HomeMy WebLinkAboutPermit Building 2009-10-27
CITY OF Sl'Kll" {Jl'lJ<.LD
Building/Combination Permit
PERMIT NO: COM2009-01S12
ISSUED: 10/27/2009
APPLIED: 10/14/2009
EXPIRES: 04/27/2010
VALUE: $ 196,964.00'
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. Status Issued',' ",~' , 'j., ..
225 Fifth Street, Springfield;>hR"j':':). .
541-726-3753 Phone .
541-726-3676 Fax
541-726-37691nspection Line
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SITE ADDRESS: 5729 Peridot Way
ASSESSOR'S PARCEL'NO.: 1802041401208
. .~.:., i.': .;,; ;"::1 TYPE OF USE
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PROJECT DESCRIPTION: Single Family Residence, Lot 8 - Morning View Suhdivision
Springfield TYPE OF WORK: Single Family Residence
Owner: PETERSON TIM M.. "
Address: ,27011 JEANS RD."{,;.;,g:. .'
VENETA OR 97487 ":
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I CONTRACTOR INFORMATION I
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Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
TIM M PETERSON
L & E ELECTRIC INC
MARSHALLS INC
,: T & S PLUMBING INC
License
38167
]05475
25790
]86903
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BUlLD!NG INFORMATION I
1
. R3
U
VB
,)
# of Stories: 1
Height of Structure 25,00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
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3
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I DEVELOPMENT ]NFORMATlON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:" .' ,
,
, ,15.00
12.00
14.00 ,J
12.00
.~ ',0.00 '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
New
Residential
Expiration Date
03/10120]0
03/30/2010
12/23/2009
06/01/2011
Phone
541_935-0912
541-933-2653
541-747-7445
541-915-1000
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,584
1,830
524
REQUIRED PARKING
2
Yes
35.80
Total:1
Handicapped:
"Compact:
2
, I PUBLIC IMPROVEMENT~. "Ore on law requires you to
l~ . ,-" , ~TION. g Ut'\'ty
Street i<I\W"'A!1'''''ents' ' - I "'.....-lk""'''eJ1e Oregon II
. 'f Y\J1:":' , ,FullY Improved . fo\l?W ru e""",l'e'; Th~e rules are set fort~urbside 5'
StormT~\SePKR!i.lli\"'b~HAU Expm,: 'F. Yes Notlflcatlongfffmtfl\l3utill'0AR 95~i)IlIl...nd Gutter
Speci~Iiiifst'~J.t!!IEJ UNDffloffi "'atet tJElJiiWORK In OAR io~2~a ~btain copies of the rules by
liOMMENCED OR L "Q I,~ PERMIT IS NOT OO~~iin ,the !enter. (Note: the tel~~ho~e
Notes;i'N 180 QA'(pmI6~DA,'ODNED FOR numb2r for the Oregon Utility NotificatIOn
. .. ". .u, " Center is1-B00-332;2344).
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Status Issued '
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225 Fifth Street,Springfie]d;()R0hR/"
" -, . ,.'.~,..' .', .' ". .','J
541-726-3753 Ph,one;!.'~"", .
541-726-3676 Fax';
, 5.41-726-376~ I,!,spec!ion,Line
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Description
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":;' Tvp.e 9f C,onstruc.tion
Garae:e/Misc
, '.SF/Duplex
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Fee Description" ',_.',f'..
