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HomeMy WebLinkAboutPermit Building 2010-1-28 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00116 ISSUED: 01/28/2010 APPLIED: 01/27/2010 EXPIRES: 07/28/2010 VALUE: $ 166,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5790 ORCHID LN ASSESSOR'S PARCEL NO.: I802033305000 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-01754 5781 Mica Residential Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Contractor Type General Electrical .47">- I CONTRAOIlW'lNro.RMATlON I . ,Jim l~'e \ u~ I" 0 Iei'll.' "1lC/,.:,e..11lJ Contractor 00 1<1119.'0" Ce ~ qw Expiration' Date HAYDEN ENTERPR'ISES :;0. 1'0 'S<-oOI"18J2 6Yl":~eP.7/29/2011 TOP NOTCH ELECTRIC 11:Itf;":f1d:i'''lly~gfj1riiJfJ!.e'''lftOreg,!J.~/(.fJ10 I BUILDING' I'!: :~MW;11~1J~~"O~e8f1t1}~ .tIer is J,.e{l~~:!fl 0/"'6 ~"Q!) 'IfII # of Stories: '-600~ lJlll~' e teJe.~'PiB1Jf1e: Height of Structure aa<_ .%.b'Q~~mt Floor: Type of Heat: '. Forced Air ~t 2nd Floor: Water Type:., Gas Sq Ft Basement: Range Type: ""--." Electric Sq Ft GaragelCarport Energy Path: '''~. Sq Ft Other: Sprinkled Building: ';i/a -. Occupant Load: Phone , 541-228-6935 541-317-1998 -, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Secondary Construction Type: # of Bedrooms: I R-3 U VB 1,031 400 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.63 10.00 24.00 8.75 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 30.79 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Notes: " Fullv Improved ',. ,-, , No :" NOTICE- Downspouts/Drains: Storm water to curb via weePifl"8cp'E' ROM ..'i;.,.".".,...., AUT IT SHALL ."..,."",,1.""" COM~ORIZED UNDER fi,PIRE IF THE WORK' ANY 18~~X~ ~~:gtBA~~~~~~J~ NOT:. . ~. .~,:\.~.~: Sidewalk Type: Curbside 7' Cnrb and Gulter Street Improvements: Storm Sewer Available: Special Instruction: Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 12% State Surcharge + 5% Tcchnology Fee 1st Appliance 2 Baths One or Two Family Ad,dressing Assignment Appliance Vent Building Permit Credit - Trans Improv SDC Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addil 500 Sanitary Sewer - Improvement Sanital)' Sewer. Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Totai Amount Paid t' I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 166,000.00 Total Value of Project J:\ppli', ~ Amount Paid Date Paid $201.64 $101.87 $79.00 $337.00 $38.00 $9.00 $977.37 $-931.65 " $88.00. $9.00. $13.00 $71.55 $7.00 $211.00 $250.00 $-30.00 $134.00 $25.00 $507.07 $666.84 $10.00 $22,63 $1,333.57 $101.97 $161.60 $211.21 $931.65 $17.87 $88.00 $736. I 5 ", $63.00 $27.00 $2,858.00 .(, 1/28/10 1/28/10 1/28/10 1/28/10 1/28/1 0 1/28/1 0 1/28/10 1/28/10 1/28/10 1/28/10 1/28/10 1/28/10 1/28/1 0 1/28/10 1/28/1 0 1/28/10 1/28/10 1/28/10 1/28/10 1/28/10 1/28/10 1/28/10 1/28110 1/28/10 1/28/10 1/28/10 1/28/1 0 1/28/10 1/28/10 1/28/1 0 1/28/10 1/28/1 0 1/28/10 , $9,327,34 Paee 2 of 4 CITY OF ~rKll~uFIELD ' Building/Combination Permit PERMIT NO: COM2010-00116 ISSUED: 01/28/2010 APPLIED: 01/27/2010 EXPIRES: 07/28/2010 VALUE: $ 166,000.00 Value Date Calculated $166,000.00 $166,000,00 01/27/2010 Receipt Number 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 . 