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HomeMy WebLinkAboutPermit Building 2009-8-27 CITYOF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01253 ISSUED: 08/27/2009 APPLIED: 08/26/2009 EXPIRES: 02/27/2010 VALUE: $ 162,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5767 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033302400 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRiPTION: NEW SINGLE FAMILY DWELLING LOT 271 JASPER MEADOWS SAME AS 5764 MINERAL REQUIRED PARKING 2 Owner: Address: HA YDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMA nON 1 Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date HA YDEN ENTERPRISES 92208, 07/29/2011 TOP NOTCH ELECTRI€:INmN: Oregon law i723'6'6~s y~,r~ 09/29/2010 PACIFIC AIR COMEOR'f INCS adopted by trf9Hf~~~et ;~rih 03/25/2010 STUTZMAN SERVWESIIN~~ ~:~lt:~" ~~~::.Xij,47:l'1 Q<;2-001- 05/12/2010 i~;Buii,DiNG;'NF:oRM~n(>N'1 the rules by calling the cemer. \"Vl~,"'~ tele~hone nun#~Qf Stories: Oregon Utility Notlflqallo~ot Size: HeightrofjSifuhgQP-332-2341~.50 Sq Ft Ist.Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Electric Sq Ft Qarage/Carport Energy Path: Sq Ft Other: Sprinkled Building: No Occnpant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction, Type: # of Bedrooms: I R-3 U VB 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 18.00 10.00 5.00 2~:~~OTlCE: TI-lIC: DI'R~nIT C:1-l811 I''XPIR1= 11= TH1= WORK AUTHIY.UBillGJIMRROI\tIlMENIfSI~1 IS NOT COMlv)tl%tLl Uti I" 1-\D1-\1~UUI~cJFORSidewalk Type: ANY 180 DAY PERIOD. DownspoutslDrains: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 31.10 Total: Handicapped: Compact: Notes: Stormwater by weep hole to curb and gutter Pa2e I of 4 Phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 1,031 400 ,...:...~RIt~"G!li'~~:9ft IIIr,Wr Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Gara2eIMisc SF/Duplex U VB Utilitv R-3 VB 1&2 Family Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Addressing Assignment Appliance Vent Building Permit Curbcut 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 - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 400.00 1,031.00 Total Value of Project Fpp~ pqiiJ Amount Paid $159.25 $84.20 $79.00 $38.00 $9.00 $961.09 $88.00 $9.00 $13.00 $71.55 $7.00 $211.00 $250.00 $-30.00 $134.00 $25.00 $483.84 $636.30 $10.00 $1,009.17 $97.90 $127.38 $201.54 $75.27 $88.00 $725.18 $63.00 $27.00 $2,858.00 $8,511.67 Dale Paid 8/27/09 8/27/09 8/27/09 8/27/09 8/27/09 8/27/09 8/27109 8/27/09 8127/09 8/27/09 8/27/09 8/27/09 8/27/09 8127/09 8/27/09 8/2 7/09 8/27/09 8/27/09 8127/09 8127/09 8/27109 8/27/09 8/27/09 8/27/09 8/27109 8/27/09 8/27/09 8/27/09 8/27/09 Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01253 ISSUED: 08/27/2009 APPLIED: 08/26/2009 EXPIRES: 02/27/2010 VALUE: $162,000.00 Value' Date Calculated $15,088.00 $99,83 I. 73 $114,919.73 08/26/2009 08/26/2009 Receipt Number 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 1200900000000000999 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01253 ISSUED: 08/27/2009 APPLIED: 08/26/2009 EXPIRES: 02/27/2010 VALUE: $ 162,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Plan Reviews 1 Plannin2 Review 08/26/2009 08/26/2009 