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Home My WebLink AboutPermit Building 2009-8-18 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01l89 ISSUED: 08/1812009 APPLIED: 08/17/2009 EXPIRES: 02/18/2010 VALUE: $ 162,000.00 Status Issued 225 Fifth Btreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 2011 S 58TH ST ASSESSOR'S PARCEL NO.: 1802033305800 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New . PROJECT DESCRIPTION: NEW SINGLE FAMILY-DWELLING SAME AS 5764 MINERAL Residential Owner: Address: HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Contractor Type General Electrical Mechanical Plumbing ~~"'.... \/nl1 to 0"I,CON'fRA:€TORINFORM1VflON . JT""lT\" " · "" , A e... dootea Uj ",- re set 101'" C ',."~'" rules a . Those rules a M'\.- ontract!)r 'ron Center. hOAR 952-.J..>\cense HA YDErNfN'tERPRISES 0 thrOu~s of the rU\E922~8 ' TOP NO(tSH~I;E@T,Ri.0J\%~f~: the te\ephO~72366 PACIF~C~it.~\~O~~R't~\jSI1 Utility Notlflc~~Ih STUTZIVJ,i~MiERVIeE~:I@.OO_332-2344). 31747 1J~)"BUILDlNG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure 15.50 Type of Heat: Forced Air Gas 'Water Type: Gas Range Type: Electric .;3, . Energy Path: E WORK NOTlt;E. SJ!1'1i.JOO:eoi'il'iiilliirll\ 01 No _, ,," ot:RMI1 Sri..... ~',':,~ nco~I~T IS N ~UT\-IORILDEVE~oil\iENmliNF.~RM;\fFION I , ,r GOMME\'.lvl:U v,. ,- '. DAY PERIOD. 118~00 BO, Overlay Dist: 10.90 # Street Trees Rqd: 14.00 Paved Drive Rqd: 23.36 % of Lot Coverage: 0.00 I R-3 U VB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 07/29/20 II 09/29/2010 03/25/2010 05/12/2010 Phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 Lot Size: 5,350 Sq Ft I st Floor: 1,031 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other, Occupant Load: 2 Yes 26.70 REQUIRED PARKING Total: 2 Handicapped: Compact: FullV Imnroved No Storm water to curb and gntter via weep hole in curb Sidewalk Type: DownspoutslDrains: Curbside 7' Curb and Gutter Notes: Page I of 4 _fl:~~!~!!"!i!~I~!~ " ~ ..., , ; - ",.t- :'t~ ~~ Sta tus issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01189 ISSUED: 08/18/2009 APPLIED: 08/17/2009 EXPIRES: 02/18/2010 VALUE: $ 162,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Valll3ltrion Oescriotion I I II I II I , Descriotion Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L-Fpp< P'jj,jU Fee Descrintion Amount Paid Date Paid Receipt Number + 12% State Surcharge $199.69 8/18/09 1200900000000000939 + 5% Technology Fee $101.05 8/18/09 1200900000000000939 1st Appliance $79.00 8/18/09 1200900000000000939 '2 Baths One or Two Family $337.00 8/18/09 1200900000000000939 Addressing Assignment $38.00 8/18/09 1200900000000000939 Appliance Vent $9.00 8/18/09 1200900000000000939 Building Permit $961.09 8/18/09 1200900000000000939 Credit - Trans Improv SDC $-931.65 8/18/09 1200900000000000939 Curbcut Permit $88.00 8/18/09 1200900000000000939 Dryer Vent $9.00 8/18/09 1200900000000000939 Exhaust Hoods $13.00 8/18/09 120~900000000000939 Fire SF Fee - Residential $71.55 8/18/09 1200900000000000939 Gas Outlets 1-4 $7.00 8/18/09 1200900000000000939 Plan Review Major - Planning $211.00 8/18/09 1200900000000000939 Plan Review Same As $250.00 8/18/09 1200900000000000939 PW Disc - 2nd Permit $-30.00 8/18/09 1200900000000000939 Residence Wiring 1000 Sq Ft $134.00 8/18/09 1200900000000000939 Residence Wiring Ea Addtl 500 $25.00 8/18/09 1200900000000000939 Sanitary Sewer - Improvement $507.07 8/18/09 1200900000000000939 Sanitary Sewer - Reimbursement $666.84 8/18/09 1200900000000000939 SDC MWMC Administration $10.00 8/18/09 1200900000000000939 SDC MWMC Improvement $1,044.54 8/18/09 1200900000000000939 SDC MWMC Reimbursement $101.97 