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HomeMy WebLinkAboutPermit Building 2010-2-1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00106 ISSUED: 02/01/2010 APPLIED: 01/26/2010 I;:XPIRES: 08/01/2010 VALUE: $ 200,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 5798 MICA ST ASSESSOR'S PARCEL NO.: 1802033303600 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence- SAME AS COM2009-00691 5770 Mineral I PUBLIC'IMPROVEMENTS I iles',!O\l,to , '" V''ll leC\U . on \.\t\\\\'I Fullv Improved '<IOI'\'. OSidewda k ~)(pE'lle9, set 10ltn C b 'd 7' p-llcl'l \ d"ple o~ l<\.esa1e 00)." ur Sl e Yes' II 'II Iules a R8'WI1'Slfo'ifi'!\W~","95'2.' bfrb and Gutter Storm water to curb via weephole 10 0, a\\onceil ~'\O thlO\l9 \the lules l'lotlllC 95'2.'OO~-0 'n copies 0 telepnol\e , GE: E WORK in ~6: ,/ou f(\a'!e~~~~\ ~I'lot\~~~ I'lotilica\lon 'D~RMll ~HALL EXI'IRE ~~}.~T Ie ~"'\T 00 ,.."I\ing t~e, ?".. Oleg~ ~~?-2'3~~)' -lORIZED UNDER I HI" r,i'.... ~nR {lU'~"\c~ntel is I'U ~I;MENCED OR IS ABAND\lIl~llat'ibn Descriotion I ,'N 180 DfAc:V PEtRIOt~' $ Per Sq Ft Square Footage Type 0 ODS rue IOn . . . or multIplIer or B,d Amount Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 , I CON~RACTOR IN~ORMAnON I Contractor Type General License 92208 Contractor HAYDEN ENTERPRISES BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure 19.50 Type'of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: n/a 1 R-3 U VB 3 I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 11.79 10.00 13.60 20.00 18.50 .-' Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Page 1 of 4 Residential Expiration Date 07/29/2011 Phone 541-228-6935 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant' Load: 1,579 400 3 .Yes 34.50 REQUIRED PARKING Total: 2 Handicapped: Compact: Value Date Calculated t~'''' ...j..... Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I - 726-3 769 I nspection Line 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 Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As PW Dise - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary Sewer - Improvement Sanitary 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 SIJC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family . Total Amount Paid Initial Review 01/26/2010 $1.00 Total Value of Project 200,000.00 Fpp<, PlW Amount Paid $223.65 $1l1.04 $79.00 $337.00 $38.00 $9.00 $1,1l5.75 $-931.65. !~ ;'.'~ $88.00 : $9.00 " , $13,00 $98.95 $20.00 $7.00 $211.00 $250.00 $-30.00 $134,00 $50.00 $529.11 $695.83 $10.00 $22.63 $1,333.57 $101.97 $175.98 $211.21 $931.65 '$17.04 $88.00 $955.99""" $63,00 $27.00 $2,858.00 ',,' ,'~ ' $9,853.72 I Plan Reviews I 01/26/2010 Date Paid 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1 /1 0 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/1 0 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 2/1/10 OK Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00106 ISSUED: 02/01/2010 APPLIED: 01126/2010 EXPIRES: 08/01/2010 VALUE: $ 200,000.00 $200,000.00 $200,000.00 01/26/2010 ReceiptNumber 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 1201000000000000092 DJB Status Issued CITY.OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00106 ISSUED: 02/01/2010 APPLIED: 01/26/2010 EXPIRES: 08/01/2010 VALUE: $ 200,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl! Review 01/26/2010 01/26/2010 ' APP DDK Access restricted to I driveway/lot. 3 street trees required - 2 along S. 58th and I 'along Mica St. as shown on tree plan. Storm water to curb via weephole Public Works Review 01/26/2010 01/26/2010 APP LKW Structural Review 01/26/20 I 0 01/27/2010 APP CJC As noted on 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. I, RtnlJir~rlli1"mections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk. Curbside: After forms are erected but prior to placement of concrete. 