APP DDK Access restricted to I drivewayllot. Follow street tree plan. Public Works Review 08/26/2009 08/26/2009 APP TSS Stormwater by weep hole to curb and gutter. Structural Review 08/26/2009 08127/2009 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 "Rpnlli~nsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected hut 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 Iloor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Underlloor 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. Pa2e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01253 ISSUED: 08/27/2009 APPLIED: 08/26/2009 EXPIRES: 02/27/2010 VALUE: $ 162,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. 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 n_ot 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. 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 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. - L hh~ t!r' )(--21-01- Owne~ or Contractors Signatur() Date Page 4 of 4 lit]t!R~f'~R~~flj~if~i~if:.~1 I Penni~ no: C'r - /2 D I I Date: ITJ4/~ <] I I This permit is issued nnder 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. 1~~!fGJ3'i~~fQ<D:M~gNMI;~-[l!lI~~P.JrQMP.;_~~ I Zoning approval verified? 0 Yes 0 No I 1~:;;;:~~ill!=G:'F{~~~~:~~;Jt~~it~Q~~:~i Residential, per unit, service included: yO; ~ l~m'!fQll1[~i[Eil~~B:M~ii]!~~EiJ.;:jJJf~f.G:J,\mfQ~~if,~~ 1,000 sq ft, or less (4) I $134.00 I Job site address: 57'7 M,y..et'<t../ Ir'au-{. I I ~~~~;fditionaI500sqft.orportion ( $ 25,00 $Z)I I City:S-..",,('\:~ io! I State: CWZ. I~IP: '17'-f78' I I Limited energy (2) $ 32.00 $ I I. Subdi~ision\) -:\:"''',Q>{ ,Ii"\~ 't , ,I Lot no.: , "I I Each manufactured home or modular $ 63.00 $ I ~Q,!;,$~~Rigil'~l:!Nti1J:>~WcQ_RB~~~1 dwelling service or feeder (2) I' ,~^...."';-- ATTE, Services or feeders: installation, alteration, relocation. I l~iai~aWNE~~B'-~i~E~ S ~~~~~:;~~~~;~'~~~es You to ~ :::::: i 0;: ~ '."0_ ..- .-'~.'----""""--'.~ ......-;----',,--..'-"-'-~"" '_~_~' -~.:;c.:U~' "0 T!'L"'''''I''I~I~.1I''''':;::;;. UHltt Name: \-l.'IJ,V\ Kc;vr-.-e <;, 0090. You rn^~1-IIL4P& !9,~.Q0 ~ps:t~)e ,.",,_X $158,00 $ I , '-'itllJn -"1'01)60111 1-000" 'JtJ~2Y5-'''' I Address: :JLfCt..1 $t-J IJAr;p, nll~~_g the Ct'nt- oUi_",~amp.l " 2-001. $205.00 $ I City: R"oI v>'1CVl vi I State: 0 Q I ZIP: ')VV;;:.:h l .(J;g~~~P'3?g;::::~9U~i~,~j)y $469.00 $ I I Phone: SLI/-.22/f- tS')~5 ' IFax:9'11-7LU- ,;1577 '-', 11Re:cgn.'),~cJ 96!~!(zYficatin" I $ 63,00 I $ I I E-mail:." I Temporary;'e-;'~ilces or feeders: installation, ~lteration, relocatiol) .4 This installation is being made on residential or farm property ,I 200 amps or less (2) f $ 63.00 $ b~ owned b)i me or a member of my immediate famili This 1 201 to 400 amps (2) $ $ I property IS not mtended for sale, exchange, lease; or rent. OAR I 87,00 479.540(1) and 479.560(1), 401 to 600 amps (2) $126.00 $ I Signature: ~ Over 600 amps or 1,000 volts, see services or feeders section above I Im~~G.0:r9jf!!Y.>;:~iI'dl:i'Bil[SlTi~11!