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:
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.,
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
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