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Home My WebLink AboutPermit Building 2009-8-28 ., -!iil~~'il~~J '-.p . ~!t :~ t''')]' ,1., ." Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01265 ISSUED: 08/28/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: $ 180,000.00 SPRINGFIETYPE OF WORK: Single Family Residence SITE ADDRESS: 5770 MICA ST ASSESSOR'S PARCEL.NO.: t802033303200 TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS 1933 s 58th COM2009-00978 Residential Owner: HAYDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: #of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 18.00 10.00 5.00 22.00 10.00 Notes: Stormwater to curb and gutter. Description . Type of Construction I CONTRACTOR INFORMATION' License Expiration Date Phone I R-3 U VB ATTFMr,^, . Nr.:BUIUDll..i~,iNEORMA\fI@N, .0 . \, -s you f in OAR--"UII L:ente' T:-h-Y ",e Oreg ..0 ()<;~ . ,. Ose on Ut./ t 0090 #-0r-StQ):i.!'~:10 t" rUles are I I Y Lot Size: . Yr.', ,m,,, h ,<Pf'orfh Call. Hei"liVoffStclucture gOAR 916.00 Sq Ft 1st FI.oor: mgJ:n'" "'Q II CO ., ",,-no 1 nUmb lyp"6fiH~at"N PIForced,Air Gas - Sq Ft 2nd Floor: - er '" ,"-. I Ole' Ih ., 'U'QR b WlI'ter<JfWSgOn U... e te/ephG'as Y SqFt Basement: qf,m~ge iEype:OO 331i11fy NOIFJlecWi~ Sq Ft Garage/Carport - - 22'.''"''0n . Energy Path: - 344). Sq Ft Other: . Sprinkled Building: n/a Occupant Load: 406 4,950 1,235 3 I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 33.00 I PUBLIC IMPROVEMENTS' Sidewalk Type: NOTICE: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ^ 1\1\10/ nA 1""\ ^,; ...........'......... .. ....... ~.., . L-""""'l I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 4 I Plan Reviews I 08/27/2009 08/27/2009 APP DDK Access restricted to I driveway/lot. Follow street tree plan. 08/27/2009 08/27/2009 APP TSS Stormwater to curb and gutter. 08/27/2009 08/28/2009 APP CJC As noted on plans Paee 2 of 4 - Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate 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 Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) 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 Sanitary/Storm 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 Plannimz Review Public Works Review Structural Review Amount Paid $213.88 $106.97 $79.00 $337.00 $38.00 $9.00 $1,034.35 $88.00 $9.00 $13.00 $82.05 $20.00 $7.00 $211.00 $250.00 $-30.00 $134.00 $50.00 $529.11 $695.83 $10.00 $1,146.50 $101.97 $142.07 $211.21 $79.77 $88.00 $810.55 $63.00 $27.00 $2,858.00 $9,415.26 $1.00 180,000.00 Total Value of Project Fpp.. P~W Date Paid 8/28/09 8/28/09 . 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 CITY OF SpRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01265 ISSUED: 08/28/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: $ 180,000.00 $180,000.00 $180,000.00 08/27/2009 Receipt Number 1200900000000001005 1200900000000001005 120090000000000t005 1200900000000001005 t200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 1200900000000001005 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-01265 ISSUED: 08/2812009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: $ 180,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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. ~Iirprl Tn\',nP:l"tio.u.LI 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 tloor 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. Perimeter Foundation Drains: After.gravel and filter cloth is installed but prior to backfilI. Undertloor Plumbing: Prior to insulation or decking. Undertloor 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. 