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 1201000000000000079 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00116 ISSUED: 01/28/2010 APPLIED: 01/27/2010 EXPIRES: 07/28/2010 VALUE: $ 166,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspectiun 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 Rpollirr~ Insnectinns I Site Inspection: To be made after excavatiun but prior to setting forms. Erusion/Grading Inspectiun: Priur to gruund disturbance and after erosion measures are iustalled. Ufer Electrical Gruund: Install g'ronnd rod at fuuting and call for inspection in conjunction with footing andlur foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or dc<;king; , ( Fluur Insulatiun: Prior to. decking. J,i 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. Final,Building: After all required inspectiuns have been requested and approved and the building is cumplete. Perimeter Foundatiou Drains: After gravel and filter cloth is installed btit prior to. backfill, Undertloor Plumbing: Prior to insulation or decking. Undernoor Drain: Prior to cover or placement of concrete. Ruugh Plumbing: Prior to cover and including required testing. Water Line: Priur to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and inclnding required testing. Sturm Sewer Liue: Priur to. filling trench. Final Plumbing: When all plumbing work is complete. Paee 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2010-00116 ISSUED: 01/28/2010 APPLIED: 01/27/2010 EXPIRES: 07/28/2010 VALUE: $ 166,000.00 225 Fifth Street, Springfietd, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Undertlnor Mechanical. Prior to insulation or decking and including required testing. Rough Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover <>11- Electric Service: Approval required prior to ,utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measnres are installed. 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 signalure, I 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture without permission ofthe 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 tlie 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. ~~/~~ /~.:T1-'O ~ - -0' Owner or Contractors Signature Date Paee 4 of4 'j~' . t'if~ I $I~~ $ Q.5~o? I I I I I I I I I I ~ In,O? I I I I I I I I I I I I Electrical Permit Application I l=s;r;.y_.;._,-",;,:,'-";-;"~1i:"""",-",~:;r,;;;"~'1~~;i;~.e~C~~~~~1 t~1}:iDE8AR]MENT"US60NI}y'~'''1t~ "~';""','~' -,~:;..'":....'c:,, -:",;,',,';--;o;;P'~'>:i':f1''''''',/.l''''~';"::-I:~~.~,,=;,$;).~~,v..., I permi~Jd~;';;'.'i1b~m" I I SPRINGFIELD ~ . , ~.j~~._- ~.']k,-"""~... 4M,,~ ._~_~'."_ ~ ~"'i. 225 Fifth Street+Springfield, OR 97477+PH(541)726.3753+FAX(541)726.3689 . /-2.7-/D Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1~I!'E'j~~~'~;V',e:BNf~i1tl'jif.~~g&Rg>:\7,~~ '~:.J$~~~!ili.E:;[$gB.I;:Q:t!rnE I Zonmg approval venfied? D y D N J ~~iil>):~~ PScltonJ!p'e\f;)(~m1iZ)$:,",'il 1~~~~;'ffi:~]):R:{?it':?F,,\lf~&l.tiI$J~lRlij~:1tiLQN~?~~ "'_,.o,~ ,,/,:, "",,_re,- I Residential, per unit, service include"d: I [LiResidential I 0 Government I 0 Commercial' I i~~~~:::m:~~~B~~~~~~N~~~~J~"~\liLQ~~;~:gf~1 I i~;;~:i:~~:II~;O(:~ ft. or portion (:1::::: I City:)y",,~.c:,.. iol. r State: oR. I ZIP: <J7'ilZ' I I Limited energy (2) $ 32.00 $ ~~p,,~~~~tJ~~~iw~J~.~_~~~~i I ~:~~I~:"S~~~~~r~~ &~~~r(~)odular$ 63,00 $ I " I. , /-r I I Services or feeders: installation, alteration, relocation '~OJSt: w,off'. /t"',.-"J i~~~~~EiW~lZ~~*ff.~J ': ~:~::~oo~::~~~ ~ ::::: ~ I Name: l-l.IJ( '" Kevr.'t" <.. I I 401 to 600 amps (2) $158.00 $ I Address: .:JtJCL/ <;0 (,(A(,',r I I 601 to 1,000 amps (2) $205.00 $ I C. n I Is/) I ZIP C!77'C''' I I Ove(I,OOO amps or volts (2) $469.00 $ tty: K <"01 V"l""" vi tate: il ,"'- : I -'~ I' l I I' Reconnect only (2) $ 63.00 I $ , Phone:S.'1-22~- "''):;5'. Fa:x:5"lr-7'11- ,;J57? , . I E-mail:' I I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) I $ 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,.exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above ID~~<t,(:H\lm~G.rrtQR~tllf.S]fiKI!!IE.b..';iJI.Ojij~W,ll!"