HomeMy WebLinkAboutPermit Building 2009-10-20
Status
Isslled,
,CITY OF SPRINGFIELD
Building/Co!TIbination Permit
PERMIT NO: COM2009-01528
ISSUED: ]0/20/2009
APPLIED: ]0/19/2009
EXPIRES: 04/20/2010
VALUE: $ ] 7],]05.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1995 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802033305700
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Singl~ Family Residence, Lot 304-Jasper Meadows. Same as 5775 Mineral.
Residential
Owner:
Address:
HAYDEN HOMES LLC
2464 SW GLACIER PI; STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
'ATf[U(JNl1RAffl'IJJRIl'NF('J'RtII~TI~O, ,
, /1\,...."J'..!f, V""'lty
, , lollow nil"" a""'~" J'" -. tf rth
'I' t' Center Those rUle~are se 0 ..
Contractor Notllca Ion . h .ltllffilK'001 EXpiratIOn Date
. ~~Q.nc9.001-0010throug, rm= .
HA YDEN ENTElWK'lISE,:,s- obtain copies o?l~D&-ules by 07/29/2011
TOP NOTCH EiIl~r.aJ>e;;J2-i~'!,~ter. (Note: theI&I~o~e 09/29/2010
PACIFIC AIR c~~t~ Oregon Utllity~~cation 03/25,/2010
STUTZMAN SE~r~"~r is 1-800-332.2344~7 ' 05/1212010
I, B.UlLDING ,INFORMATION I
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
3
# of Stories: 1 Lot Size:
Height of Structure 15.50 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: " ,."".,..~.,'.,..;,.Gas" Sq Ft Garage/Carport
NOTICE~ergy Path: T~WORl(Sq Ft Other:
THIS pE\I!M\fIt1g4\l\l!.I.l<WlRE If <' NO;.occupant Load:
....- ";' l'~ nt:O~AIT" I
~~~W~OR " ,
ANY 180 DAY PERIOD.' ' REQUIRED PARKING
Overlay Dist: ' Total: 2
# Street 'l'rees Rqd:, 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot C?verage: 28.90
5,352
1,148'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
400
~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
8.00,
12.00
23.32
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fullv Improved
Yes
Sidewalk Type:
Curbside 7'
Curb and Gutter
Downspouts/Drains:
Storm water to curb
Notes: For this parcel in Jasper Meadows 8, it is the recommendation to the Building Division, by the City Engineer: "that
no conn~ctions shall be made to sanitary or storm,H20 systems, until the subdivision is accepted by City Council".
,
Page I of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
GaragelMisc
SFfDuplex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Credit- SDC Stoqn Improv
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 Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 20.0 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01528
ISSUED: 10/20/2009
APPLIED: ]0/19/2009
EXPIRES: 04/20/2010
VALUE: $171,105.00
I V ~Iuation J;lescriPtion I
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
400.00
1,148.00
10/19/2009
10/19/2009
Date Calculated
Total Value of Project
Value
$15,088.00
$111,160.84
$126,2~8.84
Fm'~
Amount Paid
Date Paid
Receipt Number
$207.57
$104.34
$79.00
$337.00
$38.00
$9.00
$1,001.79
$-762.70
$88.00
$9.00
$13.00
$77.40
$7.00
$211.00
$250.00
, $-30.00
$134.00
$50.00
$507,07
$666.84
$10.00
$1,044.54
$101.97
$87.99
$931.65
$211.21
$.85.67
$88.00
$762.70
$63.00
$27.00
$2,858.00
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
10120/09
10120/09
10/20/09
10/20/09.
10/20/09
10/20/09
10120/09
10/20/09
10/20/09
10120/09
1.0/20109
10120/09
10120/09
10/20i09
10120/09
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
10120/09
10120/09
10120/09
10120/09
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
220090000.0.0.0.0.0012.02
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202 '
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
2200900000000001202
\
$9,269.04
Page 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01528
ISSUED: 10/20/2009
APPLIED: ]0/]9/2009
EXPIRES: 04/20/2010
VALUE: $'171,105.00
225 Fifth Street, Springfield,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectionLine
Planninl! Review
10/1912009
I. Plan Reviews I
10/19/2009 APP TAJ
Public Works Review
10/19/2009
10/1912009
APP' LKW
Access restricted to I driveway;
follow the street tree plan
For this parcel in Jasper Meadows
8, it is the recommendation to the
Building. Division, by the City
Engineer: "that no connections shall
be inade,to sanitary or stnrm H20
systems, until the subdivision is
accepted by City Council".
Structural Review
10/1912009
10/20/2009
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 day.
I Rr'\llirpr! In<l'pl'lioniJ
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 are 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 rough in inspections have been, 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.
