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Home My WebLink AboutPermit Building 2009-5-19 , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00691 ISSUED: 05/1912009 APPLIED: 05/19/2009 EXPIRES: 11/1912009 VALUE: $ 204,000.00 . 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5770 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033301800 SPRINGFIETYPE OF WORK: SingkFamily Residence TYPE OF USE: New PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING SAME AS 57]9 MINERAL Residential Owner: Address: ,0 ~ _,o.;:,#~ '\ -:s ,,0 " 0"">:o",Rl;\ ....:1 ii? n,,,,,0 ",q;<::J n""'Q_ \ ,'" ~ U' c...f()-~ Q-.-..J ,\)~ -o".-n'" t,1':ONTRM)'f0R"NF~RMA nON 1 0- v' 0v..> ~ V .....- ~.. 0'0 () 0 0';:;' 0"" 0 ~o "'. Contractor O~ ",0.<..'0 i' Q', '$',,",,~' License .' ."Q. ~"<:"o ",0' ,~ 0/ HA YDEN ~:t.:E(,RlZRI~ES~ ~o -0'" X HA YDE);I!E~:r~ff~~ISJ'g> ~,= 0"'","" TOPN~Tf~~S~€JtR!~"~e'0~<::J P ACIFH:,oAIR.<OOMFORT<lIst .....v ,.." '" \o~ ~'-' ,.. " RON ST\:l;r~~~N _0.'" ,,0' ;:,..0' 31747 "~()"'v0";L;BttiLDlNG INFORMATION I .;:,' , <:- ~ I # of Stories: 1 Lol Size: ~~<<'.~'\ R-3 Height of Structure . 19.50 Sq Ft w-.<t>I~~ U Type of Hea, t: Forced Air Gas Sq ~1~1i~ VB Water Type: Gas ~ ~&.'l; Range T~pe: Gas ~~;;'<Kli< e/Carport 3 Energy Patb: ~ OS; ~~t er: Sprinkled Building: ~.. ".#~{;)~<(o. pant Load: r"<" ,~" . "~ ,c.., - I DEVELOPMENT INF.~~~:"- ~~.~v ,," . A\""'\'~v <'lv I , ',\'<:0'- ~'V' ~'V ::\ 'I, REQUIRED PARK NG :-:0'" ~~ '\)'f. Overlay Dist: ~ r::::,~ ,,'0":) # Street Trees Rqd: ,,~ 2 Paved Drive Rqd: ~ Yes % of Lot Coverage: 29.79 Expiration Date Phone Contractor Type Applicant General Electrical Mechanical Plumbing , 92208 ] 72366 39237 07/29/2009 . 09/29/201,0 03/25/20 I 0 05/12/2010 541-228-1081 54]-317-]998 541-672-9510 541-928-8942 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 5,300 1,579 400 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 13.00 5.00 8.00 30.00 16.25 Total: Handicapped: Compact: 2 Subdivision Not Accepted Street Improvements: Storm Sewer Available: j.. Special Instruction : I PUBLIC IMPROVEMENTS I Fully Improved Yes Storm water to curb vi"a weep hole Sidewalk Type: Curbside 7' Curb and Gutter Downspouts/Drains: Notes: Paee ] of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Descriotion Type of Construction Use Bid Amount U VB Utility R-3 VB 1&2 Familv Bid Amount Garaee/Misc , SFlDuplex Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlels 1-4 Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit Refund CY- Trans Improv SDC Residence Wiring] 000 Sq Ft Residence Wiring Ea' Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps Or less Vent Fan WiIlamalaneSingle Family I Valuation Descriution I . $ Per Sq Ft 'or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amonnt 204,000.00 400.00 1,579.00 Total Value of Project I?pp<, P~i<l I Amount Paid $225.60 $11 1.85 $79.00 $337.00 $38.00 $9.00 $],132.03 $88.00 $9.00 $13.00 $98.95 $20.00 $7.00 $211.00 $250.00 $-30.00 $-888.98 $134.00 $50.00 $504.88 $663.96 $10.00 $1,009.17 $97.90 $140.46 $201.54 $888.98 $73.76 $88.00 $907.92 $63.00 $27.00 $2,858.00 Date Paid 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/]9/09 5/19/09 5/]9/09 5/19109 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5it 9/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19109 5/19109 5/19/09 5/19/09 5/19109 5/19/09 5/19/09 