HomeMy WebLinkAboutPermit Building 2009-8-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01241
ISSUED: 08/26/2009
APPLIED: 08/25/2009
EXPIRES: 02/26/2010
VALUE: $ 172,000.00
\
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2061 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802033306000
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING LOT 307 JASPER MEADOWS- SAME AS
, 5734 MINERAL
Owner:
Address:
HAYDEN HOMES LLC
2464 .SW GLACIER PL STE 110 '
REDMOND OR 97756
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
I\lUlJlIL;i;ilIUfl verlH.:H. I f1utie IUles are set TOrm
I (;:ONTRAG'F0RINF0RMi\(}110N,tI952-001-
vv........... I........ "'\..41 v.....~V.lll vv!-',v,", VI ~1-,0 rules by
Contractor calling the center. (NOEi~~n;ele~hExpiration Date
HA YDEN ENTERPRISES'llber for the, Oregon 9Yzoil l'Jotlflcatlon07/29/201 I
Center IS 1-800-;'>"<<-4344).
TOP NOTCH ELECTRIC INC 172306 09/2912010
PACIFIC AIR COMFORT INC 39237 03/25/2010
STUTZMAN SERVICES INC 31747 05/1212010
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
Contractor Type
General
Electrical
Mechanical
Plumbing
I BUILDING INFORMATION 1
2
. # of Stories: I Lot Size:
~.2t of Structure 15.50 Sq Ft 1st Floor:
fl!~Type;Of Heat: Forced Air Gas Sq Ft 2nd Floor:
l'm~W;a~e~~\Cyp~j:t,'y4l.t EEffi1'~1 ~Fq~~~~~ft Basement:
J1ijJI~.\1:n,~~gYJ'S;HQ~ Ttl~~~lmri~! ~I~~~:rt GaragelCarport
QruP,~~~.r,grr~~l~,:bl>1:;Mr1i\i\Iru;)~IJHf1 FAG-. Sq Ft Other:
\ " 'Spr,inkl~dB~i.lding:'" \1't'..'iU1NiP nm Occupant Load:
,,i:-i~'y L!.~,../I;,lVH..,I~",
I DEVELOPMENT INFORMATION 1
6,550
1,031
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
560
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
10.00
14.00
24.69
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
24.20
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Storm water to curb via weep hole
Sidewalk Type:
DownspoutslDrains:
............
Curbside 7'
Curb and Gutter
Notes:
Page I of4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garaee/Misc
SF/Duplex
Type of Construction
U VB Utilitv
R-3 VB 1&2 Family
\
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Credit - Trans Improv SDC
Cnrbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Same As
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
, Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm 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
Willamalane Single Family
Total Amount Paid
I Valuatio~.Descdot!o~,1
$ Per Sq Ft
or multiplier;
$37.72
$96.83
Amount Paid
$207.57
$104.34
$79.00
$337.00
$38.00
$9.00
$1,001.79
$-931.65
$88.00
$9.00
$13.00
$79.55
$7.00
$211.00
$250.00
$-30.00
$134.00
$50.00
$507.07
$666.84
$10.00
$1,044.54
$101.97
$151.35
$211.21
$931.65
$16.13
$88.00
$807.94
$63.00
$27.00
$2,858.00
$9,141.30
Square Footage
, or Bid Amount
560.00
1,031.00
Total Valne of Project
Fpr<. PlirlJ
Date Paid
8/26/09
8/26/09
8/26/09
8/26/09
8/26109
8/26/09
8/26109
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26109
8/26/09
8/26/09
, 8/26109
8/26/09
8/26/09
8/26/09
8/26109
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26/09
8/26109
Paee 2 of 4
CITY OF ~rKI1~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01241
ISSUED: 08/26/2009
APPLIED: 08/25/2009
EXPIRES: 02/26/2010
VALUE: $172,000.00
Value
Date Calculated
$21,123.20
$99,83 1.73
$120,954.93
08/25/2009
08/25/2009
Receipt Number
,
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
120Q900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
, 1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
1200900000000000987
CITY OJ' ~rKINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01241
ISSUED: 08/26/2009
APPLIED: 08/25/2009
EXPIRES: 02/26/2010
VALUE: $ 'I 72,000.00
225 Fifth Streei, Springfield, OR
541-726-3753 Phone
541-726~3676 Fax
541-726-3769 Inspection Line
Planninl! Review
08/25/2009
I Plan Reviews I
08/2512009 APP
DDK
Access restricted to ] driveway/lot.