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 isinstalled 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Paee 3 of 4 CITY OF SPRINGFIELD Status Issued. Building/Combination Permit PERMIT NO: COM2009-01265 ISSUED: 08/28/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: $ 180,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7i6-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curhside: After forms are erected but prior to placement of concrete. Curbcut - Standard: 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 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. 1 further certify/hat 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. --z::- L2 tf b)%~ 0'7 Owner or Contractors Sign at Date Paee 4 of 4 . :;AVV\E AS- ;cr35 :5 SiS-tM . C ~-97f' Structural Permit Application . 225 Fifth Street + $pringfield;OR 9747.7 . PH(54 ])726-3753 . FA..X(541)726-3689 .~PRINGFIELO ,.:,~:>".;.;'-'1; ~1~~~:~-';~~~ I Di::PARTMENTUSEONL Yj QJ.I,(ZOO'1- OlZ6S Pemit no.: I Date 3"'~7-6 "} This permit is issu~under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is . su.,pended for 180 days. ..', .;t0I;AVG9YE@M~~;r,;~FipR'QYA~y,':<;:;"! l.ThiS project has finallalld~use approval. I Signature: Date: I This project has DEQ approval:. I Signature: Date: I Zoning approval verified: 0 Yes 0 No I Property is within flood plain: 0 Yes 0 No . I State: Fax: I ZIP: Signature: Name Electrical I Plumbing I Mechanical I CCB License Number I Phone Number D2-~&(" I :m -PJqq 131 7'-il '1)<6- kq 4)" 34;iJ I I (/iJ. - '1510 . .~ .:.,.,~.. ;~-,.:~,;,,:, .... ~- '.', '., :";FEE. SCHEDULE. 1":'~'~'~,.y'ai.W~'t'i8p\iQ io:rri1:a:H.6R<.'~::"~:~':" ,. ~ ~'.,: :.:': ',',; (a) Job description: Occupancy Construction t)'pe: -'. ...,.... Square feet: /;;1:',"-/ +"100 I !XI Residential I 0 Government I 0 Commercial I Ik'}f;".:.,bQ~;;.SltE;;INi;}i~MATlii"f~'p;NQ1'~qQ.Aflc:iN{.!i;l'1,:::,:Y.i ..1 .. Other, information: I Job sile address: <;7 A:JII1,b:>t. I I c.ty . <;"'{""~(I~ In( I State oR I zIP'I7<{7f J I, I .., . I ' Energy Path: SubdivISIon '. ~ Mr<>dolAJ c:. Lot no 27'1 I I I Reterence ./t60Z03~3 I Taxl"t sZoO . D.new D alteration, I , . P~OPERiy 9Wt'lEf(.t? ..1 hb) Foundation-only permit? I Lt J\ . . j ) Total valuation: Name: n~b') Hn""",,t;. , j Addre~s:dO(..,l..I SW MCi:t/ J CitY:Ri'tl"16~u\ State: oR. I ZIP:'j77S'fn -J Phone: -;;tIt- 1#1 '3S- FaX: - )'1/ - %7;; I I E-mail: I I This installation is being made on residential or farm property owned by me or a member ofrny immediate family, and is exempt from licensing I requirements under ORS 701.010. -~~ Signhere:~-Lz.4,~ ,. 1. , . ..... ...:(:ONTRAI;:I()~ilt:J::;TA"LLi'lTIC:;lt'J\.:::... , Business name: l-io..volrltl P~J"",,"~ I Address: <P-Y-\E, . I City: Phone: I E-mail: I CCB license no.: I Print.name: ~- Cost per square foot: Type of Heat: b..