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Home My WebLink AboutPermit Building 2009-12-17 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01788 ISSUED: 12/17/2009 APPLIED: 12/15/2009 EXPIRES: 06/17/2010 VALUE: $ 163,000.00 _flL$:F!RINCi!FIl.L<<ll' ""!!i""'. . -.'." .' i .. ..... ,.......,...... . j Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1957 S 58TH ST ASSESSOR'S PARCEL NO.: 1802033305500 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single fami.ly residence - SAME AS COM2009-01264 18.00!:...'"' .... Overlay Dist: 13.00 # Street Trees Rqd: 11.00 Paved Drive Rqd: 23.38 % of Lot Coverage: ,,~E! !~"''''. nr~n~On \a':'pr.:~:~~:~.Y?~~,~,?\. follow rules adoPtel~htJ~I.i',li~lJ.~lM1RR@VEMENTS I 1 ~~nCe~eL ~ It., . Street Improveme~6l~ 952-001-Ce~RK;~~~~~e"~~~"S"bY Sidewalk Type: Storm Sewer Avai\J!1OO. You may 0 al (NOre: ~'8'te\ephone M ,pownspouts/Drains: Special Instruction: callinl!~g~f'e~<5II'\!ltiffl~1HtWliliilt~p hole to curbO IICf: number for the. -600-332-2344). I HIS PERM Notes: . Center IS 1 AUTHORIZE IT SHALL EXPIRE fr~::~~~AEy~ ~~~~~;~~D~EN~~~~SW~~{ PERIOD. ED FOR Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PI. STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing . Contractor HAYDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC STUTZMAN SERVICES INC License 92208 172366 39237 31747 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary 'Construction Type Second.lry Construction Type: # of Bedrooms: I R-3 U VB # of Stories: Height of Structure 15.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy I'ath: Sprinkled Building: n/a 2 I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearya,'d Setback: Solar Setbacks: Pa~e I of 4 Residential Expiration Date 07/29/20 II 09/29/2010 03/25/2010 05/1212010 Phone 541-228-6935 541-317-1998 541-672-9510 541-928-8942 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,379 1,031 400 REQUIRED PARKING 2 I Yes 26.60 Total: Handicapped: Compact: Curbside 7' Curb and Gutter ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Estimate Estimate Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Credit - Trans Improv SDC Dryer Vent Exhanst Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As 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 Admin Storm Drainage Impervious Area Temp Power 200 amps Or less Vent Fan Willamalane Single Family Total Amount Paid Plannine: Review 12/1512009 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01788 ISSUED: 12/17/2009 I APPLIED: 12/15/2009: EXPIRES: 06/17/2010 VALUE: $ 163,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage Or Bid Amount 163,000.00 Value Date Calculated $163,000.00 $163,000.00 12/15/2009 Total Value of Project Fpp, Pl~ Amount Paid $200.18 $93.96 $79.00 $337.00 $38.00 $9.00 $965.16 $-931.65 $9.00 $13.00 $71.55 $7.00 $211.00 $250.00 $134.00 $25.00 $507.07 $666.84 ,.. $10.00 . $1,044.54 . $101.97 $145.17 $211.21 $931.65 $16.44 $690.54 $63.00 $27.00 $2,858.00 $8,784.63 Date Paid Receipt.Number 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17109 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 t200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 1200900000000001344 . 