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 Gas: Wheu all gas work is complete. "'",', Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Eleetric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: lustall grouud rod at footing and call for inspection in coujunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to lloor insulation or decking. Floor Insulation: Prior to deeking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover aud after all rough in inspections have beeu approved. Wall Insulation: Prior to cover. It,;: Ceiling Insulation: Prior to cover. . 'Drywall: Prior to taping, Masonry: , " Paee 3 of 4 _S~l'illl\lQ""Il:L,D, ~' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00106 ISSUED: 02/01/2010 APPLIED: 01/26/2010 EXPIRES: 08/01/2010 VALUE: $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backtill. Underfloor Plumbing: Prior to illsuhltion or decking. Underfloor Drain: Prior to cover 0,1' placement of 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 filling treneh and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underlloor Gas: After line is instulled and required testing and capped if not attaehed to an ~pplianee. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correet, and 1 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 worJ{ 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 eaeh 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. ,~ ~/h~~ Owner or Contraetors Signature 0' c;?-/-~ , L~ '. l" Date Paee 4 of4 :SAMI3- As' '5710 (tIit'lwd , c'7-69( Stru( , Permit Application ()EPARTMENT USE,ONL Y _ pe]~~n~ZOIO,.- 225 F;fth 51"e] . Spe;ngr.e1d. OR 974 J7 . PH(54 I )726-3753. FAX(54 1)726-3689 001 0 b This permit is issue~ under OAR 918.460-0030, Permits expire if work is not started within 118~:t:yS )~~u~t~ifwork is suspended for 180 days. , I. ". ,.LOCAi.GO\jERNIJi~NT:AP.~ROY;;'L> 2.;;,;~"i+?,;ill I TShiS project has ftnal land-use approvaL I Date', I sCH'i:buLE' . 19nature_: - . I :~~~~~;:ct has DEQ appeova! I Date I 1..~~~~:~fi;::~rp:~~oj1ffi~i:~';;i;;';~v\^ 11."" ' ' I Zoning'approval verified 0 Yes 0 No I I. Occupancy i- '3> I \A" , I Property is within flood plain: 0 Yes 0 No 1 I Constrliction type: ' ~.1 1*Ji.k\tf~~i;"0;ji1!\GAirE:c.;(;)R:iZ(.QFi;'.c:;,qNs;fR!-lc:II(;jHi;,i,;(.;, '".. " "I I Square feet /571 1- qoo ("""f~. :{,~((~e:l,dtf;~~i'SltE!!NKO~MX1~~t':ANP"Jo~~~iN(;;~;~:~',:,,:,11 '~:~:;~~f::::t~::ol' 0 I Job site addresS! 57'!( M,',,'i. ,I I Type of Heat: h II City. ~?r+:I'~lol, I Stalel.LOR ?~ Z31P "t7'17ff. ell' I Energy Path: ri,-; ~ , Subdivision. ~,=r, at no,,;-, I "" 0 ' 0 - / I. lAJ new alteration addition II Refecence/80?O 'S3,3 I,TaX,lOI ,'. () Sc::>CO 1'1 (b) Foundation-only peemit? PROPERTY'OWNER'-'" 0 Yes ~o I -II " I I Total valuation: Name: /./rJL.\.rllo/\ fk1vtt\.. 't I AddresS! ,.:;)~a;q ,<;IJ f-,/ar,'d - I I City R.i>d ""Mol Stat.. 0' Q I ZIP!"1)7.,e" I I Phone. ~ I - J2\ ~ /-:'1 '>5' ' Fax. I I E-maiJ I .This installation is being made on residential or farm property owned by me or a member army immediate family, and is exempt from licensing requirements under ORS 701.010. Sig-n here: ~ /'A,/L I "'CONTRAG:rOR I NS'rA/:LATfOt<!;, I ~/c'J((:<'!'"r. I. _ State C!K. I ZIP.'1'77S-<;' I Fax' ~/-;t:jl -.2.s'D I I I I I Business name: !It:..1r''/'''A I AddeosS! ,:}.H(,L! .5 tV I City. R.:dyY/cJnc-l- I-Phone>5L1I -~-t,,,~,, I E-mail. I CCB license no" 1,,;J;), oli I Print name: I Signature: J-b1'J.