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Home My WebLink AboutPermit Building 2009-9-18 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01356 ISSUED: 09/1812009 APPLIED: 09/1512009 EXPIRES: 03/1812010 VALUE: $ 180,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SPRINGFIETYPE OF WORK: Singl~ Family Residence SITE ADDRESS: 5760 MICA ST ASSESSOR'S PARCEL NO.: 1802033303000 Residential TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-00978 1933 S 58th Owner: HAYDEN HOMES LLC Address: 2464 SWGLACIER PL STE 110 REDMOND OR 97756 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor Type General Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description A1'"-r-_ I CONTRACTOR,INFORMATION I , .'vOlificoi,4'es Eldo' 'Won IElW Contractor In OAR ~/on Cenl~Pht;icenseeq[fiIExpiration Date HAYDEN ENTERPRISESIJ090, Yn~2-001_0;:; J226~'~:~,_Oreg;hY~1!Z9l2011 BUILDi~G INFORMA.;r,ION~,:?h OAR~ sel ;;~~ , 'ur Ih-" (Not' -s Of (i) 52-001 # f S r.o_, e Oreg e: (he e ru\,."".- o tones:9r is I on Un lebph ',",o>cpze: Height ofStructure'lOO-33; l(hii!O~fic ('~qoFt 1st Floor: . Type of Heat: Forced';~W'(Gj!s ElIS1:j1Ft 2nd Floor: Water Type: . Gas Sq Ft Basement: Range Type: Electric Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-228-1081 I R-3 U VB 4,950 1,235 400 3 I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 18.00 Overlay Dist: 8.00 # Street Trees Rqd: 7.00 NOrlc!/ved Drive Rqd: 22.00 IHIS iY.;'of Lot Coverage:. 10_00 !1UIH::f.RIvJII 'C". "'vr ...'n~ .~... ,.qIVJ)'l!I[I;l~H;:-I~~RP;rEMt~!,!,J:S.1 ' /(}O /)q-~ UR IS ' 'I"/IS Pt." IHE~ide alk Type' Fully Improv~lI Y PERI ABAIVO RIvJII 'v'll/( . Yes 00. DIVED I~Q~r'poutslDrains: Storm sewer to curb via weep hole FOR I Yes 33.00 Total: Handicapped: Compact: , Curbside 7' Curb and Gutter IYaluaHon DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Paee 1 of 3 _6'1Wll9J!..'!:~~ ~ 'r-, . ~" -.- ;~. ....;;,:.... . -,- '.-'~'" ...' ." "". ,.' ~y ", I.~ 111" Status Issued CITY VI' ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2009-01356 ISSUED: 09/18/2009 APPLIED: 09/15/2009 EXPIRES: 03/18/2010 VALUE: $ 180,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $213.88 9/18/09 1200900000000001077 + 5% Technology Fee $106.97 9/18/09 1200900000000001077 1st Appliance $79.00 9/18/09 1200900000000001077 2 Baths One or Two Family $337.00 9/18/09 1200900000000001077 Addressing Assignment $38.00 9/18/09 1200900000000001077 Appliance Vent $9.00 9/18/09 1200900000000001077 Building Permit $1,034.35 9/18/09 1200900000000001077 Credit - Trans Improv SDC $-931.65 9/18/09 1200900000000001077 Curbcut Permit $88.00 9/18/09 1200900000000001077 Dryer Vent $9.00 9/18/09 1200900000000001077 Exhaust Hoods $13.00 9/18/09 1200900000000001077 Fire SF Fee - Residential $81.75 9/18/09 1200900000000001077 Fireplace (Listed) $20.00 9/18/09 1200900000000001077 Gas Outlets 1-4 $7.00" 9/18/09<00' 1200900000000001077 Plan Review Major - Planning $211.00 9/18/09 1200900000000001077 Plan Review Same As $250.00 9/18/09 1200900000000001077 PW Disc - 2nd Permit $-30.00 9/18/09 1200900000000001077 Residence Wiring 1000 Sq Ft $134.00 9/18/09 1200900000000001077 Residence Wiring Ea Addtl 500 $50.00 9/18/09 1200900000000001077 Sanitary Sewer - Improvement $529.11 9/18/09 1200900000000001077 Sanitary Sewer - Reimbursement $695.83 9/18/09 1200900000000001077 SDC MWMC Administration $10.00 9/18/09 