1200900000000001344 1200900000000001344 I Plan Reviews I 12/1512009 APP DDK Access restricted to 1 drivewaynot. Follow street tree plan. Paee 2 of 4 , I: " I " I' CITY OF SPRINGFIELD' Building/Com bina tion Permit Status Issued PERMIT NO: COM2009-01788 ISSUED: 12/17/2009 APPLIED: U/15/2009! EXPIRES: 06/17/2010 i VALUE: $ 163,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pnblic Works Review 12115/2009 12115/2009 APP LKW Storm water to curb via weep hole Structural Review 12/15/2009 12/15/2009 APP CJC As noted o~ plans 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. ~r(1'~'\npPtio~ Erosion/Grading Inspection: Prior to ground disturbance 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. Footing: After trcm;hes 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 tin ish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Walllnsulalion: Prior to cover. Ceiling Insulation: Prior to cov.cr. Drywall: Prior to taping. Masonry: Final Building: After all required inspections ~ave be~n requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and' tiller cloth is installed but prior to backtill. Undertloor Ptumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement- of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to tilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to Iilling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testiug. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Pa2e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01788 ISSUED: 12/17/2009 APPLIED: 12/15/2009 EXPIRES: 06/17/2010 VALUE: $ 163,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line Cas Service: After line is installed and line has been connected to a minim om of one appliance inctuding required testing. Presure test done at t~is point. Rough Mechanical: Prior to Cover Final Cas: Wben all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required 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 - Cnrbside: After forms are erected bnt prior to placement of concrete. Curbcut - Standard: 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 hereb)' 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 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'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 times during construction" ~~ j) - /7-G7 Owner orCo~rs Si'g-natv Date Paee 4 of 4 Stru( , Permit Application. 5btf't IE A.$ 51(;;<r #/,'(,,- ('I-Il. b<{ SPFtINGFIEl.D ....-;j,;;;.,'.:,j/", ,. ~ i !~.~~srXf~-~i '. .-'I(~., tw.... W41' .....~ I DEPARTMENT USE ONLY COWl Z-oO ?-o, 7~1' Penn it no.: . 225 Fifth SlO"'. Springfield, OR 97477. PH(54t)726-3753. FAX(541)726-J689 I Date , l. -/5 ~ C 'f This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 da)'s of issuance or if work is suspended for 180 days. I. .. .' . '.'-. ,,;. LOCALGQ\lE~N MEN5';;A@89VA~<;;;:J;;;;~~!~';t;gl I This project has final land-use approval. I I.... ,.', . :~:":":.-:~.-..?'.:":.FEE 'SC,' HE'.D. ULE. ' , " SIgnature: Date:" . . I ~~~~~~eect has DEQ approval. Date I n~;~:~~~~~~~::~~ri'i~)~~;;?~~~:;, I Zoning approval verified: DYes D No I I Occupancy (-(.[V\ I Property iswithin flood plain DYes .' DNo . ." _ '. I[ Construction rype V ~ 1~;1#_i'~~~it::;fif.(:9AtE<>QR,('iQF,;{C:QNsJiRU(;lI:i.Q-~~;tiii.~t,iW~i)!;';+ii~!1 I Square feel /O?,/ r ~OO I ~ Residential l 0 Government \ 0 Commercial' I Cost per square foot: I%~~;}h', ;;J!:i~)3ITEi iNF,9RMAT!QN:~fANDKr;6cA-t1'QN;,\~1Ii~H;};\1 I Job site address: 1'1.57 S ~t" 51 I I Ciry:"~r., ..(..,101 . I State: 61(: I ZIP:'i'7~7g: t , ) (""0 I I I Subdivision: ;b.a-r. Lot no.: 302- I Referen,e: / Ro..Z. DS 33 I TaxlOI: 1:>.5'5"0 a I I. p'ROPERr{'ciwNER;'.:.1 I Name: 4.,,4,,,,,, 1Iaw-_ < I I Address: .:Jq(Dq .<;LJ (.:,/tV,'d. I I Ciry: Rrd""'McA State: OQ I ZIP177')&, I I Phone:w/-.J.:l<-/-<;'>, Fax: I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.0 I O. I Sign here: ~~:j~.LATI(>Ni.:,.,..",.J 1 Business ~ame: f..I.r..1rA'^ I-!o~"",,~ c.. I I Address: .Jjf(.'I Sw /.',(a,,'-"-r. I. I C;ty: RcdY'7cm<>1 - State: ~iC I ZtP:<1'77S-G. I I Phone: 5t1l - ~- (,""1" Fax:""/I - ~I - ..2:;n I E-mail: . I CCB ticense no.: "{J:J O~ I Print name: I Signature: -1'tfFi:~.",n.':!'0iiS.l:! ~'C0NJl8Ac;:ti5I{IN F,6~MJ\'t19t:lf;!i%~~};giih,;,\ii{ti;1 I Name eeB License Number Phone Number I I Eteetrical 17.1," I I Plumbing 3/71{} I I Meebankat 3'1.?