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Plan Review Residential '
+ 12% State Surcharge
+ 5% Technology Fee "
1st Appliance
2 Baths One or Two Family
, Addressing Assignment
Appliance Vent
Building Permit
Curbcut PermiI
Dryer Vent ' ,
Exhaust Hoods'
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Plan Review Major - Planning
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 Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation A(!min
Sidewalk Permit ~,', ,
Temp Power 200 amps or less
Vent Fan '"
Willamalane Single Family
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Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01512
ISSUED: 10/27/2009
APPLIED: 10/14/2009
EXPIRES: 04/27/2010
VALUE: $ 196,964.00
rV~luati~n Descriotion I
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
524.00
1,830.00
Value
Date Calculated '
$19,765.28
$] 77,] 98.90
$196,964.18
10/14/2009
10/14/2009
Tota] Value of Project
F~p~, tiWJ
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Amount Paid
Receipt Numher
2200900000000001183
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190 '
1200900000000001190
1200900000000001190
1200900000000001]90
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
1200900000000001190
]200900000000001190,
1200900000000001190
1200900000000001190
Date Paid
$717.30
$225.18
$111.68
$79.00
$337.00
$38.00
" $9.00
$1,103.54
$88,00
$9.00
$13,00
$117.70
$20.00
$7.00
$2Ii.oo
, $-30.00
$134.00
$75.00
$573.20
$753.82
$10.00
$1,044.54
$101.97
$173.89
, $211.21
$931.65
$74.48
$88.00
$63.00
$27.00
$2,858.00
]0/14/09
]0/27/09
10/27/09
]0/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
]0/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10/27/09
10127/09
10/27/09
10/27/09
10/27/09
10/27/09
$10,176.16
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CITY OF SPRINGFI.ELD
Building/Combination Permit
PERMIT NO: COM2009-01S12
ISSUED: 10/27/2009
APPLIED: 10/14/2009
EXPIRES: 04/27/2010
VALUE: $ 196,964.00
Status
Iss l,I ed
",., " ~
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225 Fifth Street; Springfield, OR
541-726-3753 Phone, '.
541-726-3676 Fax' :j' :,;,. ,.
541-726-3769 InspectionLhie
,)
I Pia? Reviews ,
10/15/2009 APP LLH
Initial Review 2:'" ': ":~}...
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.~; ,;,,;-.:,_, ;:t..;: .
"10/14/2009
Plannine: Review'
10/15/2009
10/20/2009
APP DDK
Garage setback = 18'
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Public Works Review"
, '10/20/2009
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10/23/2009
APP LKW
Overwidth approval from
transportation RP on 10-23-2009.
As noted on plans
Structural Review
10/15/2009
10/23/2009
APP CJC
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be D].adJ th'e same working day, inspections requested after 7:00,a.m. will be made the following
work day. ,I' , :'
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~~~"";~'~d Tr~'1rr~
Ufer E]ectrical Ground: Install ground rod at footing and call for inspection in conjunction 1"ith footing and/or
foundation inspection.
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Footing:: 'After' irenches are excavated.
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Foundation: 'After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation' or decking.
Floor Insnlation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials,
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Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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Wall Insulati~n: Prior to ;~~~~r. .
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Ceiling Insulation: Prior to cover.
Drywall:"Prior to. taping.... "
Masonry:
11..
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insul~tion or decking,
Perimeter Fo?ndation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Drain: Prior to cover or placement of concrete,
.1 ~ , I
Rougb P\urnbing:. Pdor 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 Plumbi?-g:. Wh~n all p]~mbing work is complete.
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CITY OF SPRIr"l\JJ:<IELD
Building/Combination Permit
Status "Iss~~d,., '
.', ,'~l l.' ~ ..' "
225 Fifth Street: Springfield, 9~:::
541_726-3753 Phone " ., ';;~ ,~
541-726-3676 Fax'
541-726-3769 Inspection Line
PERMIT NO: COM2009-01S12
ISSUED: 10/27/2009
APPLIED: 10/1412009
EXPIRES: 04/27/2010
VALUE: $ 196,964.00
. .' , ..,::', ;~~ : .' , '
Underllo,or Mec~anical."Pri~r to insulation or decking and including required testing.
:.:. . .--;
Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough,Gas:, Aft~r line is installed and required testing and capped if not attached to an appliance.
;'; - .;: '.. .,'", '~'-:, .
Gas Service: After lioe is'installed and line has been connected to a minimum of one appliance inclnding required
testing. Presure test don"~t this point.
Rough Mechanical: Priorto:Cover ,,;
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
: . I'
Temporary Electric: Approval required prior to Utility Company energizing pole.
'.H. :;. t;' ,'~
Rongh Electric: Prior to Cover
Electric Service: Appro,:al required prior to utility company energizing service.
Final Electric: When all electrical wprk is complete.
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 ofthe 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 req'uired 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 tbe approved set of plans will remain on the site at all
timesfduriog construction.. d
~AAA 1t'\1\\frr'~~--r lo/ ~, --q
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Owner or c;ont~actors S~gnature
i!
