HomeMy WebLinkAboutPermit Building 2010-2-18
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00205
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 175,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5758 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033304500
SPRINGFIETYPE OF WORK: Single Family Residence
TVPE OF USE: New
PROJECT DESCRIPTION: Single family residence - same as COM2009-01528
2
Ves
34.30
on laW requires you.to
PUBLIC IMPROVE les adoPte~hJse rules are set ~1'
NotifiC!l10n C~!'ter. Odha\llllh OAR 952 8 bY
Fully Improved OAR 952-OSf\01)1l "'rP\":r;ies of therule Curhside 7'
In" .... Q\l\~ln CO ....ephOf\~ '"
Storm Sewer AvailabJ~: Yes 0090. You m"",jite"f."(Itij' :th8"". 'licaUOrib and Gutter
SpeciallnstructioriP IIC6:torm water to curb via weep hole calling the:e ~;e90n Ut\li~) I
~'H!S PERMIT SHALL EXPIRE IF THE WORK "umbel ~tef \81-800-332- .
Notes:c.,UTHORIZED UNDER THIS PERMIT IS NOT
::nMAn AI
Owner: HA VDEN HOM ES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
; "
Ii
I CONTRACTOR INFORMATION ~
Contractor Type
General
Contractor License
HA YDEN ENTERPRISES 92208
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: " I
Height of Structure 15.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building: nla
I
R-3
U
VB
3
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
23.47
8.75
Overlay Dist:
# S.treet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
/."NY 180 ,DAY PERIOD. I Valuation Description ~
.Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee I of 4
!;:~I
Residential
Expiration Date
07/29/20 II
Phone
541-228-6935
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
4,504
1,148
400
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Value
Date Calculated
Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Descriution
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
2 Baths One or Two Family
Addressing Assignmeut
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
PW Disc - 2nd Permit
Resideuce Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 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
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
Plan nine: Review
02/16/20 I 0
02/16/20 I 0
-{'
".'
$1.00
Total Value of Project
175,000,00
~
Amount Paid
$209,04
$104,95
$79,00
$337,00
$38,00, "
$9,00 "
$1,014,00
$-931.65 .
$88,00
$9,00
$\3.00
$77.40
$7.00
$211.00
$-30.00
$134.00
$50.00
$507.07
$666.84'
$10.00
$22,63
$1,333.57
$101.97
$142.72
$211.21
$931.65
$84.43
$88.00 ,
$758,02
$63.00
$27.00
$2,858.00
$9,224.85
I Plan Reviews I
02/16/2010
02/16/2010
Date Paid
2/18/10
2/18/10
2/18/1 0
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/1 0
2/18/10
2/18/1 0
2/18/10
2/18/1 0
2/18/1 0
2/18/10
2/18/10
2/18/1 0
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
2/18/10
OK DJB
. APP DDK
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00205
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/1812010
VALUE: $ 175,000.00
$175,000.00
$175,000.00
02/16/20 I 0
Receipt Number
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
12~1000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
1201000000000000149
Access restricted to I driveway/lot.
Follow street tree plan. Minimum
setback letter. Field verification at
time of footing inspection required.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00205
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 175,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Puhlic Works Review
02/16/2010
02/16/2010
APP LKW
Storm water to curb via weep hole
Structural Review
02/16/2010
02/17/2010
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.
l.f.eonirecUnsnections ~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction with footing and/or
foundation jnspec~ion.
Footing: After trcnches are excavated.
Fonndation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor insulation 01' decking.
Floor Insnlation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inJpections have been approved.
Wall Insulation: Prior to cover. I
Ceiling Insulation: Prior to cover.
Drywall: Prinr tn taping.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Fonndation Drains: After gravel and filter cloth is installed bnt prinr to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inclnding reqnired testing.
Water Line: Prior to tilling trench and inclnding n;'qnired testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Stnrm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior 'to insulation 01' decking and including required testing.
Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00205
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/1812010
VALUE: $ 175,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
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: When 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.
By signature, 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 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.
~~L2/~4-
Owner or Contractors Signature
OJ - /,f- /cJ'
Date
Page 4 of 4
2?, willamalane
. ~ Park and Recreation District
Job. No.!!/O- 2fJ :)
, . "
.- --'-'--~-'--~~~,~ -~-~_.~ ~- - --
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: ~A'fPE:l\;' ~O M~S.
