HomeMy WebLinkAboutPermit Building 2009-9-8
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF ~rKll~hl<lJ<..LD
Building/Combination Permit
PERMIT NO: COM2009-01274
ISSUED: 09/08/2009
APPLIED: 08/31/2009
EXPIRES: 03/08/2010
VALUE: $ 171,000.00
SITE ADDRESS: 5778 MICA ST
ASSESSOR'S PARCEL NO,: 1802033303300
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR - Single Family Residence -SAME AS COM2009-00970 5775 Mineral
, 'IoU to
>'r"\r1\\\res .....1.'1
O 90\\ ,...... qOIl v....-,
,_......l\\' re _ ..he Ore, . tort\')
I'll \ GONTRA(D:'F,0RlINFORI\MillION' 1)01-
, lo\\u''''; Cen\el, ,,'- n Ui"n ~-- b '
t'licatlon 010 tnlou9 d"P rilles V . .
Contractor No \ n 952,-001-0 , coniesblCense one ExpIration Date
'_ r."M btaln t' , .~lepl1
HAYDEN ENTERPRISI%u ma'l 0 lNote', t922081'lication 07/29/2011
TOP NOTCH ELEC1JM.<;:;)ING cent~l;egon Llti\]'~;;1~'l\. 0912912010
PACIFIC AIR CO~ORI1i!INt tDe, s '_800,33%9137 03125120 I 0
,lUll'.... ter \ \
STUTZMAN SERV CES IN€3!\ 31747 05112/2010
Curbside 5'
DownspoutslDrains: Curb and Gutter
For this,parcel in Jasper Meadows, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the .
Stormwater to clAlbdiJd,p.teraccepted by City Conncil",
Owner:
Address:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plnmbing
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18,00
5,00
10.00
24.00
8,75
Subdivision Not Accepted
Street Improvements:
Residential
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
BUILDING INFORMA nON,
I
R-3
U
VB
# of Stories: I Lot Size:
Height of Structnre 15,50 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas' Sq Ft Basement:
Range Type: Electric Sq Ft'GaragelCarport
Energy Path: . .s~~lJJer:
SP~~~~i~nilding ,~YS)\~\'. W ;~~f~~t Load:
I DEVEL6~\1Em'IlNF&R~\~I@N'.:Jt'~:~~D fa?
" ,. .." U l I I" ~,IDa" REQUIRED PARKING
~\j\\1a"'lt..C-~ a? IS "P , ,
OVI',~'l~\Dis~\CE~ ?E?laD, Total:
# SIr,eet 'l\~s\Rqtl: 2 Handicapped:
Pav\i'd~Drive Rqd: Yes Compact:
% of Lot Coverage: 31.20
4,950
1,148
400
3
2
I PUBLIC IMPROVEMENTS I
Fnlly Improved
Sidewalk Type:
CStorm Sewer Available:
Special Instrnction:
Notes:
Paee I of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax'
541-726-37691nspection Line
Description
Tvpe of Constrnction
Estima te
Estimate
Fee Description
+ 12% State Snrcharge
+ 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
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
I ya,luation Descriotion I
$ Per Sq Ft
or multiplier'
$1.00
Amount Paid
$207,09
$104.14
'$79,00
$337,00
$38.00
$9,00
$997,72
$88,00
$9.00
$13.00
$77.40
$7,00
$211.00
$250,00
$-30.00
$134,00
$50,00
$507,07
$666,84
$10.00
$1,146,50
$101.97
$134,63
$211.21
$80,73
$88,00
$732,04
$63,00
$27,00
$2,858.00
$9,208,34
Square Footage
or Bid Amount
171,000.00
Total Value of Project
f,PP<i P7. irIJ
Date Paid
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09'
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01274
ISSUED: 09/08/2009
APPLIED: 08/3112009
EXPIRES: 03/08/2010
VALUE: $171,000.00
Value
Date Calculated
$171,000.00
$171,000,00
08/31/2009
Receipt Number
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
1200900000000001035
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01274
ISSUED: 09/08/2009
APPLIED: 08/31/2009
EXPIRES: 03/08/2010 .