Date
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Pa2e 4 of 4
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' ,,,,DEPARTMENT, USE ONLY ,
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Date: . "(.J 1...--::/, 0 I '
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Firth sire~t.spri'ngr.eid, OR "9,74'i7. Plii54'i)"i6-3753.-(?AX(S41r726~3689
, - ", . - '. ,,' - '. ".
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This perm~t is issu~dunder OAR.918-309-00~O~ Permits are no"lltransferable..Permits expire' if work is not started within 180
days of issuance or if work is suspended for 180 days. ' . . I " ,
. .' .' '. . . . r
I" , :: ,; IbCACGOVERNMENT',APPROvAl ..,,1 I.',. ;-,:, 'FEE'SCHEDULE ,,~!,:j ,~" "~ I,
Z~ning ~pprqval verified? 0 y~s -' 0 No I \"~ri~b~~.of'i'~_s~e~t}!o.n~ ~~~:t~~~.(t.',,:~'~IQtr~I:~",,~~~~-~.~, ~l \~~~~l~:i
~'~e;i'~:~t~tT!,Gr~~~e~~:nYRUIT~O~ommerc;al "j ~II Residential. per unit,service iu~lud~d:" ", " I~)
" [~;~~';;i~~:~!lrE5~~:qTldv.~Q,A );6fX01T/O~., 'II ;;:;:,:'::: ,. -: ~ ;':: .~~;;.
I City::SGH OL' ; IStaie:OL.1 ZIP:q~1B11 Limitea'energi,(2j: ' $32.00" $ 1
I Reference~ \J \~N?J)4-\4 I T~xlol{J\'ZoZ>_ 'I I Eachinanufacturedhomcoiin odula" $.1, '
d II "d (2) $,63.00,.
..,',_-,,'.'~.",DSCRIPTldN.'Oi=,WORK:;i,,;' ,,';, "I wemg,sm,ceor,eeer ...
~ 0 ,l '~- I Q a1\ ~ tt~ ,. :: ~~;~:~s~:rf;::e;;; mstallation"alteraiion.r~/o:at~:nO~$ "j:
I.. -, OPERTY10WNER ",~,\,:,.::" , : I ,bOtto 400 ,"!,P,s (2) .. . , $,95,00 '$ 1
I Name:\\t"f\ \liff::O(\', 1,'/401 io 600 amps (2) $158,00 ;$1
AddreSS:~I.D\,\' c\.-eoY\5"\<c1 " ',I 160I,tol,000amps(2) 1 1 $205,0'0 1 $ 1
City:\JOI\~ L State: 0<<:...,1 I": ZIP: l{l4A1 lOver I,OOO amps or volts (2) I I $469,00 I, $ " 1 '
,I Phone: -',t.{'tI\. ~1..o0~ Fax: . -' 1,1 Reconnect only (2) ,$ 63:00 1 $ 1
I E-~ail: ' 1 I Temporary services or feeders: installation, alteration. relocaiian jp
This installation is being made on residential or fann property ,I 200 amps or less (2) , \ $ 63.00 $\~_C
owned b~ me o~ a member of my immediate family, This ' 1 201' to 400 amps (2) $ 87,00 '$
property IS not mtended fO, r sale, exchange, lease, or renl OAR I"
479,540(1) and 479.560(1), ' 401 to 600 amps (2) $126,00 $
Signature: I Over 600 amps or 1,000 volts, see services or feeders section above
I CONTRA'OTOR INST ALLA TION 1 Branch eireuits: new, alteration, extension per panel
I Business name: L ~ of:. E. lit L \- \' \ c... I I a. Fee for branch circuits with purchase of a service or feeder fee:
I Address: Gj d. t) 3 ~ .J 0 f\JI) Acr~ \<D 1 I Each branch circuit . I I $ 6,00 I $
I City" ~\::><;1 ~ .~ ~ l State:Q.e I ZIP:q-,4 781 I b.Feeforbranchcircuitswithoutpurchaseofaserviceorfeedertee:
1 Phone!?'!I- 9,3J .. 2.:::. '15 1 Fax:;<+- /-c 'i:3 J"01S' I 1 First branch circuit (2) " [' I $ 55,00 I $
E-mail: I \ Each additIonal branch CIfCUlt $ 6.00 $
CCB license no.: 1 0 5~ -, 51 BCD licens~ no.: 20-~3 e 3c:.J J Miscellaneol.ls fees: service or feeder nol'inc/uded
I Signing supervisor's licens~ no.: '-t t l.\...\ - S I I Each pump or irrigation circle (2) $ 63.00
I Print name of signing supervisor: ~ '\).ev, Ovo <:V\ I 1 Each sign or outline lighting (2) $ 63.00
1 Signature of signing supervisor: .:;:: ( ') ,,..-...,. , ~, . ~U ~ 1 I Signal.circuitora li!llited-energy panel, $ 63.00 $
( Q,>:! \ ~~ alteratIOn, or extension {2)
I Each additional inspection: (1)
~ I ,. APPLICANT USE
- I (A) Enter subtotal of above fees
~ (Minimum Permit Fee $58.00)
, ........0 I (B) Enter 12% surcharge (,]2 x [AD
, 1"l... rp 1 (C) Technology Fee (5% of [AD
V 1 TOTAL fees aud surcharges (A through C):
$
$
$58,00
$
440-2584-) (9/08/COM)
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$9..~ArO
$ E>'2.(tA
$ \~.\QV
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Willamalane
Park & Recreation District
Job. No.