Follow street tree plan.
Storm water to curb via weep hole
As noted on plans
Public Works Review
Structural Review
08/2512009
08/25/2009
08/25/2009 APP
08/25/2009 APP
LKW
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.
~P'1I\WlliUmrrrtil?riJ
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measnres 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 andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete,placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: 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 complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.;
Underl100r Plumbing: Prior to insulation ordecking.
Underl100r 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 filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Page3 of 4
-1iB;~'i~~&!~~~'" ","
'; i ' " ','" :; ":Vj'
-'I: ,".'
CITY OF SPRINGFIELD
Building/Cqmbination Permit
Status
Issued '
PERMIT NO: COM2009-01241
ISSUED: 08/26/2009
APPLIED: 08/25/2009
EXPIRES: 02/26/2010
VALUE: $'172,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Undert100r Mechanical. Prior to insulation or decking and including required testing.
Undert100r 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: Wh,en all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 only contractors and employees who are in compliance with ORS 70\.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.
-(-//::>/;2A~
Owne;~r ~o~rs Signatuu
r cJb - 00;
Date
Page 4 of 4
\~. .
..~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone' '
Job/JouTDal Number
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-0 1241
COM2009-0 1241
COM2009-0 1241
COM2009-0 1241
COM2009-01241
COM2009-0 1241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-01241
COM2009-0l241
COM2009-01241
COM2009-0 1241
COM2009-01241
COM2009-01241
COM2009-0 1241
COM2009-01241
COM2009-0 1241
COM2009-01241
COM2009-0124t
COM2009-0 1241
COM2009-01241
COM2009-0124 I
COM2009-0 1241
COM2009-0 124 i
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000987
Date: 08/26/2009
Description
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
SDC Transportation Admin
Plan Review Major - Planning
Plan R~view Same As
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vein Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Credit - Trans 1mprov SDC
-j- 5% Technology Fee
+ 12% State Surcharge
Paid By
BRETT WILSON
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
CJC
00743C In Person
Payment Total:
-I
Page I of I
9:51:lOAM
Amount Due
88,00
88,00
(30,00)
807,94
666,84
507,07
211.21
931.65
101.97
1,044,54
10,00
151.35
16,13
211.00
250,00
1,001.79
38,00
2,858,00
337,00
79,00
27.00
9,00
13,00
9,00
7,00
134,00
50,00
63,00
79.55,
(931.65)
104.34
207,57
$9,]41.30
Amount Paid .."...--
$9,141.30
$9,] 41.30
8/26/2009
Electrical Permit Application
D
225 Fifth Street. Springfield, OR 97477 .PH(541)726~3753+ FAX(541)726-3689
1!~irfiJ8:~f~~,]~~E!~~m~1;~~I~i
I
I
Pennitno('9 - / i q /
, Date:'
6/2'/CJ9
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 f~r 180 days. " ,
1~_.ltj[1i):Ge;~Q&~@ME:t~JiiW~iillR!DM;~t~z~~
Zoning approval verified? DYes D No ,I
1~J1l.~'illl':<t;8-]g@~R;YMQ:~~r~N'~mR!!l~jijIQ~~}}~~j Residential, per unit, service included: ' 1