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00691 ISSUED: 05/19/2009 APPLIED: 05/19/2009 EXPIRES: 11/19/2009 VALUE: $ 204,000.00 Value Date Calcnlated $204,000.00 $15,088.00 $] 52,894.57 $371,982.57 05/19/2009 05/19/2009 ' 05/19/2009 Receipt Number ]200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 , 1200900000000000503 ]200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 .1200900000000000503 1200900000~00000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 ]200900000000000503 ]200900000000000503 ]200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 1200900000000000503 ,cITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00691 ISSUED: 05/19/2009' ApPLIED: 05/19/2009 EXPIRES: 11/1912009 VALUE: $ 204,000.00 225 Fifth Street, Springfield, OR 54]-726-3753 Pbone 541,726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,429.02 I Plan Reviews , Plan nine: Review 05/19/2009 05/1912009 DON DDK Access restricted to ] driveway/lot. Follow street tree plan. Pnblic Works Review 05/19/2009 05/19/2009 APP LKW Storm water to curb via weep hole Structural Review 05/] 9/2009 05/19/2009 APP CJC As noted On plans 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. I Rplll~J"ltrlln<,npptin~ Ero'sian/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufet' Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing ard/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but priOl' to concrete placement. Post and Beam: Prior to floor Insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheatbing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections. have been approved. Wall Insulation: Pdor to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plnmbing: Prior to filling the trench and inclnding required testing, Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Undernoor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of c~ncrete. Rougb 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. Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00691 ISSUED: 05it9/2009 APPLIED: 05/19/2009 EXPIRES: 11/19/2009 VALUE: $ 204,000.00 225 Fifth Street, Springfield, OR. 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and inclnding required testing. Underlloor Gas: After line Is installed and reqnired testing and capped if not attacbed to an appliance. Rongh 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 inclnding required testing. Presnre test done at this point. Rongh Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval reqnired prior to Utility Company energizing pole. Undergronnd Electric: Prior to cliver Rough Electric: Prior to Cover Electric Service: Approval required prior to ntility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Cnrbcnt - Standard: After forms are erected but prior to placement of concrete: , - Sidewalk - Cnrbside: After forms are erected but prior to placement of concrete. By signatnre, 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 1 fnrtber certify that any and all work performed sball be done in accordance witb the Ordinances of the City of Springfield and the Laws of the State 01' Oregon-pertaining to the work described herein, and that NO OCCUPANCY will be made of, any strncture without permission of the Community Services Division, Building Safety. I fnrther 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 attbe proper time, that each address is readable from the street, that tbe permit card is located at the front of the property, and the approved set of plans wil!