HomeMy WebLinkAboutPermit Building 2010-2-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00206
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 181,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5786 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033304900
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-01777
Residential
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CONTRACTOR INFORMATION ,
Contractor Type
General
Contractor License
HA YDEN ENTERPRISES 92208
BUILDING INFORMATION I
Expiration Date
07/29/2011
Phone
541-228:6935
3
# of Stories:
Height of Structure 16.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
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:
4,590
1,235
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
400
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 35.60 10 requires yOLl \0
ATTENTION: O~~iec~',)y~he Oregon Ut!lity
I PUBLIC IMPROVEMElQljlSi.ation.cen~~'1 0 ~~:;U9h OAR 952.00;'
In v~ 952 ~01 o-.T ""ies of the rules by
Stre!,~ ~~i~~vements: Fully Improved 0090.. You ~f"r~~9: the telephone Curbside 7'
Stor\1j;~e~er.)\vailable: Yes calling t~o~fseRg~~'1MiN Notificat\lii1and Gutter
Sp~,cial~l.nS!nM,if'SH Storm water to curb via weep hole number~nter is 1-800-332.2344).
I.u[HORIZED ALL EXPIRE IF
N6i€~~1iVfENCED UNDER THIS PERM THE WORK
A i nn ~. OR IS IT IS N
- v Ii RIOD I R
. I Valuation Description ~
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
6.00
22.00
10.50
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
,_.'i
Page 1 of 4
,I,
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00206
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 181,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
181,000.00
$181,000.00
$181,000.00
02/16/2010
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $214.37 2/18/10 1201000000000000148
+ 5% Technology Fee $107.17 2/18/10 1201000000000000148
1 st Appliance $79.00 2/18/10 1201000000000000148
2 Baths One or Two Family $337.00 2/18/]0 1201000000000000148
Addressing Assignment $38.00 2/18/10 1201000000000000]48
Appliance Vent $9.00 2/18/10 1201000000000000148
Building Permit $1,038.42 2/18/10 1201000000000000148
Credit - Traus Improv SDC $-931.65 2/18/10 1201000000000000148
Curbcut Permit $88.00 2/18/10 1201000000000000148
Dryer Vent $9.00 2/18/10 1201000000000000148
Exhaust Hoods ' $13.00 2/18/10 1201000000000000148
Fire SF Fee - Residential $81.75 2/18/10 1201000000000000148
Fireplace (Listed) $20.00 2/18/10 1201000000000000148
Gas Outlets 1-4 $7.00 2/18/10 1201000000000000148
Plan Review Major - Planning $211.00 2/18/10 1201000000000000148
PW Disc - 2nd Permit $-30.00 2/18/10 1201000000000000148
Residence Wiring 1000 Sq Ft $134.00 2/18/10 1201000000000000148
Residence Wiring Ea Addtl 500 $50.00 2/18/10 1201000000000000148
Sanitary Sewer - Improvement $529.11 2/18/10 1201000000000000148
Sanitary Sewer - Reimbursement $695.83 2/18/10 1201000000000000148
SDC MWMC Administration $10.00 2/18/]0 1201000000000000148
SDC MWMC Compliance Charge $22.63 2/18/10 1201000000000000148
SDC MWMC Improvement $1,333.57 2/18/10 1201000000000000148
SDC MWMC Reimbursement $101.97, 2/18/10 1201000000000000148
SDC Sanitary/Storm Admin $147.92 2/18/10 1201000000000000148
SDC Tran Reimburs-Residential $211.21 2/18/10 1201000000000000148
SDC Trans Improvement-Resident $931.65 2/18/10 1201000000000000148
SDC Transportation Admin $83.66 2/18/10 1201000000000000148
Sidewalk Permit $88.00 2/18/10 1201000000000000148
Storm Drainage Impervious Area $795.69 2/18/10 1201000000000000148
Temp Power 200 amps or less $63.00 2/18/10 1201000000000000148
Vent Fan $27,00 2/18/10 1201000000000000148
Willamalane Single Family $2,858.00 2/18/10 1201000000000000148
Total Amount Paid $9,374.30
I Plan Reviews I
Initial Review
Plannine Review
02/1612010
02/16/2010
02/16/2010
02/16/2010
OK DJB
APP DDK
Access restricted to I driveway/lot.
Follow street tree plan.
Storm water to curb via weep hole
Pnblic Works Review
02/16/20] 0
02/16/2010
APP LKW
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00206
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 181,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structnral Review
02/1612010
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.
~e(Jllire1Jnsnections ~
Erosion/Grading Inspection: Prior to ground distnrhance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: Afterrtrenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to !loor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish 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.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill.
Under!loor Plumbing: 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 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.
Underfioor Mechanical. Prior to insulation or decking and including required testing.
Under!loor 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
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.
~T~~~t~~.@~];~G:Q:Y~R:~:M~Nm"lgR:g~~~SIie:~!ff~~~~
Zoning approval verified? 0 Yes 0 No
. ~f~'!~~\~f~,:Q~ill~;G':QJ~\,,^{W~GmJ~I$Jl]l[~@j]1~~t~1(~~}r~4
0:Residential 0 Government 0 Commercial
~~1JJ;[jWi[$j)f~~It)j:[i[B:rlijA\][9~~J':J!i>]i~O:~~:[@t:i~~~!,J
Job site address: 57 f(. ClrCv.,Q\
City: ,'- io( State: 0
Electrical Permit Application
. I .
