When all gas work is complete.
Paee 3 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Co~bination Permit
PERMIT NO: COM2009-00098
ISSUED: 03/18/20091'
APPLIED: 01/22/2009'
EXPIRES: 09/18/2009'
VALUE: $ 170,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Final Buildiug: After all required inspections have been requested and approved and the building is complete.
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.
By signature, I state and agree, that I have carefully examined the compl~ted application and do hereby certify that all
information hereon is .true and correct, and I further certify that auy 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 describe,d herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe 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 afe requested at the p,'oper 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
tim~s dur:g COUS_;--;_ti~~ hlJ ~
/~P'( S-It--e"(
Owne~ or Contractors Signature Date
Pa~e 4 of 4
City of Springfield Official Rcceipt
Development Servic~s Department
Public Works Department
225.Fift:, Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Nu~ber
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009-00098
COM2009c00098
COM2009-00098
COM2009-00098
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000196
Date: 03/18/2009
10:03:22AM
Description
Plan Review Same As
Building Permit
Addressing Ass~gnll1ent
2 Baths One or Two Family
1st Appliance .
. Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Residence Wiring 1000Sq Ft
Residence Wiring Ea Addtl.500
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary'S'ewer - Improvement
SDC Sanitary/Storm Admin
SDC Transportation Admin
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Plan Review Major - Planning
Amount Due
250.00
993.65
38.00
337.00
79.00
17.00
18.00
13.00
9.00
134.00
50.00
8 1.70
755.23
663.96
504.88
146.76
15.37
88.00
88.00
(30.00) .
63.00
103.53
205.64
211.00
$4,835.72
Paid By
HA YDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
086392 In Person
Payment Total:
$4,835:72
$4,835.72
. Page I of I
3/18/2009