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.,
Sanitary Sewer Line: Prior to filling trench and inCluding required testing,
Water Line: Prior to filling trench and including required testing,
, Page 3 of 4
LIl l' OF SPRINGFIELD
Status
Issued
,Building/Combination Permit
PERMIT NO: COM2009-01528
ISSUED: ]0/20/2009
APPLIED: ]0/19/2009
EXPIRES: 04120/2010
VALUE: $ 171,105.00
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 Plumbing: When all plumbing work is complete.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor Gas: After line is installed and required testing and capped ifnot 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. Prcsure 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.
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.
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 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 tbe City of Springfield and the Laws of the State of Oregon pertaining to the wo.rk 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.
1 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 c~nstruction.
~~-~L/~'
d/ :c;:; 0' ~C?J
Owner or Contrac~ors Signatur~
Date
Page 4 of 4
,.
Willamalane
Park & Recreation District
Job. No. 'fir - !)).F
,.i
SYSTEM DEVELOPMENT CHARGE WORKSHEET F.QR2QQ9
. . --.. - ,- . -- --,
NAME: HA'-f T)EtJ ' HOM.E.5 '
PHONE: ?-:~o 6~j~
SiATE~IP: q '74?i
ADDRESS:.J.Lf~4 Sw &LA-':/t:~ ,l.!>MIJ1>
,LOCATION OF PROPOSED BUILDING SITE:
" .
, . ti...
Street,Address: /99 r s. )tJ.,
, 'Plat Name:
Tax Lot Number: /~? o~.r.7, Pl~
"
" , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dw~lIing type definitions are ori the '
back.) .
A. Sinqle-Familv Detached
NO. OF UNITS ( X $2,858 per unit = $ ::LF'r6
B. ,Sinale-Farnilv Attached
NO. OF UNITS X $3,100 per unit = $
C. Multi-Familv Aoartment 1,
, NO: OF UNITS X $2,641 per unit = $
D. Sin ale Room Occuoancv
NO. OF UNITS X $1,321 per unit = $
E. Accessorv Dwellina Unit
NO. OF UNITS X $1,550 per unit = '$
WILLAMALANE SDC $ '22lcff; ~
2. SDC CREDIT (If applicable) SDC'payer must fumish proof of d
Willamalane Credit approvaL) $
,3. TOTAL WILLAMALANE NET SDC ASSESSED
(ifSDC reduced for Credit) $ 2.3S<r
,~
_/tJ 12.:> I b'1
----~Oate_ '
--OevelopmentServices'Oepartment
City of Springfield
,f--
'5
" '
Electrical Permit Application
D
SPRINGFlELD
, r~fJ~'B~I'~B~~~~ffilm.~~~"jl
I Permit nol!9 - /S.2 4 I
I Date: IbJI? /0' I
225 Fifth Street. Springfield. OR 97477. PH(541)726"3753. FAX(541)726.3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire jfwork is not started within 180
days of issuance or if work is suspended for 180 days.' .'
1~~~~([0"@PllFG0;VERNliifENit~Pie'gRQ5&i@@ll! . ~~ .::~"'"
_ _.;$ '. . ,."Er~_. ..__...,J:.~...~....__.__..~______.__."..__~Jfi__"_..",,._iit .t_"..~",.L~___""~""-';"}ft.B
1 Zoning approval verified? 0 Yes 0 No ,1
1~__"""i'W'0AmEG0RY,1~0sr'fe-eNSlllRID'Gm[ONi."""':!""""~J)~'1 '
I~~~:s::;;;--' -~TD'~~:;:e~t~~~::::~:;"~"1 1 Residential, per unit, seryice included: I
1~~'~=Jrj!;"i~W~O''''~ I ~;~;,:;~~;:~ h"~~ ~ ;':: :~~r
1 City:S:.-",'~('\'eid ' . 1 St~t~:ClR. I ZIP: '17'170 , I I Limited energy (2) , $ 32.00 $ 1
~:r~~~~i 1 :::::::::.~::'::="="',:,,::~oo I !