&k](El:f'jm-~i;~frfJ I Branch circuits: new, alteration, extension per panel I I Business name: "To'r \\lich F I pC - I I a. Fee for branch circuits with purchase ofa service or feeder fee: I I Address: ~Ot: A (ovt?"1 C -\-. I I Each branch circuit I I $ 6,00 1$_ I I City: &. "dt I State: 6R I ZIP: I I b, Feefor branch circuits without purchase of a service or feeder fee: I I Phone:S11/-3i1 -/91'6' I Fax: _ I First branch circuit (2) I I $ 55.00 I $ I I E-mail: NOTICE: I Each additional br~ch circuit $ 6.00 $ I I CCB license no,: FP.3(O(, I BCD license no,: r !nn}'tK~ lilT Ml~A\IIU1Et.Psla~:lfe"\'}ilt:o~I\)J,~~ notincluded I I Signing supervisor's license no,: <..j () sl/ 5 AU I MVt'll/ 1::4 E\I~h)p;tbp lJ'rli?rig&i16W~iicie-'n2YU f I $ 63,00 $ I I" cc,;',;~:; :E ).1-,,, 1i)J\;;':'i,,jjJ\,J[J; F:1 i PrmtnameofSlgningsupervisor:Ver / 5f/,~r.<>:tl~~A',~~slJ::touuJne Igntlng"() $ 63,00 $ I ! Signature of signing supervisor: ( J /J ~lr7 -~' Slgnal,CIrcultora limIted-energy panel, I $ 63.00 $ I ~~ c?:::J~_~. ~ alteratlon,orextenslon(2) . .I Each additional inspection: (I) I $58,00 $ ~~~~.RR'[!lij;A'f.lJf~~:[S'EM'.~~~~~ (A) Enter subtotal of above fees ' J (Minimum Permit Fee $58.00) $zz- ~, I (B) Enter 12% surcharge (,12 x [AD $ U' ~ I (C) Technology Fee (5% of[AD $ 11''1 I TOTAL fees and surcharges (A through C): $"'; rql71{ VV I , Electrical Permit Application o I 225 Fifth Street. Springfield, OR 97477'PH(541)726-3753+ FAX(541)726-3689 ~:\}9D ~~ t\~ ~ C\:'V ~~~ tt;tvf{) ~f( ~~ 440-2584-1 (9/08/COM) SAMF M f?c/f fV'lrhc/C1./ Structural Permit Application --- 225 Fifth Street. Springfield, OR 97477. PH(54 ])726-3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY SPRINGPIE1..Q l:~1."~". .~~~~~~~~~ ~~".:lt""l;'~ ~. .;,a: ~~tyi;;.~;j;,>,,,,,- ~ " Penn it no,: t! 1-;2.)3 " " , , I Date: KIU/OCJ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of lssuanc~ or if work is suspended for 180 days. ',' " ':'''0,9AkGQ5i'~~NM~N.fciii>~RQ:YA[}::;''-'::;'':';:';;~~;1 I This project has final land-use approval. I ' I Signature: _ Date: I This project -has DEQ approval. I ' I Signature: Date: I, Zoning approval verified: 0 Yes 0 No ! :~~t.~0lii',;~~n~~;~~~~';0~:~~Ns;t~~!tl,9I!h~:'j;i";i::j;:;;,;.j I IX! Residential I 0 Government I 0 Commercial i l\t".,!ii:;!i,:,;'i;i\'J:g:;:~ltE:'.,:f~j;p-~_MAti9N,i;ANQi'~qCAjIQN'!;i:}:,<(';n I Job site address: 57(;,7 MI'rief':'L1 l.u<\..LV 1 City: SOr;'''l\(I_lr,l 1 State: dR' 1 ZIP:'t~7f , I Subdivi;ion: -;)...~""'" NC..dDVJ <. I Lot no,: .:J7i I Reference: i Taxlot I" c, f'R0PERfyciWNErf I Nam~: H~e.-1 J.iowu-<;. Addre~s:~l..{ 5k1 /..jpr.N" City: ,RFU"1o",J. State: 0(( 1 ZIP:'j77S'(" I Phone:' -~- &13s-:' Fax: -7'11- %7;) I E-mail: I This installation 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 701.010. ....:- Sign here: I" ' 'C61'1TRAq~R;i~,S~ALLf>.TIQ1'I, I Businessname: 1-Ic;.'1d.,,,, l~wvo( I Address: <PlIM.~ I~ I~~ I~ I Phone: I Fax: I E-mail: I CCB license no.: I Print name: I Signature: IHPt;:tF:"i:;lnD&~QB'C\DNJjR~q~QR"fN~QBM.A;f:LQN~,*f!)'~/i::ii;.'11:;:141';j J . Name I CCB License Number Phone Number J I E]eelrica! n 2-)&& ~n - I'lw,( I Plumbing 31 /47 'lJ~- x~ 4?- I I Meehaniea! 3Q,;t-;<,'7 0/7),," "j510, I I I j 1 j I j j I , I Tota! valuation: 1 $ 1"2. OpJ ;~i:!iB:~:ij~ii@fe~~t~t1i~,rr!