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Home My WebLink AboutPermit Building 2009-9-18 -~!,~,~.!~:,~~'.",!:\)~! "...~" .' ,..' ~,) . Status Issued CITY OF ~t'Kll~ljJflELD Building/Combination Permit PERMIT NO: COM2009-01357 ISSUED: - 09/1812009 APPLIED: 09/15/2009 EXPIRES: 03/1812010 VALUE: $ 163,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' - SITE ADDRESS: 1940 S 58TH ST ASSESSOR'S PARCEL NO.: 1802033302900 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-00534 5764 Mineral Residential Owner: HAYDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 / I CONT~CTOR INFORMATI()N , # of Units:' Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor License HAYDEN ENTE\U'gI~KS.~: Oreaon law requil922Q8u to f()i;.~'1 'BlJlLDiNGINFORMATIO"N-,UIIIIIY I~otllic ,.' _' , . .,:t forth ;n OAR 952-n01.Q01.0 through OAR 952-001- 1 # of Stones: ' f th I b I t}090 You I rl':l.\1 l)ulCllll caples 0 e ru es 'v R-3 caliing th!,le\;\?,t~?f ~rr8fjur,~e teleiJh~~~.50 U number forrl!t: ~r~~!l\; Utilit:r9rS~~e~,IXG9.as VB Ce~~.t~n 1;YP~"-332-2344), Gas " Range Type: Electric Energy Path: Sprinkled Building: Expiration Date 07/2912011 Phone 541.228-1081 Contractor Type 'GeneraI 2 Lot Size: 6,173 Sq Ft 1st Floor: 1,031 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' ,Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 12.00 24.50 10.95 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 23.20 _ REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improve~ents: Storm Sewer Available: Special Instruction: NOI-r.~~IC IMPROVEMEN!S I JiJJICO Dr~'"'IT Sidewalk Type: F!lIIV Improve01VI SHALL EXPIRE IF THE WORK AUTHOr:J.Q~ED UNDER THIS PERMIT 1!?~ro'fPouts/Drains: Storm sewer t(i:~)i!1M'J~m!:'1P !w~eIS ABANDONED FOR ANY 180 DAY PERIOD. ' Curbside 7' Curb and Gutter Notes: I Valuat!on Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 4 Status Issued 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 Bnilding Permit Credit - Trans Improv SDC 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 EaAddtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC TransImprovement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Plannine Review Public Works Review Struc'tural Review " $1.00 163,000.00 Total Value of Project ~p~~, tiWIJ Amount Paid Date Paid $200.18 $101.26 $79.00 $337.00 $38.00 $9,00 $965.16 $-931.65 $88.00 $9.00 $13.00 $71.55 $7.00 $211.00 $250.00 $-30.00 $134.00 $25.00 $507.07 $666.84 $10.00 $1,044.54 $101.97 $151.54 $211.21 $931.65 $16.12 $88.00 $811.67 $63.00 $27.00 $2,858.00 9/18/09 9118109 9118109 9118109 9118/09 9118/09 9/18/09 9118/09 9118/09 9/18/09 9/18109 9118109 9/18109 9/18109 9/18109 9118109 9118109 9118109 9118/09 9118/09 9/18/09 9/18109 9/18/09 9118109 9118109 9118/09 9118/09 9/18109 9118109 9/18109 9118109 9118109 $9,065.11 09/15/2009 I Plan Reviews I 09/15/2009 APP DDK 09115/2009 APP LKW 09/15/2009 APP CJC Paee 2 of 4 09/15/2009 09/15/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I357 ISSUED: 09/1812009 APPLIED: 09/1512009 EXPIRES: 03/18/2010 . VALUE: $ 163,000.00 $163,000.00 $163,000.00 09/15/2009 Receipt Number 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000001078 1200900000000091078 Access restricted to I driveway/lot. , Follow street tree plan. Storm water to curb via weep hole As noted on plans CITY OF SPRll'liul'lJ'.LD Building/Combination Permit Status Issued PERMIT NO: COM2009-01357 ISSUED: 09/18/2009 APPLIED: 09/15/2009 EXPIRES: 03/18/2010 VALUE: ' ,$ 163,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541_726-3769 Inspection 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. ~Irr.\lir~fl I"snections I 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 ar~ 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 cover and after all rongh in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: 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. Underfloor 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 fi~ling 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. 