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Home My WebLink AboutPermit Building 2009-9-29 Status Issued 225 Fifth Street, Springfield, OR " 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspectio~ Line SITE ADDRESS: ' 5782 MICA sT ASSESSOR'S PARCEL NO.: 1802033303400 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01440 ISSUED: 09/29/2009 APPLIED: 09/28/2009 EXPIRES: 03(29/2010 VALUE: $ 164,000,00 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-0534 5764 Mineral ; '.'. Residential Overlay Dist: Total: # Street Trees Rqd: 1 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 28.90 If,. __...c. ~"f'\tll' \ri\-\'C. ~?~,. . I PUBLIC IMPR9Y.l~i~'tS\'l~~R;~\S p'C.RI'J~ 'rOR' . , I-IQRILtJ Ij~ ._ >& ii'\PyQ~.t Fully Improved JI,\l1 'C.~CtD QRSi1l~ ' I pe. Curhside 7' Yes CQWI~ DJI,'1 ptfil,~spouts/Drains: Curb and Gutter Fo~ this parcel in Jasper Meadows 7NliL t~q.ecommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the Storm water to cnhlliili:MiutpshUleepted by City Council". Owner: HA YDENHOMES LLC . Address: 2464 SW GLACIER PL STE 110 REDMOND' OR 97756 Contractor Type Contractor # of Units: 1 Primary Occupancy Group: R2 Secondary Occupancy Group: U Primary Construction Type VB Secondary Construction Type: # of Bedrooms: . 3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 12.00 7.00 24.00 8.75 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction 9 ~ Sl Ja\uaCl I CONTRACIVKIl'IFORMATION"I,zt:t:-OO - 'a"\JOIJaquJnU \n uoBaJO" B I\\B:) UOl'l1::>\H\ON "'Hi,~' ",\, 'Jf'!ua:) al.\\ u'. 'M au'LtCeDse31.\\ .<EXnll;!lhoDtDate,\ Phone v,,- -. ' 0 saldOQU!o,'1V .. \:l\lO U\ ^" salOJ al.\\\ ~',_..n'" O[)-~OO-Z96 ....._.. _....,... ljVU .....- 'la\ua~ uv~+....-"., . BUILDING INFORMj\:PION"aJB salOl asol.\l dopB salOl MOIIOI "";;\' uoBaJO al.\\ ^q,~~a~ajO :NOI1N311\l # of Stories: ^~1. ~O^ saJ\o\1aJ MIJot Size: Height of Structure \ 15.50 Sq Ft 1st Floor: 1,031 Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Electric Sq Ft GaragelCarport 400 Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 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 Assign'1'ent' Appliance Vent Building Permit Credit - Trans Improv SDC Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As ! Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC MWMC Administration SDC MWMC Improvement, SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC TranReimburs-Residential SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid , Plannin!! Review Public Works Review Structural Review , j , . , .. CITY OF SPRINGFIELD' Building/Combination Permit , PERMIT NO: COM2009-01440 ISSUED: 09/29/2009 APPLIED: 09/28/2009 EXPIRES: 03/29/2010 VALUE: $ 164,000.00 $1.00 164,000,00 09/28/2009 Totlll Value of Project $164,000.00 $164,000.00 J{pp<, P~ilLI Amount Paid Date Paid Receipt Numher $200.67 $94.16 $79.00 $337.00 $38.00 $9.00 $969.23 $-931.65 $9.00 $13.00 $71.55 $7.00 $2 I 1.00 $250.00 $134.00 $25.00 $507.07 $666.84 $10.00 $1,044.54 $101.97 $146.34 $211.21 $931.65 $16.38 $712.69 $63.00 $27.00 $2,858.00 9/29/09 9/29109 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 1200900000000001103 $8,812.65 I Plan Reviews , 09/28/2009 09/28/2009 APP DDK Access restricted to 1 driveway/lot. Follow street tree plan. 09/28/2009 09/28/2009 APP LKW Storm water to tie into curb 09/28/2009 09/28/2009 APP CJC As noted on plllns Pa!!e 2 of 4 CITY OF SPRINGFIELD Buildi~g/Combination Permit PERMIT NO: COM2009-01440 ISSUED: 09/29/2009 APPLIED: 09/28/2009 EXPIRES: 03(29/2010 VALUE: $ 164,000.00 225 Fifth Street, Springfield, OR' ,- 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection qne To Request a~ in~pection 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. , Rponirprl1nsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: .After trenc~es are excavated. , . Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking. Floor Insulation: Prior to decking. " Sbear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Ins\llation: 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. 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. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl1oor.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. Paee 3 of 4 " t______ J CITY OF SPRINGFIELD Building/Combination Permit Status Issued " PERMIT NO: COM2009-0I440 ISSUED: 09/29/2009 APPLIED: 09(28/2009 EXPIRES: 03/29/2010 VALUE: $ 164,000.00 225 Fiftb Street, Springfield, OR .' 541-726-3753 Pbone, :.,; .. 541-726-3676 Fax, 541-726-3769 1~,~pection. Line Temporary Electric:. Approval required prior to Utility Company energizing pole. Rougb Electric: Prior to Cover Electric Service: Approval r~,quired prior to utility company energizing service. Final EI~ctri~: Wben all elec1rical work is complete. Erosion/9ra~ing Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcutii.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, 1 state and agree, tbat I bave carefully examined tbe completed application and do bereby certify that all information bereon is true and correct, and I fnrtber certify tbat any and all work performed sball be done in accordance witb tbe Ordinances of tbe City of Springfield and the -Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. I further certify tbat 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/J//l ~ ?0-=n-cq Owner or cont~a;tors Signd Date I, Paee 4 of 4 5'Ar"IE A5 ,S"X>4 I'VIIN''''-' c,'f.S3L/ Structural Permit Application . 225 Fifth Street. Springfield, OR 97477 . PH(54 1)726-3753 . FAX(54 1)726-3689 .~PRINGF'ELD l:-;p'&~,;;:~?; ~1~;~~~f:;~f5.~:~ ....,,~,,~, d>6, <'ii.., fJ{tifk~~#~~ "'"AJI "i' I DEPARTMENT USE ONLY I (OvWZCO'!- O/f-I'tO Permit no.: ' I Date: ;-. t rr -0 ') This permit is issued under OAR 9]8-460-0030. Permits expire if work is not started within ]80 days of issuance or if work is suspended for ]80 days. , . ,..,. .:,to,fA~G9YE@M~N:T;;'AB~R:dYAE}:;)i:r;iK'::;)!'{;,~~ . I ~~~:r~;eect has finalland,use approval. I Date - I"'" , """:;";/>FEE 'SCHEQiJLE I ~~~:r~;eect has DEQ approvaL I Date 1:;~)~:~'~~:i~;::i:~or;n~ilo;;"i;iFgif' ! Zoning approval verified; 0 Yes 0 No 1 Occupancy I Property is within flood plain: 0 Yes 0 No - '"J I Construction type: g1Jjl't'~i:fi.~;~!fiii!'c':f\tEQ9.riY};QF;;cONs:f~i:iGr,IQiH;,i':)ii,;;;;:j:'i::ij'l Square feet. I.D(] Residential I D Government I D Commercial j Cost persquarefoot. IO,;;? 1 j 900 1!\')3:;'!'h!j:;u~~;):SltE,..fN!;oRMATfQN~ANDr~0q)(iJci'Nt;i:Y~"ii'i{.~'JI Other information. I Job site address. SJfi;;] I"1J/"~ I I Type of Heat., {~~, I City. <;"(,,,,~c.'_lr,(, I State. d R I ZIP't7<f7'l [I .\ '.~" , Energy Path., ~ IT i::~:~~~~;~;~I,~'o f,;CD . .1 .,II~~i~;~g~~:;:"~::;~:,:,'O ..J.."..~.,A,~.",...:..,;.,.,':..."".~ _ I ~:retth"'16"J U 5w /.J~ oR I ZIPS77Sr;, ! 1;'(~;~~r-~itfee.