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Home My WebLink AboutPermit Building 2009-8-18 CITY OF ~rKlNGFIELD ' Building/Combination Permit PERMIT NO: COM2009-01l65 ISSUED: 08/18/2009 APPLIED: 08/1112009 EXPIRES: 02/18/2010 VALUE: $ 186,000.00 - ~~~~~i~~,l]l~~:.~) <:;ti,~,~~m~;\: . ; .,', .~, "~ .:.~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541_726-3769 Inspection Line SITE ADDRESS: 5784 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033302000 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence- SAME AS 5792 Mineral Com2009-01141 Residential Owner: HAYDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756' I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC STUTZMAN SERVICES INC License 92208 172366 39237 31747 BUILDING INFORMA TION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: I Height of Structure 18.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Sprinkled Building: n/a 3 I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: 18.00 8.00 5.00 , 24.00 15.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 07/29/20 \I 09/29/2010 03/25/2010 05/1212010 Phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: \ \ \ 5,227 1,234 406 REQUIRED PARKING 2 Yes 30.90 Total: Handicapped: Compact: 2 , I PUBLI(; IMPROVEMENTS I ^TTnIJION' Oregon laW ,eel' . ." Street Improvements: 'd ted F' '1'lhr.I nrpnnrdUtl11ty Sidewalk Type: , follow rules a op u V m~r,r.:-;,e,et forth Storm Sewerl~v,ailab,\"-:l Center. Those rUle~ArYes 2-001- Downspouts/Drains: . ~U.'''V'''' ....."'~n+L-.l"("'\'lr1h~.: nt"lJ. . SpecIal InstructlOn:\ 952-0Storm watel"lo'curb,and gutte,!j\vta weep hole lD.cur.ib'E '" ~, .. obtain copies 0111 l~ '_'vo } I\\'J I\,;: 0090, You may ,th telephone Notes: calling the center. (Not~tiht; Notification THIS PERMIT SHALL EXPIRE IF THE WORK number for the. o;~~g~_332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT Center IS COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page I of 4 Curbside 7' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valu3ltion Descriotion I " Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 186,000.00 Estimate Tvne of Construction Estimate Total Value of Project ~ CITY OF SPRIN\JJ:<u,,LD Building/Combination Permit PERMIT NO: COM2009-01165 ISSUED: 08/18/2009 APPLIED: 08/11/2009 EXPIRES: 02/18/2010 VALUE: $ 186,000.00 Value Date Calculated $186,000,00 $186,000.00 08/1lI2009 Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $214.41 8/18/09 1200900000000000940 + 5% Technology Fee $107.19 8/18/09 1200900000000000940 1st Appliance $79.00 8/18/09 1200900000000000940 2 Baths One or Two Family $337.00 8/18/09 1200900000000000940 Addressing Assignment $38.00 8/18/09 1200900000000000940 Appliance Vent $9.00 8/18/09 1200900000000000940 Building Permit $1,058.77 8/18/09 1200900000000000940 Credit - Trans Improv SDC $-931.65 8/18/09 1200900000000000940 Curbcut Permit $88.00 8/18/09 120~900000000000940 Dryer Vent $9.00 8/18/09 1200900000000000940 Exhaust Hoods $13.00 8/18/09 1200900000000000940 Fire SF Fee - Residential $82.00 8/18/09 1200900000000000940 Gas Outlets 1-4 $7.00 8/18/09 1200900000000000940 Plan Review Major - Planning $211.00 8/18/09 1200900000000000940 Plan ReviewSame As $250.00 8/18/09 1200900000000000940 PW Disc - 2nd Permit $-30.00 8/18/09 1200900000000000940 Residence Wiring 1000 Sq Ft $134.00 8/18/09 1200900000000000940 Residence Wiring Ea Addtl 500 $50.00 8/18/09 1200900000000000940 Sanitary Sewer - Improvement $529. II 8/18/09 1200900000000000940 Sanitary Sewer - Reimbursement $695.83 8/18/09 1200900000000000940 SDC MWMC Administration $10.00 8/18109 1200900000000000940 SDC MWMC Improvement $1,044.54 8/18/09 1200900000000000940 SDC MWMC Reimbursement $101.97 8/18/09 