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. Paee 3 of 4 -~!]!':I'~!,!I)If!',~ll~JI\'\lIijij..' ~?,"'" ,+ ".';;-,J]' ',.:""';"-'.; CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01357 ISSUED: 09/18/2009 APPLIED: 09/15/2009 EXPIRES: 03/1812010 VALUE: $ 163,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcnt - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he 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 he 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. o.",,~.~?2::? -t1 r-/7~7 Date , \ Page 4 of 4 225. Fifth SlreeUSpringfield, OR 97477 tPH(541)726-3753+ FAX(541)726-36S9 l;f~~,p~P,~Rf~:~~fti~~~~~~{$1 \. " tOIMZ~;:~;J-;';-1 Pennlt no.: ,IDate: 7 -1'5--0 7 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 or if work is'suspended for 180 days. I ( $134.00 Jl~ I $/ j"lfl $ 25"1 $ I I I I I I I I I $ 25,00 $ 32,00 Signature: Over 600 amps or 1,000 volts, see services or feeders section above 1i'ib.~,.~~.GJDJ'~{m~:G)1i~R'II.t!,f$m~lg~~]I!tiNJ!~~i~,,~%t~tJ:l I Branch circuits: new, alteration, extensi~n per panel I Business name: --rap I"Joirr h F- I pC I I a. Fedor branch circuits with purchase of a service or feederfee: I Address: ",]0<;:: 7"1 (OVt?<1 C -\- I I' Each branch circuit I I $ 6,00 I $ I City: &. ho\ I State: oR. I ZIP: I I b. Fee for branch circuits without purchase of a service or feeder fee: I Phoue:i<" -317 -19%' Mbflflc'r. - I I First branch circuit (2) $ 55,00 $ I E-mail:" THIS PFR~R1-" ~ . I I Each additional branch circuit . $ 6.00 $ I CCB license no:: -ril j'iOc;~II/B8JD';I,i.c~~i'1~~.tt- SiPJ'RE 1~ TI ,]l!1iscellaneous fees: service or feeder not included I 0UIv/IIIIE - "UL:n I H-'S I 'I'E vHI "'" ' , Signing supervisor's license nR,:, , NeED nil ,<' _ PER \11{ r ,\!.c~ pump or lITIgatIOn CIrcle (2) $ 63,00 , . . :"'\./;JU'/)'MI., '~ADf\IVUO d 'UIVI,II " Prillt name of slgnmg supervlSor: VI'.. }J'J",'irBiUOI1 NyD :F.~9h Sign or outlme IIghtmg (2) $ 63,00 Signature of signing supervisor: <lJ. ,', J~- -)1.1_-' Il I Signal circuit or a limited-energy panel, $ $ I ,,,[ ~ 1I.(f,j'lll- A/17. alteration, or extensIOn (2) . 63:00 . (/ I Each additional inspection: (I) $58.00 $ ~lj\f'i~I""";w._mr"':np'-"~-I-;,,.''i:f'''''iii'S--'''~~'Jmi:''~''''.'.'''..:f'-'" 11f~~~~~~~)$,.~_L':;_~_~K"_l~~~~_!;'t'~r~;t~t:S&w~ I (A) Enter subtotal of above fces . (Minimnm Permit Fee $58.00) $ z$Z. I (B) Entcr 12% surcharge (,12 x [A]) $ W:., I (C)TechnologyFee(5%of[A]) $ If'o- I TOTAL fees and snrcharges (A through C): $ 3- 5';'17f $ $ ~) ~ '0-. ~ C\~ , ~\,; ~ ~~~~ ~\.;\} 440-2584-J (9/0S/COM) ~ ~ Willamalane ,t-w Park & Recreation District job. No. C9~/:lS"7 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 , NAME: HN-I T)EtJ . H-OM.E":5 . PHONE: ~2-0 C;~JS'" ADDRESS:,).'!"'" SW &l...t~/t;'Nf'{ tl-PIVtIJD STATE@IP: CJ?4?"6 . LOCATION OF PROPOSED BUILDING SITE: Street Address: ' I C;c.r,tJ 5 . s-grt. Jr. .' '. Plat Name: Tax Lot f\Jumber: /&J:t. o13~ 1?::29tJO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type defini\ions are on the, back,) , ' ' A. Sinale-Familv Detached NO. OF UNITS ( X $2,858 per unit = $ " 2-r>r B. Sinale-Familv Attached NO. OF,UNITS X $3,100 per unit = , $ C. Multi~Familv Aoartment NO. OF UNITS X $2,64:1 per unit = $ ,D. Sinale Room Occuoancv . . NO: OF UNITS X $1,321 per unit = $ E.' Accessorv Dwellino Unit NO. OF UNITS X $1,550 per. unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamal~me Credit approvaL) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 23Sg- ~ 'I Date I IJ ICJ7 cq.