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HomeMy WebLinkAboutPermit Building 2009-12-9 -it= CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01744 ISSUED: 12/09'2009 APPLIED: 12/08/2009 EXPIRES: 06/09/2010 VALUE: $ 160,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE AnDRESS: 5777 MICA ST ASSESSOR'S PARCEL NO.: 1802033303900 SPRINGFIETVPE OF WORK: Single Family Residence TVPE OF USE: New PROJECT DESCRIPTION: New single family Dwelling SAME AS 1852 S 58th Residential Owner: HA VDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION' Contractor Type Contractor License Expiration Date Phone , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 2 # of Stories: Height of Structure 15.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,750 832 I R-3 U VB 280 I DEVELOPMENT INFORMATION I Notes: 2 Ves 16.47 I requireS you to ATTENTION: ?r:?o,;' h~~11e Oregon Utility fOllOW run;;;", u............ las are 5tH 'VIUI I PUBLIC IMPROVEMENTS ~Notification Center. ThO~~~uh OAR 952.()()1- In OAia~~~rPq1;00,1~ th ,9 s ofthe rules by Fully Improved 0090, You may Bfitam COPI~th telef)homide 7' Ves cda\lYg'- iQSrD\llti n~l\lotet'li~o'!i!llltllllntte r Storm water to cnrb via weep hole number tor the ore90~ 2344) NOTICE: EXPIRE IF THE WORK. Center \81-80 - . THIS PERMIT SHA~~ HilS PERMIT IS NOT ^lITHORIZED UNO ',.,~~"cn mR NCED l''' '.~ ,,~_..,,-,,- COMME I' ~~,:]~ . D' .. I ANY "ISO DAY F~v:a uatlOn escnotlOn 18.00 15.00 10.00 40.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 2 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Description TYlle of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 I'hone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Descl:iution + 12% State Snreharge + 50;', Technology Fcc I Bath One & Two Family 1st Appliance Addressing Assignment Bnilding Permit Credit - Trans Improv SDC Curbeut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential 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 TnHl l{,eimhul's-Residl'lltial SOC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Amount Paid $181.67 $93.55 $220.00 $79.00 $38.00 $952.95. $-931.65 $88,00 $9,00' $13.00 $55,60 $211.00 $250.00 $-30.00 $134.00 $25,00 $352.74 $463.89 $10.00 $1,044,54 $101.97 $122.50 $211.21 $931.65 $17.95 $88,00 $624.74 $63.00 . $18.00 $2,858.00 $8,297,31 Total Value of Project Fpp~ Date Pnid 12/9/09 12/9/09 12/9/09 12/9/09 1219/09 12/9/09 12/9/09 1219/09 12/9109 12/9/09 12/9/09 12/9/09 1219/U9 12/9/09 12/9/09 12/9/09 12/9/09 12/9/09 12/9/09 1219/09 12/9/09 12/9/09 12/9109 12/9/09 12/9/U9 12/9/09 12/9/09 1219/09 12/9/09 12/9/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0I744 ISSUED: 12/09/2009 APPLIED: 12/08/2009 EXPIRES: 06/0912010 VALUE: $ 160,000,00 Receipt Number 120U9UOOOOUOOOOl317 12U09UOOU0000001317 1200900000000001317 1200900000000001317 1200900000000001317 1200900000000001317 1200900000000001317 1200900000000001317 12009000000UOOOl317 120U900000UOOOOl317 1200900000000001317 1200900000000001317 1200900000UOOUOl317 1200900000UOOOOl317 120090000000U001317 1200900000000001317 1200900000000001317 1200900000UOUOOl317 12009000UOUOOOOl317 12009000UUUOUOU1317 120090000000UOUI317 120U900000UOOOOl317 12UU9000UOOUOOOl317 120090000UUOOOOl317 120U9UOOUUUUUOOl317 120U900000000001317 12U0900000000001317 12U0900000000001317 12009000000UUUU13]7 1200900000000001317 Plan Reviews I Plannin2 Review 12108/2009 12/08/2009 APP DDK Access restricted to I drivewayllo!. Follow street tree plan. Public \Vorks Review . 12/08/2009 I2IU8/2009 APP LKW Storm water to curb via weep hole Structural Review 12/08/2009 12/08/2009 APP CJC As noted on plans Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01744 ISSUED: 12/09/2009 APPLIED: 12/08/2009 EXPIRES: 06/09/2010 VALUE: $ 160,000.00 225 Fifth Street, Springfield, OR 54] -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. RPll.,irprl.ln~nprtiow Erosion/Grading Inspection: Prior to gronnd distnrbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. I Footing: After trenches are exc~,vated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or dCl~king. Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover ..lId after all rough in inspections have been approved. \Vall Insulation: Prior to cover, Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Bnilding: After all rcquired inspections have been requested 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. ; Undertloor Plumbing: Prior to insulation.or decking. Undernoor Drain: Prior to cover or placement ~f concrete. Rough 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 Se~"er Line: Prior to filling trench. Final Plumhing: When all plumbing work is complete. Rough Mechanical: Prior to Cover UndertloorMechanical. Prior to insulation or decking and including required testing. Final Mechanical: Whcn all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Covcr Electric Service: Approval required prior to utility company energizing service, Pa2e 3 of 4 CITY OF SPRINGFIELD Status Issued 'Building/Combination Permit PERMIT NO: COM2009-01744 ISSUED: 12/0912009 APPLIED: 12/08/2009 EXPIRES: 06/09/2010 VALUE: $ 160,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrica' work is complete. Curbcut- Standard: After forms are erected but prior to placement of concrete.' Sidewalk - Curbside: 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 jnformatiOl~ hereon is true and correct, and I further certify that any and llll work performed shall be done in Hccordance \'t'ith the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUI'ANCY 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 required inspections are requested at the proper time, that each address is rcadable 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 construction. '-~~/A~ O'~ncr or Contractors Sign~ /,/- '7'- O'<} Date Page 4 of 4 , , I!~ Willamalane 't-w Park & Recreation Oistrict Job. No. . 1!9-/'7 iL( SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 .,,' . , . . '. ",' NAME: HN-/ DEN' HOIo\E::S ' PHONE: ?-~O(#~JS- ADDRESS:,J.Lftl. 4Sw t::,-Ii-~/t:.YFf i!-J>1Vl1J1> STATE@IP: q '74'J'i . , . LocATION OF PROPOSED BUILDING SITE: Street Address: S'J?iJ I'll tl1 Plat Name: Tax Lot Number: , . , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are ori the .~~. ,. , A. Sinale-Familv Detached NO. OF UNITS ( X $2,858 per unit = '$ '2-Frd B. Sjnale~Familv Attached NO. OF UNITS X $3,100' per unit = $ c. Multi~Familv Abartment NO, OF UNITS X $2,641 per unit = $ D. Sinale Room Occuoancv NO.OFUNITS X $1,321 per unit = $ E. Accessorv Dwellino Unit NO. OF UNITS WILLAMALANE SDC X $1 ;550 perunit = ." $ $ . 2. .SDC CREDIT {If applicable) SDC pay~r must furnish proof of , WillamElIane Credit approvaL) $ 3., TOTAL WILLAMALANE NET SDCASSES$ED . (if SDC reduced for Credit) $ 23S!) ,l~ /2, . 'Date' 4, Ocr (j7 , -DevelbprilentServices' DepEi'rlril-enl City of Springfield 5 22S Fifth Street. Springfield, OR 97477tPH(S41)726-3753t FAX(S41)726-3689 . 1'?:;,r':';';';':'-";"''';i~:~''>ih:;.,-,;;.t;~'.''~\''''''.i'iie;'~~~~V-~''',~t;i:,.;~"';':'j , . ' ~~mOEpARTMENm;USE"QNlh'i:~\'~ SPRINGFIELD ~ .,~,:,.-c-1; ~.>".:"'--' ."~"""'~i;,:,<;;~~:;.1rp~~~6h ~"''''-<~P:'~'''.'' I Permit no. 01-)74=;".>-"1 I Dat~: 1:LlllO 7 I ( Electrical Perinit Application D This permit is issued uuder OAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180 days of issuance or if work is snspended for 180 days. I I $I.f 'Y $? )1- I I I I I I I I I I 1~"""""'~'1l'i!'0'@AJl1ffG0!Z(ERN'M'Ei;i[;'JIj(RER0V!,ig&"""''''~.<;t;~,,~ r~=-;;;~~~I~~:fi~~;~' "'[i~~:~C'L' 'D~~7'-A,;c'''''1 ~~~~]~l?JjJ~;YI"t\f~lilJ[iii$Jfji::{t!.ii!EijIQN~~!A'i\t'liB.