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Home My WebLink AboutPermit Building 2009-11-23 Status Issued I' 225 Fifth Street, Springfield,QR 541-726,3753 Phone 541" 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: .2048 10TH ST 2050 ASSESSOR'S PARCEL NO.: 1703261310700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01545 ISSUED: 11123/2009 APPLIED: 10/21/2009 EXPIRES: OS/23/2010 VALUE: $ 265,225.00 SPRINGF1ETYPE OF WORK: Duplex PROJECT DESCRIPTION: Duplex, Mimosa Park 3rd Addition, lot 46 Owner: Address: BERNARD D HIATT LIVING TRUST 836 R ST SPRINGFIELD OR 97477 TYPE OF USE: New Residential I CONTRACTOR INFORMATION' Contractor MICHAEL HIATT CONSTRUCTION L & E ELECTRIC INC COMFORT FLOW ADH PLUMBING INC Contractor Type General Electrical Mechanical Plumbing I # of Units: ) Primary Occupancy Group: I Secondary Occupancy Group: Primary Construbion Type . , Secondary Const,uction Type: # of Bedrooms: I I Frontya,'d Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: License 152009 105475 460 175077 BUILDING INFORMATION' 2 R-3 U VB 4 # of Stories: Height of,Structure Type of Heat: Water Type: Range Type: Energy Path: , Sprinkled Building: 1 22.00 Electric Electric Electric No I DEVELOPMENT INFORMATION I 18.00 10.00 16.16 11.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 'Expiration Date 06128/2010 03/30/2010 06/27/2011 04/03/2011 Phone 541-915-3569 541-933-2653 541-726-0100 541-967-7686 Lot Size: 8,712 Sq Ft 1St Floor: 2,496 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 1,248 Sq Ft Qther: Occupa'nt Load: REQUIRED PARKING 4 Yes 35.83 Total: Handicapped: Compact: 4 , I PUBLIC IMPROVEMENTS I Slreet Improvements: ' ,'meNTlON:.<SrtBQml fM,~!lqulres you,t,o Fnllv Improved ", follow ruleSlWopted by the 9re90n Utl,hty Storm Sewer Available: Yes . afon CMftll'P.'l'II11~muiGresetfC!lthb and Gutter S"e'c\~IIInstruc!ion: Setback sidewalk on 10th Street!curbsid~8~t ~2.oo1.o010thrOugh OAR 952-001- ," d 11...1:.. , blat copies of the rules by Note~;HIS PERMIT SHALL EXPIRE IF THE WORK OO:ii~~fl::~ter. (Note: the telephone . ,,'mHORIZED UNDER THIS PERMIT IS NOT IIUIl\b8I'forthe Oregon Utility Notif\o8tlOft COMMENCED OR IS ABANDONED FOR Gent8f \a t 8QO ~"-2344). ANY 180 DAY PERIOD. Paee 1 of 5 Status Issued CITY OF SPRIl'iGJ:<lJ!.LD Building/Combination Permit PERMIT NO: cOM2009-01545 ISSUED: 11/23/2009 APPLIED: 10/21/2009 EXPIRES: OS/23/2010 VALUE: $ 265,225.00 225 Fifth Street, Springfield,'OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I , / Garaee/Misc SF/DutJlex Tvpe of C~nstrnetion U VB Utilitv R-3 VB 1&2 FamiIv $ Per Sq Ft or multiplier $37.72 $96.83 . Square Footage or Bid Amount 624.00 2,496.00 Value Date Calculated Description Total Value of Project $23,537.28 $241,687.68 $265,224.96 10/21/2009 10/27/2009 Fpp,< Pql..l . oJ ~ ~ ...... Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $886.61 10/21109 1200900000000001177 + 12% State Surcharge $322.96 11/23/09 3200900000000000768 + 5% Technology Fee $153.17 11123/09 3200900000000000768 1st Appliance $158.00 11123/09 3200900000000000768 2 Baths One or Two Family $674.00 11123/09 3200900000000000768 Addressing Assignment $76.00 11/23/09 3200900000000000768 Bnildin'g Permit $1.384.37 11123/09 3200900000000000768 Curbeut Permit $88.00 11123/09 3200900000000000768 Exhaust Hoods $26.00 11/23/09 3200900000000000768 Fire SF Fee - Residential $156.00 11123/09 3200900000000000768 Overwidth Application Fee $45.00 11123/09 3200900000000000768 Plan Review Major - Planning $211.00 11123/09 3200900000000000768 Plan Review Resideutial $56.71 Il/23/09 3200900000000000768 PW Disc - 3rd Permit $-60.00 11/23/09 320Q900000000000768 Residence Wiring 1000 Sq Ft $268.00 Il/23/09 3200900000000000768 Residence Wiring Ea AddtI 500 $100.00 ': 11/23/09 3200900000000000768 Sanital)' Sewer - Impr~vement $881.85 11123/09 3200900000000000768 Sanitary Sewer - Reimbursement $1,159.72 11123/09 320q900000000000768 SDC MWMC Administration $10.00 11123/09 3200900000000000768 SDC MWMC Improvement $2,089.08 II /23/09 3200900000000000768 SDC MWMC Reimbursement $203.94 11/23/09 3200900000000000768 SDC Sanitary/Storm Admin $252.70 11/23/09 3200900000000000768 SDC Tran Reimburs-Residenlial $422.43 11123/09 3200900000000000768 SDC Trans Improvement-Resident $1,863.30 11/23/09 320~900000000000768 SDC Transportation Admin $158.71 11123/09 3200900000000000768 Sidewalk Permit $88.00 11123/09 3200900000000000768 Storm Drainage Impervious Area $1,597.93 11123/09 3200900000000000768 Temp Power 200 amps or less $63.00 11123/09 3200900000000000768 Vent Fan $18.00 Il/23/09 3200900000000000768 Willamalane Attached (duplex) $6,200.00 Il/23/09 3200900000000000768 Total Amount Paid $19,554.48 Paee 2 of 5 Status Iss u ed 225 Fifth Street, Springfield, OR 54I"726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line Structural Review Initial Review Plannine Review Public Works Review Structu ral Review Structural Review Structural Review Public Works Review Structural Review 10/2212009 10/22/2009 10/22/2009 1012812009 10/30/2009 10/30/2009 10/30/2009 11103/2009 11/17/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01545 ISSUED: 11/2312009 APPLIED: 10/21/2009 EXPIRES: OS/23/2010 VALUE: $ 265,225.00 I. Plan Reviews I 10/2212009 APP LLH 10/28/2009 4 street trees - 2 along T Street and 2 along 10th Street. No street tree shall be planted within a 7' PUE. 10th Street has a setback sidewalk- required street trees along 10th Street shall be planted within the planter strip. APP DDK 10/30/2009 APP LKW transportatiou Ok'd per Richard Perry on.II-5"2009 Owner is using 1000 psI' soil bearing pressure, for prescriptive Table R403.1 making I-story conventional light-frame construction with 18 inch width of concrete footings. Received I-hour dwelling unit separation assembly detail from Brad at Arbor South Architects- GA File No. WP 3380. Waiting for Public Works approval, 10/30/2009 10 KLK 10/30/2009 10 KLK 10/30/2009 10 KLK 1110312009 APP LKW Requested in phone call site plan showing exact location of house and location Of the floodplain to Michael Hiatt, per Matt Stouder. Received plan on 11-16-2009 after 3:00 p.m. Matt Reviewed and Ok'd on 11-16-20094:47 p.m. 11117/2009 APP KLK 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. Uleollir~CUnsnections I Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Paee 3 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2009-01545 ISSUED: 