\CO'aA ) . Development'Services'Department' City of Springfield 5 .5;+JA1f? .q5 ~ Structural Permit Application S7feC( f(A''''6CLI C ., '''$"3'1 I PEPARTMENTUSE ON~Y I COvwZ-oc 't- JI ') S"? PenTIJt no.: ' 225 Fifth Street. Springfield, OR 97477 +PHC54])726-3753. FAX(541)726'3689 SP'R"INGFIELO i;O"'''>'i~",.,._. . ir ~r~1jt-~~1 Date: 9 -/ J -0 ., This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ,...,j J I I j I I I J 'I 1...-: . '\O~ C.J'..... I \o\:, 1"-' j ~~(l.(,\ I ~ I'(.,M it-- '. .::td,<:;Ak' "~Qy'ERti! M.ENi:::.;.:i>~R'6YALll~)'ii::;:idi' This project.has final land-use approvaL Signature:: This project has DEQ approval:. Signature: I Zoning approval verified: DYes Property is'within flood plain: 0 Yes Date: Date: DNa DNa I , ff}~i.~:~~]j_~;b~~~;';S!tEuIN~~~At~~~;~NP;i;Jd~A~ft~N~;(~;t;'f "'j .: I Job site address: 11<-10 5 ')~1''"" . j City: Sp""'f\(I...lrA I State: dR 1 ZIP:'t7'f7f I Subdivision: ,;\,,-,\0<'1" Mc..aloc.;J c:. 1 Lot no.: ,;2. 7iS I Reference / 8'"02.c!.3 ~ 1 Taxlo!: CY?, ~OC I' PROPERTVQWNERd '.' ..' ,. "-J 1 Name ~~M 1Jo""",c:. j Addre~s: . . U 5w ~ I City:Rrt\'^16~ul State: 0(( ~ ZIP:') 775'(" 1 Phone:' -~- Yl'3S" Fax:- NI- %7;) - I 1 E-mail j This installation is being made on residential or farm property owned by me or a member of my immediate family, and is e,xempt from licensing requirements und.er ORS 701.010. Sign here: I". ..'GONCrRACWRfN.STALL6.1'l(;)N'" I Business name.: }1""ld....... l.lwo....v<. I Address" <~MIE City: . I Phone: I E-mail: I eCB license no.:. , Prin~ name: I Signature: :,-,:\, I State: Fax: 1 ZIP: 1:;',,!i;:,:,:-<:';j;::,i.$QI3-9.GNl]R~c:1tqf{fNr;'0.RMJ'i:;fIQNt~rfJ:(;:i:'~;;:.~,(i: I Name CCB License Number Phone Number I Electr;ca] n 2-:)&& ~n -l"Iq-:! I P]nmbing J I )'-17 '1J~- kq Lf?- I Mechan;cal I 31).37 (07J- - '1510 ' ..-v .,~y; I' '-i:' "'FEESCHEDI.JLf" J. I:T .:Y~lilafi6Nin ioriDa.iion~h'hi: f:{X:: :....,.: I, (a) Job descrip(ion: j Occupancy Construction type: Square feet: /63 ( f-Ljcx- Cost per square foot: Other information: Type of Heat: b..~ Energy Path: ). Pr . I 0 new 0 alteration I (b) Foundation-only permit? f Total.valuation: o addition DYes D1f No i I $ /&;3 =<' j (a) Permit fee (use.v~luation table): 1 (b) Investigative fee (equal to [2a]): I (e) Reinspection ($ per hour): (number of hours x fee per hour) $ I I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ , 1 .i~~\:~~~~~~!~t~~~~~i I (b) Fire and life safety (40% x permit fee [2a]):1 '$$ I .1 (c) Subtotal of fees above (3a .nd 3b): .J ' ",,1 I J $ $ _I Ca) Seismic fee, 1% (.0] x permit fee [2.]): I $ I TOTAL fees and surcharges (2e+3c+4a): $ 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01357 COM2009-01357 COM2009-0 13 57 COM2009-01357 COM2009-0 1357 COM2009-01357 COM2009-0 1357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-0 1357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 . COM2009-01357 COM2009-0 1357 COM2009-0 1357 COM2009-01357 COM2009-0 1357 COM2009-0 1357 COM2009-0 1357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 COM2009-01357 Payments: Type of Payment . CreditCard cRece;otl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001078 Date: 09/18/2009 Description Plan Review Same As Building Permit Addressing Assignment WiIlamalane Single'Farnily I st Appliance Vent 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 PW Disc - 2nd Permit Sidewalk Permit Curbcut Permit SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning 2 Baths One or Two Family + 5% Technology Fee. + 12% State Surcharge Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 031365 In Person Payment Total: Page I of I 9:12:5IAM Amount Due 250,00 965,16 38,00 2,858,00. 79,00 27.00 9,00 13,00 9,00 7,00 134.00 25,00 63,00 71.55 (30,00) 88,00 88,00 211.21 931.65 (931.65) 101.97 1,044,54 10.00 811.67 666,84 507,07 151.54 16,12 211.00 337,00 101.26 200,18 $9,065.11 Amount Paid $9,065,11 $9,065.11 9/18/2009