E~:~~I~E~fJ:~~~Wl1~";~i~~~\ll :;;;:i:~:::~s~o(:~ftOrportio", ":1:::::: i
I City:)X".f"r lol.. I State: oK I tIP: '17'-f78 , I 1 Limited energy (2) $ 32.00 $ I
1_},~b,~diV~!~:~~L_~<?ID~~'; _ _1~_o~~~0.~}~7~. .. J I ~~~~I~ganS~~~~r~~ ~e~~~r o(~)modU]af $ 63.00 $ I
, C" ,1!_,il>'D SeRIf'.;r10N"f0E""W0RK~"iJ',: '~""~i\~1
\- ",. ",-~~~ -- ,",.." ,', .. ,.. h_"''', $-;......-.."..""'.."",.'..'..'.."'.., I Services or feeders: installation, alteration, relocation I,
l~f~~~~1Jerf~BEf{~~0WNE:Bii~~~~~4~;fC.~1 ' J :~~ ~:;oo~;: ;:~ "'; :::::; :
I Name: l--L'IJeV\' Kc..,-""e "" " 1 40] to 600 amps (2) , $168.00 1 $ I
I Address: ;/t-lC"-! 5w t,f"'riRr I 1 601 to 1,000 amps (2) $205.00,1 $ 1
I CitY.: Q",oiV"lcvo<>1 I State: 01< I ZIP:')?7S-c; 1 I Over 1,000 amps or volts (2) $469,00 $ 1
I Phone:S'II-:218-iO'J:>5' I Fax:9'/1-7'11- ,;;57?, I-I Reconnect only (2) $ 63,00 $ I
I E-mail:' I I Temporary services or feeders: installation, alteration, relocation . \
Th" 11' 'b' d 'd' 1 < 1 200 amps or less (2) $ I
IS msta atlOn IS emg ma e on reSl entIa or lil:rm property . 63.00 $
owned by me or a member of my immediate family, This I 20] to 400amps (2) $ 87,00 $ I
property is not intended for sale, exchange, lease, or rent. OAR I
479,540(1) and 479.560(1), 40] to 600 amps (2) $126.00 I $ 1
signa~e: lOver 600 amps or 1,000 volts, see services or feeders section above I
l~fjE"$:(;j:tilill~.C1li!1Ql31lilf'.l'$ffiA~l.1'J,(-illl.QN'.~!!m':i1iJ;~,r:1 I Branch circuits: new, alteration, exiension per panel I
Business name: fur \\}yt(~ E I pC I I a. Fee for branch circuits with purchase ofa service or feeder fee: I
Address: ~O~ A (ov r?<1C -t I 1 Each branch circuit 1 I $ 6.00 1 $ 1
1 City: 13<:- 1\0\ I State: 6R. I ZIP: I I b. Fee for branch circuits without purchase of a service or feeder fee: I
I Phone: 51 1/ -311 ~ 1'1'1" I Fax: I First branch circuit (2) I I $ 55,00 I $ I
I E.;maiI: 1 Each ,additional branch circuit $ 6.00 $ !
I CCB li~ense no.: ~J~ 30C; I BCD license no.: (..22(1. 1 Miscellaneous fees: service orfeeder Mot included I
I Signing supervisor's license no,: ~O "10'>4.5"' I 1 Each pump or irrigation circle (2) $ 63,00 $ 1
I Print name of signing supervisor: 'Verl ~'frid,)er ,I I Each sign or outline lighting (2) $ 63,00 $ I
I Signature of signing supervisor: C) J - A ~; , ~n _ I I Signal circuit or a limited-energy pa)lel, $ 63.00 $ I
U.,(JUJ A~L--" alteration, or extension (2)
I Each additional inspection: (I) $58,00 $
~~~~afJ.!~I-Q~r~If&;Jii~~~~~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
1 (B) Enter 12% surcharge (,12 x [AD
I (C) Technology Fee (5% of[A])
1 TOTAL fees and surcharges (A through C):
'~
~ ' C\C\~
(\:v,
~~
%~~W
'I;f'
~
440-2584-1 (9108/COM)
$
$
$
$
1
I
1
Structural Permit Application
(\... c-J(pt(
5~ I""Q, V I
f'v\M.~
I. [iEPARTMENT USE ON~Y
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54 1)726-3689
Permit no::{:tr - 12 L( /
Date f/.2.>lv:>
,
This permit is issued under OAR 918-460-0030, Permits expirC'if work is not started within 180 days of issuance or if work is
suspended for 180 days.
,',' "0i: :"}i:li0.cA~"99y'ER~M$Nt;:~eeRQYA~i~:S']i!J),,}i;!:;:f;~f:"
This project has final land-use approval. I .
