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HomeMy WebLinkAboutPermit Building 2010-2-1 _Si~R!"'!?I!'J~J ~i{ Status Issued CITY-OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00117 ISSUED: 02/0112010 APPLIED: 01/2712010 EXPIRES: 08/01/2010 VALUE: $ 208,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5753 ORCHID LN , ASSESSOR'S PARCEL NO.: 1802033306200 SPRINGFIETYPE OF WORK: SiugleFamily Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence ~ SAME AS COM2009-00691 5770 Mineral. Residential Owner: HAYDEN HOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC INC License 92208 172366 Expiration Date 07/29/2011 09/29/20 I 0 Phone 541-228-6935 541-317-5557 BUILDING 1N"FORMATlON.I 3 # of Stories: 1 Height of Strueture 19.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas , Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor:' Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ,Occupant Load: 1,579 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construetion Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 400 I DE':ELOPMENT INFORMATION . REQUIRED PARKING Front yard Setback: Side 1 Setbaek: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 7.94 13.00 34:61 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage:, .~ . Total: HandiCapped: Compaet: ' 2 2 Yes 20.76 I"\IICIIlIIVI'l. VIC8VIlICVV I t:1LiUII C.:) yuu LV I PUBLIC IMPROVEMENTS tallow rules adopted by the Oregon Utility Street Improvements: Noti!i'Sliiewa~~e.Those rules are set forth , Fully Improved in OAR 952-001~0510through OAR 9E12l(J'/}~ide 7' Storm Sewer Available: Y es 0090.I>rot/1f\1W!'~~.firiroopies of(ha-M09lG<'tler Speciallnstruetilllf:. Storm water to curb via weep hole callirig the center. (N6te:the telephone )'iV I I"'''''. . .. THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification Notes: AUTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800'332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . .~_.. '. '.'- ._, , . "....'.. ~' " ) - ~ '{ . '..Paee I of 4, ".. .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One 01' Two Family Addressing 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 Addtl 500 Sanitary Sewer- Improvem~nt 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 SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid I V~luati?n Descrintion I , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 208,000.00 Total Value of Project Fpp~ P~ilU Amount Paid Date Paid $225.16 $111.67 $79.00 $337.00 $38,00 $9.00 $1,148,31 $,931.65 $88.00 $9.00 $13.00 $98.95 $7.00 $211.00 $250.00 $-30.00 $134.00 $50.00 $529.11 T; $695.83,' . $10.00 $22.63 $1,333.57 $101.97 $182.36 $211.21 $931.65 $16.73 $88.00 $1,077.50 $63.00 $27.00 $2,858:00 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 2/1/10' 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 2/1/10 211/10 $9,996.00 Paee 2 of 4 CITY OF ~rKIl~GFIELD Building/Com bination Permit PERMIT NO: COM2010-00117 ISSUED: 02/01/2010 APPLIED: 01/27/2010 EXPIRES: 08/01/2010 VALUE: $ 208,000.00 Value Date Calculated $208,000,00 $208,000.00 01/2712010 Receipt,Number 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 120100000000000~093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 1201000000000000093 CITY OF SPRINGFIELD Status Iss u ed ,.' ~;. Building/Combination Permit PERMIT NO: COM2010-00117 ISSUED: 02/0112010 APPLIED: 01/27/2010 EXPIRES: 08/0112010 VALUE: $,208,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line ! I Plan Reviews I Structural Review Public Works Review Structural Review 01/27/2010 01/2712010 01/27/2010 OK DJB 01/27/2010 01/27/2010 APP DDK Aceess restricted to 1 driveway/lot. Follow stre~t tree plan. 01/2712010 