HomeMy WebLinkAboutPermit Building 2009-9-29
. c.
Status
Issued
CITYVl' ~1"K11~t.1'lELD
Building/Combination Permit
PERMIT NO: COM2009-01441
ISSUED: 09/29/2009
APPLIED: 09/28/2009
EXPIRES: 0'3/29/2010
VALUE: $ 200,000.00
225 Fifth Street, Springfield,. OR ',,'. ".'
541-726-3753 Ph!'ne, "
541-726-3676 Fax, ;,
541-726-3769 In~pectiun Line
"I
SITE ADDRESS: 5776 MINER~L WAY
ASSESSOR'S PARCEL NO.: 1802033301900
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-00691 5770 Miueral
':."
.~ . , r
Resideutial
, .
Owner: '
Address:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
STUTZMAN SERVICES INC
License
92208
172366
39237
31747
'Expiration Date
07/29/2011
09/29/2010
03/25/2010
05/12/2010
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
~BUILD1NG INFORMATION I
#'ufUuits:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cuustructiun Type
Secundary Cunstructiun Type:
# uf Bedruums:
A .
3
# uf Sturies: 1
Height uf Structure 19.50
Type uf Heat: Furced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building: ' n/a
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basemeut:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occupant Luad:
1,579
1
R-3 "
U
.VB
400
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Fruntyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sular Setbacks:" ,
18,00
5.00
8.00
30.00
11.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% uf Lut Cuverage:
1
Yes
37.30
Tutal:
Handicapped:
Cumpact:
2
Subdivision Not Accepted . I PUBLIC IMPROVEMENTS I '. equires you to
, "~Im" nregon law r on Utility
Street Impruvements: F II I d ATTiSidewalk(iT.ype:d by the Oreg '" "b,tr.d.
.. u y mpruve . folloW rules" ~"..'-T~ e rules are S.cur n~1 e 7'
St S A 'I bl Y D ~'-'r/D "os "'- 'lien Cd G-
orm ewer val a e: .' . es _. Notiiiv..~~nspouts ,,\~aW~buah O~ur. ~an,..- }]tter
SpeciallnstructiunO: TI Fur this parcel in Jasper Meaduws 7, it is the recummendatioul1b'ttiQ BLilding:Divisiilli,lb'y'''tht>City
N CE 11\'-..1""- - h+.....II\LiVt-'-.;~~ L,..; e
Engineer: "that no. cunnectiuns shall be made to. sanitary\l>r!stoi'iilH20 systems;\until1the' ,on
Nutes: Sturm water i1fi;;;~Q(i;!liP..~<i!~!fep.\~I~y]~!!Yi<,J~}m~i1". uU;;;ling the cen~~'e~~~'U;i\ity Notification
~AUTHO'RIZEDUNDER THIS PERMIT IS NOT number for {:~iS 1.800.332-2344).
COMMENCED OR.IS ABANDONED FOR Cen
ANY 180 DAY PERIOD.
Paee 1 uf 4
. Status Issued
r~ .... . .
225 Fifth Street;"Springfleld, OR:; ::
541-726-3753 Phone .--: ~:i.
541-726-3676 Fax'
541-726-3769 Inspectiun Line
>"l'.
Descriptiun
Estimate
'T~pe uf Cunsti:uctiun
Estimate
I'
Fee Description . I'
il t
+ 12% State Surcharge
+ 5% Technulugy Fee
1st Appliance
2 Baths One ur Two. Family
Addressing Assignment
Appliance Vent
Building Permit
Credit - Trans Impruv SDC
Curbcut Permit ,
Dryer Vent ""1....
Exhaust Huuds
Fire SF Fee - Residential
Gas Outlets 1-4
Plan Review Majur - Planning
Plan Review Same As
PW Disc - 2nd Permit '
Resideuce Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer'~ Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Admiuistraiiun
SDC MWMC Impruvemeut
SDC MWMC Reimbursement
SDC Sanitary/Sturm Admin
SDC Tran Reimburs-Residential
SDC Transpu Reimbursement
SDC Transpurtatiun Admin
Sidewalk Permit ' fi .' I .