1200900000000001077 SDC MWMC Improveme~t $1,044.54 9/18/09 1200900000000001077 SDC MWMC Reimbursement $101.97 9/18/09 1200900000000001077 SDC Sanitary/Storm Admin $153.24 9/18/09 1200900000000001077 SDC Tran Reimburs-Residential $211.21 9/18/09 1200900000000001077 SDC Trans Improvement-Resident $931.65 9/18/09 1200900000000001077 SDC Transportation Admin $16.04 9/18/09 1200900000000001077 Sidewalk Permit $88.00 9/18/09 1200900000000001077 Storm Drainage Impervious Area $792.98 9/18/09 1200900000000001077 Temp Power 200 amps or less $63.00 9/18/09 1200900000000001077 Vent Fan $27.00 9/18/09 1200900000000001077 Willamalane Single Family $2,858.00 9/18/09 1200900000000001077 Total Amount Paid $9,242.87 I Plan Reviews I Plannine Review 09/15/2009 09/15/2009 APP DDK Public Works Review 09/15/2009 09/15/2009 APP LKW Access restricted to 1 driveway/lot. Follow street tree plan. Storm sewer to curb via weep hole Paee 2 of3 -~!!'~9!i'1~~~ "". d" :'1, , :,',;"";;;1"'-'(/,'J Status Issued. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01356 ISSUED: 09/1812009 APPLIED: 09/15/2009 EXPIRES: 03/18/2010 VALUE: $ 180,000.00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726_3676 Fax 541-726-3769 Inspection Line Structural Review 09/15/2009 0911612009 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 Reouired Tn,nection, I Erosion/Grading Inspection: Prior to gronnd disturbance and after erosion measures are installed. Curbcut - 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 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. --z ..------ 'Y~/,f~09 ( ~ Owner or Contractors Sign at Date -' Pa2e 3 of3 J Electrical Permit Application . I 225 y;fth Street. Springfield, OR 97477.PH(541)726-J753+ FAX(541)726-J689 if1~~i]?~h~:R]~]N~irf~1l~~.~1 p5;3t::J:Z-a C ,- 0 f? Jb I I Date: '7 ~ I .r - 0 ~ I ~ I- ~.;. d ,;. '"'~ - ~}liiiil -&.' ~~ 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. 1~1i1~0g~i!I.G~:VLl;BNI'iir;t:JJt\i~gBJ~9"'\T~1-~~4'~,'1 ~~~~!?'"'f!S9M~~J'!~'" ~ 1 fi d? 0 YON ' 1 ~~~"": ~ ~'!(;~.L~~k1i&~~r.k.t$;~~~;i, ~;::~t.~~~ ~~"<li~ ~~~i1L~~i&i&1~l;&!it0t:fs_~B.!\!~mlQJil~~:W~ I Residential, per unit, service included: i~~~~~~i';!~~~";~1 i~;'::~::::h'~'~ ~. :':: :~I I City:/:y""".('\:,..lol " 1 State:dR I ZIP: '17'-178 , I I Limited energy (2) $ 32.00 $ I I Subdivision\) ~ct~{. IfV\c1kv-''i. I Lot no,~~Y"7.,~ I I Each manufactured home or modular I t~$it> -=-S:<t~rl?!tJ9N<r~Jii\(iL~g~~~~~1 I dwelling service or feeder (2)" $ 63,00 $ I /IOU51' (y/ (r- / ~;;I:!'P~ :~~\'(Ie..;~;~~ ;~~_()~~,~ Services or feeders: installation: alteration, relocation I I /8oZoJ~ ~\...;\O~'^c\09\C>S)C:::{8~':'e\\l\~-;'eI200ampSOrleSS(2) $ 81.00 $ t ~"""i'''-'lI''~~R0e,E'-'41Yff0WNER~~''';;''''';''''Ui~~,''",,:;,, 1201 to 400 amps (2) $ 95.00 $ I I~~"'R-~~~ffi,-,-"-",__fij",,,~~._,",_.,,",-,___ ,_,,,,,r~~~'i':'_O(f.:.-~ I I - \co~\U1i "0" -""'"\_\Jv '(\Vv, ,\\,V ~'O~'''- ""'I 140] 600 (2) I Name: l-kjJelA_,\"!-Bih-e.ii{(), ,,'0\'0-' I""OW:",\\\~'~ .\ to amps . $158.00 $ I Address: :Ji-lC{)~~ ()5~;\l~fe?r",~~~,,~O~ ;;';'2.,1';~'" I 1 601 to t,OOO amps (2) $205,00 $ I I City: R<>oiV""lcv> ~()';.~\\\(\~l:~ij.te':'~e.\-'O\JI'ZIP:'j'?7S-G I lOver 1,000 amps or volts (2) $469.00 $ I I ..