11123/2009 APPLIED: 10/21/2009 EXPIRES: OS/23/2010 VALUE: $ 265,225.00 225 Fifth Strect, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ufer Electrical Ground: Install ground rod arfooting and call for inspection in conjunction with footing and/or foundation inspection. ~ooting: '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. Roof Sheathing Drywall: Prior to taping. Firewall: Located and constructed according to plans. Masonry: Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections h'avebeeri requested and' approved and the building is complcte. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill. Underfloor ~Iumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rongh Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: Wh~n all plumbing work is complete. Rough Mechanical: Prior to Cover 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 and/or foundation inspection. ' Rough Eleclric: Prior to Cover , Electric Service: Approval required prior to utility company energizing service. Final Electric: When' all electrical work is complete. Paee 4 01'5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01545 ISSUED: 11/23/2009 APPLIED: 10/21/2009 EXPIRES: OS/23/2010 VALUE: $ 265,225.00 225 Fifth Street, Springfield,'OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Erosion/Grading InsJlection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but priorto placement of concrete. By signature, I stale and agree, that I have carefully e~amined the completed application and do hereby certify that all information hercon is true aud correct, and I further certify that any and all work performed shall be done in accordance with the,Ordinances of the City '01' 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 c09tractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther 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 t~mes du-ring constructioll. /ldtl1 (/~ l . Owner or Contractors Signature ,I( (Z---do'1 Date Paee 5 01'5 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726-3689 'r\%1I~!PE~AR1iMEN]t[~r.'. NNY;.~"'. -;lic'it.!l. .llJ;'s.,_~:f_."..,.._,.-".".~"-,:c"",,,<;;~._..,!~~e;l"~:t$!,fJl'!"~l I Permit no.: (\.a ~ \S\-'2J I ID~: I Electrical Permit Application This permit is issued under OAR 918-309-00(/{). Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. [~~""'[0GA'~G0:VEgf.lMENi[~"<<~~R:0"'A'~-'~MJ ,uff; -"~T I . I~:g a~~;o~al'~:~fi~~?' . 'nDI;;s~'u - '.D=-;~JI'I F,!;~o.S.cHEQO!~~I.liII ~€n~;fiEGP8.:YifA!;)f;I:G:0'NSjl!B."'G5I1I0'N~~~1 .. . .. ~,,~< r~"&.?~,,, ., ,fE~~~~i~!~i, i ~:::;:::":::::~:..., ;'::: ~~~~~_~0'~~~~_~~~ I ~~~~I~:nS~~~~~r~~~~~:r(~)odular $ 63.00 $ ~<<..::;::~i ::=:~:~; OO."~~"'"""M"'::::. : 'I':~;!i"'''ti~'' , , .. .~_. '.' ....... '\n: tt""-'~~~1' I 401 to 600 amps (2) $158.00 $ I Addres~~ . ~ 1 601 to 1.000 amps (2) $205.00 $ I CitY: f-QQ~ r Stat. (') I ZIPQ.,4f'fD Over 1,000 amps or volts (2) $469.00 $ Phone49:E' -fJ1. \L{ 1 Fax: _ .' 1 Reconnect only (2) $ 63.00 $ E-mail: I Temporary services or feeders: installation, alteration, relocation '..:$.J This installation is being made on residential or farm property 1 200 amps or less (2) . \ $ 63.00 $1 ~ owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479.560(1). 