Sturm Drainage Imperviuus Area
Vent Fan '
Willamalane Single Family
Tutal Amuunt Paid
:t:. ':
I Valuation Descriotion I
o
"
$ Per Sq Ft
ur multiplier
$1.00
Amuunt Paid
$213.69
$106.89
$79.00
$337.00
$38.00
$9.00
$1,115.75
$-931.65
$88.00
$9.00
$13.00
$98.95
$7.00
$211.00
$250.00
$-30.00
$134.00
$50.00
$529.11
$695.83
$10.00
$1,044.54
$101.97
$162.41
$211.21
$931.65
$15.64
$88.00
$968.33
$27.00
$2,858.00
$9,442.32
Square Fuutage
ur Bid Amuunt
200,000.00
Tutal Value uf Pruject
Fpp~ PqillJ
Date Paid
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
9/29/09
9/29/09
9/29/09
9/29/09
Pa2e 2 uf4
CITY OF SPRINGFIELD
Building/Combination, Permit
PERMIT NO: COM2009-01441
ISSUED: 09/29/2009
APPLIED: 09/28/2009
EXPIRES: 03/29/2010
VALUE: $ 200,000.00
Value
Date Caiculated
$200,000.00
$200,000.00
09/28/2009
Receipt Number
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200?00000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200?00000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
'2200900000000001111
2200900000000001111
2200900000000001111
2200900000000001111
2200?00000000001111
. Status. ~ Issuelr--.-'
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-37691nspectiun Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01441
ISSUED: 09/29/2009
APPLIED: 09/28/2009
EXPIRES: 03/29/2010
VALUE: $ 200,000.00
,~. . ' .
Planninc Review
09/28/2009
I Plan Reviews I'
09/28/2009 APP
DDK
Access restricted to. 1 driveway/lut.
Fulluw street tree plan.
Sturm water to. tie into. curb
As nuted un plans
Public Wurks Review
Structural Review
09/28/2009
09/28/2009
09128/2009 APP
09/28/2009 APP
LKW
CJC
"
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.
J , .
I Rpllllirprllnsnections I
Ufer Electrical Gruund: lustall gruund rud at fuuting and call fur inspectiuu in cunjunctiun with fuuting and/ur
fuundatiun inspectiun.
Fuuting: After trenches are excavated.
Fuundatiun: After furms are erected but priur to. cuncrete placement.
Pust and Beam: Priur to. Iluur insulatiun ur decking.
Fluur Insul~tiun: Priur to. decking.
Shear Wall Nailing: Befure cuvering sheathing with finish materials.
Framing Inspectiun: Priur to. cuver and after all ruugh in iuspectiuns have beeu appruved.
Wall Ins~latiun: Priur to. cuv,er.
Ceiling Insulatiun: Priur to. cuver.
Drywall: Priur to. taping.
Masunry:
Final Building: After all required inspectiuns have been requested and appruved aud the buildiug is cumplete.
Perimeter Fuundatiun Drains: After gravel and filter c1uth is installed but priur to. backfill.
Underlluur Plumbiug: Priur to. insulatiun ur deckiug.
Underfluur Drain: Priur to. cuver ur placement uf cuncrete.
. .
Ruugb Plumbing: Priur to. cuver and including required testing.
Water Line: Priur to. filling treuch and includiug required testing.
Sanitary Sewer Line: Priur to. filling trench and including required testing.
Sturm Sewer Line: Priur to. filling trench.
Final Plumbi!lg: When all pl!1mbing wurk is cumplete.
Underllu?r Mechanical. Priur to. iusulatiuu ur decking and including required testing.
Underfluur G,as:; After line is installed aud required testing and capped if nut attached to. an appliance.
Pace 3 uf 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01441
ISSUED: 09/29/2009
APPLIED: 09/28/2009
EXPIRES: 03/29/2010
VALUE: $ 200,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax,. .:,
541-726-37691nspectiuu Line
Ruugh Gas: After line is installed aud required testing and capped if nut attached to. an appliance.
Gas Service: After line is installed and Iiue has been cunnected to. a minimum uf une appliance iucludiug required
testing. Presure test dune at this puiut.