- 37 I ;....,: ". . '1 .'. I I I I I I I I I I 1~~~;~~~i:~:;;~s_tT;;;gi;;;L:,,;;".[,"~,)',h_~:.i:: : _:.,1:,::.G3.~,,~: $qI/C./t.1 I I I (d) Enter 12% surcharge (.12 x [2a+2b+2,]): $ 11.t(,~ '2:'1 (e) Subtotal of fees above (2a through 2d): S - I !;~P~I:?~::~~~~:~1;~~::~\'~!~~:~:\"~ff~~~:'~~ I (b) Fire and life safety (40% x permit fee [2a]): $ I 1:i,~~M~~i;~ff'~~i;;;:'~i~;~~~i';i;;!c:;lBJiFf;-::;:;:~2NiS;'n");/:, ;:.;1 (a) Seismic fee, 1% (.Ot x permil fee [2a]): I $. I TOTAL fees and surcharges (2e+3,+4a): $I~ 'J1~' Other infonnation: I I I IXI new D alteration I (b) Foundation-only permit? Type of Heat: (".", .. r9.A. Energy Path: D addition DYes DNo I (a) Permit .fee (use valuation table): I (b) tnvestigative fee (equal to [2a)): I (c) Reinspection ($ . per hour): (number of hours x fee per hour) $ $ Electrical Permit Application o D 225 Fifth SrreettSpringfield, OR 97477tPH(541)726-3753t FAX(541)726-3689 1;'.!ig!#;P~PA.'R."fMgNl\1USE''0'''., Jlli.~~%~I' . "~,;.c;"t..,,I."'t".;.";'."""."""';I"'~~'M""~""'~.1':~":~~~$j I co~i.)ci~-~ (7'~'i I Permit no.: I Date: / 2. . ( )' ~ , I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'E- ., o~ e'1ti IUV $134.00 $ ;(S ~ . / $ 25,00 $~)~ OV $ 32.00 $ 1 I 1 1 I , 1 1 $ 1 Temporary services or feeders: installation, alteration, relocation '.1 200 amps or less (2) I $ 63.00 $ ~ 31 cro $ I $ 1 Signature: Over 600 amps or 1,000 volts, see services or feeders section above . I ~'B:_~:!:iNill~<;;m.(;~J~"~'-tj.sm~lfW.(l.)j]IP,N~l"'B@l;!iit!fi),1 Branch circuits: new. alteration. extension per panel I I Business name: -rc;p \\J:.tC\-" E I pC a. Fee for branch circuits with purchase ofa service or feeder fee: 1 1 Address: ..JO~ 7='1 (oVe"1 (t-. Each branch circuit 1 $ 6.00 I $ 1 I City: & no\ I S~ate: oR .1 ZIP: b. Fee for branch circuits without purchase of a service or feeder fee: I Phone:S1/j -311- (<J"i'ii I Fax: First branch circuit (2) $ 55.00 $ 1 E-mail: Each additional branch circuit $ 6.00 $ I I CCB license no.: -r~ 30c' I BCD license no.: [ ..22rJ. Miscellaneous fees: service or feeder not included I 1 Signing supervisor's license no.: Lf 0 S 4 S . Each pump or irrigation circte (2) $ 63.00 $ I 1 Print name ofsiining supervisor: lf~ I .s{....'r<-\<-t~ rl Each sign or outline lighting (2) $ 63.00 $ 1 . [ Sign' ature' of signing supervisor: I J n 0 _r' ' fl /l ,..c"I Signal circuit or a limited-energy panel. . $ 3 $ I L ~ ,..~tM .L.t:...IG.~_ ~~ alteration, or extenSIOn (2) 6 .00 :.... ~ 1 Each ndditional ~spection: (t) $58.00 I $ 1 ~~r 'm~~p'gl!fG~lfll![(~~~~~,!i~1 (A) Enter subtotal of above fees I() (Mioimum Permit Fee $58.00) $ d'dt. '_ ()lJ \\) 1 (B) Enter 12% surcharge (. t2 x [A]) $ I ~ ~o..: I (C) Technology Fee (6% of [A]) $ . I . V\'V 1 TOTAL fees and surcharges (A through C): $ .~ L:)Lfr ,"/~ 1;j1i*i!'!''''-J;,;I1'(j)&A'lli'''G(:):ilERf',jMENi#-r.6iRBR0V:IX@''il.),,~~~-'iI L,.-.~.Qt~:1i"_...__,,,-_~JL_,_~_,t,__>_=.___ __._'-'Lre1:~~'J:I!.--,1i '.'___.'.. ~___:;$I~.,~-,~.~J I Zoning approval verified? DYes D No I 1~~~liill.E!33AB;Y~!;>.~~'0"~~S:mBlf!j:;Jl]{QNh4li...~k~q ~~~~;~~T[fij:~I~)ili;M~i1i~;~~l~~G~;@'~;~~~EI I . 1"" 1 Job site address: !tfS 7 5 5'"( ')1 I City:p,.,,,,C:,..,lol 1 State: 01<. 1 ZIP: '17'178" 1 ~~&~~:<Awf.~ 1 '/Bo?O:3-33 .. OS'S'c-o 1 ~""'''''iC''''~-~BRORERThY€i0WNER''~!''''M''''''''*,~~:;:ir:,,''\1 1~lU;,ili~~ - ._"'."