1 401 to 600 amps (2) $126.00 $ ~ Signature:' lOver 600 amps or 1,000 volts, see se,;"ices or feeders section above i~~~i'Jm~Clf@elJf:lS;jj~IfI!~illt!;)N~~'~;~~~1 : :r;::~o:i::::~ :::~~:t:~~::r:::~~:na~:~::e~r feeder fee I Addres~ ./ I' 1 Each branch circuit I 1 $ 6.00 I $ 1 City: ~ ;1 State: ~ lIb. Fee for'branch circuits withoutpurchase ofa service or feeder fee: ) 1 Phone: ~ I ~- I First branch circuit (2) $ 55.00 $ 1 I E-~ail: ~ [ Each additional branch circuit $ 6.00 $ r [ CCB license no.: ~ Toc:p license no.: [ Miscellaneous fees: service or feeder not included 1 I Signing supe~s license no.: ~ I Each pump or irrigation circle (2). $ 63.00 $ I Prin~of signing supervisor: """ 1 Each sign or outline lighting (2) $ 63.00 $ I ~ ~ I Signal circuit or a limited-energy parilel, I I :signature of signing supervisor: alteration, or extension (2) $ 63.00 $ I Each additional inspection: (I) 1 $58.00 $ I i~==:~1;~~ttIDS~ 1 (B) Enter 12% surcharge (.12 x [All $ ., 'i~ I (C) Technology Fee (5% of[A]) $ 9):Y . '1 TOTAL fees and surcharges (A through C): Sl~ .- \ ~ \\~~ ~. 440-2584-J (9/08/COM) Willamalane Park & Recreation District Job. No. ~A. - \~t6 . SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 ~--..NAME:-~\r-\\~d--~-.-Q~... .PHONE:~~~lfL\~-~~- .' . 'ADDRESS:~')~ ~~'6: ~eM-5TAT~ZIP: ct14rP:J LOCATION OF PROPOSEDBUILDING SITE: . ./'I.fl-' Street Address: ~ t)L\~ 9.~~O \\)~ ~-\\eV\. Plat Name:. ~\{'(\O~ . Tax Lot Number: \\ 032.l.ol~ \ ()1.o:J 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) $ . (f) $, t of2.t)() .. ~..._~ .. $ . $ "lo'LCO lev \\ /~S/"t11~ Date. I tSiP. -( ct' A Sinale-Farriilv Detached NO. OF UNITS \ X $2,858 per unit = " B. Sinale-Familv Attached".. NO. OF UNITS .J.- X $3,100 per unit = C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = D. Sinale Room Occuoancv NO. QF UNITS X $1,321 per unit = E. Accessorv Dwellino Unit NO. OF UNITS X $1,550 per unit = WILLAMALANE SDC . 2.- SDC-CREDIT.(lf-applicable)SDC.payer-must.fumish.proofof. 0'. Willamalane Credit,approvaL) . . 3. TCjTAL WILLAMALANE NET SDC ASSESSED .' {if SOC reduce for Credit) o'\l~\ .'. .... Development SerVices . City of .Springfield $ . ex) $ LoY)~cD. $ $ ,5 ~WI!-tural Permit Application - 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726-3689 . '. Date: ID 1:2 ((07 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , ,<,1,,;';;!~9c:'A~': c,QY(@M~rit;;to:FiFi~Q:>;fe,~ji![ifi::i\~;~.iJ;l!~ltq;.f:il I ~~~~:'~;eect has final land-use approvaL Date: 1,';)'.:}'i:;:\'):,;;;0'';i~E~;SCH~i5UI~'''ri,,):\''':i'';:'?":.\ I T~is project has DEQ approval., I 1:;l::':iYWt~:~.tJ9!fi)~{torm'~t~p:Q~f~.?1~~H'si;W;tWd~!~:i6!:i\~?W.M:~i:(~;.;fr' ,;;J:-~I{ ;:'\~:~~~::-;;.;' S,gnalure: Date: I (a) Job description:}.ieJ DIA. f'LX I Zoning approval verified: 0 Yes 0 No I I Occupancy 1IZ-3 I Property is within flood plain: 0 Yes 0 No I I Construction type: \J \S 1,r:~~~\\~~fII,~A'rEQQ8i'<tG51c;:o~/.j\3i~gc;j;'i,Q~t~l(,~[:[H~\i;:;1/;~~!01 I Square feet "2 '15" 2.{~) to 2'1(1/1 ) 1~~;~;~~~;;;t~~}~~It.E;i'IIN~0~~~f~~~~~~gj)l1.9~A~~iji;,;~~~':91':; I ~:::;:f:::t~::ot: I Job site address: ::2-0'-10'1 :2oC:;-D /0+'1 S,T . I I Type of Heat: Elf! r\ ~ ?