Ruugh Mechanical: Priur to. Cuver
Fiual Ga~: ~he\'. all gas wur~ is cumplete.
," ~
Fiual Mechanical: When all mechanical wurk is cumplete.
Tempurai-y Electric: Appruval required priur to. Utility Cumpany energizing pule.
Ruugh Electric: Priur to. Cu,;er
Electric Service: Appruval required priur to. utility cumpany energizing service.
Final Electric: When all electrical wurk is cumplete.
ErusiunlGrading ,Inspectiun:. Priur to. gruund disturbance and after erusiun measures are ius tailed.
Sidewalk - Curbside: After furms are erected but priur to. placemeut uf cuncrete.
Curbcut ~ Standard: After furms are erected but priur to. placement uf cuncrete.
By signature, I state and agree, that I have carefully examined the cumpleted applicatiun and do. hereby certify that all
iufurmatiun hereun is true and currect, and I further certify that any and all wurk perfurmed shall be dune in accurdance with
the Ordinances uf the City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described herein, and
that NO OCCUPANCY will be made uf auy structure withuut permissiun uf the Cummunity Services Divisiun, Building Safety.
I further certify that unly cuntracturs and empluyees who. are iu cumpliance with ORS 701.005 will be used un this pruject.
I further agree to. ensure that all req'uired inspectiuns are requcsted at the pruper time, that each address is readable frum the
street, that the permit card is lucated at the frunt uf the pruperty, aud the appruved set uf plans will remain uu the site at all
times during construction.
--:-~/2~
Owner ur Cuntracturs Signatu;e 0
7-cJ1- 0'9
Date
;>;
.,
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J
Page 4 uf 4
Electrical Permit Application
8 .
~~;ili1(R~]~R].1\l~~JlU!~iii[.1
I Penn it nu,: G '1- 0I'1t/ / I
;1~7 I
225 Fifth Streett Springfield, OR 9i477tPH(S41)726-3753tFAX(541)726-3689
,
Date:
This permit is issued under O~,918-309-0000. Permits are nun transferable. Permits expire if wurk is not started within 180
days uf issuance ur ifwurk is suspended fur 180 days.
1~1~liII!~~lij~!iiSit~~.Q,\(E~NMi;N[i\\'tSgRR!1iM'~~~~~~1
I Zoning approval verified? 0 Yes 0 No.
1,,*'S~(r~1Thj;g@Ry',i(0J~jJ[@:.~lilfuljg\!):GI]i@:liJm~~
i=~e~~,1t~j[N~~E~~i;AH~~.~~~=~~~!if-t~
I Job site address: ')7-7& f"VJ nTf:L( 1
I City.: .f:".,,,,.c:,..'bl. 1 State: oR I ZIP: CJ7'f7l5' 1
~~~'h~~&~~li:JFJlwJ~~~~~~1
1 i-lo'0Y 'A.IIYr
I. ;(802..033J. 0/ ~cr6
11ll1~~~IilKQP~i;Bg:ri1WRi;8.-~;a;J,~~fl~\f;1;*i1u.~
I Name: l-L'-Id(V\ Kevr-oe ~ .
I Address::;L;CG/ $c-J'f.,(&..r!u'
I City: [2",oIv>'1co",.,.( State: il Q ,I ZIP:')77S-G.
I Phon.e: S<i/- 211f- /&.'):;5 ' I Fai<:5"/I-7'II- $77
I E-mail:', .
This installation is being made un residential or farm property
owned by me or a member ufmy immediate family. This
pruperty is not intended for sale, exchange, lease, ur rent. OAR
479.540(1) and 479,560(1).
Signature:
~lt~$~~i!~G;T@BIIN~m~~~~1ThI.Qt)i~~jj);~~:1
i Business name: 7;;p' \\Mrh F I pC I
I Address: .-JO~ 71 (oVe<1 C -\- 'I
I City: &. \"\0\ I State: oR.. I ZIP:
I Phone: 51 1/ -317 - /9q~ I Fax:
I E-mail:
CCB license nu,: ril 3(0(; I BCD license no.: ( ;i2rJ,
Signing supervisor's license nu.: q tJ S-.4 5
I Print name uf signing supervisor: V ~ I <Y-..'lcJ;..l<r
,I Signature of signing supervisor: \J~ ~-&~ _~ ,
v
~~~
"'l'~ 0--'
\Y ~.f1\;
. ...\\\/ ~
\).'j'\ ~ :0
i)' () ~
~~
~
440-2584.} (9/08/COM)
~~~~~~~!i!;.r;~sj~ffi~1\5,Q~
~'K1\"'~~~:1l'.i'E~~~"
~~~t~i1~~~fJ~~~;~m.~\{.
