Loading...
HomeMy WebLinkAboutPermit Building 2009-12-10 CITY OF SPRINGFIELD Building/Combination Permit Stlltus Issued PERMIT NO: COM2009-01754 ISSUED: 12/]0/2009 APPLIED: ]2/09/2009 EXPIRES: 06/]0/20]0 VALUE: $ ]64,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5781 MICA ST ASSESSOR'S PARCEL NO.: 1802033304000 SPRINGFlETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence- SAME AS COM2009-01081 1979 S 58th Residential Own~r: Address: HA YDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 ^,",""lTIn,I' 0'''000 law requires you to . foliow ."1",, ~.rj(\nted b'{ the uregon VUIILY . NoiifiJoCOI'fliUM<'\'PEJ~~IUImN!lWIlm~I.h in OAR 952_0~1_~ulUmroulJfrJ,'.n oV.. t J. Contractor 0090. You may obtain copies of ~~'lbY HA YDEN ENTRil.li\R~ center, (Note:,~e t,"~ nUIll~Ii91~~~1 Expiration Date 07/29/2011 Phone 541-228-6935 Contractor Type General 3 # of Stories: Height of Structure 16.50 Type of Heat: '''Foh;''ir Air Gas . Water Type: Gas Range Type: Electric Energy Path: Sprinkled Building: n/a Lot Size: Sq Fl 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: OccupantLoad: 1,031 # of Units: Primary Occupancy Grollp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB 400 Front yard Sethack: Side 1 Set hack: Side 2 Set hack: Rearyard Setback: Solar Setbacks: NUj 'OiV.ELOP>I\!IBNnI'NIIORMAlTlONi,.RK l~~HORIZED UNDER THIS Pt("VII' 10 "OT 18.00:0MMENC8JEl/jl,a,)1~i#~ANDONED FOR 15,00 Y 180 D~,~tPNt;il'ns~s Rqd: 2 IO,OO'\N Pave,'r Drive Rqd: Yes 24.00 % of Lot Coverage: 26.00 0.00 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer A vailahle: Special Instruction: Fullv Improved Yes " H;.' Storm water to curb via weep hole. Sidewalk Type: Downspouts/Drains: Curhside 7' Curh and Gutter Notes: I Valuation Descriotion I Desrrilllion Tvlle nf Construction $ Per S'I Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Page I 01' 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . . 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Credit - Trans (mprov SDC Curbcut Permit Dryer Yent Exhaust Hoods Fire SF Fee - Residential Cas Outlets 1-4 Plan Review Major - Planning Plan Review Same As P\V Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . Sanitary Sewer - Improvement Sanitary Sewer - Rcimb.ursemcnt SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-ResidentiaJ SDC Trans Improvement-Resident SDC Transportation Admin Sidewall< Permit Storm Drainage Impervious Area Temp Power 200 nmps or less Vellt Fan Willamalane Single Family Total Amount Paid Planninl! Review 12/09/2009 Public Worl<s Review Structural Review 12/09/2009 12/09/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 'COM2009-01754 ISSUED: 12/10/2009 APPLIED: 12/09/2009 EXPIRES: 06/10/2010 VALUE: $ 164,000.00 Total Yalue of Project Ppp,-~ P,'lirl I 11 Amount Paid Date Paid Receipt Number 5200.67 5101.46 579,00 5337.00 538.00 59.00 5969.23 $-931.65 $88.00 59.00 513.00 $71.55 57,00 5211.0,0 5250.00- $-30.00 $134.00 525.00 5507,07 5666.84 510.00 51,044.54 $101.97 $147.51 5211.21 5931.65 516,32 588.00 $735,03 563.00 527.00 $2,858,00 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 2200900000000001366 12110/09 12110/09 12110/09 12/10/09 12/1 0/09 12/10/09 12/10/09 12/10/09 12/10/09 12/10/09 12/10/09 12/10/09 12110/09 12/10/09 12/10/09 12/10/09 12/10/09 12/1 0/09 12/10/09 12/10/09 12/10/09 12110/09 12110/09 12/10/09 12110/09 12/10/09 12110/09 12/10/09 12/10/09 12110/09 12/10/09 12/10/09 $8,989.40 Plan Reviews I 12/09/2009, APP DDK 12/09/2009 APP LKW 12/0912009 APP CJC Paee 2 of 4 Access restricted to 1 drivewayllot. Follow street tree plan. Storm water to curb via weep hole As noted on plans , _816:' ,''!nIN~F!ltlL.l) ; f..' ... CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2009-01754 ISSUED: 12/10/2009 APPLIED: 12/0912009 EXPIRES: 06/10/2010 VALUE: $ 164,000.00 225 Fifth Street, Springfield, OR 541-726-3753I'hone 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. I ~ro'Jirp(llJ1snections I Erosion/Gruding Inspection: Prior to ground disturbance and