VALUE: $ 171,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plarinine: Review
08/31/2009
I Plan Reviews I
08/31/2009 APP DDK
Access restricted to 1 driveway/lot.
, .
Follow street tree plan,
Puhlic Works Review
08/31/2009
09/01/2009
APP TSS
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council",
Structural Review
08/31/2009
09/01/2009
APP CJC
Stormwater to curb and gutter.
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.
Rrnllirp,1.lnsnections I
Erosion/Grading Inspection: Prior to ground distnrbance and after erosion measnres are installed,
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 con('rete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking, '
Shear Wall Nailing: Before covering sheathing with Iinish 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 IiIter cloth is installed but prior to backlill,.
Underfloor Plumbing: Prior to insulation or decking,
Underfloor Drain: Prior to cover or placement of concrete.
~
Rough Plumbing: Prior to cover and including required testing.
Paee 3 of4
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01274
ISSUED: 09/08/2009
APPLIED: 08/31/2009
EXPIRES: 03/0812010
VALUE: $171,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
Undertloor 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,
Temporary Electric: Approval reqnired 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,
Erosion/Grading Inspection: Prior'to ground distnrbance and after erosion measures are installed,
Curbcut - Standard: After forms are erected but prior to placement of concrete,
Sidewalk - Curbside: After forms are erected bnt 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.
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 reqnired inspections are reqnested 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.
~h 9-?~or,
Owner or Contractors Signa
Date
Page 4 of 4
f'l :z. Willamalane
. t Park & Recreation District .
Job. No. (Jl~(]/;)7L(
~_m_~__~'__ ~ _NAMEd-fA~/J)t/'lLJ4Cl~E':.S_c -0' --". --~PH0NE:-?-2..1;-G~3~S--~~---To -_.
AbDRESS:.J.Lf~4 Sw &L.,.,.ht:~ ~1V1.1JT> . STATE~IP: q ?4'J8"
LOCATION OF PROPOSED BUILDING SITE:
. Street Address: ?7'ffhflC-4:
. Plat Name: ' Tax Lot Number: /,f~.2 ifXr5 tJ:?S'ZJo
SYSTEM DEVELOPMENT CHARGEWORKSHEET FOR' 2009
' , '- ~ ~., ,', . .. . ,"- ---;"'-' ". .'" --
1.' DEVE'LOPMENT TYPE (Check appropriaie di,ellirig(s), D~ellirig type definitions are or! the .
back,) , ....
A.. Sinole-Familv Detached
NO, OF UNITS
( X $2,858 per unit ='
$ 2-r~
B. Sinole~Familv Attached
NO. OF UNITS
X $3,1.00 per unit =. "$.
C. Multi-Familv Aoartment
, NO. OF UNITS,
X $2,641 per unit =
$
D. Sinole Room Occuoancv
NO, OF UNITS.
X $1,321 per unit =
$
E: Actessorv Dwellino Unit
NO. OF UNITS
X'$1 ,550 per unit.=
WILLAMALANE SDC
'"
$
$
2. SDCCREDIT (Ifapplicable) SDC payer must fumish proof of
Willamalane Credit approval.):
$
3" TOTAL WILLAMALANE NET SDC ASSESSED
(if SDt reduced for Credit)
$ 23S~
~
'S:-I 'flJ{3q
'Date .
Development Services Department
Cllyof Springfield' ,
5
225 Fifth Stree'. Springfield, OR 97477. PH(541)726-3753. FAX(541)726'3689
SPRINGFIELD
o ,
$
~~~;" 6!,.