(~;;::;~~;i~"~';:~'I';;E"c_"~"..,,., I .' -....J.,- "07---" I I (b) Investigative fee (equal to [2a)). $ Phone: -010<1- (d1 '3, Fax. - NI- ;.., / '" , . , ' I (e) RemspectlOn ($ per hour): I E-mail: (number of hours x fee per hour) $ This installation is bein? made. on resi~ential 0: farm property ~wne? by I (d) "Enter 12% surchar e (.12 ~ (2a+2b+2c)): 7( - me or a member afmy Immediate family, and IS exempt from licenSing g. $.>~I ~ . requirements under ORS 701,010. I (e) Subtotal of fees above (2a through 2d)., S IO~ 0(, Q"Y I Sign, here, 'CONTRAC~9R)~S~AtLATI.Q~~. ',' ," . J . i;!~l1i:~~~\~~~:~!~~f:i;;:!f:[~:~~t;;i~~1~gl Ii ~i:~:::sname<:~~~~ I~.vvl Sta~e. I ZIP., ji ~~i~:~:!~~~~~f~!~;~!i~;'~''h!': .. ! Phone: Fax: ~ E-mail. J I TOTAL fees and surcharges (2e+3c+4,)., $/JSY J I CCB license no,' I I Print name: I I Signature: 1 li~;!;;":t~():';;:P:;!~;~Sl:J~-f.0NiI1~Ac:tORfNiC,iiJRrY1:A;fLQN:f*':3f:~W~?0i:i;Ni'j I Name CCB License Number Phone Number J I Electrical n 2-)(,,(;' ~n - Flwt I I Plumb;ng 31 ;47 '1J~- iiq 4). J I Mechankal 3"l,;}J( (07:;"-"1510- I "...j,..... I :j J I I $m~JI j \ '\ G tI' q vi'C<'- 60. . ?c> J\. . , T'. , Electrical Permit Application ~!f;i,'6~p:ltRf:M'ENT~US~ON'~~~tl I~~."", .'0-_0;' -.,., .-. --' . 'l:,II:_~.,,::.~~:r!'."".:o~~L~'9'_"':::':L~:.~'~~~:!;"1 P~~~f:OO if . 01'1'10 j Date: ,~Yo 5 I 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. SPRINGF'ELD, :;;J, . l:', _ ~ ft:L"'J~~~ a,"~~~ 225 Fifth Street+Springfield, OR 97477 +PH(541)726-3753+ FAX(541)726-3689 ~1W~:G~I~'!G~V:E~NMiONit~8'e!'lB.Q'l~~~ 1 Zoning approval verified? , ,DYes "" 0 No ,I . onsgee... 'c{,,",,',, ""~~~""?I!!(C'kirEt{)R'i'i>'0t;;"",0NsmRI!JGtI0N"''''''1l''~;i}!~'1 . ",-_"",A",,,'lib:,,~_,,,,,'-,,,, ,j""""" i~r:;::::i~lu- "'I~~~~~e~t--"'I~~:=::'''-'i I Residential, per uni4 service included: i~::~~;;:~"~~;;B~~~f~E[~ri~H~ll~~~'P:.m~Nf;&.~r~ i ~~;~O;d:i:~::II~~O(:~ ft, or portion I ~ :1 ::::: I City: <rrf""C:,.io! rstate:o\<.. I ZIP:'17'f7l5' I 1 Limited energy (2) 1 $ 32.00 l~~1S~~;r~df,,\lWit~~~~~~'\jj~11 ~~~~I~:'S~~~~~r~~ ~~~:r(~)odular I $ 63.00 $ lfou.Sc. WIve j k;P'V'\ I I Services or feeders: installation, alteration, relocation /8oz05 S~ )0 Os'fcSC I I 200 amps or less (2) $ 81.00 $ 1~.__l~~gB--:Qg~Rmg.o!(jj.wW=~Jf~]ti1i~~~,lt,~;~-;:;'l]1 201 to 400 amps (2) $ 95.00 $ I Name: l-L'IJN'- Kevr--e." I 401 to 600 amps (2) $158.00 $ 1 I Address: :;i;CLI St.-J ('.,(",,,.,, I 1 601 to 1,000 amps (2) $205.00 $ 1 I City: r<."o{ VVlCVl vi I State: 0 Q I ZIP: ')775'0, I lOver 1,000. amps or volts (2) $469.00 $ 1 I Phone: 5<1/-.21$- ':;')~5,' I Fax:91/-7'//- $77 . I 1 Reconnect only (2) $ 63,00 $ 1 I E-mail:. I I Temporary services o~ feeders: installation, alteration, relocation .] Th" II' . b ' d 'd' I Ii 1 200 amps or less (2) / (' ? IS msta atlOn IS emg ma e on reS! entia or arm property $ 63.00 $ , ~ owned b~ me o~ a member of my immediate family, This. 1 201 to 400 amps (2) $ 87.00 $ property IS not mtended for sale, excbange, lease, or rent. OAR' 1 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ Signa~e: lOver 600 amps or 1,000 volts, see services or feeders section above 1-~~G:<;)l'jm~<::iILQBllI\[Sm~I!&k>lrl~l)!