<>\lV rl mv . I t R t I (2) $ I Phone: 5'1/-.228"- <&>'1::>5 <;\\l'" 'illfax:5"//-7'11- ,;J577 . econnec on y 63.00 $ "' I E-mail:' I I Temporary services or feeders: installation, alteration, re/ocano,: J This installation is being made on residential or farm property 1 200 amps or less (2) I $ 6ioo $ b~ owned by me or a member of my immediate family, This 1 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479.560(1).' 1401 to 600 amps (2) $126.00 $ Signature: ! Over 600 amps or 1,000 v.olts, see services or feeders section above Im;R~'j!!i~\!I!!t1IJt:0J)im~eJt~RjIN:s.mJ.i,\!I!l\;:mlG:J\l~~'%!lIWiJ\\;~ti7;~:1 1 Branch circnits: new, alteration, extension per panel I Business name; --rap \\l"r(~ E I e>C I I a, Fee fOl;,,~ch circuits with purchase ofa service or feeder fee: Address: r::!O~ A (ovf.?'1 C t 1 I Z~~~'bircuit" I I $ 6,00 I $ City: & noli I State: oR.. I ZIP: j\~ ~, ~~~o);:tIi(l{'Ch CIrCUIts without purchase ofa service or feeder fee: I Phone:511i-317-/9'i~ I Fax; C~\~"1~\~~chcircuit(2) I $ 55,00 $ I E-mail;" _.,),""\..:-~ -<.: ~\;ly.~~h additional bnuich circuit I $ 6,00 $ 1 CCB license no,; -riL SiOe. 1 BCD lice~~~"t- ]~~'\S 1''0 Miscellaneous fees: service or feeder not included 1 Signing supervisor's license no,; ~I.).~~ "1~~<t-<V~<:\ \:)~"0~V Each pump or irrigation circle (2) $ 63,00 I Print name of signing supervisor: V",), -,- i~\Jv~'<(v I 1 Each sign or outline lighting (2) $ 63.00 I Signature of signing supervisor: C) t' -'. 5S~ I Signal, circuit or a limited-energy panel, $ 63.00 $ . ( )tbJ alteratlOn, or extenslOn (2) ~ I Each additional inspection, (1) $58,00 $ ~!~~HP.1!101rN'T.!!\"'-S-~-"',; . ',l,h ':,"\i'Wii '"';\''l.'''''''''~""''1 I~ .._. , . ..._~,-~U>:.'__~__.,-_:!t~~~__t;;~;.$5!f.,~~ge (A). Enter subtotal of above fees (Minimum Permit Fee $58,00) I (B) Enter 12% surcharge (,12 x [A]) I (C) Technology Fee (5% of [A]) 1 TOTAL fees aud surcharges (A through C): ~ t~ I\liv~.\\J WD\ C\~~o/ ~~ 440-2584-J (9108/COM) $ $ $VU:.r $ '1.....'t l!:~, $ I 1",) r $ z,crf1'1 " , SftlM/E. As c," '71 'II-, St,""Jrol P"mit Appl',,"on 1m S.ll':. .mi:B_~,} ~:z:~;-"~~;;: 225 Fifth Street". Springfield, OR 97477. PH(54 ])726-3753 t FA.X:(54 1)726-3689 ~?~1~~s~ .i);~~; errmt no :-: -: ::. :-:1 e>;t: 9-IJ-.o 7- .. . . . - -. This permit is issued under OAR918"460-0030. Permits expire if worj<.i. not":'lrtt~'",ithl'tj, '8Q oI~ys of issuance or if work is suspended for 180 days, ,., ,I I j J j j I I J 1,;~1;"'::';X":!!;B;;n;~Q$'C;O Nm~~c:tr:qR:Tt.JiT.Q~M:.xtLc5N~;;::;f::i\:0'i;~,'!'i::1 , Name I CCB License Number I ',Phone Number I 1",..,("\ t-.Jdcvr.... I Electr;cal I D 2,:)&& :<11 -l'iwt I _ ~v~ I Plumbing 61;'-/7 I qJ..~-~q4?- J~~ V I Mechan;cal 13'j,;}01 (07).-'''1510- I ~W 1'" ,. ,!"L!0CA(GQYEB@~i'!"r!,4i:ii:iF{Q:VA~; ", I This project has final land-use approval: I Signature: Date: [This project has DEQ approval:. I Signature: . . Date: ! Zoning approval verified: 0 Yes 0 No .1 Property is within fiood plain: 0 Yes 0 No '-'.-,;;:\':;,; """'''.-'':"~:,.,,,,, j;.'-"-',--,, IlXI Residential _ I 0 Government . I 0 Commercial IN!('!'!":;'!fi@Ei;:~'t,~(iN1f0@'AIiQ;;'~ANRY:~dgAfi'ciN;~?;,i)y' "'" I Job site address:57~o Md".... '1 City Sp{.";'(\(/~Iol . I State: dR I ZIP"t7<(]f I Subdivision: -;\"-"P<'I" M{~IAJ" I Lot'no.: .:rn I I Reference 18ot033~ ITaxlot: OSOO,,=, .J I' '.: ',PROPERTY,OWNElf," ' ','I I Name: H~~ A,,,,,,,,,,"' I Address:~l./ 5c.v {:h(;i!v/ I CitY:R;tl"'16~~. State: 00. I ZIP~ nom J Phone: -.;a:t- &fj '3s-" Fax: - 7'11- 257 d I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immed,iate family,.and is exempt from licensing requirements under ORS 701.010. Sign here: I ':C;ONTRAQIQRiW$ffiALLATIQN\,:, . ! Business name: J-jfj"Vot.r-_,^ I Address:' <"'ME, . I City I Phone: I E-mail; I CCB license no.: Print name; I~~... I State: I Fax: I ZIP Signature; . . . . . . . I:":,:';'. . .