225 Fifth StreettSpriogfieldl OR 97477 tPH(541)726-3753. FAX(541)716-3689
:"'i!X.p~f~Wf~"E,~~t~~li~~y:ifl~
c , 0 - 0 0 Z 0 6
P eno i t n 0
D ate L. -Ib - I D
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
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 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
ziP: 7'77S"c;, . Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
This installation is being made on residential or farm property
owned by me or a member of my innnediate family. This
property is not intended for sale, exchange, lease, or rent OAR
479.540(1) and 479.560(1).
Signature: .
~t_~~1~;@~illtm:GiFgRl[~:Sill~1;lW~;lHgj~~~~~~~:~t~ffii
Business name: k I pC
(OVP C-I-
State: Or<
Address:
ZIP:
City: &.
Phone: "). 1/- 311- 191-;;
E-mail:
CCB license no.: "/
Print name of signing supervisor:
Signature of signing supervisor:
~
wP<
~y 0...\0
O\,~
U)~
~.f)'V.\O
~ 'S,\,c;2.-
\t'>
440-2584-J (9/08/COM)
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
$ 63.00 $
$ B7.00 $
$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) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
. Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
:~~~~V.KfK[~r~@Bffi#f~~t~:e~~!'~k;[~if~~]i~~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(8) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (5% of [A])
TOTAL rees and surcharges (A through C):
$
/
.5}'\ M e 1\5..
S76 Z c.>JU.\j,.tJ
C9-0/777
Stru( , Permit Application
-
225 Fifth StreeJ. Springfield, OR 97477 . PH(541)726-J753 . FAX(541)726-3689
5PR1NGFIELO
DEPARTMENT USE ONLY
COWtZO/O-OO zob
Pem1it no.: ".
Date Z-Ib -(0
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.
.WCALi:;9vERNM~ijTAPi;~QV,l\QF.' ,
,..-,.; ,~,:,".
This project has final land~use approval.
Signature:
This project has CEQ approval.
Signature:
Zoning approval verified:
Property is within flood plain:
Date:
Date:
DYes
DYes
DNo
DNa
~ Residential 0 Government 0 Commercial
;.';:. .W9!3;S)tE':INFPR:MATfi3N'ANQj'~9CAtT<;l~t.l(&;;:"
~ On
?oc
oQ
E-mail:
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:
City:
Phone:ji/l -
E.mail:
CCB license no.:
Print name:
Phone Number
Signature:
Name
Electrical
Plumbing
Mechanical
CCB License Number
OJ
3/71.{7
3'1,;1.37
FEESCH'i:buLE
.\:Y;;I~~ti()!i~'inf6'rrn~dori. <,; ::::. .
(a) Job description:
Occupancy
Construction type:
Square f~et:
'f f- LlOO G..,... '"
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
!Xl new 0 alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes
&,
(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]):
(e) Subtotal of fees above (2a through 2d):
DNa
$
$
$
$
$
(aJ Plan review (65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal of fees above (3a and 3b):
(a) Seismic fee, 1%(.01 x permit fee [2a]): $
TOTAL fees and surcharges'(2e+3c+4a): $
~~~('
~ t\\~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20IO-00206
ISSUED: 02/18/2010
APPLIED: 02/16/2010
EXPIRES: 08/18/2010
VALUE: $ 181,000.00
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 heen 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 en,ergizing service.
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed applicatiou and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done iu 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 Divisiou, Building Safety.
1 further certi(y 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.
~~Z2~
. 1.'
d-/fY-/c7
Owner or Contractors Signature
Date
, ,~....
Page 4 01'4
2~willamalane
..~ Park and Recreation District
Job. No. .
tJl [) - 2()~
SYSTEM DEVELOPMENT CHARGE WORKSHEET
. January 1-June 30, 2010
NAME: ~N-l.DE:l--' ltoMES. PHONE:91I."U.~~J'f
ADDRESS:2'{I6l/ SW 4/Al1DZ. CITY~~O STATE;3L ZIP: q'l?J'"c,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: .)"'7dfo (j)eC/fr/)
Plat Name: Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back,)
A. SinQle-Familv Detached
NO. OF UNITS /
X $2,858 per unit =
$)...E"S.T
B. SinQle-Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. SinQle Room Occupancy
NO, OF UNITS
X $1 ,321 per unit = $
E. Accessory DwellinQ Unit
. NO. OF UNITS
x $1,550 per unit =
,$
WILLAMALANE SDC
$
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
..- . - -
$
------T TOTAL WILLAMA'LANE 'NET SDC ASSESSED
(if SDC reduced for Credit)
$ '2IS6
.~-
2, \11', ~ (cJ
Date n
~ ! \3 ( to
5
Development Services Department
City of Springfield
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
SP",]~~~; ~._. . ','.
~,
~**i'
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000148
Date: 02118/2010.
1:59:31PM
Job/Journal Number
COM20 I 0-00206
COM20 10-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 1 0-00206
COM20 I 0-00206
COM20 1 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 1 0-00206
COM20 I 0-00206
COM20 I 0-00206
COM20 I 0-00206
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Major - Planning
Sidewalk Penn it
Curbcut 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 Improv SDC
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
Building Pennit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
] st Appliance'
Vent Fan
ApplianceVent
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
Fireplace (Listed)
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
HA YDEN HOMES/TIM
Received By
njm
Check Number
Batch Number
Page I of I
Item Total:
Authorization
Number
Amount Due
211.00
88.00
88.00
(30.00)
795.69
695.83
529.11
211.21
931.65
(931.65)
101.97
1,333.57
10.00
147.92
22.63
83.66
1,038.42
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
81.75
20.00
214.37
107.17
$9,374.30
How Received
Amount Paid
055051 In Person
Payment Total:
$9,374.30
$9,374.30
2/18/2010