HomeMy WebLinkAboutPermit Building 2009-1-27
Status
use initials
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
'0)p
PERMIT N.O: COM2009-00125
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01127/2009
06/27/2009
$ 238,700.00
SITE ADDRESS: 5759 MICA ST
ASSESSOR'S PARCEL NO.: 1802033301300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling SAME AS 1950 S 57th
Residential
Owner: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
_ '._ _. ;:~"'.... ",....11 tf'"
AI,II'C0NTRA:CTOR'IJ1oIF.oRMATlON;,.,
~~I;i~i~;ti~~c;~t;r:Tho'se rules ar~ set forth
Contractor ;~ ('\ ^ 0 oi;?-001-001 0 through otp~!;~!!sj\)1-
HAYDEN ENTERPRISES1av obta',n copies of 9,22081es by
. UpLlll YOIIIl ' ,
TOP NOTCH I<;yl~~m~dln<~<nter. (Note: the tl;n~6&ne
PACIFIC AIR cr,cJM.f&~J' !!':lCOregon Utility ~31~Bqatlon
PLUMBING PLUS IN<tenter is 1-800-332-23/90\182
I BUILDING INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plnmbing
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories: 2
R-3 Height of Structnre 36.00
U Type of Heat: Forced Air Gas
VB Water Type: Gas
NOTICE' Range Type:, ' Electric
3 . Ene'l;Y PaU\i? II' THE WOR~
THIS PERMIT %~fibklfd'<.BLiIain . a
^ IITII('\nI7r:n 1ll\InCD n-J\~ D~~I\I1IT IS NO
COMMI:DEMEr;~p~EI~;nIl'illiORMA'IJION ,
ANY 180 DAY PERIOD.
18.00 Overlay Dist:
13.00 # Street Trees Rqd:
17.80 Paved Drive Rqd:
23.98 % of Lot Coverage:
0.00
I PUBLIC IMPROVEMENTS I
Expiration Date
07/29/2009
09/291201 0
03/2512010
05/1012009
Phone
541,228-1081
541-317-1998
541-672-9510
541-926-3190
Lbt Size:
Sq Ft I st Floor:
,
Sq Ft 2nd Floor:
.Sq Ft'Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
1,00~
1,005
400
3
Yes
35.26
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Downsponts/Drains:
Cnrbside 7'
Cnrb and Gulfer
Notes: Storm water to cnrb via weep hole
Page I of3
CITY OF SPRIr"t..l'lELD
Building/Combination Permit
Status
use initials
PERMIT NO: COM2009-00125
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01127/2009
06/27/2009
$ 238,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V al,~,ation De,scrintion I
Description Type of Constrnction
Bid Amonnt Use Bid Amonnt
. $ Per Sq Ft
or mnltiplier
$1.00
Sqnare Footage
or Bid Amonnt
238,700.00
Valne
Date Calculated
Total Valne of Project
$238,700.00
$238,700.00
01/27/2009
Fm PJi!rU
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
Willamalane Single Family
Amonnt Paid
. Date Paid
$10.00
$1,009.17
$97.90
$2,858.00
1/28/09
1/28/09
1128/09
1/28/09
Receipt Nnmber
1200900000000000058
1200900000000000058
1200900000000000058
1200900000000000058
Total Amonnt Paid
$3,975.07
I Plan Reyiews I
Planning Review
Strnctnral Review
01/27/2009
01/27/2009
Planning Review
Public Works Review
01/27/2009
01/27/2009
01/27/2009
01/27/2009
APP
APP
ODK
LKW
Follow street tree plan.
Storm water to cnrb via weep hole
To Requestan 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.
~eollire~n~nections I
Ufer Electrical Gronod: Install gronnd rod at footing and call for inspection in conjnnction with footing and/or
. foundation inspection.
Footing: After trenches are excavated.
Fo'nndation: 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 rongh in inspections have been approved.
Wall Insnlation: Prior to cover.
Ceiling Insnlation: Prior to cover.
Paee 2 of 3
CITY OF SpRINGFIELD
Building/Combination Permit
,
Sta tus
use initials
PERMIT NO: COM2009-00125
ISSUED:
APPLIED:
EXPIRES:
VALUE: .
01127/2009
06/27/2009
$ 238,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping.
Final Bnilding: After all reqnired inspections have been reqnested and approved and the bnilding is complete.
Underfloor Plnmbing: Prior to insnlation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rongh Plnmbing: Prior to cover a~d inclnding reqnired testing.
Water Line: Prior to filling trench and inclnding reqnired testing.
Sanitary Sewer Line: - Prior to filling trench and inclnding reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plnmbing: When all plnmbing work is complete.
Underfloor Mechanical. Prior to insnlation or decking and inclnding reqnired testing.
Underfloor Gas: After line is installed and reqnired testing and capped if not attached to an appliance.