1200900000000000940 SDCSanitary/Storm Admin $156.28 8118/09 1200900000000000940 SDC Tran Reimburs-Residential $211.21 8/18/09 1200900000000000940 SDC Trans Improvement-Resident $931.65 8/18/09 1200900000000000940 SDC Transportation Admin $15.90 8118/09 1200900000000000940 Sidewalk Permit $88.00 8/18/09 1200900000000000940 Storm Drainage Impervious Area $850.93 8/18/09 1200900000000000940 Temp Power 200 amps or less $63.00 8/18/09 1200900000000000940 Vent Fan $27.00 8/18/09 1200900000000000940 WilIamalane Single Family $2,858.00 8/18/09 1200900000000000940 Total Amount Paid $9,309.14 Page 2 of 4 ~~~!~~g:~~!!;f;~,,~~.'.1 -~, ..~ '." . ~, CITY OF SPRIN\JJ:< lJi.LD Building/Combination Permit Status Issued PERMIT NO: COM2009-01165 ISSUED: 08/18/2009 APPLIED: 08/11/2009 EXPIRES: 02/18/2010 VALUE: $ 186,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 08/12/2009 08/1212009 OK NJM Planning Review 08/1212009 08/13/2009 APP DDK Access restricted to one driveway. Follow street tree plan. Public Works Review 08/12/2009 08/1712009 APP LKW Storm water to curb and gutter via weep hole in curb Structural Review 08/18/2009 08/18/2009 APP CJC As noted on plans To Request an inspection call the 24 hour recording at 726-3769. All inspections ~equested 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. Rr,f)I~"~tinu I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctio,! 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: p'rior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in insllections 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 complete. Underfloor Plumbing: Prior to insulation or decking. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 tilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Page 3 of 4 _~~.J.~~~~~f, ,,'""" ' ~J ':,,;.,, "II ~'; CITY OF SPRINGFIELD Status Issued Building/C,ombination Permit PERMIT NO: COM2009-01165 ISSUED: 08/18/2009 APPLIED: 08/1112009 EXPIRES: 02118/2010 VALUE: $ 186,000.00 225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plnmbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Undertloor 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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 h'ereby certify that alt' information hereon is true and correct, and I further certify that any and all work performed shalj be done in accordance with the Ordinances of the City of Springlield 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 furtber 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 located at the front of the property, and the approved set of plans will remain on the site at all , times during construction. Owner.or Contractors Signature Date Page 4 of 4 ''''1, SAM~ ASS"7~2--, c-?~/NI StriIc,tural PermitApp~"~tion M""u' j .' _,."V"..~,^"""'.,.."-','. .-~. ,0"'" 0 '0 '" ,.._ " '... 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 1q,~PAR.TM,ENivs,E()Nl.Y CQ.&.1zo09-0 IlbS- Pennlt no.: , I Da,te l?-II-o 7 This permit is issued under OAR 918-460-0030. Permits expire.if work is not started within 180 days of issuance or if work is suspended for 180 days, . "'..,;~(.'\:\i,0Qs:A~:G@:Yg@MgNi;;.~~~@YA~;;;~:\ji!'ii;}ZW;JZ,ii::1 IThiS project has final land~use approva,l. I Signature:. Date: . \ This project has DEQ approval. I Signature: Date: (a) Job description: <;./ IV ,If::; IA-, I'V I Zoning approval verified: Dyes D No I 1 Occupancy \2. J I ~ I I PropertYiSwtthi~ fiood plain D;es D No.. '..,. ' >> .1 1 Construction type / if I~ \~~~~11tf~~{~i;~t~~g;:Qht:J~1~C9}3.Yl(Q.F;~~~9J~(~YRP,G[j.9"~]f~i\i1;i]:ii'I:;A:;,N};7;;'~ijl 1 Square feet: 12~ I 0 Residential J D Government J 0 Commercial I I Cost per square foot: ---!w.~;:: 1!