- PHONE:9fI-"ZK'- ~.&j:t~
STATE:JL ZIP: q'l?rc,
ADDRESS:7I~l/ St..J Ilfil.19Z. CITY~Mt.",b
LOCATION OF PROPOSED BUILDING SITE:
. Street Address: 5'7 IT tJ~cl!tj)
Plat Name: Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqlei-FamilyDetached
NO. OF UNITS /
X $2,858 per unit"
$ 2trr 6"
B. Sinqle-Family Attached
NO. OF UNITS
X $3,100 per unit"
$
C. . Multi-Family Apartment
NO. OF UNITS
. X $2,641 per unit"
$
D. Sinqle Room Occupancy
NO. OF UNITS X $1,321 per unit'" $
. '-~'.~ -~---::'';:-.-::::.:::;:;--:;:;"~_ 0'='=-,"'-:;;-:'--:'. ". .::.-,---...-.-'.---:----:----~:::::::::=_.,_=_-=m;:__:-c::_:":""".:..-_ _._._n-:::-::..~ .:..:....-==,' :::;;;.====.:::;::;:-::..
.....",.::...-..--:_-_.::c-=.:-.~:;._--
....._.,--..._~---,-_._-~-_..- .--....-.-.... .
---._- ----. ..-._---'--
E. Accessory Dwellinq Unit
NO. OF UNITS
X $1,550 per unit"
$
WILLAMALANE SDC $
2. . sac CREDIT (If applicable) SDC payer must furnish proof of
Wi.I.larn~l~n.e Cr~ditap?roval.) $
. _.C3: TOTACWIU.AMALANENET SDC ASSESSED' .
(if SDC reduced for Credit)
~ ., -. t
~J1
Date , 0\
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Development Services Department
. . City of Springfield
5
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
February 16,2010
Hayden Homes
2464 SW Glacier
Redmond, OR 97756
Re: 5758 Orchid - Building Permit Number: C0M2010-00205
The location of the structure(s) as shown on the plot plan of your proposed project
appears to meet the minimum residential setback requirements of the Springfield
Development Code (SDC 3.2-215).
There is little or no room for error in placement of the proposed structures on the lot,
therefore, the property will need to be surveyed by a licensed surveyor to verify the
location of the property lines in relation to the proposed siting of the project. A copy of
this survey will need to be submitted to the Building Inspector at the time of your site
inspection. All property and structure pins shall remain on the property for verification
by the Building Inspector at the time of the footing inspection.
Should you have any questions regarding the above, feel free to contact me at 744-4156.
Sincerely,
~
Deyette Kelly
Planner Aide
Development Services
Planning Division
Electrical Permit Application
I
225 Fifth Street+Springficld, OR 97477 +PH(541)726-3753. FA.,X(541)726-3689
SPRINGFIELD E<e~
f~~.~~i1
~Y!1:"{.R.~h~~J.~,~~mt~~tl~BIiii~
CoM ZC t () - C 0 e.- o 5
Penn i t n 0
D ate 2-( b - I 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire ifwark is not started within 180
days af issuance or if work is suspended far 180 days.
~~'~~l~G~€i~lJl"g,~Mi;~'f'1M~Nili\~~RB1~:QM~J~!lt~1![~~~~:
Zoning approval verified? 0 Yes 0 No
~1~~~mi~K~~ill~:G:0:B~~~J?J@~tt$J]8m@if~'gr~f~~11tRt~
o Residential 0 Government 0 Commercial
~~~!I@1:1iil~T[;g:~I,N[~BJ\I1A\]I@::ri!~:~f;1J1l~~~~iiip:~'lir@t:!1'\l~~l!;~
Job site address: OrC .'0.1.
City: State: 0
~y;~ ,!;~',"""''''i!i,\'J'lf8R011E'R,lX8@wj\.jE'~.wr,2':j;'~ifi'i''~''~';',;~~
",,~,,'l;J., .~,<i1t~:?;."'fl~';J;,~}r<'--'-"_.,,,,,_~._-.:' ,-,c-' -"'"",'_~k,:t~\,_,.".,,-+sr-,.if~fl'~:W~I~~;;;~\:~,t:t,;:'jI"!,;.:
Name: l-L, dN\
Address: if, "-
City: r< ",01 VVlCo' c-1
Phone: SLil-:2J)s- 1O"}-:;,5' .
E-mail:'
This installatiou is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
t.-vr.-e <"
, '(AC",
State: 6 Q ZIP:')775'G,
Fax:5'/r-7'lr- ;J57? .
Signature:
~[a~M.~;~jI.Jjln~~~Gflfg.B?i[t;;l$11i~~f~]t@:~~W~Ji~i0~~~:~"
Business name: rc' I pC
(ove Ct.
