HomeMy WebLinkAboutPermit Building 2009-10-19
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01511
ISSUED: 10/19/2009
APPLIED: 10/14/2009
. EXPIRES: 04/19/2010
VALUE: $ 171,105.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'.
SPRINGFIETYPE OF WORK: Single Family Residence
SITE ADDRESS: 5774 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033304700
TYPE OF USE:
PROJECT DESCRIPTION: Single Family Residence - SAME AS 5775 MINERA1$W A Y
.'. ATTENTION: Oregon law requires you to ·
'j'.'., talloW rUles aaop1ea DY lilt< UIl'YUIl v'""'y
S LIe,9ifi""tion Center. Those rules are set forth
R P~h~A1\ ~~~-001-0010through OAR 952-001-
, 977(j~90. You may obtain copies of the rules by
calling tne cemt1l. \.'iUtt:.__~II?_I.~I~~nl~I_lo
number fqr Ul1l!'iefft!N(l:I}1{>}R'fl'/ffiRM'N'I'fON II
CeIU'~j I..l' e,~... "t.....!.; f.!.:. J! I
Contractor License
TOP NOTCH ELECTRIC INC 172366
PACIFIC AIR COMFORT IN!= 39237
STUTZMAN SERVICES INC 31747
I BUILDING INFORMA TION ~
Owner:
Address:
HAYDEN HO
2464 SW GLA
REDMOND
Contractor Type
Electrical
Mechanical
Plumbing
# of Units: NOTICE:, # of Stories: I
Primary Occupancy Group: ,:'HIS P~L\MIT SHALt!'l!~lll!B'tFul'HUtWORK ,15.50
Se~ondary,Occupa?cy Group:,~UTHO ZED UNDC1iY'f1~1t"ERMIT IW<ttOO AIr Gas
Pflmary Constructton Type 8: '}.Vml.!mED FOR Gas
Secondary Construction Type:COMM NeED OR 1~!!\I1f<l ype: ' Electric
# of Bedrooms: ANY i 801 DAY PERlfill}.rgy Path:
Sprinkled Building: No
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, 9verlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: '
, % of Lot Coverage:
.
18.00
20;00
15,00
24.00
8,75 "
I PUBLIC IMPROVEMENTS I
New
Residential
Expiration Date
09/29/2010
03/25/2010
05112/2010
Phone
541-317-1998
541,672-9510
541-928-8942
Lot Size:
Sq Ft IstFloor:
Sq Ft ind Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,148
400
1
Yes
22.90
. REQUIRED PARKING
Total: 2
, Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'.
Curb and Gutter
Street Improvements:
Storm Sewer Available:
Special Instruction:
t~)
Notes: Storm water to curb and gutter
Pa2e I 0(4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection.Line
Descriotion
Tvpe of Construction
Estimate
U VB Utility
R-3 vIi 1&2 Familv'
Estimate
Garaee/Misc
SF/Duplex
.,
.IF.
. ~
;0'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curhcut - 2nd Curbcut
Curbcut Permit
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 - Reimbursement
SDC MWMC Administration.
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Tran Reimburs-Residential
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01511
,ISSUED: 10/19/2009
APPLIED: 10/14/2009
EXPIRES: 04/19/2010
VALUE: $ 171,105.00
I Valuation Description I
$ Per Sq Ft
or multiplier
, $1.00
$37.72
$96.83
Square Footage
or Bid Amount
171,105.00
400,00
1,148.00
10/14/2009
10/14/2009
10/14/2009
Value
Date Calculated
Total Value of Project
$171,105,00
$15,088,00,
$111,160,84
$297,353:84 .
Fpp< p~;,j .
~.,'-~
Amount Paid
Date Paid
Receipt Number
$207,57
$103,59
$79,00
$337.00
$38.00
$9,00
$1,001.79
$-45.00
$88.00
$9.00
$13.00
$77,40
$7,00
$211.00
$250,00
$134,00
$50.00
$507.07
$666.84
$10.00
$1,146.50
$101.97
$151.94
$211.21
$16,84
$88,00
$732,04
$63.00
$27.00
$2,858.00
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19109
10/19/09
10/19/09
10/19/09.