8/18/09 1200900000000000939 SDC Sanitary/Storm Admin $149.70 8/18109 1200900000000000939 SDC Tran Reimburs-Residential $211.21 8/18/09 1200900000000000939 SDC Trans Improvement-Resident $931.65 8/18/09 1200900000000000939 SDC Transportation Admin $16.21 8/18/09 1200900000000000939 Sidewalk Permit $88.00 8/18/09 1200900000000000939 Storm Drainage Impervious Area $776.53 8/18/09 1200900000000000939 Temp Power 200 amps or less $63.00 8/18/09 1200900000000000939 Vent Fan $27.00 8/18/09 1200900000000000939 WilIamalane Single Family $2,858.00 8/18/09 1200900000000000939 Total Amonnt Paid $9,023.45 Page 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01189 ISSUED: 08/18/2009 APPLIED: 08/17/2009 EXPIRES: 02/18/2010 VALUE: $ 162,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726:3676 Fax 541-726-3769 Inspection Line Plannine: Review 08/17/2009 I Plan Reviews I 08/17/2009 APP nDK Access restricted to one drivewa'y/Jot. Follow street tree' plan. Storm water to curb and gutter via weep hole in curb AS N01'ED ON PLANS Public Works Review 08/17/2009 08/17/2009 APP LKW Structural Review 08/17/2009 08/17/2009 APP CJC 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. U~[..II.irprl Jnsnections I 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. 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 ~over 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 complete, Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backtill. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Underfloor Drain: Prior to cover or placement of concrete. 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. Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01189 ISSUED: 08/18/2009 APPLIED: 08/17/2009 EXPIRES: 02/18/2010 VALUE: $ 162,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rough Electric: Prior to Cover Temporary Electric: Approval required prior to Utility Company energizing pole. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By siguature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the w~rk 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 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. '~..L2~ )( - /3' -09 Owner or Contractors Signattire Date Paee 4 of 4 ~ 1J Willarnalane . t " Park & Recreation District , Job. No. $1- lid/' SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME:Hrty I) t----f PHONE: ,}.-Z ~ ~ ro"7' S :> ADDRESS:Q:.A-~,b.."IL-- V'1t::..--z..eITY ,;f()tJ1"-O STATE:~IP: LOCATION OF PROPOSED BUILDING SITE: Street Address: '2lJ! I J .f"6 Jil s; '( Plat Name: Tax Lot Number: , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the back,) , , , 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC redllced,for Credit) $,:13Q ~ 1 I ? /'Jl Date ~-r-' Developmenl'Services Department City of SI:>ringfield 5 94Me As 57~q ;"1. 'YIPI' '1.1 . Iq~PARTMEt.huS~()NL y 'I Structural Permit Application - SPRlNGFIEI-O ~Cl,""",J;.',% t' <t " "-A", ~01 ti ~~''!;I''''C~'''''f:i1(~i.~ ~1B~~: ';;;~1 p'emlit n~U?- / ;Ff 225 Fifth Street. Springfield, OR97477. PH(541)726-3753'..FAX{541)726~3689 , ' I Date IJ,/J7/07 This permit is issued under OAR 918-460-0030. Permits expire if work i~ not started within 180 days of issuance or if work is , suspended for 180 days, 1 ZIP: "f7'f1r I '3"5 1 I I I ~ new 0 alteration '..[ I (b) Foundation-only permit? 1 I Total valuation: Iii"';";' '''';\\i:1.l0,cAil:,;G0Y~RNMENr;iAPBR0:VAIl\~:\!~i;F;f;t;;~h;i~ill I T~is pr~i~'ct h'~~ 'fi'~~ll~nd-~s~ a~~r'~:~J.-'" .... ,,-._,-,_.'. - ..,,' .... -, -<" "1 Signature: Date: I This project has DEQ approvaL I Signature: Date: I Zoning approval verified: DYes 0 No 1 I Property is within flood plain: 0 Yes 0 No I 1;~t~~~f~~ttil~~~1~~.