after erosion measures are installed, Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches arc excavated. Foundation: After forms are erected but prior to concrete placement. I'ost and Beam: I'rior to \1oor insulation or decking, Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with linish materials. Framing Inspection: Prior to cover unci after all rough ill inspections have been approved. Walllnsulatioll: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: I'rior to taping. Final Bnilding: After all reqnired inspections have been requested and approved and the building is complete. I'erimeter Fonndation Drains: After gravel and IiIter cloth is installed bnt prior to backlill. Under\1oor I'lumbing: I'rior to insulation or decking,.. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. 'Vater Line: Prior to filling trench and including required testing. Sunitar)' Sewcr Line: Prior to filling trench and including required testing. Storm Sewer Line: I'rior to lilling trench. Finall'lumbing: When all plumbing work is complete. Undertloor Mechanical. I'rior to insnlation or decking and including required testing. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. Ruugh Gas: After line is installed and required testing und capped if not attached to an appliance. G:1S Service: After line is installed and line has been connected to a minimum of one appliancc including rC(luircd testing. Presure test done at this point. Rough Mechanical: I'rior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. I'aee 3 of 4 6P.RINQFlillLO: -~i . ,~- .1 ~'U ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01754 ISSUED: 12/10/2009 APPLIED: 12/09/2009 EXPIRES: 06/10/2010 VALUE: $ 164,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726,3676 Fax 541-726-3769 Inspection Line Temporary Electric: Approval reqnired 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. 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, 1 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 the City of Springfield and the Laws of the State of Oregon perta'ining to the work described;herein, and that NO OCCUPANCY will be made of lIny structure with'out permission of the Community Services Division, B'uilding Safety, I further certify t11:1t only contrllctors and employees who arc in compliance with ORS 701.005 will be used on this project, I further agree to ensure thllt 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 remllin on the site at all times during construction. ~~~~. a'/o~o '7.' Owner or Contractors Signatul~- DlIte Paee 4 of 4 f'.':.~ Willamalane t~ ' Park & Recreation District , '": J.ob. No. !i9 -/'7)'9' NAME: HN/T)EN HO/t\E:.S, " . . . .ADDRESS::lLf"Lf 'SW &I.A'af:~ ,ipMiJ1> ' ~Y::;TEIIJI, DEVELOPMENT CHARGE WORKSHEET FOR2009 PtlOl'J.E: ?-'2.0'G~jS- STATE~IP: q '74?'f . LOCATION OF PROPOSED BUILDING SITE:. ' " Street Address: t:;''7% I 1JII1c.i1 . Plat Name: Tai Lo't Number: 1J702 o:h'3 t1't~tXJ' , ' , , '1. . DEVELOPMENT TYPE (Check appropriatedwelling(s), Dwelling tYpe definitions are on the . '. back.) . , . ,.' ' , A. Sinale-FamilY Detached , NO. OF UNITS ( X $2,858 per unit = ,$ 1-r~ B. Sin ale-Family Attached NO. OF,UNITS. X $3,100 per~rM = C. Multi-Family Aoartmerit $ NO: OF UNITS, . , X$2,641perunit=. ," $, , ' .' ' . ~ D. Sinale Room Occuoancy 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 ',Willamala~e Credit approval.) 3.. TOT~L VVILLAMALANE NETSDC ASSESSED .' : (i(SDC reduced for Credit) $ ..~,." .. (----17r , $ 23'S!) /;L/5/eJC; Dilte' "\0 ' ", 'Developmen!SefVice"s Departnient City of Springfield; , -,'. 5 Electrical Permit Application D 225 Fifth Street. Springfield, OR'97477+ PH(541)726-3753+ FAX(541)726-3689 SPRINGFIELD -...............,. l~m*R~i>~~1T;~l~i[~~~L~. I COINlZ-OO?