! ' I ,I 200 amps or less (2) $ 81.00 $ I
1"""~:5!l""',_!:L_"~~D-R"-o:~nE' 'R-;rvJ'CO;W';i"fE'R'-"""'''~,f"''''~~'':\'''''''' I, 201 to 400 amps (2) $ 95,00 $ I
~~,;';~~1~~,f,\;__c_-_~'_"~_,:,._J--_~~,t.I~.~_","-~->'!...__'__,_;h-7,,-iT~*~t-'io;:y-~--j.~ttJ,'.,~*
I Name: l-l."Jcv'\, Kc;vr.e." I 1 401 to 600 amps (2) $158,00 $ I
1 Address: :JL;Cc..; 5w 1,(""1', 11601tor,000amps(2) $205.00 $ I
1 City: (2",0( v>1C'" vi, State: (JR, I ZIP:'j'775'G, 1 lOver 1,000 amps or volts (2) $469.00 $ 1
I Phone: 5'/1-218- ';"P5' ' I Fax:9/1-7'/I" ~7? ' I 1 Reconnect only (2) $ 63.00 $ 1
I E-mail:. . 1 I Temporary sef'Vices or feeders: installation, alteration, relocation -I
This installation is bemg made on residential or farm property I 200 amps or less (2) I $ 63.00 $ \O'?~
owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ I
property is not intended for sale, exchange, lease, or rent. OAR I
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
liIl.E~..13:Q:Nm~.illJ![€[Bl~!N.S.mPi!fg'e.l]ll!!N~~~';;~0}fi'1 1 Branch circuits: new, alteration, extension per panel
1 Business name: "'!or \\ lit ~ E' I'C I I a, Feefor hranch circuits with purchase of a service or feederfce:
I Address: ..JO c;:: A ( ov 20 C ~, 1 I, Each branch circuit I I $ 6,00 I $ \
I City: & ndl I State: oR.: I ZIP: lib. Fee for branch circuits without purchase of a service oifeeder fee:" 1
1 Phone:511/-317-/'1Q'i: I Fax: 1 I First branch circuit (2) $ 55,00 $ I
I :g-maiI: 1 Each additional branch circuit $ 6.00 $ 1
CCB iicense no.:.-;-;2 3fOc' I BCD license no.: ( .22d _ I Miscellaneous fees: service or feeder riot included 1
Signing supervisor's license no.: "'-IDS L(5 I Each pump or irrigation circle (2) I' $ 63,00 $
I Printnarrieofsigningsupervisor: Vp..-J <:Jr;rk:}f'( 1 Each slgn or outline lighting (2) $ 63,00 $
IS' f'. . V II r 1 L #... /1. I I Signal circuit or a limited;.energy p~nel, I $ 63,00 $ 'I
' 19naWre 0 slgnmg supemsor: N' tI ..::- 7/J~/..R #I/)~..:-' alteration, or extension (2)
I Each additional inspection: (I) LI $58,00 $
~mJ!r:c.,",'g_"""ll",1\l!,,'--''';!t'''"'~''tiF~''''''''-''''''W'''-,,"'''-iDo\1lll~'"'
m~a~~.Ml,~~g~.I~:ts,r.!I~~;JIt~tE~~~iI;;~~
(A) Enter subtotal of above fees
(Minimum Permit Fe. $58.00)
I (B) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (6% of [A]) ,
TOTAL fees and snrcharges (A through C):
~o
~~
0~
$t41.QJ
$Q.L.\.~\
t1 '" ~
$ h~.,-o
t~<l.(\O\
440-2584-1 (9/08/COM)
225 Fifth Street
Springfief.d, Oregon 97477
541-726-3759 P~one
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number.
COM2009-0 1528
COM2009'0 1528
COM2009-0 f528
COM200Q-0 1528
COM2009-0 1528
COM2009-0 1528
COM2009-01528
COM2009-01528
C0M2009-01528 ,
COM2009-01528
COM2009-0 1528
COM2009-0 1528
COM2009-01528
COM2009-01528
COM2009-0 1528
COM2009-01528
J
COM2009-0 1528
COM2009-0 1528
COM2009-0 1528
COM2009-01528
C0M2009-01528
, COM2009-01528
COM2009-01528
COM2009-0 1528
COM2009-0 1528
COM2009-0 1528
COM2009-01528
COM2009-0 1 528
COM2009.0 1528
COM2009-0 1528
COM2009-01528
COM2009-01528
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT'#:
2200900000000001202
Date: 10/20/2009
Description
'Plan Review Same As
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
1 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
Plan Review Major - Planning
, Building Permit
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage'lmpervious Area
Credit- SDC Storm Improv
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo 1mprovemeni
SDC MWMC Reimbursement
SDC MWMC Improvement
SDCMWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
TIM DRlELlNG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
060478 In Person
Payment Total:
Page 1 of I
1l:16:23AM
Amount Due
250,00
38.00
2,858,00
, 337.00
79.00
27.00
9,00
13,00
9,00
7.00
134,00
50,00
63,00
77.40
211.00
1,001.79 '
88,00
88,00
(30,00)
762,70
(762,70)
666,84
507,07
211.21
931.65
101.97
\ ,044.54
10.00
87,99
85,67
207.57
104.34
$9,269.04 .
Amount Paid
$9,269.04
$9,269.04
10/20/2009