-remain on the site at all times during construction. -=- -~-- cf--=~~ ~- "Owner or Contractors Signat e Date Paee 4 of4 -----:--City :~S~orn SOURCE 1~{)/ I. Date~//7./(j" 3. ~~,9~l!~~tll~J[!'Jf!I~llfJ~I~~IIW~Mli~~~ A f~~"1irJR' ~~@t~;lfi,~i~I\~s~~'!J&F)ll\t:i,~~i~~Wt~:r.@!;jj~*~,I;10''WI:.iilW:~;:j'i.:FJ.\~W~~lt'N~~Jq . ,'!ic,!e)Yii ,t>"I\!&li.tli',i'i'i]Jng,~r9nl,h nllifJ';,iliH"l:l\"biJuWelling" ,1iiiif~li'~'!i '1",.''':it'jlS.i'-'f'~:Ai\;.'I,IJ;''''''~~'I'''''.<J'''',"~''.Il7,~,''!;''d~_~;~\',j~i.>,t;!if,.'i!I:ii>>Th~..~~{t!11'f::,:i~R~jjJ!t;.j\~J~,-:t~....Lt.~:':j'il'"r~.i.~> , ServiCC'lncluded ' 1).'1 1000sg)ft,orless . I $10JO 114 Each adfitionai 500 sg,'ft, or t:5: porlJOn jereof 7.- jillO Each Manufact'd Home or Modulaf Dwelling Service or ___...Ee.oder I ' $55,00 I ----;--- . .%~~~~~~~~c.!'~'~~~;::i~~~~~m~~I!f~~I'::u~:<JW~~IDS~Wl\;,~l~r"2I' - - - V..~~~tt]~~L 2. fi~~~~tii~~;~j~~i\~.\i~I:~W B. t~;,~l?l~hl IOU Electrical Contractor ~,j?)J~1r::A r:/ec ~ -~'1l\ laW le2'O~:~~SJl~"~ ~ ^''"\Et~\\O\'l, Vdo'~ted bY lne2~\ km\5ss1Jer,\ Amps 'I /I'" I 0 a t' e tU'<'O -. ? 6'!J - Address 0'-081'1 Yn..NA)',(6,-fJ e''rP''tel._ll'<~Soug4PU)Jill,~?t?e~O&yAmps (! I ;~0~\~C;~52_001-02~~~ ~oPi~6P!xm~~\"JlOOO Amps n't'n..P( , PJJonBcJfr!roD?!o/i-?'{0g~Qvfr \l~Q,o.rn-~Voltg-- c~\1\119 Ihe v~~ OtegOI1 U~NB!li;~t Only ~bel lot I '1_800-33 I , i ~111.l'" fet\lel IS ~'"'!"ii'1mil"'''''lllilif'''I''''~iI'~''O!'''"''t!il'!ij'ill':i!O'i''lN'''"'i-'''J>-'' 'I' ,-, /1>C:- U C. ~, 'Ii ,em tli%ih '$I':ilI:::!i'~t:&'\ie$r:Q~SF~~i1'itt~~\nitlllii1!~\}~!l~I' ~t,f,"lf~!l!'Jlll!~~~'l1llll"I;Wii!l~i!t,~1:\' v,,/ 7 Pl?;~'"".I...~l:t,1::m.",,' ;.;o~\l11J,~~~~I~iSii;l~!ilIi.*~'bl~~I.:~~~{]jIl::t~~1iw& :il:q,ili~ ':~.? }Jh (,Ju~f11.LT~~~ I' I '. _.. lnstalla'tion, Alteration or Reiocalion ' 200 AmfS or less I ($r,OO b 3> 20 I Amps to 400 Amps $ 76,00 I 401 Amps to 600 Amps " $110,00 I' I Over 60,0 Amps or ] 000 Volts see "B" above, , I;;'""-''''lm''''"''"''''~jf;''~'''''ii' "',,~m!!-'.=="""_,,~ - ~"-""'." D. t}~il~iJi~fijt~1~~\u'ts1~~1Iit J ~;if~~1~tl~1i~I,~:ji~l~*~:i~;~,;i~~1~~~W~~1~j~IIDf.~t1~~[~~~~;~.[~J' ~,)j"lfJ'n'l.N'lfliciJI:i1T.11WtL;Jm!i!!l!iLIj~~~:<;',i' i'{:d!'1riGJtU;;!E'.:j!:K-Ih!;b:ill~~~$l~~m~tfA" -'t.\.\". , I: ,.. I, New Alteration or ExtelJ~tA<<'lller Panel ' /, I ']f \j\JUT'" . _ Onc Cll;cUl~I?E WI" ~01 $ 48.00 ~ . "OIWt.. ~\.A?u)\:rOPab~~iXo~u~th Owners Name '!lAy 0'-e~i-jb~__ ?f",~11 t~~~n~~~'d'~fbiX $ 400 , ?-Lfb" - -,} :; I' IA-;I/_~r\O>>)l~E~~.' "~'eitl\~~~~~@f~~'~l~i!"1fl@'Ji\l~~gm1~~'1iif;"E4IT..;t'\~~ Address ',S 1.-_ ~_~.7lJ'! k c ~ 1.J\if~ I\~ ,~_&.58~~j81,~~t';illjjJMil&i.l;:il,ht1l..,.,.~...I~"'m, M.""'''''l~ffi(~L~_~f'~~ U _ \J' I)" :\'t , . City R6":j~ ~ o.~; d I:'hone,- Z~O =g,,~~Pump o~ irrigatiot, I' $ 55,00 , SignlO0,lline Ligbting $ 55.00 i OWNER"INSTALLATION' LimiteqEnergylResidenlial- -i. ." c - $28:00 , '-The installation is being made on propertY ToWU:whlch--". ",.,. "..Limlted tnergy/l.:ommerci;;r [.----- ~ 5U,UU --- is not intended for sale, lease Or re~,"",~# ~in:;,I";:":.!:w~;.';~~i~~.'~;.'~~;:~.~~~~~I:,ili.'.'~,,,J~~;.!~furCbargeS Owners Signature: ^"~ ~ ~ ".\.O ' ~~':~:J\~:~:~~rdllidi1~~l1i&1lJi>~!1I~.~1l!ltl!I{,'J ~ ~ 11( ~. C\ ~()". ~~~;fbn~l;~~~; Fee ' I Z; ;r ~ TOTAL .. 