State: oR.
Address:
ZIP:
City: &
Phone: 'X 11- 31/- 191..
E-mail:
CCB license no.: '/
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~~
0$ ~"Q/
\~~
~~
~
Cn~ D
(\t,V o.:~
V 0.: ru
440-2584-J (9i08/COM)
~:~l5t~~\,,,
Residential, per unit, service include'd:
1,000 sq. ft. or less (4) $134.00
Each additional 500 sq. ft. or portion
thereof ( $25.00 $
Limited energy (2) $ 32.00 $
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 $
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
60 I to 1,000 amps (2) $205.00 $
. Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) I $ 63.00 $ 0
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 .volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder nor included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
$ 63.00
$ 63.00
$
$
$ 63.00 $
.Each additional inspection: (1) $58.00 $
'l.l;:i.'I,!",,'jj;~I!\~~hW't;f5)~1'0A'""iii'm"~Wi'S"EY~1''",','Il!!'\''''i''''''',,",,',',",'Wii
~i~~d-.":.'.~~~~;f~.i:'l'!!,~~~,!B'.~..;\l?,-"~!;!.U;;'?,~,.,.,-:J&~~~~~~~~~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AJ)
(C) Technology Fee (5% of [AJ)
TOTAL fees and surcharges (A through C):
$2qJ. aV...-
3-:>
$
$
$ .
q
5Ar'1 E
145
1115 5 .n1h.
c. 9-01 rz.f
Stru( Permit Application
-
225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(54 1)726-3689
DEPARTMENT USE ONLY
COwtZL>/O - 00 ZOS"
Pennit no : .
Date 2 -{ 6 ~ / U
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
. : -"." ,_,i,"___ ...'....-':: _...,.,-.....,'
LOCAL 'GO',lERt;JMENTAPPRCl\l,t(L
This project has final land-use approval.
Signature:
This project has DEQ approval.,.
Signature:
Zoning approval verified:
Property is within flood plain:
Date:
Date:
DNo
DNo
DYes
DYes
o Commercial
lZJ Residential
o Government
.:-,,:':-'
....,',.c...
.J9BSI;[E,INFciRMAti0~rANq).LO:eAJio(ji" "
Reference:
ZIP: 'i'7'i'7~
..:1'/;2.
Dlj ,:>0 c::,
PROPERTY0WNER .
Name:
Address:
City:
Phone: .
let ' ( -
State: 0- Q
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member ormy immediate family, and is exempt frof!1licensing
requirements under ORS 701.010.
"",.,
-,,',.:'
'FEESc;HEDUlE
i. Valuatioil infotmati-on'- "
(a) lob description:
Occupancy
Construction type:
Squarefeet: Illfr f ~OO G
Cost per, square foot:
Other information:
Type of Heat:
Energy Path:
!XI new 0 alteration 0 addition
(b) Foundation-only permit? 0 Yes DNa
Total valuation:
("
(a) Permit fee(use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(eJ Subtot.1 of fees above (2. through 2d):
$
$
$
$
$
Sig'n here:
LATIQN.. " "
E-mail:
CCB license no.:
Print name:
Signature:
. ;': '';:':,iSLlB:cbN),f<,t("Cf,OR it;JFOi:\r;,AfI6i'W}~~-;\~:i:;~t:{
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
OJ
3/7'17'
31'1 J. 37
$
I
TOTAL fees and surcharges'(2e+3c+4a): $
_j:o.F1_,.~.,"" .,.
~-.'.,
....lii "
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000149
Date: 02/1812010
2:06:26PM
Job/Journal Number
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM2010-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM2010-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM201O-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
COM20 I 0-00205
Payments:
Type of Payment
Cred itCard
cReceintl
Description
Plan Review Major - Planning
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit
Stann 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 MWMC Compliance Charge,.,."
SDC Sanitary/Storm Admin
SDC Transportation Admin
Building Pemlit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets \-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
211.00
88.00
88.00
(30.00)
758.02
666.84
507.07
211.21
931.65
(931.65)
101.97
1,333.57
10.00
22.63
142.72
84.43
1,014.00
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
77.40
209.04
104.95
$9,224.85
ur'
I;
Paid By .
HA YDEN HOMES/TIM D.
Item Total:
Check Number Authorization
R~ceived By Batch Number Number How Received
Amount Paid
nj.m
060140 In Person
Payment Total:
$9,224.85
$9,224.85
Page I of I
2/18/20 I 0