-IF" , r" :,;,i,'\' j' ;j'"S(jB-CQNtRActOR,INF~RMATLciNi"i';j;'r?:;'i:,jC?i;:( Name I Electrical I Plumbing . \ Mechanical CCB License Number 17.J,)u' 317'17 3'1;;' 37 Phone Number I (a) Permit 'fee (us~ valuation table): , I (b) Investigative fee (equal to [2a]). I (c) Reinspection ($ 'per hour): (number ofhDUTS x fee per hour) I (d) Enter 12% surcharge (.12 x [2a+2b-t2c]). I (e) Subtotal of fees above (2a through 2d): Ilf~'~l.U~~~t:~.%f~wrt~~s]~~:~ijh~:~~f~i;3Jt~m,~gf;{~t~e;~~ I (a) Plan review (6?% x permit fee [2a]). . K> I (b) Fire and life safety (40% x permit fee [2aJ). I (c) Subtotal of fees above (3a and 3b): I I I I $ b>/"~ I /-',\:,:>1 ..-,....,' I I I $ $ $ $ $ \';~;:~~GA~\jl:?1tj~~W~J $ i~"tf-'\ I i $ $ I (a) Seismicfee, 1 % (,01 x permit fee [2a]). I $ TOTAL fees and surcharges (2e+3c+4l:l): $ -tfz~rq~f~~:r.i1~~i!P&_i.l COW\UIC' CTOI O'=.; I PenTIlt no,: Date: I!ZbiD 'I 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. Electrical Permit Application' D 225 Fifth Street. Springfield, OR 97477+PH(541)726-3?53' FAX(541)726-3689 SPR;NGFOELDA~ 1i, """" . -~.~ ~+~~~"",~., ..,,~ ,~"~,,. 1~~l!IEG]I~J,;'I.({Qg~BNMJ;Niflbi&2]:rGl:.~~B\'i~ ~:F:~~~~L~~l,~~~~~~~~iK{~'~~;;:7~1 I Residential, per unit, service included: I i~:~~::~ii)o~;;BM::~~~~[Ei~~tri!GN~;i~1~ll ~~;~O~d:i:~::II;~o(:~ftOrportion. ~ :1::::: :'~ I City:'5:v-,.,,<'l'C:" jot I State: 6R I ZIP: '17'fn' I I Limited energy (2) $ 32,00 $ 1 1~:~:~~,;",l~,c;~~4iii~,IJf;;l1\.,wt~, ~li'~~~~1i!~,11 I ~~~~I~~S~~~~~r~~ fe~~~r'(~)odular $ 63,00 $ I 1'_i<jj~I~:oi?k~~;i~~'--"-'" -I ~~~v:;so::::s:e;;; installation. alteration, relo~a::~oo $ I 1~~~~~llIRRQI~l~BjliW~~&i\I~~~JtJjf~~~~'t~~~ 201 to 400 amps (2) $ 95,00 $ I I Name: l--L'I'JeV\ KG""'''' <;., I 401 to 600 amps (2) $158,00 $ I I Address: ;;'t;CL/ c,C-o.J (',("f,,_r I 1 601 to 1,000 amps (2) , $205.00 $- I City: R ",0( VVlCO'" c..{ I State: oQ 1 ZIP: ')775'0. lOver 1,000 amps or volts,(2) $469.00 $ I Phone: SL//- 2!~- ~')) 5" ' I Fax.:5?'-//- 7'llc .;157? ' I Reconnect only (2) $ 63,00 $ I I E-mail:' I Temporary services or feeders: installation, alteration, relocation . J This installation is being made on residential or farm property 200 amps or less (2) \ $ 63,00 $lo~l~ owned by me or a member of my immediate family, This 201 to 400 amps (2) $ 87,00 $ I property is not intended for sale, exchange. lease, or rent. OAR 479,540(1) and 479,560(1), 401 to 600 amps (2) $126,00 $ I I 1 I I I I 1 I I I I Signature: Over 600ainps or 1,000 volts, see serVices or feeders section above a~is.~G:Q'i\ljj'H3.-e;~jrl([Bl[tls1tr7N~\r~i1tQN~~iii'ij~~'1j] Branch circuits: new, alteration. extension per panel I Business name: "To'p \\.}i(~ E I <,C I a, Feefor branch circuits with purchase ofa service or feeder fee: I Address: ,,)0<;:; A (OVe<f C -\-, I Each branch circuit I $ 6,001 $ 1 City: & ,,0-1 1 State:,OR. 1 ZIP: 1 b, Fee for branch circuits without purchase of a service or feeder fee: I Phone: 51 ,,-311- /91-? I Fax.: I' First branch circuit (2) I I $ 55,00 I $ I E-mail: I Each additional branch circuit \ $, 6.00 $ 1 CCB license no.: -r7~L 3c;c: I BCD licens~ no.: (..22r1. I I Miscellaneous fees: service or feeder1not included I Signingsupervisor'slicetiseno,: .L(OS',</-.s I I Each pump or irrigation circle (2) $ 63,00 $ I Print name of signing supe~sor: 1) e'r J _<+r~UL l><!