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
10/19/09
1200900000000001159
120090000000000lt59
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
1200900000000001159
$9,150.76
Paee 2 of 4
-~~~~:~~~~;~;;'~dik~ij~~J!!~l\1
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--<It. . ~ -'I C
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0]511
ISSUED: 10/]9/2009
APPLIED: ]0/14/2009
EXPIRES: 04/1912010
VALUE: $ 171,105.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ,
541-726-3769 Inspection Line
Plan nine Review
10/14/2009
I Plan Reviews ,
10/14/2009 APP
DDK
Access restricted to I driveway/lot.
Follow street tree plan.
Pnblic Works Review
10/1412009
10/14/2009 APP
BJG
Structural Review
10/15/2009
10/15/2009
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 d,ay.. ,
~ ~p'7"i1;ll,\L'n<,\)t~tiow
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are ins'talled,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footirig andlor
foundation inspection.
Footing: After trenches 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.
Shear Wall Nailing: Before covering sheaihing with finish materials,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insnlation: Prior to cover.
Ceiling Insulation: Prior to' cover,
Roof Sheathing
Drywall: Prior to taping.
Hold Downs In~talled: Special Inspection performed prior to placement of concrete. Provide report t.o City
Building Inspector. '
Final Building: After all required inspections have been req'uested 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,
Underl100r Plumhing: Prior to insulation or decking,
Underfloor'Drain: Prior to cover or placement'of concrete.
Rough Plumhiug: 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.
Pa!!e 3 of 4
CITY OF SPRINGFIELD
Status
. Issued
Building/Combination Permit
PERMIT NO: COM2009-01511
ISSUED: ' 10/19/2009
APPLIED: 10/14/2009
EXPIRES: 04/19/2010
VALUE: $ 171,105.00
I:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plnmbing: When all plnmbing work is complete,
Underl100r Gas: After line is installed and reqnired testing and c,ipped if not attached to an appliance,
Underl100r Mechanical. Prior to insnlation or decking and,including required testing,
Underl100r 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 required prior to Utility Company energizing pole:
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing a, dlor
foun~ation inspection.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete,
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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 tt at all
information hen;on 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, B~i1ding 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 readJble from the
street, that the permit card is located at the front of the property, a'nd the approved set of plans will remain on thle site at all
times during construction.
.,- ~-/)AP'A'~
Owner or Cont~ors Signatur~
Date
Paee 4 of4
I
~Ii:t\~:~.f:~-~],~]~.~i[~lill~~il~fl
Permit no: C1 - IJ 5 J 1. I
10 )(t/h I
This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not starte1d within 180
days of issuance or if work is suspended for 180 days. I
1~[~~J~~~Q&\EI~!ilMJ:NJ:"gF1,B}~~M~~~~~lEI
I Zoning approval verified? 0 Yes 0 No
1~~~~;4f1i~G~g;'('&l);~!~J;J:fil$J]@~jjlt'HiJ~~~~~~ I Residential, per unit,servi,e included:
~~;~~l1~~Iti4k~;~;T;;~;~NEl~gk~~~;@'~~~~),;t~tlll'OOO sq. ft, or less (4) I $13~,OO $
I I I Each additional 500 sq, It or portion. I
Job site address: .$7 ]"-/ CJy(" h 01, thereof ;9.. $ 25,00 $
i City:'P;"~\I,,.IO( . r State:o\<.._ i ZIP:'17"f73, ,II Limited energy (2) $ 3~,OO $
.l=~~;~~lS:~~~~~~J~~;~~i~!i;~~~~! I ~~~~I~:"S~~~~:~~ie~~~r(~)odular, I $ 6~.00 $
I h ' /~ I I Services or feeders: installation, alteration, r.elocatih, n
'(/u5C lAJ'/r- /"P~ '.' '1 I 200 amps or less (2) $ 8;1.00 $
1'!ic~.;o,~''''''''~C'BR.&gERcty;~0WNERF'\&''''''f't1.f~':''",'?,,~;r'''l I 201 to 400 amps (2) $ 9',5,00 $
~~~~~~fii?tLnl__-__ ~,""""___.__".~",,.%,..,"~~_.__,_:."\\,~...~,~;,.,?Jl<?;~~;si:,;K-*.'i"',,,,.~,,:
I Name: l-L.,rJtV\. Kevr--r'''' I I 401 to 600 amps (2) . $15~,OO $
I Address: 7L;Cc-/ 5w ('.,(""1', I I 601 to 1,000 amps (2) $20~,OO $
I City: P"dV"1cv<<"f I State:6t'< I ZIP:')775'0, I I Ovcrl,000ampsorvoI1s(2) $46~.00 $
I Ph I F <"'>. I Reconnect only (2) $ 8',3,00 $
one:5LIi-.22If-b"l-:>S-. ")<.:y/I-7'II';157:;' .