&il'ir.wiiJ)'1 I Branch circnits: new, alteration, extensianperpanel I Business name: 0p \\k>~r~ E' pC I I a. Fee for branch circuits with purchase ofa service or feeder fee: I Address: .30~ A (oveJ C t-. i I Each hranch circuit I I $ 6.00 I $ I City: &1"\01 I State: oR.. I ZIP: I I h. Feeforbranch circuits without purchase ofaservice or feeder fee: I Phone:S/" -311-I'1'q~ I Fa:x: I I First branch circuit (2) $ 55.00 $ I E-mail: I I Each additional branch circuit $ 6.00 $ I CCB license no.: 'r7~2 _)0C. I BCD license no.: r .12r1. I I Miscellaneous fees: service or feeder not included I Signing supervisor's license no.: 4 (){;4S I I Each pump or irrigation circle (2) $ 63.00 I Print name of signing supervisor: V~r I ,g.J..~( L I..z/' I I Each sign or outline lighting (2) $ 63.00 I Signature of signing supervisor: ( ) /J /':: .. J Signal. circuit or a li~ited-energy panel, $ 63.00 $ . _ (0 ~ V _....... , . alteratlOn, or extensIOn (2) \ Eachaddilional inspection: (I) '$58.00 $ I ~ ~~~:~!~"AN!f~g~~~'tJ~~j I\!\ Qj ~ 0 (Minimum Permit Fee $58.00) ~ l\l.'\,O""~ (B) Enter 12% surcharge (.12x [A]) ~ (C) Technology Fee (5% of [AD I TOTAL fees and surcharges (A through C): ~' ~ ~ \\) ~u&tt: ~ $ $ $ 2. ?fl.. fP $ ~la. Llt\ $ \\. \0 ~~.-r\ 440-2584.J (9108/COM) SAME w,- 57'6/ t!I1tt",-. C7-(7S-C{ Stnll ' Permi't Application - 22S Fifth Streel. Springfield, OR 97477. PH{54 1)726-3753 . FAX(54 1)726-3689 DEPARTMENT USE ONLY CO.....-.. ZOIO - Pemit nOO I , b I DateJ-Z,7- ZOIC) This permit is issued under OAR 918-460-0030. Permits expire if work is not started within ISO-days of issuance or ifH'ork is suspended for 180 days. I', . LOCALGQYERN rvI~NTAP.~R6Y AIi;;;.",., /d I This project has fmal land. use approval. I I'>' " .,' , ',.'".FEESCH.E, riULE ' 1 Signature: D_ate: :~~~:,~o:eect has DEQ approval. Date ,I :;~)~::udae:r:'~p:;:~Ofm~O'~~/;'k, 1_ ~: Zoning approval verified: 0 Yes 0 No 1 I Occupancy (L';J ('\A. I \ Property is within flood plain: 0 Yes 0 No I Construction type: ,! to \ iWi.\i:ti;1i;:Xi!&~1,rf:<:;A'rEGQ8Y~SQFl;q.oN$;t@i:;tI.QN;W. ,;!,;,\:"",;Jr,' I Squarefeet (03/ +'-100 6c,..",,,. I \0 ~,:id~.nt!",l, ,..'..,' . .'. 19 .G",~er~m.:~\., '. ,.' ,lg.~~~'".=:~i~I'''"'''1 I Cost per square foot I - 1~;:::;:e:~:~::S~~~~N!i~::;~gN"'A~Pft;O,CArIQm';:"'?::ic')'1': ~:::r ~;:~:;~tion : , I City: ~9r,"::,I.:'rl;,f ," I State 61( I ZIP: 97'17ff. II I E'nergy Path, h" <, I I Subdivision: ~.,:>-(. I Lot no,::A7 I "" 0 r.1A, 0 I '- _ l.A.I new alteratIOn addition II Reference/{So~C33.3.. ,I ;a~lot.." ,...,.~,~O=c::.II.1 (b) Foundation-only penn it? DYes ~ I . .. PROPERTY OWNER', i ~:;r:ss ;;:d;" '/I-.~ < f-,Iar,y{. ' I :~;;;~,ij;:i~a~~t;~~J;;~~0;i!:iiiH~~jf';;Ki:'i,;.~.;.:;i';.;..;ii:~/)tD:t\.J 1 . ,<;IJ I (a) Pennit fee (use valuation table): $, I City: Ri-tl""""rA State: OQ I ZIP:'i')7.,e" I ., . I I . ' (b) lnvestlgatlvefee (equal to [2a]): $... Phone'?'II-.22<~t:q..,., Fax: I ' . ~ , (c) Reinspection ($ per hour): I I E~mail: (number of hours x fee per hour) $. This installation is ?ein~ made. on resj~ential 0: farm property ~wne~ by I (d) Enter 12% surcharge (.12 x (2a+2b+2c]): .$ I me or a member of my Immediate family, and 15 exempt from lIcensmg requ, irements~, der OR, S "..----,7,01 'O.IO','~. ' ,.'. 1'~~;i~"":.~,:~L.:~"~;.,~:,:~,:;,~,~~t:t::;:,~~~~~:,,;, ,'. "R''''''~''''"'''''''''',"'''''''II Sig"n here: ....?_ /.~ ~;_"~r:,,,\:._,~U~-iQ:Y~I.E},'Y;;U:.