I Residential, p~r~njt, service include"d:
11,000 sq, ft, or less (4)
Each additional 500 sq, ft, ur portion
thereof
$134,00
,:a'taL~(i
'"~t..!;1
._Q~_.J=i'i~
1
$ / 7,,{
$'i'l) I
I
I
I
I
I
.... $ 25,00
$' 32,00
Limited energy (2)
I Each manufactured home or moduHir
dwelling service 0.1' feeder (2)
I Ser:vices or feeders: ;,..stallation, alteration, relocation
I 200 amps 0.1' less (2) - $ 81.00 $
I 20 I to. 400 amps (2) $ 95,00 $
I 40 Ho 600 amps (2) $158.00 $
I 60 I to 1,000 amps (2) $205,00 $
I Ovor 1,000 amps or volts (2) $469.00 $
I Reconnect only (2) $ 63,00 I $
I Temporary services or fe;ders: .installation, alteration, relocation
I 20~ amps or less (2) $ 63,00 $
201 to 400 amps (2) $ 87.00 $
/
40 I to 600 amps (2) $126,00 $
Over 600 apps or 1,000 volts, see services or feeders section above
$
$ 63.00
$
I
I
I
I
I
I
It
I
I
I
I
I
I
I"
I.
I
I
Signal, circuit or a Ii~ited-energy panel, I $ 63 00 . $ I
alteratIon, or extenSion (2) . .
f;~~~~;~O;~~trNff~J_~~~~~1 \.':" I
(A) Enter subtuta! uf above fees I . f . ~ '
(Minimum Permit Fee $58.00) $ ;2.G'1(
..
I (B) Enter 12%surcharge(,12x [A]) r' II $
I (C) Technology Fee (5% of[AD .$
I TOTAL fees and surcharges (A through C): $1f2. !!
Br~nch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
E~ch branch circuit I $ 6.00 I ,$
b. Fee for branch circuits without purchase of a service or fee~er fee:
First branch circuit (2) I S 55,00 $
Each additional branch circuit $ 6.00 $
. ,
Miscellaneous fees: service or feeder not included
Each pufttp or irrigation circle" (2)
Each sign 0.1' outline lighting (2)
$ 63.00
$ 63,00
$
$
....
I
'1:.,
/
!
'~
<'.
-"1i. " . '...
. r1t.". '.
~.' ~ Willamalane
.l:'W Park & Recreation Districf "
. . ,
Job, No. {}1-PI'f /
. ""...
, . .
. .
. . . .
. SYST!=M DEVELOPMi:NT Ctl;t..RG,E WORKSHEET FQR2009 '
nNAME:HA'-1 DEN. 140/0\6:5 . PHONE:::i-'2c"b,.G~JS: ,'.
ADDRE$S:J.Lf"t.t SW ~iA-c.I/:;~i4>IV1..#JD STATE~IP: q '74?'i
. LOCATION OF PROPOSED BUILDING SITE: '
Street Address: ' ,'71 {; M. (Pl:?'tY+ L.'
. Plat Name:
Ta~ LotNumber: IFt>;2. (J3:rJ d/Cf07J
.. . . .
. .
1. DEVELOPIIIIENT TYPE (9heck appropriate dwelling(s). Dwelli~gtype defi~i~ons are on !tie '
. .back,). . . , , ,
.' A. Sinqle~Familv Detached:
NO. OF UNITS . ( X $2,858 per unit =
$' 2-i'rd
B. . Sinale~Familv Attached
NO: OF UNITS
, X.$3,100perunit =
$
C.' Multi-Familv Abarlment
.. NO, OF UNITS
X $2,641 perunil=
'$
D. .Sinale Room'Occuoancv
NO: OF UNITS
. ,- . '.