~ ;).Pr o addition DVes (a) Permit fee (use-valuation table): I (b) Investigative fee (equal to [2a]): I (c) Reinspection ($ per hour): (number of hours x fee per. hour) I (d) Enter 12% surcharge (.12 X [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ $' $ . I (a) Plan review (65% x permit fee [2a]); I (b) Fire and life safety (40% x permit fee [2a]): .1 (c) Subtotal of fees above (3a and3b): I $ -?-.:;> I : .,:1 J I - j I (a)~Sejsmic'fee, ]%(.0] x permit fee [2a]): $ ~ 'I' TOTAL fees and surcharges (2e+3c+4a): $ j . I I I j I j j I j . .1 j I J 225 Fifth Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ~""f;0;:';::"'_"~:~"'.'''::';~N_-_.;i-i;WTh"".j:.t"'':f~~'''i..~."",.~;;:r!l.:"";:2'~''''O<;'j ';\:"\~'DE:eAFl.T:MEiNr~8SE'0Nlli.Y.~*,!{.$ .,l:'-''''''~-><:'!"':;-'-'-'-'--';''-'.-'i;;r'_~~1-:_t'i;;1~_':~f~~..:,'U.~V~~_~'i' I pe~~~UJO? -0 (z6~1 I Date: Electrical Permit Application This permit is. issued under OAR 918-309-0000. Permits are nontransfer:able. Permits expire if work is.not started within 180 days of issuance or if work is suspended for 180 days_ 1~&~![gjJ1f~1ftG:~~IOJ~NM~filifll[ge!'lRGj~~~2'~~~ I ZOrllng approval verified? .0 Yes' 0 No I .1@f,l,~e'AffiEG0R,y;'f0rr'J6"0NSm&~l!J'6illI0Nlf~,,~'j1J'i"'~1 ~,,,,~.w.~ '''''"'- ___.~_J:._.c_""-__"___~_;,,,,'iji-...,_.1._,-=__,_,___..:.._,~_-,__A:_".J-_.~~,. ...\~~",<, I Residential, p:er unit, service include"d: \ =~~~~~.;,~;-~ 1~;:f'~O::::~h~'"O" i ;':: :':~ ICity:..r....,f,..-iol IState:0(,Z. IZIP:'17'f7l5' I I Limiu'denergy(2) $32.00 $ I I SubdlVlslOn. ~(Ma,/<>v-J"; I Lot no.: .;17"1..1 I Each manufactured home or modular I 1~~~~~:~;~~~~~~~~1~:~111 I ~~~:;s:::(:s:e~;~::;:I;~:ion. alleralion, relo~al:~n::: I C.l,-.~I.:.I1 . ~-~~f.. . . -: If 9. _....tfnrth I ~~~~~RBj::ill;~R~~G1WR~~'lf~~~~irfl.1'S11 I 201 to 400 amp_s (2) $ 95.00 $ I I Name: l-l.,)2(~w;,c"a:M~;.~010t\lI~~i~i~~i;helu'esb'/ I 1401 t~600amps(2) $158.00 $ I I : '.'1' ".".. ., 3.,/ N')'';\'' , ~,c . te'epnul'~ I I 601 to 1,000.amps (2) $205.00 $. I Address. .:JLfC,L/J. Y<;JU _ hiM IW,te. t\le .. _.:,,~o\ion . I City: r<";'oIv>'lcJi~W~~::;:;;I~Stite:l;)riJ!.~~~'I~zx~tt77S-G. I I Over 1,000 amps or volts (2) $469.00 $ I. I \lU\I'....-. 'I ]~Ovu-.....-- I I R . I (2) I Phone: 5<1i-221f- t'o')~5 . center SFax:5"/1-7'1/- ;J57? . econnect on y $ 63.00 $ I E-mail: . I I Temporary services or feeders: installation, alteration, relocation .1 This installation is being made on residential or farm property I 200 amps or less (2) / $ 63.00 $ b 11 owned by me or a member afmy 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(1) and 479.560(1). I 401 to 600 amps (2) " I $126.00 $ I Signature: lOver 600 amps or 1.000 volts, see services or.feeders section above I IB~~~<:>:illm~€lif:.<iiB.1.lI:'fSlT;~lfIrl\?"f1IQ&~~,[i:,fr;~f:~1 I Branch circuiis: new. alleration. exlension per panel I I Business name: fur t-JJr~ F I'pc . I I a. Feefor branch circuits with purchase ofa service Or feeder fee: I I Address: ..JO'G 7'1 (~Oe~E( t-. .._ 'r ~~' 1\'JrI'8'il' branch CIrcuit I I $ 6.00 I $ I I City: & "oil TH If:s'f~re'l1b~ SHf%'tP:'r~~;.nEu .