Signature: Date:
I This project has DEQ approval:,
Signature: Date:
1 Zoning approval verified: 0 Yes 0 No
~~!~::tit~~\~k:::J~~;~:i
I Job site address: -XJ(" / .s. ~g: t.... I
Type of Heat:
I City 5f",^f~FI.ln\ I State, oR J zIP'f7<{7f I I Energy Path:
I Subdivision: -:\...C:DN f\1re.olD"-l <:. I Lot no,: ..507 J I
I . I 0 new 0 alteration 0 addition
~eference:' TaxIOl: ,I I (b) Foundation-only permit? ,0 Yes 'IENo,
i:::"~1~ ~:~:;' . ..; il;;i;:;~;~'l~'.\\'ii'''''Si''~ ,JA~~;:;,'
I f (a) Permit fee (use'V~luation table): $
City: ,Rrt\."1d~~ State: oR. ZIP:')77;C, j I (b) Investigativefee (equal to [2a]): '
I Phone: -;;lri- {,fj '3(' Fax: -}'II - 2S7.J I $
I (c) Reinspection ($ per hour):
E-mail; 1 (number of hours x fee per h04r) $
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.. "CONTRAC]ORiNsi:i\lLA'n0N",
1 Business name: HO"yd....... I~......<.
I Address: <Plv-o,t=, ,
I City:
I Phone:
1 E-mail:
I CCB license no.:
Print name:
I Signature:
,:",
'':;'''j
J
I
I State:
Fax:
I ZIP:
1"";;;;;'''i5H'''';'i1't;~;S' 'U'8C"O:N",'R'A-'C."T,',O' 'R'I-NFO'R " 'M'A'\,!,' 'l'O'-'N'l'iJ'1*0'.';'8!!i,';,',,,~;,
;':':;~;'~:;'oi ,,-, ," C~'~~jc~~~e~~~~e; ,,' ";~o~;;'~~~:~;;"';"':j
I Electrkal 02-)&(" ~Il -Rwl I
Plumbing 31;4 7 '14.~ - kq 4?- I
I Mechanical 3'1')'3'7 (07).."'15'10, I
I'T' ,,!; '" "':::C~';,'}>}!iF EESCti E'6iJ'LE";'
>~::\Y~~li;~:tY~'n\-I~f~iIlf~{i,q~~:(~lt~~\~~<::-'i:};~J!~: A\;;t:(;/~: "F';,',;,
(a) Job description:
'!;\;i;,:/,~;;j
Occupancy
Construction type:
j
I
j
j
1
Square feet:
f()? I
:I ,)'{,o '
Cost per square foot:
Other infomlation:
~
;).Jlr
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
I (e) Subtotal of fees above (2a th~ough 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): $
I
I
j
"1
I
J
I (a) Seismic fee, 1% (.01 x permit fee [2a]): $
.1 TOTAL fees and surcharges (2e+3c+4a): $
f'.: ~ Willamalane
t' Park & Recreation District,
Job. No. tt1-/2 'I j
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME: HNIT)EtJ HClM.E::.S, PHONE: ?-~o (#~J~
._._._......__.. ~_,_ ---"'_~ _ _._ '_n T____-.T__
ADDRESS:J,Lf"" SW&L."'C::/~~ tZ-PM..#J1:> STATE~IP: q 'J4?'i
, LOCATION OF PROPOSED'SUILDING SITE:
Street Address: -;20& / S. ,g-t-t... ST.
Plat:Name:, Tax Lot Number: /f02:~'3'9 ()C.tk70
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 ==
$' 2Tq
B. Sinale~Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-FamilvAoartment
NO. OF UNITS
X $2,641 per unit =
$
, .0: 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 C'REDIT (If 'applicable) SDC' payer must furnish p~oof of
Willamalane' Credit approval. )
$,
3., TOTAL WILLAMALANE NET SDC'ASSESSED
(if SDC reduced for Credit)
$ 23Sg-
J5125"11?9
Date
:~
Development Services Department
City of"Springfield
5