\A-<- ~City: Sf' Fu"::> I State: J ZIP: I I .IV _~ Energy Path: \ 1 n Subdivision: I'll t>t~4- Fe:.' I Lot no.: 4 ~, I I I r7' 0 '\ ~ I . ~ new alteratIOn 0 addition II R deren.ce:." ,. ...... '.. .'. ,....T. a"x.lotl'1()3 'UPt '5 ("~I I (b) Foundation-only penn it? DYes 0 No ..." . . '. .'. "'" PROPERTY OWNER" . Name: M1C-(-+t~ lfJ4fT'" . .. " '1 i:i~;'~~ij~i~~';;~s5ji~;i'i~$Jf&-\j;j~~j~.i,i,i!i.;;i[~i,.:\ I Address:jJ.~J' ~t.."fi~"'--o-- I I City: i:;:Uc; t=fJt: I State:tr?'- I ZIP: 1'7 'to 1 I Phone: Fax: - I I E-mail: I This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. I ;1 I I I I I (e) Subtotal of fees above (2. through 2d): $ I 1~~~;j;J~~~;yf~~ff~~~0f;1~}~~~ffl)4~:ft~]~~~4{:~f~;;~~wt~~~1f~~f~.sj Sign here: I. . " .. CONTRACTOR I~STALLA1"1()Ni.' : ,'I I (a) Plan review (65% x permit fee [2a])' I ~ 10 ~ I I I (b) Fire and life safety (40% x pennit fee [2a]): $ I I Business name:/U ie l,,11L<R r /.(./u. 'tt-- CoKq- i ~:~?dJ;;L:~,: ~I ;:~~Jt: iI~~' i'~i~~T#~~~~~~~i;!::""J'\ '~!ffii .,1 I E-mail;.ti.ct-(~IiV.!~~t.-(f)l.1rV.Co~ I . TOTAL feesand'surcharges (2e+3c+4a): $ 1 I CCB license no.: I t:):L C> 6 q I Printname:,/I(I.'7: ,(,"'~~/arr- I Signature:~-, I ;. . li~~~',;"'!s~!~r."'1"i!i':5$WB'c;lDN;i'/~'Ac;i:9RlfNfQRM!<iIjlQf'l~l'i-~}Y~)~;;fl I Name I CCB License Number _ Phone Number I I ,"c I Electrical' \.--v.:... ~ I Plumhing IIIw. I I I Mechanical h lJIItF ~<.cW I I.' P~F!ARTMENt USEPNLY.' permiinot9~ IS-itS I I I I I I I (a) Pennit'fee (use valuation table): I (b) Investigative fee (equal to [2a]): I (c)Reinspection ($ per hour). . (number of hours x fee per hour) I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ $ $ $ ~e-: ~vfv \t~ ~\\~ . /\J rv ~ ~ .1V\lC.~"-e-\~~~,\ V\I\ ,'CY\O. e..\,,^^d~'-S:f;:> VW;V\. C-D1f'I'.-. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0] 545 COM2009-0 1545 COM2009-0 1545 COM2009~0 1545 COM2009-0 1545 COM2009-0 J 545 COM2009-0 I 545 COM2009-0 1545 COM2009-0 J 545 COM2009-0 1545 COM2009-0] 545 COM2009_0] 545 COM2009-0 I 545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-0 1545 COM2009-01545 COM2009-0 1545 COM2009-0] 545 COM2009-0] 545 Payments: Type or Payment Check cReceintl RECEIPT #: 3200900000000000768 Date: 11/23/2009 Description Addressing Assignment Willamalane Attached (duplex) Temp Power 200 amps or less Fire SF Fee - Residential Plan R.eview Residential Plan Review Major - Planning 2 Baths One or Two Family 1st Appliance Ven! Fan Exhaust Hoods Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Building Permit Curbcul Permit Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement ,"-. Sanitary Sewer - Improvement ., 1.,_ SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Overwidth Application Fee PW- Disc - 3rd Permit + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL G. HIATT Item Total: Check Number Authorization Received By Batch Number Number How Received njm 2317 In Person Payment Total: Page I of I 9:12:39AM Amount Due 76.00 6,200.00 63.00 156.00 56.7] 21 ].00 674.00 158.00 18.00 26.00 268.00 100.00 1,384.37- 88.00 88.00 1,597.93 1,159.72 881.85 422.43 1,863.30 203.94 2,089,08 10.00 252.70 158.71 45.00 (60.00) ] 53.] 7 322.96 $18,667.87 Amount Paid $18,667.87 $18,667.87 11/23/2009