---'_ <."'.__- .r-_-'-'-'-____,_~A'~r.'-{\l"~,~_,,::,,~rl 1 Name: l-l..tJrV\ Kc"",..:- ".. 1 I Address: 2i.(Ct-/ $t-../ (.,(c.,rIRr I 1 City: k'".,{ V"l<"" ;.f 1 State: 6 Q 1 ZIP: '177<>0. - 1 I Ph.one: SL/i-2iS: ~"1~5' I Fax:5"/1-7'!I- ,;J$"7;? I 1 E-mail: -: .1 This installation is being made on residential or farm property owned by me or a member afmy immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479:540(1) and 479.560(1). \~~ ~.~~ 440-2584-1 (9/08/COM) ~;:j},,~"'.~'1'',--=-:i:)F.EE,IS'Gi5EDtlrn- ~~'''''_!;!.(~'"_ ._.~:;:u.m~_~~..__..ll!...,.__,,~_____ ~",M~~~~~""""'lf'5\llI!l~ ~!:'u.pib'ef~fijbm~tionJlp'e!k!t~nit(j')tW Q~.. 'Wi,%~~,~:.s;.~l';!.b,~l.~:14i;:~.....w-"~~,,,"..<::;l; ;:?;;-.,'}.,,~ I Residential, per unit, service include'd: 11,000 sq. ft. or tess (4) I Each additional 500 sq. ft: or portion thereof I Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) / $ 63_00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 96.00 $158.00 $ $ $ $ $ 20 I to 400 amps (2) 40 I to 600 amps (2) 601 to 1,000 amps (2)' $205.00 Over 1,000 amps or votts (2) Reconnect only (2) $469.00 $ 63.00 201 to 400 amps (2) 401 to 600 amps (2) $ 87.00 $126.00 l/1J, Willamalane t'W .' Park & Recreation District . Job. No. .1!1-/7n. ~Y?TI:_~ DEVELOPMENT CHARGE WORKSHEET FOR 2009 . NAME: HA'-/ DttJ . rJ.oM.~S . ADDRESS::2-..,,, 4 5w &.l.""'::/~~ ,z.p1Vt1J7>" LOCATION OF PROPOSED.BUILDING SITE: Street Address: /1 r? s. . S"(fr:< II - PHONE:?-'2.o.6'1JS'"" STATE@.ZIP: q '74'J'i pi at Name: Tax Lot Number: . . 1. . DEVELOPMENT TYPE (Check appropriate dweliing(s). Dwelling type definitions are on the. back.)' ." . A Sinole-Familv Detached NO" OF UNITS ( X $2,858 per unit = $ ::Lf'rr B. Sinole~Familv Attached NO. OF UNITS X $3,1.00 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS. X $2,641 per unit =. $ D. Sin'ole Room Occuoancv NO. OF UNITS X $1,321 per unit = $ E.' Accessorv Dwellino Unit NO. OF UNITS WILLAIlliALANE SDC X $1,550 per unit =' . $ "$ . 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Wiliamalane Credit approval.) -$ 3. TOTAL WILLAMALANE NETSDC ASSESSED (if SDC reduced for Credit) $ 2-3Sg- iJl/r. 'DevelCipiTleril Sefiiices' DepiirtiTl-efil City of Springfield. . jZ- i (4id9 . .. Dale- . - ~\1" 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number 'COM2009-01788 COM2009-01788 COM2009-0 1788 COM2009-0 1788 COM2009-01788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 COM2009-01788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 COM2009-01788 COM2009-0 1788 COM2009-0 1788 COM2009-0 t 788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 COM2009-01788 COM2009-01788 COM2009-01788 COM2009"0 1788 COM2009"0 t 788 COM2009-0 1788 COM2009-0 1788 COM2009-0 1788 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Dep'artment Public Works Department RECEIPT #: Date: 12/17/2009 1:13:28PM 1200900000000001344 Description Plan Review Major - Planning Plan Review Same As Building Permit 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 Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDCMWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Credit - Trans Improv SDC + 5% Technology Fee + 12% State Surcharge , Amount Due 211.00 250.00 965.16 38.00 2.858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 134.00 25.00 63.00 71.55 690.54 666.84 507.07 211.21 931.65 101.97 1,044.54 10.00 145.17 16.44 (931.65) 93:96 200.18 $8,784.63 Paid By HA YDEN HOMESITlM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid 0775695 In Person . Payment Total: $8,784.63 $8,784.63 nJm Page I of I 12/17/2009