I E-mail: ._\Temporaryservicesorfeeders:installation.alteratton.relocan.on .
This installation is being made on residen1ial or farm property I 200 amps or less (2) ( $ 6;3.00 $ to:]. (D
owned by.me or a member of my immediate family, This I 201 to 400 amps (2) $ 81,00 $ I
property is not intended for sale, exchange, lease, or rent. OAR
479,540(1) and 479.560(1). I 401 to 600 amps (2) $1t6,OO $
Signature: lOver 600 amps or 1,000 volts, see services or feeder~ section above
Jiiti>-"""''''"'''''e'''i\lfliR'J\e:mGR'''I.N-S:m;'A.''''~'''#~;'''i'''N',-''''''*~1''-''':~<'''"J!'I I Bran ch cireul'ts'. ne,", alterat,.on, extens,.on per pane'/
!'Ar",;J\;~..$)J;~~..:}j:.!,""_,, ~ ~="_"..._t ",."'1tL_~~"_!J,,,,_,."~J,::l;.'\;gl,q,, Sif.:tl",~:i'i&\;>-~,:S,"'i5~\<:~.
I Business name: kp \\.lJ('~ E I (OC I I a. Fee for branch circuits with purchase ofa service ~r feeder fee:
I Address: ;)O~ A( OVe<1 C -\- I I Each branch circuit I I $ 16,00 I $
I City: &. no\ I S~ate: oR. I ZIP: I I b. Fee for branch circuits without purchase of a service or feeder fee:
,
I Phone::x" -311' 19'i'? .1 Fax: I I First branch circuit (2) I I $ 55.00 I $
I E-mail: 1 I Each additional branch circuit $ i6.00 $
I CCB license nO.: ~/Y30C I BCD license no,_: ( 22r1_ 1 I Miscellaneous fees: service or feeder not included I'
I Signing supervisor's license no,: 405'i (, I I Each pump or irrigation circle (2) $ ~3,OO $
I Print name of signing supervisor: \/('( I Sf,Jct!,,- I I Each sign or outline lighting (2) $ ~3,OO $
I Signature of signing supervisor: 9 / I....JJ / I .I I I Signal, circuit or a limited-energy panel, 'I $ ci3.00 $
/I/J 'CAM/:"//d;... alteratlOn, or extensIOn (2) . I
I Eaeh additional inspection: (I) I $~8,OO $
~%'il"('"cc"','"""'~.__,..:!i:l% "'"1!.'IfIl(. .';;F.!"b"7*-16i'."'N";r",,".A1'S'-:)!ij""""~'11\~'~'~""" .....,
r~~~~~~~,~~,~~,-w~..,\:.!~__~I;;'U.~~.t~: >', . U""
(A) Enter subtotal of above fees II" -, ...1'J1I
(Minimum Permit Fee $58.00) : $ ~ ~
I (B) Enter 12% surcharge (,12 x [AD .1 $ If /10/ q
I (C) Technology Fee (5% of [AD l I $ J ;;).J'P
I TOTAL fees and surcharges (A through C): I $.::::;:'O/J J 1
225 Fifth Street. Springfield, OR 97477 tPH(541)726,3753t FAX(541)7,26,3689
I Date:
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440,2584,J (9/08ICOM)
f': ~ Willamalane .