~ - \tQfJ/
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME:\~ ~\E'_{"Sl':X\ ~ PHONE: <\54.9:ko\
ADDRESS:~1D\\ ..'JeCtl\'S ~CITY ~ef\~ STATcO\L-ZIP:Cl..'\<\6i
LOCATION OF PROPOSED BUILDING SITE:
'Vroo.ot
Street Address: ~ \ 1) ~C\
PlatName:~\{'(l \\\fu) ,
\
Tax Lot Number:
\ ~D1~\6( 'O\~Cfb
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 =
\
B. Sinale-Familv Attached
NO. OF UNITS
,X $3,100 per unit =
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =
D. Single 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 (If applicable) SDC payer must furnish proof of
Willamalane Credit approvaL)
3. TOTAL WILLAMALANE NET SDe ASSESSED
(if SDC reduced for-Credit)
~ \. ~ffiQ V
Development Service\, 5lepartment
Gitv-ofSprinafield
$ 'tff!:::8.oV
$
$
$
$
$ Wrsg.CXJ
$ P
$ ?f?{;)f6 ,eV
/0 /.26 I ,'tfJP'
Date
, I
5
225 Fifth Street. ",' .;;,;::;, ':;;;~
Springfield, Oregoiim~77 '
541-726-3759 P!1on~
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
C0M2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
C0M2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-01512
COM2009-0 1512
COM2009-0 1512
C0M2009-01512
COM2009-01512
C0M2009-01512
COM2009-0 1512
COM2009-01512
COM2009-01512
C0M2009-01512
COM2009-01512
COM2009-01512
C0M2009-01512
Payments:
Type of Payment
Check
cReceint 1
RECEIPT,#:
1200900000000001190
Date: 10/27/2009
Description ,
Addressing 1).ssignment':'
WilIamalane.Single-Family
" ::Residence Wiring 1000 Sq Ft
,;;"" '., Residence Wiring Ea Addtl 500
" . "Telllp Power 200 amps or less
.~; - 'Fire SF Fe~ "Residential
Plan Review Major - Planning
Building Permit
2 Baths One or !wo Family
1 st Appli..nc~':,.;" ".'
/' "(Ve~t.Fan,-,,""';'f
'.. . '~,Appliance Vent'"
"
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Sidewalk Permit
Curbcut Permit
,"
P~ Disc - 2nd Permit
,Sariitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
'SDC Transportation Admin
, + 5% Technology Fee
+ 12% State Surcharge
Paid By
TIM, PETERSON CONST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 13002 In Person
Payment Total:
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Page I of I '
10:5]:23AM
Amount Due
38,00
2,858,00
134,00
75,00
63.00
117,70
211.00
1,103,54
337,00
79,00
27,00
9,00
13,00
9.00
7,00
20,00
88,00
88,00
(30,00)
753,82
573,20
211.21
931.65
101.97
1,044,54
10,00
173,89
74.48
111.68
225,18
$9,458.86
Amount Paid
$9,458.86
$9,458.86
10/27/2009