_ 017 Sl.f I Permit no.: IDate:.IZ-q~O'l I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permit'. expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~~l&'(;)e:8lli""G0MERrJliVfEl'iilF'<<FrBR0V;~I~~~~~~ 1~:::~~~:~I_~:~~~;_~_'g;~:b""" 'D~7~{4U"'1 1~:~~~~~~:iB~~~~~~~1EBID~~0~~:~~l 1~'[jl:JI3l[Shf~JJN'e5,B:rjl'Alijl~IiII~N!;jJi[~Q:e:~Jit0Mf~~~!1-1 I Job site address: 0~ I \'II) ,r" ' I I City: ):y""<-1,('.:...iol I State: OR' I ZIP:'17S'78' I r~"rf'\~\~-l;:~"J ",W"f"'\r'=J#-:-;;:Rll?i~~;WJ;)Iil._,~..~;"-:fij,"~''1tTIi'':l 1 1802D337!.: ~l,IDOC. I 1w.~~~M'\\;":-~1'iRR'-it>riE','.R-~"'0WNE'R'IW"'1'D'\~1>1~"';:8\:iri1!I ,~~f~i!;;~~rt31\@1i"iit;i:_A-.._~~" "','~'.l.?J;.~.,"-,..",i_"'~""\1f~'""~,_~jJlf1':,-1ffi&':!.;*Nf->i:.:;,;,,'h I Name: l-L1~'V'\ Kevr.l' <.. I I Address: ;JiICc.( St-J f,("r;u- I I City: Q.,oiv>1c,"" vi State: iJ P I ZIP:'j'775'G, I I Photie: 5<//- 218- "'')~5 ' 1 Fax:9'//-7'1/: ,;)$7;1 . I I E-mail:' I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) , $ 63,00 $ b3 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, excbange, lease, or rent OAR 479.540(1) and 479,560(1). 1 401 to 600 amps (2) $126.00 $ I Signature: lOver 600 amps or 1,000 volts, see services or feeders section above, I j~~J:ff!~te:G]nE~~~ill~J~lJ:r5r~ille;~~e:mlQJ~~~~~1~,~~~}fEt,j Branch circuits: new, alteraHon, extension per panel I 1 Business name: "To'r I'\l>h'h E Ipc 1 a, Feefofbranch circuits with purchase ofa service orfeederfee: I 1 Address: ,-)0 ~ 70 (oVe'1 C+-. I 1 Each branch circuit . 'I $ 6.00 I $ I I City: &. Y\d I State: oR 1 ZIP: I I b. Fee for branch circuits without purchase ofa service or feeder fee: J 1 Phone:511J -311' 1'1'1'" 1 Fax: I 1 First branch circuit (2) $ 55,00 I $ I I E-mail: I I Each additional branch circuit $ 6.00 I $ I I CCB license no;: ~JY 3roc' I 'BCD license no.: ( .22rJ. I I Miscellaneous fees: se~ice or feeder not included I \ Signing supervisor',s license no.: I I Each pump or irrigation circle (2) $ 63.00 $ I 1 Print name of signing supervisor: }fp~<\ <;hiCtJ.:( .:'\, I I Each sign or outline lighting (2) $ 63,00 $ I I Signature of signing supervisor: I I Signal circuIt or a limIted-energy panel, $ 63.00 $ " alteratiOn, or extenSiOn (2) ..,j.",,,,,, .~ ,d'''' ".",,~,iJ)J!t$,1;. !ili ^" ....,~ ,,'" _ ,-U (A) Enter subtotal of above fees ' W (Minimum Permit Fee $58,00) $ \J't\~ :'-~' ",,,,Q-) ~O;\ I (B) Enter,12%surcharge (.12 x [A]) l'\l ~ W :v I (C) Technology Fee (5% of [A]) ~ ~ 0\: 1 TOTAL fees and surcharges (A through C): ~~ 440-2584-) (9/08/COM) Residential, per unit, service include"d: 1 1,000 sq. ft. or less (4) 1 , $134,00 $ Is.f I Each additional 500 sq. ft. or portion j $ 25.00 $ Z.sl thereof - 1 Limited energy (2) $ 32,00 $ I I Each manufactured home or modular I $ 63.00 $ I dwelling service or feeder (2) Services or feeders: installation, alteration, reloc,ation I 200 amps or less (2) $ 81.00 $ 1 201 to 400 amps (2), $ 95,00 $ I 40 I to 600 amps (2) $158,00 $ I 60 r to 1,000 amps (2) $205.00 $ 1 Over 1,000 amps or volts (2) $469.00 $ 1 Reconnect only (2) $ 63,00 $ I $ $ $ ~~. City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-.726-3759 Phone Job/Journlll Number COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-01754 COM2009-0 1754 COM2009-0 1754 COM2009,0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 COM2009-0 1754 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 9:25:06AM 220090000000000]366 Date: ]2/]0/2009 Description Plan Review Same As Building Pennit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family I 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 Sidewalk Permit Curbcut Permit PW Disc - 2nd Pennit Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit, - Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transponation Admin + 5% Technology Fee + 12% State Surcharge Amount Due 250.00 969.23 38,00 2,858,00 337,00 79.00 21.00 9.00 13.00 9,00 7,00 134.00 25.00 63,00 71.55 211.00 88.00 88.00 (30.00) 735,03 666.84 507.07 211.21 931.65 (931.65) 101,97 1,044.54 10.00 147,51 16.32 101.46 200.67 58,989.40 Paid By TIM DREILING Item Total: {;heck Number Authorization Received By Batch Number Number How Received Amount Paid cjc 030846 In Person Payment Total: $8,989.40 58,989.40 Page 1 of 1 12/1 012009