*1 ~~;~~~W~j~~~;~;;~;n;~p}~:~Q~;7;~;;~~%J : ~:~~::ti:l,:,el::.n(:; service inclnded: I $134,00 1 I Each additional 500.sq, ft. or portion Job site adru-ess: 577; M Ii' '" ' ' '" ",.... . - thereof I $ 25,00 City:~"","C:r 10\ I State: 01<", I ZIP: '17'178' I I Limited energy (2) $ 32,00 $ i~:~;;~~~~~~i'Jil~WJ~~~~~~~~)mi I J~~~I~~S~~~~~~~ ;e~~~r (~rodular $ 63,00 $ I u / -r I \ Services or feeders: installation, ~lteration, relocation ,:';o'J:X.. VJ('C /T'N"" ' D -:1.'"2. JYbC\c:::t/ 11200 amps or less (2) $ 81.00 $ ~",,\!,'l;-~: ;::~RB~[l;.fu!iR.-ii:(!l'Wf{I;B~;1fj.'i;;'ii~fuf~i:~\1i;\\fuill&1 I 201 to 400 amps (2) $ 95,00 $ I NIl I \r 1 I 401 to 600 amps (2) $158,00 $ ame: \-k....."'~ v'\. nC;vy-.e <.. . . I Address: :JL;C6( SC--J ('.,(""ier I 160Itol,000amps(2) $205.00 $ I City: 12",,0{ vYlC'-1 .0 I State: () 1'< I ZIP:')775"G. lOver 1,000 amps or volts (2) $469,00 $ I Photie: )LI/- 2>~- <p')~5: I Frrx:5?//-7'//- ,;!57:? I Reconnect only (2) _ $ 63.00 $ I E-mail: .1 1 :Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 1200 amps or less (2) $ 63,00 $ owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $ property is not intended for sale, excbange, lease, or rent, OAR 479.540(1) and 479.560(1), I 401 to 600 amps (2) $126,00 I $ Signature: I Over 600 amps or ],000 volts, see,services or feeders section above ~G,GN1n~~jJIG)R11ISIsmiN~lr~l}I.C!N~m:[':..i\~~'fJl I Branch circuits: new, alteration,.extension per panel I Business name: ~r \\J"r(~ F I pC I I a. Fee for branch circuits with purchase ofa service or feeder fee: I Address: ,.)0 ~ A (ov r?<f CI- 1 I Each branch circuit I I $ 6,00 I $ I City: &,,0\ I State: oR.. I ZIP: I I b. Feefor branch.circuits withoufpurchase of a service orfeederfee: I Phone:?" -317 - rqqi'. I Frrx: ) I First branch circuit (2) I $ 55,00 $ I E-mail: I I Each additional branch circuit I $ 6.00 $ I CCB li~ense no.: -rfl3Gc' I BCD license no,: ( ..22(J, I I Miscellaneous fees: service Dr feeder not included 6V I Signing superviso~'~ license no.: I I Each pump or irrigation circle (2) / $ 63.00 $ ~ :.2 I Print name of signing supervisor: Veri <)/"Cikr "T...... I I Each sign or outline lighting (2) $ 63,00 $ I .1 Signature of signing supervisor: '};, /I.sJ I- '. ~'.JA. L I I Signal mCUlt or a limited-energy panel, $ 63.00 $ I . PAl! {(JJu..rJ.//D~L-- ,alteratIOn, or extenSIon (2) /~ I Each additional inspection: (I) $58,00 $ ..'V"\ ~ - ~~~~:~:;;:~~N[~~~~~. ~"~~ OV l\. ~ \"'\ (Minimum Permit Fee $58.00)' $ '),;J......) '-' o-..~\J I (B) Enter 12% surcharge (.12 x [A]) $ ,,> II~ ;() (),:~ I (C) Technology Fee (5% of [A]) $ 2?- &., I TOTAL fees and surcharges (A through C): ~, c::' l~ ''7l-i 0<---'(,' I \ ~V 8'- v~~~ ~~. 440-2584-J (9108/COM) 225 Fifth Strcct Springficld, Orcgon 97477 541-726-3759 Phone ~.~. City of Springficld Official Rcccipt Devclopmcnt Serviccs Dcpartmcnt Public Works Department Job/Journal Number COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-01744' COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 COM2009-0 1744 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 1200900000000001317 Datc: 12/09/2009 Description Plan Review Major - Planning Plan Review Same As Building Permit Addressing Assignment Willamalane Single Family I Bath One & Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vem Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential PW Disc - 2nd Penn it Curbcut Permit Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement sot Trans Improvement-Resident SDC Tran Reimburs-Residemial SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transportation Admin SDC Sanitary/Storm Admin Credit - Trans Improv SDC + 5% Technology Fee + 12% State Surcharge Paid By HA YDEN HOMES, LLC Item Total: Check Number Authorization Received By Blitch Number Number How Received IlJm 0150503 In Person Payment Total: Page I of I 10:OJ:18AM Amount Due 211.00 250.00 952.95 38,00 2,858,00 220,00 79.00 18,00 13,00 9,00 134,00 25,00 63,00 55.60 (30.00) 88.00 88.00. 624,74 463.89 352,74 931.65 211.21 101.97 1,044,54 10.00 17,95 122.50 (931,65) 93,55 181.67 $~,297.31 Amount Paid $8,297.31 $~.297 .31 12/9/2009