, .
X $1,321 per unit ":'
$
., .-....,.. . ~' --
. ,
E. AccessorvDwellina Unit. ' .
.' . NO. OF UNITS
WII.:LAMALANESDC
,
"
,
. "'." - .
:.. .
, ,
X$1 ,550 per unit = , . . $
. ,'-' .'. ,'.
.:;,$:
. . J ,,__'
2. SDC CREDIT (lfapplicable)SDC payer must furnish proof of.
W.iIIam~lane Credit approval.)
$
"
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
-~ l)eveJoRriient:SeA;;"O~ I'\wa!tmeJ"
. . .nCilyof Springfield ... ... ... _ n
$ V'SZ-
q 1;)- "'i;' I t!) '7
Rate
.~
5
10/5/2009
9:05:45AM
City of Springfield
Development Services Department
Public Works Department
Transaction Log
For Date: 09/29/2009
Line Items:
,Job/Journal NumlJ Tran Cod nescrintion Revenue Account No
COM2009-01441 1061 Plan Review Same As 224:00000-425602
COM2009-01441 1002 Building Permit 224-00000-425602
COM2009-01441 1020 Addressing Assignment 224-00000-425602
COM2009-01441 1074 Willamalane Single Family 821-00000-215023
COM2009-01441 1005 2 Baths One or Two Family 224-00000-425603
COM2009-01441 1006 I st Appliance 224-00000-425604
COM2009-0144 I 1006 Vent Fan 224-00000-425604
COM2009-01441 1006 Appliance Vent 224-00000-425604
COM2009-0144 I 1006 Exhaust Hoods 224-00000-425604
COM2009-01441 1006 Dryer Vent 224-00000-425604
COM2009-01441 1006 Gas Outlets 1-4 224-00000-425604
COM2009-01441 1004 Residence Wiring 1000 Sq Ft 224-00000-426102
COM2009-01441 1004 Residence Wiring Ea Addtl 500 224-00000-426102
COM2009-0 1441 9111 Fire SF Fee - Residential 100-00000-424005
COM2009-01441 1231 Plan Review Major - Planning , 100-00000-425002
COM2009-0144 I 1141 Curbcut Permit 201-00000-428060
COM2009-0 1441 1142 Sidewalk Permit 201-00000-428060
COM2009-01441 1148 PW Disc - 2nd Permit 201-00000-428060
COM2009-0144 I 1178 Storm Drainage Impervious Area 440-00000-448028
COM2009-01441 1183 Sanitary Sewer - Reimbursement 442-00000-448024
Page 16 of24
Amount Paid
$250,00
$1,115,75
$38,00
$2,858,00
$337.00
$79.00
$27.00
$9.00
$13.00
$9.00
$7.00
. $134,00
$50,00
$98.95
$211.00
$88,00
$88,00
($30,00)
$968.33
$695.83
. cTransactionLog.rpt
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-01441
COM2009-0 1441
COM2009-01441
Payments:
Method
CreditCard
1184
1173
1173
1174
1186
1187
1189
1190
1175
2099
1099
Paid By
TlM/HA YDEN HOMES
Transaction Log
For Date: 09/29/2009
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Transpo Reimbursement
Credit - Trans Improv SDC
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC.MWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
+ 5% Technology Fee
+ 12% State Surcharge
Received
~,
Check
Nn
mm
Page 17 uf24
10/5/2009
9:05:45AM
City of Springfield
Development Services Department
Public Works Department
443-00000-448025
446-00000-448026
446-00000-448026
447-62232-650117
444-00000-448024
445-00000-448025
611-00000-426604
719-00000-426604
7 I 9-00000-426604
100-00000-425605
82 1-00000-215004
$529.11
$211.21
$931.65
($931,65)
$101.97
$1,044,54
$10,00
$162.4J
$15.64
$1.06.89
$213,69
"
Line Item Total:
$9,442.32
How
Amount Paid
~rovall!
011142
-q......,..-I
In Person
$9,442.32
$9,442.32
Payment Tutal:
cTransactionLog.rpt