~m~;~;\1;1 1 Branch circuits: new, alteration, extension per panel I Business name: J;"p t\bt(~ F Ipc I I a. Fee for branch circuits with purchase ofa service or feeder fee: I Address: ",)01;; A (OVt?'1 C -1--, I 1 Each branch circuit I $ 6.00 1 $ I City: & 1'\0\ I State: oR I ZIP: [ b. Fee for branch circuits without purchase of a service or feeder fee: Phone: 51 ,,-3il-/9'i~ 1 Fax: 1 First branch circuit (2) $ 55,00 $ E-mail: I I Each additional branch circuit $ 6.00 $ I CCB license no.: 17~2 _)0C I BCD license no.: r :l.JrJ. I I Miscellaneous fees: service or feeder not included 1 Signing supervisor's license no.: <.Jf9<; 4.s 1 I Each pump or irrigatio~ circle (2) $ 63.00 $ I Print name of signing supervisor: 'W-, / c::jru-'.l:. J~r I 1 Each sign or outline lighting (2) $ 63.00 $ 'I Signature of signing supervisor: ,/.. /7_ r ~ ' L'" /0 I I Signal circuit or a limited-energy panel. I $ 63 00 $ I V.-c.n'f/<. ,"",//7~ +.17 alteratIon. orextenSlOn (2)- . . -1 c-:-- I Each additinnal inspection., (I) I' I $58,00 1 $ I -,-,~...;!t=""1""'JX--"T' "'~-'j)f~'--""'"'''''':.!!1l<:;;'~JI1-''~;W11 f~~~~~~~b'"lM:k'$'l-,__e.R~I~:~Nlfm,J'~e~~~~~t~~~~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) 1 (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of[A]) 'I TOTAL fees and surcbarges (A through C): 1 I r}l{ I I $'" I 1 $ I I '! .. ~ ~ ~~fl-. r::P, '-, \j) ~11;cf\ .\~~~ ~\. $z~ $ X"~ $ II'; I $ 7~7'lY , 440-2584-J (9108/COM) f\' w. .,1 " ' . ~._~ ., lama ane .' ~"'W. Park & Recreation District job. No. {!f:{-/Lfl( 0 SYSTEM DEVELOPMENT CHA.R,GE WORKSHEET FOR 2009 NAME: HA'-I PeN. 140 M..E'.5 . PHONE:?-~ ~ G'fJS- ADDRESS:.J.Lf~4 Sw &V9'.c/~Effi' i?-1>JVl.IJD STATE~IP: q '74?'i . LOCATION OF PROPOSED BUILDING SITE: StreeMddress: 5'1;;; '/(ArC-A. Plat Name: Tax Lot Number: II7)). ~$.'7Y CJ:jl.(dd . . ". . . , ,. . . ." ..". '. . - . - ',', . . '1. )'lEVELOPMENT TYPE (Check appropriate' dwelling(s). Dwelling type defini~ons are on the back.}. . A. SinOle-Familv Detached NO. OF UNITS ( X $2,858 per unit = $ 2-FT6 B. Sinale-Famihi Attached NO. OF UNITS X$3, 100' per unit = $ C. Multi-familv Abartmerit , . NO~ OF UNITS . , X $2,641 per unit = $ D. Sino Ie 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 (Ifapplicable) SDC paye; must furnish proof of Willamalane Credit approval.} , $. . . 3. 'TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 2.3 s ~ ~. (.A7r 1/2 dlb 5 . np"plopmenLSendces.Depadmel"t City of Springfield . "Oa+~" 5 , .. 225 Fifth -Street ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal-Number ., COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 C0M2009-0 1440 COM2009-01440' COM2009-01440 COM2009-0 1440 C0M2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 C0M2009-0 1440 COM2009-01440 COM2009-01440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 COM2009-0 1440 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Plan Review Same As Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 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 Fire SF Fee - Residential Temp Power 200 amps or less Plan Review Major - Planning Storm Drainage Impervious Area .Sal!itary Sewer - Reimbursement Sanitary. Sewer - Improvement SDC Tran Reimburs-Residential SDC Transpo Reimbursement Credit - Trans 1mprov SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge Paid By HAYDEN ENT . ....J~Q ~;...ll1- ~.,.. '. ;~ " '.,-' ",: - . ~-r' -,... ,~,~-' City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001103 Date: 09/29(2009 Item Total: Uheck Number Authorization Received By Batch Number Number How Received djb 042159 In Person Payment Total: Page I of I 2:39:16PM Amount Due 250,00 969,23 38,00 2,858,00 337.00 . 79.00 27,00 9,00, 13.00 9,00 7,00 134,00 25,00 71.55 63,00 211.00 712.69 666.84 507.07 211.21 931.65 (931.65) 101.97 1,044.54 10.00 146,34 16.38 94,16 200.67 $8,812.65 Amount Paid $8,812,65 $8,812.65 9/29/2009