~~.
tf~~1~:::r'R~~~~,]:~~~~~~q~1~~~al~,i '
I Permitno: C9 -/ i71':1
I Date: 9 --- f" ---0 ( I
Electrical Permit Application
, "
. 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 Dr if work is suspended for 180 days.
$134,00
I
$\~
$l;SOl
I
I
I
I
$
\
fl--.
$ 25,00
$ 32,00
$ 63,00
$
Signature: Over 600 amps or 1,000 volts, se~ services or fe~ders section above
lili~L~G,G:Niit~~ijtQB~nStsmJ8U~~;RltI:t~il~,~~~~ij Branch circuits: new, alteration, extension per panel
I Business name: kr "'):;t(~ F Ipc I I a,Feeforbranchcircuitswithpurchaseofaserviceorfeederfee:
I Address: ",)0 s: 7'1 ( DV e'1 C t, I I Each branch circuit I $ 6,00 I $
I City: & Y\dl I State: oR. I 'ZIP: J J b. Fee for branch circuits without purchase of a service or feeder fee:
I Phone:Sll/-3i1-{Q1i I Fax: I I First branch circuit (2) I $ 55,00 I $
I E-mail.: I I Each additional branch circuit I $ 6.00 I $
I CCB license no,: I'f13Gc' I BCD license no,: ( .::>2d, I I Miscellaneous fees: service or feeder not included
I' Signing supervisor's license no,: ~Q '-Ia'f\"~- I I Each pump or irrigation circle (2) $ 63,00
I Print name of signing supervisor: V{"(I .~i '(IeI' I I Each sign oioutlin; lighting (2) $ 63,00
I SignatUre of signing supervisor: q J' J - . It if I I .Signal, circuit or a li!TIited-energy panel, $ 63,00 $
. ' ,In II..~ ~ alteratIOn, or extensIOn (2)
$
$
l~
&~\;l
~ ~~
'~~
~~
Each additional inspection: (1) $58,00 $
m'!1<li".,~e~C';'~r-''''''''--'''-"''''''''''''''',~, ''''', '
:",'f~~.ila";m,'lI<l1~e.gl\!l,~~~[i!'if~t&,E;j,1L.~~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
~41~'
$~q.
$ IA,12'3
~~'GP\
(B) Enter 12% surcharge (,12 x [A])
(C) Technology Fee'(5% of [A])
: I TOTAL fees and surcharges (A through C):
440-2584-) (9/08/COM)
225 Ftfth Street
Springfield, Oregon 97477
541-726-3759 Ph!llle.
Job/Journal Number
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-0 1274
COM2009-01274
COM2009-0 1274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-0 1274
COM2009-0 1274
COM2009-01274
COM2009-0 1274
COM2009-01274
COM2009-0 1274
COM2009-0 1274
COM2009-0 1274
. COM2009-0 1274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009-01274
COM2009"01274
COM2009-01274
COM2009"01274
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department,
1200900000000001035
Date: 09/08/2009
Description
Willamalane Single Family
2 Baths One or Two Family
1 st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods'
Dryer Vent
Gas Outlets 1-4
Fire SF Fee - Residential
Plan Review Major - Planning
Sidewalk Pennit
Curbcut Pennit
PW Disc' - 2n'd Pennit
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
, Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Plan Review Same,As
Building Penn it
Addressing Assignment
Paid By
BRETT WILSON
Item Total:
Check Number ,Authorization
Received By Batch Number Number How Received
DJB
00892C In Person
Payment Total:
Page I of I
11:31:50AM
Amount Due
2,858,00
337,00
79,00
27.00
9,00
,
13.00
9,00
7,00
77.40
211.00
88,00
88,00
(30,00)
732,04
666,84
507,07'
211.21
101.97
1,146,50
lO.OO
134,63
80,73.
134,00, .
50,00
63,00,
104,14
207,09
250,00
997,72
38,00
$9,2U8.34
Amount Paid.
$9,208.34
,):1,..o-6.J4
9/8/2009