#;!;tYij*';}i1QQ~N~jff~!fN1f6RM'A'tIQ~'~Af'lQ:;'~q.CAf:iJ;mJj.llii;";'~:![;}' 1 Other information I Job site address: c:;7i''', W\ ,l,., ~ I ,I Type of Heat; &,1 S 1m I City: 5.;,-C..lcl I State: of I ZIP'f747f I I, Energy Path; :11< : ~~~:::~::nl~~oJ131 Taxlo,l ~~6 i I ~new Dalle;alion I Name H~I'~" P.~~:::TY9WH~R .. ,,1 \ ~~t:;~':~:~~:~~nIY permit? I Address: ;}.4&'l{ ~w 6/4L.'b- P/4ri' 1 I City ~m..-.ol I St~te: oR.. I ZIP: 1n$'(, 1 lPhone:<"i-.2lt-'~~ Fax:5'-(I-7lI(-.:2~72..' I I E-mail: I This inst~illation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.0\0. Signhere; . :/'04A . ...'," " k ,'..:: " ,:,:,.,c;;ONT;RACjTc9R}I~s',;4t'-A'n9N,:\,:::;,:';f".,:'.,:,:J I Business name: Iftr-y bt70/ &;VI L /1 I Address Zh Z. Z' 6d~bL f.L ~I/C> '1 I City ?d\WlO.vl\ I State O.Q. I ZIP 977S'a 1 Phone . - - Fax . I I E-mail: 1 I CCB license no;: I I I -- Print name: Signature: 1~~it~;;;~;';::~(?i1Z~4tt~rt;~);r~~_G_~N:fJfRAGJ:.QRJtM.QJ3MAtil[Q~Ij0ih';f,~~;~~tj1~~{fi~ti~tl I Name CCB License Numbe; Phone Number 1 1 Electrical f7;).3 (pr; ~11- 1"'<<( I I Plumbing 31 7117 12~- 'l"l'1:l-- I , 1 Mechanical ~",,'l.'3> 7 1D12 ~ ~(o. I D addition DrYes 1 1 1 I 1 I 1 I I I 1 $ 19C.,o-<;) ,t.c-s ~o I (a) Permit 'fee (use vaiuatio-n table):; I (b) Investigative ree (equal to [2a]):' I (c) Reinspeclion ($ per hour): (number of hours x fee per hour) I (d) Enler 12% surcharge (.\2 x [2a+2b+2c]): $ ,\ (e) Subtotal of fees above (2a t~roug~ 2d); $ 1~~~~.l~!Il!~yJ~WjJ~(~~'~l~~{~~W~~f(Mt~X~~~]f~~~i%~]tri~~rr~~~%j.~ ao I (a) Plan review (65% x permit fee [2a]): "n~ j::; $ ZS-c.)~ I (b) Fire and life safety (40% x permit fee [2a]): '$ j , (c) Subtotal of fees above (3a and'3b): $ I $ $ $ j (a) Seismic fee,. 1% (.01 x permit fee [2a]): I $ \ TOTAL fees and surcharges (2e+3c+4a): \" $ 225 Fiftb Street. Springfield, OR 97477+PH(541)726-3753.FAX(541)726-3689 ~1:tB~~~~]ry1!~[i1~1f.11 I ('O."f'ZOo9-0Ilb) I Perrmtno.: I Date: ~-(I-O '7 I Electrical Permit .,Jplication D 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 if work is suspended for 180 days. i~-=~~~~:f~~~~EgNM'~~~~g~~0Yb~ir~-~*~j~)i~1 [~11!!_'iG:Mli:(;PR:i';iGf.l!;:~NSjJjB.l!J.€'inl,Qt:l~ii~m " . ""'~:-",,^,"b,"~ I "" " I, I I I Residential, per umt, service included: ':E'ResldentJa! D Government D Commercial 1~~:;:~E~~~~~~e:jNPll~Q~*l1!~t:lI~~' I i~;~O~d:i:~::II:S~O(:~ ft, orportio~ ' ~ :1::::: I : I City: <'o(',\/"\~/o{ I State: O"K I ZIP:97t'17li'"- I I Limited energy (2) I $ 32.00 I $ Is". ubdiv, is.l.ion:, :i,c,'1:J, ,<"1','" '"fYff<, ~d.,_! "-', S"",J L, ot.n,o, ,: d.,' ,r;..P.,./,.',, I I Eacbl lrnanufactured ~ome or modular I $ 63.00,1 $ Ilii'~6'~~'~~'~~iQ~WQR~~~~JL~1 :::i~:: ::~~::eo:s:~:~::l::;ion, alteration, relocation , . / I mlJ-'Se lJ,(Ll: /. Te-"u/l I 200 amps or less (2) $ 81.00 $ ~~~JW~~e8!:lE~Bj!i;t~Q,W~J;:g~#~k~~~:li'irg 201 to 490 amps (2) , $ 95,00 $ I Name: 1-+--'1nl<'''' 1~"'5, I 40] to 600 amps (2) $158.00 $ I Address: ()Li(;;t-/ ., iJ 0;;'" 'd _ I I 60 I to ~OOO amps (2) $205,00 $ I City: l(("oIVV1CK\ol '1 State: 6(.2., I ZIP: "l7?;;-c;, I Over 1-,060 amps or volts (2) $469,00 $ I h I I Reconnect" only (2) $ 63,00 $ Pone: 5'11- ;)26- c;,q3~ - Fax: -7<11 - d~7) I E~mail: I I Temporary services or feeders: insfallation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) I $ 63.00 $ bJ owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR 479,540(]) and 479.560(1), I 401 to 600 amps (2) I I $126,00 $ I Signature: f Over 600 amps or 1,000 volts, see sei-vices or feeders section above I ~~l:).0Ji1m~~m..QB.]]It:l$.fu;<<U!lli',6..1I1I.QJiI~~l'i;~~"[JI I Branch circuits: new, alteration, extension per panel I I Business name: J(l f) 1\)n1r 'vi FI tf?