01/27/2010 APP LKW Storm water to curb via weep hole 01/27/2010 ' 01/27/2010 APP KLK Initial Review Planninl! Review 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 ~l1'Iii;r~,111'.nections I Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior toground 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 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 decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover a~d after all rough in inspections-have been approved. Wall Insulation: Prior to cover. . Ceiling Insulation: Prior to cover. 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 backfill. Underlloor Plumbing: Prior to insula!ion or ~Jckinid Underfloor Drain: Prior to/cover or placement .of concrete. , '. 1 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 trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Pal!e 3 of4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: CdM201O-00117 ISSUED: 02/01/2010 APPLIED: 01/2712010 EXPIRES: 08/01/2010 VALUE: $ 208,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Undertloor Mechanical. Prior to insulation or;decking and including required testing. . ....i._.. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Serviee: After line is installed aud line has been connected to a minimum of one appliance including required testing. Presure test done at tbis point. ROllgh Mechanical: Prior to Cover Final Mecbanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electrie: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: 'Yhen all electrical work is complete. 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 signature, I state and agree, tbatl have carefully examined the completed application and do hereby certify that all information hereon is true aud correct, and I further certify that any aud all work performed shall be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregou pertaining to the work described herein, and that NO OCCUPANCY will be made of auy structure without permission of the Community Services Division, Building Safety. I further certify that only contraetors and employees:.)l'ho,~re:incomplil1nce with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections ;"re 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. ~ /2uA 2-/-/() Owner or C'ontracto~s Sig"a~ Date . ;l}' ,~-;1 . .'~ Pa2e 4 of 4 ElectriCal Permit Application . t It · U~Jr. 225 Fifth Street. Springfield, OR 97477+PH(541)726"3753+FAX(541)726-3689 "~~~~;i5gpJ\!RTM'E~JlU~S0N1}~~~1 ,:;~.;,,/t"'''.'~'.'';.'-'-'--'--'.';-'k;.!_,~i':?_i'~:E~?t:k~~~:::i..:':"~~~~~' pe;;if~:-:- DO 1\-' I I D~te: /- Z 7 - 10 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. I~Y~~I!:<;[~~~~_~~i:;~!'.JMl;1l}tlW~gBlf.QM:~~~'!ii~.'ifj I Zonmg approval verified? ' 0 Yes 0 No 1"""1!j!lW11-'J!lG'l\itE'(;0Ri'6ii109~{€0NSmR(!jGmJ01i1f'~l\'~"":j,!~, c&._""",_ 1~:~;:;;;;--'-~TD~~::;;~nt~ -T~~~=::7~."1 I Residential, per unit, service included: \~~~;:I;g~;;~~~:t~~~A~~1i~~:Q:t,(m(Q~;~~~f€il'l ~~;;;;~i~~:::~~~:~ ft, or portion ~ :1::::: I City:'jy""1C:",iot I State: oR. ' I ZIP: '17'178 , 1'1 Limited energy (2) . $ 32,00 $ 11;~;:;~;~a~R~~~~ij'fW.J~~~~~~~'*:~11 I ~~~71~;'S~~~~~~~~~d::(~)odUlar. $ 63.00 $ (!m,g,b~;= -7i~""'--" ",- ._''''''~,"_'''\~'''c'~'''1 I Services or feeders: installation, alteration, relocation l'lf,..!~~J_e~~E~f&~~~~,,&~~;t~0"i';It<!I'1 ~:~ ~:;oo~;; ~~~ : :::::: ~(""~U,".,-_", .li<O!.__' ~,__._...".=___=~.~.--,.-,___-,__..."""""('>.,._,.,..~~~.,.,"Wt!:~,,,,-,....."S,,"J,1.""'";r~ I Name: l-l..,td~v.. Kevr--e <;, I I 401 to 600 amps (2) $158.00 $ I I Address: ;}L;C"-f Sc.