<. ,:,:,~,~,::,:-,:-.~~t;:-: :}=EE: '~H~'QUrE-;";-'-:;: Il.yiIiiati'bu'iilformaiibn'i,-,,_:' .., '. '. r (a) Job description:. I Skcupancy I I .. .. .. .. . .. .. . . . . Construction type: ".', 'j j j 1 I I J J I j I Square feet: I,). I"I 't- '-loa Cost per square foot: Other information: I Type of Heat: ~~ , Energy Path: ~ Jlr . I ~ new 0 alteration I (b) Foundation-only permit? f Total valuation: o addition '0 Yes ~No , (a) Permit fee (use-valuation table): (b) Investigative fee (equal to [2a]): . I (c) Reinspection ($ per hour): (number of hours x fee per hour) I $ I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): I' $ i I (e) Subtotal of fees above (2a through2d): S ::!f~;il:!f~:~~~~~:~':f~:~:~~;:W;;!i~;i}~~,;j;;'~i~A~~sl- I (b) Fire and lifesafety (40% x permit fee [2a]): I $ I I (c) S~btotal of fees ahove (3a and 3b): i $ ,j 'I j I I : I (a) Seismic fee. J% (OJ x permit fee [2a]):/ $ I TOTAL fees and surcharges (2e+3c+4a): ,$ .;-;-. ~~ !~!!!!~If!;~e , Job. No. C7 - /?~c, SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR2009 NAME: HALf 'DEN' l-toM.E::S . PHONE: :).-~O G'1YS- ADDRESS:"...,"4 .Sw &lfi~/e~ tZ-P1V1.1JT> . STATE~IP: q ']4')8 , . LOCATION OF PROPOSED BUILDING SITE: Street Address: ' 7'ltf}cJ I'1tc,1'f Plat Name: . Tax Lot Number:/JO.2 as,;>,? t)'ydOcJ 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-f'r6 B. Sinale~Familv Attached NO. OF UNITS X $3,1,00 per unit = $ C. Multi-Familv ADartmerit NO. OF UNITS X $2,641 per unit = $ D. Sinale Room OccuDancv 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 (Ifapplicable) SDC payer mus\ fumish proof of . WilIamalane Credit approval.) $ 3.. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ z3S~ ~ Development-ServiCes.8epartment--- ,-- City of Springfield' i , !.F",cJ9 ""--~~"Date--lC\ \~.c5\\ '. . 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-0 1356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-0l356 COM2009-01356 COM2009-0 1356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-0 1356 COM2009-01356 COM2009-0 1356 COM2009-0 1356 COM2009-0 1356 COM2009-01356 COM2009-01356 COM2009-0 1356 COM2009-0 1356 COM2009-0 1356 COM2009-01356 COM2009-0l356 COM2009-01356 COM2009-01356 COM2009-01356 COM2009-01356 Payments: Type of Payment CreditCard cReceint1 RECEIPT #: Date: 09/18/2009 1200900000000001077 Description Plan Review Same As Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1st Appliance Vent Fan Appliance Vent' Exhaust Hoods . Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Temp Power 200 amps or less Fire SF Fee - Residential PW Disc - 2nd Permit Curbcut Permit Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning + 5% Technology Fee + 12% State Surcharge. Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 002910 In Person Payment Total: Page I of 1 9: II :58AM Amount Due 250,00 1,034,35 38,00 2,858,00 337,00 79.00 27.00 9,00 13,00 9,00 7,00 20,00 134,00 50,00 63,00 81.75 (30,00) 88,00 88,00 792,98 695,83 529,11 211.21 931.65 (931.65) 101.97 1,044,54 10,00 153,24 16,04 211.00 106,97 213,88 $9,242.87 Amount Paid '$9,242,87 $9,242.87 9/18/2009