Rough Gas: After line is installed and reqnired 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 this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Electric Service: Approval reqnired prior to ntility company energizing service.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Final Electric: When aU electrical work is complete.
Erosion/Grading Inspection: Prior to gronnd distnrbance and after erosion measnres are installed.
Sidewalk - Curbside: After forms are erectedbnt prior to placement of concrete.
Curbeut - Standard: After forms are erected but prior to placement of concrete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true 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 berein, and
that NO OCCUPANCY will be made of any structnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 wiil be nsed 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.
~/)//~~A-
Owner ~r Contractor~ Signatn~eU
/- dg'- 0 '7
Date
Page 3 of3
Job. No.
tJ9 - /"JS-
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 .
NAME: JlJ4'-t/),{"X/' /~~N~f. PHONE: 77y--C:?Jr .
ADDRESS:641h'1..wcj'I.fid~CITY !2t:.7),Q1(JI"'/) STATE:agZIP: ~1?S(;
LOCATION OF PROPOSED BUILDING SITE:
Street Address: )'7)7 /I11V1
Plat Naryie:
Tax Lot Number:/AZ1:2 D'::J:J07 Of-;Joo
1. DEVELOPMENT TYPE (Check appropriate dwelling{s). Dwelling type definitions are on the
back.)
A. Sinale-Familv Detached
NO. OF UNITS
I
X $2,858 per unit =
$ 2-~,r tf
.,
B. Sinale-Familv Attached
1
NO. OF UNlljS
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
WillamalaneCredit ~pproval.) . . . ,
~ I .
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
. ~j~~~
Development Services Department
City of Springfield
$
$ .2fS",f-
/ I .;> ') yj9
Date
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.\
Job/Journal Number
COM2009-00125
COM2009-00125
COM2009-00125
COM2009-00125
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
Description
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Willamalane Single Family
Paid By
TIM DREILING
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000058
8:49:38AM
Date: 01128/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
97,90
1,009,17
10.00
2,858.00
$3,975.07
Amount Paid
cjc
. $3,975.07
$3,975.07
050858 In Person
Payment Total:
Page I of I
1/28/2009
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00125
ISSUED: 03/18/2009
APPLIED: 01/27/2009
EXPIRES: 09/18/2009
VALUE: $ 238,700.00
225 Fifth Street, Spriugfield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5759 MICA ST
ASSESSOR'S PARCEL NO.: 1802033301300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling SAME AS 1950 S 57th
Residential
Owner: HA YDEN HOMES LLC
Address: 2464 SW CLACIER'PL STE J 10
REDMOND OR 97756
".
I CONTRACTOR INFOR~1A TlON I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor .L~!J~eo Expiration Date
HA YDEN ENTERPRISES 11 laW leo.\J\~8~' YI~ll\\liW 07/29/2009
TOP NOTCH E$lE :1M.tl'\m@legod,^,,\neOl1.2il.66\\Q!\n09/29/2010
ynlV ~ p\e"" \eS" 00'1-
PACIFIC AIR qB>lJ!l~C?el \nosel\G~.~(l,fo'2- \) 0312512010
PLUMBINC PL, J~@.\OI1 ~~~:f\P'lO \nlO~~~ <Wit821~\:~" '/ 05/10/2009
\~ t~Hi\~~'I~&~'" -rlo~ili\i~a\iOI1
00,". \ne cJ,I.-- 011 V'"', 44)
ca\I\~~Q6s~\ll'i~\e_~00-33'2-'23 . 2
{I\J(l\ H~jeJf\Structure 36.00
Type of Heat: Forced Air Cas
Water Type: Cas
. Rauge Type: Electric
Energy Path:
Spriukled Building:
:'Ph
" one
~:541-228-1081
:541-317-1998
"541-672-9510
, 541-926-3190
3.
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Carage/Carport
"
Sq Ft Other:
Occupant Load: '
1,008
1,005
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Coustruction Type:
# of Bedrooms:
R-3
U
VB
400
nla
. I. DEVELOPMENT INFORMATION .1
.,
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
13.00
17.80
23.98
0.00
Total:
3 HandicapRed:
Yes Compact: ,
35.26 :1
'NO?'/..
.,_..- \. t,,-;-r.f'~ ~~ ,I, \I""
I ~UBLIC IMPROV(I1:WE~IM~ S\-I~\.: I\-IIS ?E? "0\\ '.;
11-\1'" r ~,.. \) 1S~t:?1 ~O~E\) r ::
Fully'lmproyed \lI\-lO?ll'C O? ~ \S-'\Jbi . . Curbside 7'
Yes ~ O\lll\lllH\Ct\)P?1~\4'l\i)Jts/Draius: Curb and Cutter
. C~\-\'i IlIO \)~'i. .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
Notes: Storm water to curb via weep hole
Pa2e 1 01"4 .
Status
Issued
225 Fifth Street, Spi-ingfield, OR .
541-726-3753 Phone .