-J (.,("(;'R' [I 601 to 1,000 amps (2) $205,00 $ I I City: (<",01 v>'1"'" vi I State: Of? I ZIP:')775'G. I lOver 1,000 amp's or volts (2) $469,00 $ I I Phone:SL/i-.228'-<P')':>5" I Fax:9'11-7'il-,;i57?, I I Reconnectonly(2) '$ 63.00 $ I I E-mail: -, - I I Temporary-services or feeders: instqllation, alteration, relocation .1 Th" II' 'b' d 'd' 'I c 1'200 amps or less (2) I $ , ~ IS msta at!On IS emg ma e on reSl entIa or ,arm property 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 renl. OAR I ' 479.540(1) and 479,560(1), ,401 to 600 amps (2) $126,00 $. I Signa~e: I. Over 600 amps or 1,000 volts, see services or feeders section above I ~~![G1:i9][~Gm'Q;B.II.!'l'Sm~'~IW~]lcn:l_'!ifl\:~;~~ft;l I Branch circnits: new, alteration, extension per panel I Business name: J;;"p \\l>trh F Ipc I I a, Feefor,branch circuits with purchase ofa service orfeededee: I I Address: ,:)O~ A (oVe'1 (t. I I, Each branch circuit I I $ 6.00 I $ I I City: \5: "".\ I State: ok: I ZIP: I ' I'b, Feefor branch circuits without purchase ofa service or feeder fee: I I Phone:SlIi-311-(9'i<? I Fax: I I First branch circuit (2) I I $ 55,00 $ I I E-mail: I I Each additional branch circuit I I $ 6.00 $ I I CCB license no,: -ril SGC, I BCD license no,: r .22rJ, I I Misceilaneons fees: service or feeder 'not included I I Signing supervisor'slicense no,: <'f 6 S--4 S I I Each pump or irrigation circle (2) $ 63,00 $ I I Print name of signing supervisor: Vobr / S+"'c kLt.r- I I Each sign or outline lighting (2) , . $ 63,00 $ I ,I Signatureofsign~gsupervisor: ! l 6'_ (J , ~ / . Il/J..J..I Signal circuit or a limited-energy panel; $ $ I V-'-r' c..., (~~. alteration, or extension (2) 63.00 - l/ " \ Each additional inspection: (1) , I' $58.00 $ I ~_lf~~'iIt!""--lP'im,rrl!f6ANm@i"S-E~{;~~,"":"i,j"}~ffof,'~ tt~_=""", ~~.!~~.!Jl;;_,_..""._~,,_..,z,~' ,~:~""I,.':rtfii~~itl~5'el I '(AJ Enter subtotal of above fees . '-... ' '-$ 'LA" "'_L, (Minimum Permit Fee $58.00) ~ l.ur' I (B) Enter 12% surcharge (.12 x [AD $~q ,l&t"\ I (C) Technology Fee (5% of [AD $ i~5 I TOTAL fees and surcharges (A through C): .Jdee>,'tl'1 I $/~.OO $ .:ofD I I I ~~r ~~ ~. ~' ~ ~.lt,^.\Q 440-2584-) (9108/COM) SAtV\f As S7?o (VI1't\er<J c?- b'7l Stru( , Permit Application ~- 225"Fifth Street. Springfield; OR 97477.. PH(S4l)726-3753 . FAX(54 1)726-3689 DEPARTMENT USE ONLY COwlZOtO - Pemlit noc) C III Date I - Z 7- 20/ C) This permit is issued under OAR 918-460-0030, Permits expire ihvork is not started within 180 days of issuance or if work is suspended for 180 days, ;LOCALG6VER.NM~NTAPPRQY,O,(,!\" ;1 I This project has final land-use approval. I I,"', ' ",', ,', FEE SCHEDULE" , Signature: Date: I :~~~~~?eect has DEQ approvaL Date I n~')~:~~~;~~;::~orrij~i~::r~ j; t,;:,. L 1 Zoning approval verified: DYes D No I Occupancy rZ-:> /' (...~ ' 7 \ Property is within flood plain: 0 Yes 0 NQ I Cons'truction type: I vi!" Ifil~i~;;Jt;;!i,~iI~i:<::ATE:(;9Ryii'()frp,qNs;fRP'c;r;I.()~;\i:i\C "i\;;:'<i d I Square feet I "~~eside,~t,I~~".,,, , ,ISJ _?~,;.~,~~e~t" '" .,' .,)i::),S~:r;:"::~:~l"",,,]1 I Cost per square foot: 1~71' ;-'1"00 'c'i'"i\F,;,)JQEl:i$JTE;,'1 N fiORMf',l;IQN",AN p",~gCA'fIQ.r:J;,;;ii;;;i:'i/ I Other information; I Job site address: ,.,7S1' dRCHIll I I Type of Heat: h 1 CitT <:?r,,__,.(.,.ld '~ ' 1 State; ,'(lR -I ZIP:5'7~7S: I I Energy Path: "'" "- I Subdivi'sion0~ e>-c. I Lot no: 3o~ 1 1 IVl ~A ' t:..J 'F' ?'?I r lAJ new D alteration 1 Reference: loOZo s,.::>.-> Taxlot Oo2..C>c. I I ' ' I . " - - ,'. . ",' " I (b) Foundation-only permIt? , , PROPERTY0WNER -.." II _' ' , "I 1 Total valuation: ~0~ ~-, I ,<:I~J '</ar,y( - I State: oQ I ZlP~77>(" I 1 I ..... 'I ; .,' EG''. ; I I I I I I I I I I I $,..)o(CJf30 I D addition DYes JO'N 0 I Name: Address: ,.::)l{{Oq 1 City: ,Red >IYIMV,'..