~~~ti.2~i~~tr~:~i~~~;Htr!c-.:f,~;::;%r_ .~ _.-)!:Wj~.:tlh!}tttfl~.MJ~;~~~ I.' .,...--;-. " /?tI./ ,'" ' ,'.'. I (a) Plan review (65% x permit fee [2a]):)' :> $ Z- <;"01 ' , " , :,.' CONTRACTOR "INST '..lAl'ION'.."., ".":" I' , , , ", I"', ',.,' ..' ' .".- " ' . ,," .' I (b) Fire and life safety (40% x permit fee [2a]): $ I Busmess name: ft:.i..tAt'A 1-Io,1-7__.c;. 1 1 Address: :!J.!f."I .5~ ,<:;f",r,..r. 1 1"'4(~;'M:.~~:~I~I~'~'~r,,~::s,;~~~..:.~:,~a,n~..:~;:..... ,,$,.., .",..,',.,'11 : ~~:ne.~~;~:~~ ,r~~~e;;~1 ..2~;'h7"c. i, ';(~~ ;~:~i;af~::9;~~:~e~~:;:..~;;:;ti~~::;~:i)':..' "';"'i\\~':\':"1 1 1 TOTAL fees and surcharges-(2e+3c+4a): $ I E.mail: I CCB license no.: 'f:J.:J. O(? 1 .1 Print name: \ 1 Signature: 1 [~~'i;:~:r?',3:i0'i$QEl'c:,0t{t@gill9RiN}QRM}::t!QNi':~;~I~g~j~~t~'&,~;1 I Name CCB License Number Phone Number I I Electrical J7lVj, I 1 Plumbing 3/71{7 , I I Mechanical YI;;. 37 1 2~ willamalane , t~ Park and Recreation District Job. No. t1\tJ. CO\ \\.O SYSTEM DEVELOPMENT CHARGE WORKSHEET' January 1-June 30, 2010 - - ----'..NAME:~-~-J(\p:r..c\~):\~f'::Y PHONE:~\--212Ryw:t:eCC--.._. .-- ADDRE~S:2A\J~G.~ITY 't\edM(X'd..STAT~ZIP: o...\"'"'\~ LOCATION OF PROPOSED BUILDING SITE: . ~\C\D 'CXCI\\~ Street Address: Plat Namej~( ~ Tax Lot Number: \P>()'LO~3 ~ O~C:tJ..J 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A Sinale-Familv Detached NO. OF UNITS \ X $2,858 per unit = $ 'l.fYE:6.CV B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ ,'D. Sinale Room Occuoancv NO. OF UNITS ~-----._-----_...~ - ,.--- )(~$.1,321.r>er_ul1.i! =.. __$ E. ,Accessorv Dwellina Unit NO. OF UNITS r X $1,550 per unit = $ $ 1.B5BfO {:J WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. IOTA,," WIL~MALANE.NET SDC ASSESSED (if SDC reduced for Credit) \ '- ,DQ., )\. .,' evelopm13nt Services City of Springfield $ I),.~ ~ ""~ ,Jb \0 [\)~ 5 lift4t City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Qrcgon 97477 541-726-3759 Phone Job/Journal Number COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 , COM2010-00116 COM2010-00116 COM20 I 0-00 116 COM2010-00116 COM2010.00116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 COM201Q-00116 COM2010.00116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 COM20 I 0-00 116 COM2010-00116 COM20 I 0-00 116 COM2010-00116 COM20 I 0-00 116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010-00116 COM2010,00116 COM2010-00116 COM2010-00116 Payments: Type of Payment CredilCard cRcccintl RECEIPT #: 1201000000000000079 J I :26:48AM Date: 01/28/2010 Description Plan Review Major. Planning Curbcut Pennit Sidewalk Permit PW Disc. 2nd Penn it Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement Plan Review Same As SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans Improv SDC SDC MWMC Reimbursement Fire SF Fee - Residential SDC MWMC Improvement 'SDC MWMC Administration Building Penn it SDC MWMC Compliance Charge".;. SDC Sanitary/Stonn Admin ,.... Addressing Assignment i', S DC l'ransportation Admin Willamalane Single Family 2 Baths One or Two Family I sl 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 + 12% State Surcharge + 5% Technology Fee Amount Due 211.00 88.00 88.00 (30.00) 736.15 666.84 507.07 250.00 211.21 931.65 (931.65) 101.97 71.55 1,333.57 10.00 977.37 22.63 161.60 38,00 17,87 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 134.00 25.00 63.00 201.64 101.87 $9,327.34 Paid By HA YDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received . Amount Paid djb 085083 In Person Payment Total: $9,327.34 $9,327.34 ...-.,; ;,., ~ , , Page I of I 1/28/2010