/ I I Each sign or outline lighting (2) I: $ 63,00 $ I Signature of signing supervisor: U n.!"''( _ . /J ....J I Signal. circuit or a li~ited.ef.lergy pan~l, $ 63.00 $ . I ~ _~ ~ \ 'alteratlOn, or extensIOn (2) Each additional inspectinn: (1)$58,00 1 $ '''''~~''''~''i'K,~,~l'_''''~''''''.''~'''''''',''r'-, "~~~..-'''' '\\a~~ ~~J<:~lg,_JltiI?Jt~l.!ir~Nif1ii!l'!~E:i'~.t!o/g~~~~ (A) Enter subtotal of ahovefees ,(Minimum Permit Fee $58,00) 1 (B) Enter 12% surcharge (,12 x [AD 1 (C) Technology Fee (5% of [AD 1 TOTAL fees and surcharges (A through C): ~v~ ~ r-q-~'V V-~, ..~~ ~ (l:;f\i:; 440-2584-J (9108/COM) ~l ~() I' $~q ,Cc<\ $,1,9..5.:' ~.ef2.PA I}?;, willamalane , t~ Park and Recreation Distric;t Job. No. ~\\). CO\Db 'SYSTEM DEVELOP~ENT CHARGE WORKSHEET '. January 1-June 30, 2010 -NAME~(\ \~~(){'(\OJ:') . PHONE:-~\.f}.'J/6 . (oQ-3fO- .. \" ' ADDRESS:2.l\~ ~G.\ati-eICITY RedMtmd STATE:Qt.ZIP:C\ \"1~. LOCATION OF PROPOSED BUILDING SITE: Street Address:nt\t . N~ ,Plat Name:~~X"' ~ , Tax Lot Number: \ <( o'i(Yo~~ b'5k1Y) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the back,) A. Sinale-Familv Detached NO, OF UNITS \ , B. Sinale-Familv Attached NO. OF UNITS, X ~2,858 per unit = $'Q..~~.ou ' " X $3,100 per unit::: , $ , C, Multi-Familv Aoartment NO, PF UNITS X $2,641 per unit = $ D, Sinale RoomOccuoancv, , NO. OF UNITS , X $1,321 per unit = $ E, Accessorv Dwellina Unit , NO, OF UNITS WILLAMALANESDC X $1,550 per unit = $' $ 2.6e;e,.lXJ $ ,.'~. -' 2.SDC CREDIT(lfapplicable) SDC payer must furnish proof of, Willamalane Credit approval.) , , 3. TOTAL WILLAMALANE NET SDC ASSESSED , (if SDC reducea for Credit) , \:fuJ\(\', m\ ")\~!. I, Li DeveloprT)entServices D~partmen\) I u," City a/Springfield ,",:' , $ fJiJf8~ ~/ \ /' n..o\D Date 5 City of Springfield Official Receipt Development Services Department , Public Works Departme'nt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 I 06 COM2010-00106 COM2010-00106 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM2010-00106 COM2010-00106 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-001 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM2010-00106 COM2010-00106 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 I 06 COM20 I 0-00 1 06 COM20 I 0-00 I 06 Payments: Type of Payment Check cReccintl RECEIPT #: Date: 02/01/2010 2:27:30PM 1201000000000000092 Description Sidewalk Permit Curb cut Permit PW Disc - 2nd Permit SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans Improv SDC SDC MWMCReimbursement SDC MWMC Improvement SDC MWMC Administration SDC MWMC Compliance Charge Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDCSanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning Plan Review Same As Building Permit Addressing Assignment Willamalane.single Family 2 Baths One or Two Family ] st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residentia!. + 12% State Surcharge + 5% Technology Fee Amount Due 88,00 88,00 (30,00) 211.21 931.65 (931.65) 101.97 1,333,57 10,00 22.63 955,99 695,83 529, II 175,98 17,04 211.00 250,00 1,115,75 38,00 2,858,00 337,00 79,00 27,00 9,00 13,00 9,00 7,00 20,00 134,00 50,00 63.00 98,95 223,65 111.04 $9,853,72 Paid By HA YDEN HOMES Item Total:, Check Number Authorization Received By Batch Number Number How Received Amount Paid 21505 In Person Payment,Total: $9,853,72 $9,853.72 nJm Page 1 of 1 2/1/2010