{&%(l;ji)~j~ii:,4;';*\iii';:(',,};,~i;',:':':,;:;,,'!;,. ',.' ,j (a) Permit fee (use'valuation table): $, I (b) Investigative fee (equal to [2a]): , $ j I (c) Reinspeetion' ($ per hour): J (number of hours x fee per hour) $ I (d) Enter 12% surcharge (.!2 x (2a+2b+2c]): $ , : 1~~iR'~I~~~~;:"~~;'~:'~~~~<~"~:'~":~;:~':;~:~""""""L~."'>>"""""'-'l :;?r -~-.:.l:1}!j.r2.~X,I~'Y,;.~~,~;.;1~~:t:~~;5?t{f,~f;;!~~~~f-5{f~~.i.~~!!::.~~:::i.'1~.;':?~);?:-::',:LA';':. I (a) Plan review (65% x permit fee [2a]): - '''' ~- " " I (b) Fire and life safety (40% x permit fee [2a]): $' I (e) Subtotal of fees above (3a and 3b): $ 1.i~~,'M~~~~,~-!f~:ij~q)isl-'~~~}~~!il~~~~~3Yt"}:,~~~;~r_~~...~-/ (,;,:, I (a) Seismic fee, 1% (.01 x permit fee [2a]): ' I $ I TOTAL fees and surcharges (2e+3C+4a): S " I' ,.i;-:::'FEE SCHEDULE l'I':'~;.::YahJ:~:f(8hrInfO:rrii ~.H6)~~:;;-:~ :';;i,' ">:~:~~;.:';~; I (a) Job description: I Occupancy I I I I I I ,I IKJ new D alteration I (b) Foundation-only permit? Construction type: Square feet: 10'3/ Cost per square foot: -/--400 Other information: Type of Heat: b..~ ;).Jlr Energy Path: D addition Dyes '~No ,I .J 'I , j I I ~~ Willamalane t ,Park & Recreation District job. No. ~-/2)3 SYSTEM DEVELOPMENT CHAR,GE WORKSHEET fOR2009 NAME: HA'-f T)EN ' H-OM.ES " PHONE: ?':-":L.c u1J~ ADDRESS:.::lL.("4 Sw &.l..t':::/t:ER=:Y t4>MIJD STATE~IP: q '74')4' ,LOCATION OF PROPOSED BUILDING SITE: Street Address: s-?~? MI,v-t~'- 'Plat Name: Tax Lot Number: "wZ;Om' Z"IiJO , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s): Dwelling type definitions are on the back.) A. Sinale-Fcimilv Detached NO. OF UNITS ( X $2,858 per unit = $ :LF's-6' 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 $1,550 per unit = '$ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer musffumish proof of Willamalane Credit approval.) $' 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~ $ 23'S!) (~/.2c,1"9 Date Development Services Department City of Springfield' ' 5 22-5 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone ~,r;~~~,.,' ',' IfIlL. . ..' ' , - ." - ,^ .M. .,,".",,~", . ...._ ,,~, ._ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01253 COM2009-0 1253 COM2009-01253 COM2009-01253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253' COM2009-01253 COM2009-01253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253 COM2009-01253 COM2009-0 1253 COM2009-01253 COM2009-0 1253 COM2009-0 1253 COM2009-0 1253 COM2009-01253 COM2009-01253 COM2009-01253 COM2009-01253 COM2009-01253 COM2009-0 1253 COM2009-01253 COM2009-0 1253 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000999 Date: 08/27/2009 Description Plan Review Major - Planning Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transportation Admin Plan Review Same As Building Permit Addressing Assignment Willamalane Single Family 1st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge Paid By TIM DREILING Item Total: l.:heck Number Authorization Received By Batch Number Number How Received DJB 069396 In Person Payment Total: Page I of 1 12:03:] 8PM Amount Due 211.00 88,00 , 88,00 (30,00) 725,18 636,30, 483,84 201.54 97,90 1,009,17 10,00 127.38 75,27 250,00 961.09 38,00 2,858,00 79,00 27,00 9,00 13,00 9,00 7,00 63,00 134,00 25,00 71.55 84,20 159,25 $8,511.67 Amount Paid $8,511.67 $8,511.67 8/2712009