(' I I a, Feefor branch circuits with purchase of a service or feededee: I I Address: ~'i?n (OVC'~ C+~ II Each branch circuit I 1$ 6,001 $ I I City: ~v1(.A. _ I State: w. 1 ZIP: I b. Fee for branch circuits without purchase ofa service or feeder fee: I I Phone:~ff - >'17- n q'i!: - I Fax: I First brancb circuit (2) $ 55.00 I $ I I E:mail; I I Each additional branch circuit $ 6.00 I $ I I CCB license no,: 17;:) ":?r,,(Ja I BCD license no,: I I Miscellaneous rees: service orjeede;. not included I I Signing supervisor's license uo,: . ifl),"'; i. :!> I I Each pump or irrigation circle (2) $ 63,00 $ I I Print uame of signing supervisor: )fpc\ :\tM?);It><" /Sr' I I Each sign or outline lighting (2) , ; $ 63.00 $ I ,I Signature of signing supervisor:f! fJ. ,n .\j,~"{' . '~;; 'A..' 0 I I Signal circuit or a limited-energy panel, $ 63,00 $ I __~ ~~ alteration, or extension (2) , ~.' l,cEa:~::;~=~~~;~~ANir.!liriS'=E' lL=~~,,,,1 ~ W~ ~""',_c,~,~ __.,,__~IiIl.", .__=~~ \) I (A) Enter subtotal of above fees : !\, O\:\: (Minimum Permit Fee $58.00) $ ,C\.: \ ~~W I (B)Enter]2%surcharge(.12x[A]) $ '\J" 'b~r~ (C) Tecbnology Fee (5% of [A]) $ . ~ ~ \rOT AL fees and surcharges (A through C): $ 'tj~ ' I 13t.f ZQ I I I I I I I I I ~ 440-2584-J (9/08/COM) ~ 'TFI1 [.29 6{ 35 tR-?J Willamalane t Park & Recreation District Job. No. c.9 -// f;5 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: ffijdJni ifj'YVl/f) UJ! ____' PHONE:')(jI-d~-09~ Ar5DR~!/~dfG [(),cJuz; CI~ ;2edtflhyLct. STATE:QL)ZIP: 9775 c;,. LOCATION OF PROPOSED BUILDING SITE Street Address: ,578-(; m(.I1m~ ~cur, Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check a'ppropriate dweliing(s), Dweliing type definitions are on ttie back.) , A. Sinale-Familv Detached NO. OF UNITS X $2,858 per unit = " cr-v $;)1 cst. 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 ;, -' e, , NO. OF UNITS X $1 ,321 per unit = , $ E. Accessorv Dwellino Unit NO. OF UNITS X $1,550 per unit = '$ $ ,;:) I ~c::; ~, 00 I ' WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC.payer must furnish proof of .Willamalane Credil approval.)' $ 3. TOTAL.]L. AMAL:ANE NET SDC ASSESSED f SDC r uced for Credit) , . , 'J1A -()&J:~ ' , Ve'OPB, -nt/Services'Department ity of S rinq'field" , . ' '~)?fs:r h I JB2)1DDa Date " <S"'0 , 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone WIt.~~=,"dii."..,."..,.'.... ........ "~ ~ .". ,^^C '0"'", . .,.. ..., ""-'.<<,~ .". City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01165 COM2009-0 1165 COM2009-0 1165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-0 1165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-0 1I65 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-0 1165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-01165 COM2009-0 1165 COM2009-01165 COM2009-01165 Payments: Type of.rayment CreditCard cReceint I RECEIPT #: 1200900000000000940 Date: 08/18/2009 Description Plan Review Same As Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Temp Power 200 amps or less Residence Wiring 1 000 Sq Ft Plan Review Major - Planning Building Permit ' 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential ' SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Credit - Trans Improv SDC Curbcut Permit Sidewalk Permit PW Disc - 2nd Peimit Residence Wiring Ea Addtl 500 Storm Drainage Impervious Area SDC Sanitary/Storm Admin SDC Transportation Admin + 5% Technology Fee + 12%.state Surcharge Paid By TIM DREILING Item Total: Check Number Authorization Received By Batch Number Number How,Received CJC 098007 In Person Payment Total: / Page I of I 11:36:54AM Amount Due 250.00 38.00 2,858,00 82,00 63,00 134,00 211.00 1,058.77 337,00 79,00 27.00 9.00 13,00 9,00 7,00 695.83 529.11 211.21 931.65 101.97 1,044,54 10,00 (931.65) 88.00 88,00 (30,00) 50,00 850.93 156.28 15,90 107,19 214.41 $9,309.14 Amount Paid $9,309,14 $9,309,14 8/[8/2009