} T,E I2'Jii"rfor branch circuits without purchase of a service or feeder fee. I I AU I HIJ~I/tu UIH.i"h ",Iv rEm.. L Phone: 5' 11-31,-1'1'1'2 ___E!iI'd-~~r,niC' ,\D^~lnn~\F FOIRFirstbranchcircuit(2) $ 55.00 $ I I lJUIVlIV1CI\JVL:L.I VI i ,..... , - I I E-mail: ^~l\' -Ion nAV Dt:Rlnn Each addltJ.onal branch circuit $ 6.00 $ I I CCB license no.: -/y 30{:,~ II ItcDli~~ns~ no: (22r1. I I Miscellaneous fees: senlce or feeder notinc/uded I .1 Signing supervisor's license no.: Lf{) S- 4: $ I I Each pump or irrigation circle (2) $ 63.00 $ I I Print name of signing supervisor: \f~,l s-f-"...<-\::.~ I I Each sign or outline lightiug (2) $ 63.00 $ I I Signatureofsigningsupervisor:r.,,'L,.JL /7/' n~. /,\j, I I Signal circuit or a limited-energy panel. $ 63.00 $ I ,., . ~~?... alteratlOO. orextenSlOn (2) ~~ . l;'~ii~~~~fiJff<lili;\le~_~~~~ '" ~ ~ . . ~ \S)~ ~ (A) Enter subtotal of above fees $ --7 \I 7 ~ e>-.' ;J\: (Miuimum Permit Fee $58.00) {./ \ CA.: t'\; .~ ~~ (B) Enter 12% surcharge (.12 x [A]) $ 2 'I t ~ \. \J (C) Technology Fee (5% of [A]) $ I Z ') C ~\}) I TOTAL fees'and surcharges (A through C): J....../? If" t:-OO 440-2584-J (9/08/COM) ; b!' Wiliamalane ... t\J Park & Recreation District . Job. No. tJ'l- /2(;;) SYSTEM DEV.ELOPMENT CHAR.GE WORKSHEE,T fOR2009 _ H N"/ T)E rJ . 140 M.E::.S .. PHONE: ?-'2.o c;~3S- STATE~IP: q '74'J6 NAME: ADDRESS:J.<-f"4 SW&/A~/f:;7iR=Y tZ-P1iI1.#JJ) LOCATION OF PROPOSED BUILDING SITE: Street Address: 57'7 tJ 1'11CJ4. Plat Name: Tax Lot Number: IfI':J () -:J~J O~~ .1. . DEVELOPMENT TYPE (Check appropriate dwellirg(s): Dwelling type definitions are on the . back.) A. Sinale-Familv Detached. NO. OF UNITS ( X $2,858 per unit = $ 2.'Frd B. Sinale~Familv Attached NO. OF UNITS X $3,100 per unit = C. Multi-Farhilv Aoartment $ 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 CREDIT (I(applicable) SDC payer mustfurn.ish proof of Willamalane Cr!,dit approvaL) $ 3.. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) .~ $ 2.3S!) .6" I ;2'11(/' Date Development Services Department City of Springfield 5 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 t 265 COM2009-0 1265 COM2009-0 1265 COM2009-0 1265 COM2009-0 1265 COM2009-0 1265 COM2009-0t265 COM2009-01265 COM2009-0] 265 COM2009-0 t 265 C0M2009-0t265 COM2009-0]265 COM2009-0 1265 COM2009-0 1265 COM2009-0 1265 COM2009-0] 265 COM2009-0 t 265 COM2009-0 t 265 COM2009-0t265 COM2009-0t265 COM2009-0t265 COM2009-0 \265 COM2009-0 1265 COM2009-0 t 265 COM2009-0t265 COM2009-0 \265 COM2009-0 1265 COM2009-01265 COM2009-0 1265 COM2009-0 t 265 COM2009-0 t 265 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Date: 08/28/2009 11:41:02AM 1200900000000001005 Description Plan Review Same As Plan Review Major -Planning Building Pennit Addressing Assignment WilI~malane Single Family 2 Baths One or Two Family tst Appliance Vent Fan Appliance Ven1 Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Penn it Stonn Drainage Impervious Area Sanitary Sewer - ReiInbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Admi~istration SDC Sanitary/Stonn Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge Amount Due 250.00 2t 1.00 1,034.35 38.00 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 20.00 ]34:00 50.00 63.00 82.05 88.00 88.00 (30.00) 810.55 695.83 529.] t 211.21 10\.97 1,146.50 10.00 ]42.07 79.77 106.97 213.88 $9,415.26 Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DIB 004921 In Person Payment Total: $9,415.26 $9,415.26 Page 1 of 1 8/28/2009