~.t~1~&>:RX'{;~Jtf\G,Q'N.~j}R_V.Girft~'~~~i1i~~'tX~~5i~~~~1~;,~:;~i&] I ~ Residential, I 0 Government I D Commercial I l~i.;;<\';Ji~;:!:"'/'i'0""Bj)Slir'[Nf0RMA;[lON\liAN[j\jE6cA1J6N~;f,I.i::\i""j:):: ' :~!",:;,,.<h_ ,;""_;.~',,,~>J_,--_,~ _, J1'., ,;~ '_ ,,::",< _ .<_r'~ ,,_.: ,. __'_,_'< __ _;,_ ;..' '.>;' _"._ ,__.. _,<CO'________" " .' .c. 'i. _" ",.' :t~--'_~,'?,~.c;.;__,,',,:;:':, I Job site address: ~')5" .s ,5'6 tv> I City: 5,,;.._C~Id. I State: of I Subdivi~ion: ~~r ~,/,.'>V~ . I Lot no.: I Reference: I Taxlot: . I:, ;,' ,'" P~0PER"T\-:,c:iwNER~ I Name: H~l..", I-\",..,;.~ I Address: ;;'4'4-~ .;"-' ' 6. 14L.'6- p/",r,. ,I I City ~1'IlI~ I State:oR. IZ1P:~n$''' I IPhone:(l"-:ut-cO~'5'r Fax:'S'-/I-7f./(-,;2~72_' I 1 E-mail: 1 This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701_010. Sign,here: I: ,r.; ;cONTRAi::ttORiMSTALl-'A'pgl'f ';,;:, '". ,I I Business name: \.\"7"/&>" !b""..s I I Address: /).'-tr.i{ <:; w 61"r,d ,[ I City: R.-ol""",,,,A I State: t! R I ZIP; 1775r;.. ,I I Phone:, Fax: I I E-mail: I I CCB license no,: 122cTt 1 1 Print name: 1 I Signature ~ /?~_--(----, I E~fi~~~r~s~r;';n?'~!~~:Z~'$Xl~.~G~N__mR~G_JQRf~ffF.Q.RM_AIiQ.N~~f0~~~*8Ii~~~$~~fl I Name eCB License Number Phone Number 1 . I Electrical ~IT~"?{p~ I 1 Plumbing "3 r ')4, I , 1 Mecbanical ?1)37 I I (a) Job description: ;Vb-v,,} I Occupancy I I I I I I I \ I I I ..d I I I I 5'F,;) Construction type: Square feet: 103/ /4DD I Cost per square foot: Other information: Type of Heat: G'1.S, Energy Path: :lA o addition O'Yes ONo I $ I-(a) Permit'fee (use valuation table):, I (b) lnvestigative fee (equal to [2a]): I (e) Reinsp"clion ($ per hour): (number of hours x fee per hour). 1 (d) Enter 12% surcharge (.12 x [2a+2b+2c]): I (e) Subtotal of fees above (2a thro,~gh 2d): $ $ $ $ $ I (a) Plan review (65% x permit fee [2a]): $ I (b) Fire and life safety (40% x permit fee [2a]): $ ,I (c) Subtotal of fees above (3a and 3b): $ 1 (a) Seismic fee, 1% (.01 x permit fee [2a]): ,I $ I TOTAL fees and surcharges (2e+3c+4a): $ City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I] 89 COM2009-0 1189 COM2009-0 1189 COM2009-0 1189 COM2009-0 1189 COM2009-0 1189 COM2009-01 ]89 COM2009-0J ]89 COM2009-0] ]89 COM2009'0] 189 COM2009-0] ] 89 COM2009-0] 189 COM2009-01189 COM2009,0 1189 COM2009-01189 COM2009-0 1189 COM2009-0 1189 COM2009-01189 COM2009-0] 189 COM2009-01189 COM2009-0 1189 COM2009-01189 COM2009-0 1189 COM2009-0 1189 COM2009-01189 COM2009-01189 COM2009-0 1189 COM2009-0 1189 COM2009'01189 COM2009-0] 189 COM2009-0] ]89 COM2009-0 1189 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200900000000000939 \I :09:50AM Date: 08/18/2009 Description Plan Review Major - Planning Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement , SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans ]mprov SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transportation Admin SBC Sanitary/Storm Admin Plan Review Same As Building Permit Addressing Assignment WiIlamalane Single Family 2'Baths One or Two Fami]y ]st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets]-4 Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential + 5% Techno]ogy Fee + 12% State Surcharge Amount Due 211.00 88,00 88,00 (30,00) 776,53 666,84 507.07 211.21 931.65 (931.65) 101.97 ],044,54 ]0.00 ]6,2] ]49.70 250,00 961.09 38.00 2,858,00 337,00 79,00 27,00 9,00 ]3,00 9,00 - 7,00 63,00 ]34,00 25,00 71.55 101.05 199,69 $9,U23.45 Paid By TIM DREILING Item Total: t:heck Number Authorizatio~ Received By Batch Number Number How Received Amount Paid CJC 070138 ]n Person, Payment Total: $9,023.45 $9,023.45 Page 1 of 1 81l8/2009