288 <17 I Shared Drive(T:)/Building :onnSlEleC!JiCaJ Penn it Application I.08,doc I ns FIFTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-37S3 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION f'1-{;'JI City Job Number if~~$~'i'1~"~,,,~,,,~~.,c,m~f'~lF~io'Br>~i!~~~~g~':ri;~W 1. .~~~(f1~~)r~'wx~~ ,,~~~~~me,?+~::;';ii~\l:~~tXi.\~~~~~ Il(lo'ill;,\~~.ijf,~')ii.}...<r"".jjll!~'ltr.,y," "",ti!.1SM\~rd{~,JliH.f'",''''~I,~~:<I1i.~..J\I''c",\"'.,}'h,l',}j.,,,",,~ 5770 t<< i.rrM...A--L. to/I'<", LEGAL DESCRIPTION: t8C>ZO"$"JD 0(800 JOB DESCRIPTION: )/0.v' SF l>.. so Permits are non-transferable and expire if work is not storIed witbin 180 days of issuance or if work is -Suspended_foC-180_days_~~_ ___ _ _._~__ __ " $ 70,00 $ 83,00 $138.00 $180.00 $"413:0u $'55,00 Supervisor License Number Constr. Contr, Number i2&-tJ '7 /72 >1# (, -~7 Expiration Dale Expiration Date lnspectioD Request: 726-3769 ~ ~ Willamalane t ' Park,& Recreatfo~ District Job. No._C9- r;" '7/ , ' , " SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: ffAy6 eN' c.Nr PHONE: S-? 0 '7 ADDRESS:2'lfbl( G!.Adf;-rLcITY M--)) STATE:OILZIP: 177Sb LOCATION OF PROPOSED BUILDING SITE: Street Address: 5770 U1ldf:tLA-L wA-.., Plat Name: Tax Lot Number: /802 OJ:S D f) I So 0 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 = $ z 8S-% 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 $1,550 per unit = "$ $ Z8rtf WILLAMALANE SDC 2. SOCCREDIT (If applicable) SDC payer must fumish proof of ' Willamalane Credit approvaL) $ '.----- , , 3. TOTAL WILLAMALANE NET SOC ASSESSED , (if SDC reduced .for Credit) "/~4 - - $ ZgS8 S / 15/ zoo 9 Date , Development Services Department City of Springfield 5. City of Springfield OffiCial Receipt Development Services Department Public Works Department 225 Fifth Strcct SpringfieId,Oregon97477 541-726-3759 Phone Job/Journal Number COM2009-0069I COM2009-00691 COM2009-00691 COM2009-0069I COM2009-00691. COM2009-0069I COM2009-0069I COM2009-0069I COM2009-0069I COM2009-00691 COM2009-00691 COM2009-0069I COM2009-00691 COM2009-0069I COM2009-0069I COM2009-00691 COM2009-0069I COM2009-0069I COM2009-0069I COM2009-00691 COM2009-0069I COM2009-0069I COM2009-00691 COM2009-00691 COM2009-00691 COM2009-0069I COM2009-0069I COM2009-0069I COM2009-0069I COM2009-0069I COM2009-0069I COM2009-00691 COM2009-00691 Payments: Type of Payment CreditCard cReceinll RECEIPT #: 1200900000000000503 Date: 05/19/2009 3:26:56PM Description Plan Review Same As Building Pennit Addressing Assignmen~ Willamalane Single Family 1st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Venl Gas Outlets 1"4 Fireplace (Listed) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addti 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Penn it Curbcu(Permit PW Disc - '2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Refund CY- Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administralion S DC Sanitary/Stonn Admin SDC Transportation Admin P'ian Review Major - Planning 2 Baths One Or Two Family + 5% Technology Fee + 12% State Surcharge Amount,Due 250,00 1,132,03 38,00 2,858,00 79,00 27.00 9,00 13,00 9,00 7,00 20,00 134,00 50,00 63,00 98,95 88,00 88,00 (30,00) 907,92 663,96 504.88 201.54 888,98 (888.98) 97,90 1,009,17 10,00 140.46 73.76 211.00 337,00 111.85 225,60 , $9,429.02 Paid By 1.IAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 034836 In Person Payment Total: $9.429,02 $9,429.02 Page I of I 5119/2009