t ' Park & Recreation District
Job. No.
t?9- /s/ /
NAME: HA"-j T)EtJ H-Oi\\~;5 . PHONE: ?-".L~ C;'1J~
ADDRESS:J.'-("4 Sw ~L.""t:./~yP{ tZ-PJV1.IJ1> ., STATE@IP: q ?4?'i
lOCATION OF PROPOSED BUILDING SITE:
Street Address: :J1'7Lj ()KLH I j)
PlatName: ' '. Ta~ Lot Number: I U;2- O'$:S) OLj?CO
SYSTEM DEVELOPMENT CHARGE WORKSHEJ;T FQB,2009
. ., . . -. .
1. DEVELOPMENT TYPE: (Check appropriate dwelling(s), Dwelling type definitions are on the
'back,)
A.Sinale-Familv Detached'
NO. OF UNITS ( ,X $2,858 per unit = $ ::Lrr-r
B. Sinqle~Familv Attached
NO: OF UNITS X $3,1 OOper unit =. ,'$
C, Multi-Familv AiJartment
NO. OF UNITS
_X $2,641 per unit =
$
D.. Sinole 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 (Ifapplicable) SDC payer must fumish proof ~f .
Willamalane Credit approval.)
$
3. TOTAL WILLAMALANE NET SDC ASSES~ED
(if SDC reduced for Credit)
~
$2.3 Sg-
,4;; I 1f'ICY
;Date--:-~:: ...,:.
\\).\C\.~
. De,\lE'lloR..m~nt.Services Department
--.-": ~' City of Springfield , " .
5
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEII'T #: 1200900000000001159 Date: 10/19/2009 1O:21:IOAM
Job/Journal Number Description Amount Due
COM2009-01511 + 12% Slate Surcharge 207,57
COM2009-01511 Plan Review Same As 250,00
COM2009,Ol511 Plan Review Major - Planning 211.00
COM2009-0151I Building Pennit 1,001.79
COM2009,01511 Addressing Assignment 38,00
COM2009-01511 Willamalane Single Family 2,858,00
COM2009-0 1511 Fire SF Fee - Residential 77.40
COM2009-01511 2 Ba1hs One or Two Family 337,00
COM2009-015 I 1 1 st Appliance 79,00
COM2009-01511 Vent Fan 27,00
COM2009,01511 Appliance Ven1 9,00
COM2009-01511 Exhaust Hoods 13,00
COM2009,Ol511 Dryer Vent 9.00
COM2009-01511 Gas Outlets 1-4 7,00
COM2009-01511 Residence Wiring 100'0 Sq Ft 134,00
COM2009-01511 Residence Wiring Ea Addt1 500 50,00
COM2009,015 I I Temp Power 200 amps or less 63,00
COM2009-0 1511 Sidewalk Pennit 88,00
COM2009-0l511 Curb cuI Penni1 88,00
COM2009-015 1 1 Curbcut ,2nd Curbcut (45,00)
COM2009-015 1 1 Stonn Drainage Impervious Area 732.Q4
COM2009,Ol511 Sanitary Sewer - Reimbursement 666,84
COM2009-0 1511 Sanitary Sewer - 1mprovemen1 507,07
COM2009-01511 SDC Tran Reimburs-Residen1ial 211.21
COM2009-01511 SDC MWMC Reimbursement 101.97
COM2009,01511 SDC MWMC Improvement 1,146.50
COM2009,0151 ] SDC MWMC Administration 10.00
COM2009-0 1511 SDC SanitarylStorm Admin 151.94
COM2009-0 1511 SDC Transportation Admin 16,84
COM2009-01511 + 5% Technology Fee 103,59
I Item Total: $9,150,76
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CreditCard TIM DRlELING cJc 007933 In Person $9,150,76
Payment Total: $9,]50.76
,
cReceinll
Page 1 of I
10/19/2009