( Phone: i</1 -..l2l";.::q '>S- Fax: (a) Pemlit fee (use valuation table): I (b) Investigative fee (equal to [2a)): I', (c) Reinspection ($ per hour): - (number of hours x fee per hour) $ I' (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ I: (e) Subtotal of fee, above (2a through 2d): $ I i']~;P;I:~~~:~~~~!~;;::~::~!;~;~B't~;~);s,%:~iT~~~ I (b) Fire and life safety (40% x permit fee [2a]): $ 1 I (c) Subtotal of fees above (3a and 3b): $ I $ $ E-mail: This installation is being made on residential or farm property owned by me or a member ormy immediate family, and is exempt from licensing requirements under ORS 701.010. ' Sig"n here: ~ /2//L ~BusmessnameCO;:;::;R)~~~ATI9N ',;, ',,' : I Address: ,)Jf(.Lf .5 tv /.'.Ia 'c' r ' I' 1 City; ~dr>'1e>nc-l - State: 6K_ 1 ZIP,'9'77'>4 1 L Phone:-5L1I -;l)K-- t,<;: :O;~ Fax::Jo{f - illt -.25'72 [- E-mail: 1 CCB license no,; 't.-U 05< _ \ Print name: I Signature: (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges'(2c+3c+4a): $ f}i::i:s;Y?11?!I:,$l..IEl',c;0Nt:gAc;illc5F{;lt{j::Q@A'tlQN"#tj(~Ei;.i;;"Q!i+YI r Name eeB License Number Phone Number I I Elect,ical J7.J')u, I 1 Plumhiog 317€{7 I 1 Mechanical 3'1J, 37 . ' 1 """'-.. ,2?,willamalane " "t~ Park and Recreation District .. Job. No. , , C/l/(J r QO //7 ," j SYSTEM DEVELOPMENT CHARGE WORKSHEET , . ' '. January 1-June 30, 2010 . NAME:c)jdYd~-~I97ff:;Y- ~PHGNE, , , I' ~ ADDRESg}-fh4 (krhYVCITY.D4-m~sTATE(J-&ZIP: 97"7orf;> , '. ';". LocATION OF PROPOSED BUILDING SITE: Street Address:' /575-::; 3t2(!..k~ ct , Plat Name: ,,\Cl.t>~ Unn- ' Tax Lot Numbe~: \ <ccno3?,:, rv.4}.tX:) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the , back,) , " ' A. Sinale-Familv Detached / X $2,858 per unit '=, . .NO, OF UNITS B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = C. Multi-Familv Aoartment . NO. OF UNITS X $2,641 perunit= D. Sinale Room Occuoancv 'NO. OF UNITS' X$1,321 per unit= , . E. Accessorv Dwellino Unit NO. OF UNITS X$1 ,550 per unit = WILLAMALANESDC ~--- --, - -- ";--- 2.~:SDC,CREDIT-(If-applicable),SDCpayer must..fumishpro~f of Willamalane Credit approval.) MALANE NET SDC ASSESSED ed for Credit) , , ;J(jzchaPJ ices Department $ :), t sC; ,aV $ $ , $, $ $ '0. K'S<(' - , - .._~ _t7:J $ ~ $'~ ;sse {);;J / ,01 ::;B/(J ( Date 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2010-00117 COM20 I 0-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM20 I 0-00 117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM20 I 0_00 117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM20 I 0-00 117 COM20 I 0-00 117 COM20 I 0-00 117 COM2010-00117 COM20 I 0-00 117 COM2010-00117 COM20 I 0-00 117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 COM2010-00117 Payments: Type of Payment Check cReceintl RECEIPT #: 1201000000000000093 Date: 02/01/2010 Description Plan Review Major - Planning Curbcut Penn it Sidewalk Pennit PW Disc - 2nd Penn it Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans 1mprov SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC MWMC Compliance Charge SDC Sanitary/Stonn Admin SDC Transportation Admin Plan Revie\v Same As Fire SF Fee - Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1st 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 , " Paid By HAYDEN HOMES 1NC Item Total: Check Number Authorization Received By Batch Number Number How Received 21505 In Person Pa~ment Total: nJm :" Page I of I 2:28:12PM Amount Due 211.00 88,00 88,00 (30,00) 1,077.50 695,83 529,11 211.21 931.65 (931.65) 101.97 1,333,57 10.00 22,63 182,36 16,73 250,00 98,95 1,148,31 38,00 2,858,00 337,00 79,00 27,00 9,00 13,00 9,00 7,00 134,00 50,00 63,00 225,16 111.67 $9,996.00 Amount Paid $9,996,00 $9,996.UO' 2/1/2010