541-726-3676 Fax
541-726'3769Inspectiou Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
Willamalanc Single Family
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Resideuce Wiring Ea AddtJ 500
Sanitary Sewer.,. Improvement
Sanitary Sewer - Reimbursement
SDC SauitarylStorm Admin
SDC Trauspo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Total Amount Paid
Plannin2. Review
Structural Review
01/27/2009
01/27/2009 .
I Valuation J)escriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
238,700.00
Total Value of Project
!..F,W' P~\lU
Amouut Paid
Date Paid
$10.00
$1,009.17
. $97.90
. $2,858.00
$253.38
$123.42
$79.00
$402.00
$38.00
$1,274.48
$88.00
$13.00
$120.65
$20.00
$17.00
$7.00
$211.00
$-30.00
$134.00
$75.00
$589.02
$774.62
$156.20
$201.54
$14.96
$88.00
$740.96
$63.00
$27.00
1/28/09
1/28/09
1/28/09
1/28/09
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
3/18109
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
3/18109
3/18/09
3/18/09
3/18/09
3/18/09
$9.456.30
I Plan Reviews I
Paee 2.of 4
CITY OF SPRINGFIELD .
Building/Combina~ion Permit
"
PERMIT NO: COM2009-00125
ISSUED: 03/18/2009,i
APPLIED: 01/27/2009;'
EXPIRES: 09/18/2009 'I
VALUE: $ 238,700.00
I~ .
Value
Date Calculated
$238,700.00
$238,700.00
01/27/2009
Receipt Number ii
"
12009000000000.00058
1200900000000000058
,
1200900000000000058
1200900000000000058
1200900000000600197
1200900000000000197
1200900000000000197
. 1200900000000000197
1200900000000000197
12009000000000.00197
12009000000000.00197
1200900000000000197
12009000000000.00197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000000197
1200900000000600197
1200900000000000197
1200900000000000197
1200900000000000197
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00125
ISSUED: 03/18/2009.
APPLIED: 01/27/2009 .
EXPIRES: 09/18/2009
VALUE: $ 238,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Line
Plannine: Review
Public Works Review
01/2712009
01/2712009
01/2712009
01/2712009
APP
APP
DDK
LKW
Follow street tree plan.
Storm waterto curb'via weep hole
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested ~efore 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.
I?polli~ In~,npl"t~
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to lloor insnlation or deckiug.
Floor Insnlation: Prior to decking.
Shear Wall Nailiug: Before covering sheathing with tinish 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.
Final Building: After all required inspections have been requested and approved and the building is co'inplete.
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and iucluding required testing. .
Water Line: Prior to tilling treuch and including required testing.
Sanitary Sewer Line: Prior to filling trench and including requin~d testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Vnderlloor Mechanical. Prior to insulation or decking and inclnding required testing.
Underlloor Gas: After line is installed and reqnired 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 beeu connected to a minimum of one appliance iuclnding required
testing. Presure test done at this point.
Rough Mechanical: .Prior to Cover
Fiual Gas: When all gas work is cOl11p.!ete.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combina~ion Permit
PERMIT NO: COM2009c00125
ISSUED: . 03/18/2009'
APPLIED: 01127/2009'
EXPIRES: 09/18/2009
VALUE: $ 238,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, .
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Final Electric: When all electrical work 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 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 ouly contractors and employees who are in compliance with ORS 701.005 will be used onthis project.
I further agree to ensure that all required inspectious are requested at the proper time, that each address is re~dable from the
street, that the permit card is located at the front of the property, and the approved set of pia us will remain ori' the site at all
times during construction.
~t7JAa~
Owner or Contractors Signature U
o -/:;-oCt
Date
Pa\1e 4 of 4
225 Fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00125
COM2009-00 125
COM2009-00 125
COM2009"00 1-25
COM2009-00 125
COM2009-00 125
COM2009-00125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00125
COM2009-00 125
COM2009-00 125
COM2009-00 125
COM2009-00 125
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
1200900000000000197
Date: 03/18/2009
Description
Sidewalk Pennit
Curbcut Penn it
Storm Drain~ge Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC SanitarylStorm Admin
SDC Transportation Admin
PW Disc - 2nd Penn it
Building Pemlit
Addressing Assignment
3 Baths One & Two Family
1st Appliance .
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Gas Outlets 1-4
. Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
Plan Review Major - Planning
Paid By
HA YDEN ENT
Item Total:
Checl< Number Authorization
Received By Batch Number Number How Received
djb 072520 In Person
Payment Total:
Page 1 of I
10:04:42AM
'.
Amount Due
88.00.
8800
740.96
774.62
589.02
201.54
15620
14.96
(30.00)
1,274.48
38.00
402.00
79.00
17.00
27.00
1300
7.00
20.00
134.00
75.00
63.00
120.65
123.42
253.38
211.00
$5,481.23
Amount Paid
$5,481.23
$5,481.23
3/1812009