HomeMy WebLinkAboutPermit Building 2010-4-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5754 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033304400
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00384
ISSUED: 04/01/2010
APPLIED: 03/30/2010
EXPIRES: 10/01/2010
VALUE: $ 149,990.00
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residenfe.- SAMJ:: AS COM2009-01744 5777 Mica
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER I'L STE 110
REDMOND OR 97756
Contractor Type
General
Residential
I CONTRACTOR INFORMATION ~
License
92208
Expiration Date
07/29/2011
Contractor
HA YDEN ENTERPRISES
.' ._ Sidewalk Type: .
Fnlly Improved . ./''''. -- .y:~,,"ii.' .
Yes' .. . ':".' .""::?"Di,~n;~~'b.s:
Storm to cnrb and gnl!.er, . .. .J."",;>'"':''' .' ~\?\t.'~'~ \IS ~()1 .'
~O't\tt. ~11 $"~\.\. ~\'\\S \'t\\~n fO\\ .;
1f\\S ?t.~ t) \)~1)'C.\\ ~~1)O~E
~(1).
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
I
R-3
U
VB
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
10.00
5.00
17.04
5.75
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone
541-228-6935
2
I BUILDING INF<)RMATlON). ,>,OU \0
0(\ laW reQulI 00 \J\il\\'/
ctfi?!iS'to<ae'Sgec\ '0'>' \\W Ole~e set \t)1\l\ Lot Size:
Al\., fWig!led~~&;'8rulesa ~~01'Sq Ft 1st Floor:
\o\\~ J~(j)Il~~"10\\WlV\I(jl,\9~if#ules~sq Ft 2nd Floor:
NO~~~~lltl>a(tY'~\i\aiO CO~ieS ~ ~~ Sq Ft Basement:
1(\ ~jdll\' l~o\e:.t!' lYl~Sq Ft Garage/Carport
OO~IM~ ~~~~egbn \J\~~). Sq Ft Other:
"'\I~~llleU"~ n/a Occnpant Load:
I~ t":An\e
I DEVELOPMENT INFORMATION .
280
832
-.,..-_.:::.'~-"-"
Overlay.OiS't":...... .......
~ 'r\,:,..~"",".-
'# Street Trees Rqd: ,'.' J.
Paved Drive Rqd: I.',
0/0 of Lot Coverage:
REQUIRED PARKING
2
Yes
24.00
Total:
Handicapped:
Compact:
2
..."-'
I PUBLIC IMPROVEMENTS I
Cnrbside 5'
Cnrb and Gntter .
Sqnare Footage
or Bid Amonnt
Valne
Date Calcnlated
. .o':"'~)i t 'f~ ,'-'
.'.,.,.:/:~rI' :v~,
Page I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 Bath One & Two Family
1st Appliance
Addressing Assignment
Building Permit
Curbcut - 2nd Curbcut
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Plan Review Major - Planning
Plan Review Same As
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDe Tran Reimburs-Residential
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Veut Fan
Willamalane Single Family
Total Amount Paid
Initial Review
Plannine Review
03/30/2010
03/3012010
Public Works Review
Structu raI Review
03/30/2010
03/3012010
",-'t.;
1 l"
. "'~" I;.
$1.00
':
Total Value of Project
14,990.00
~
Amount Paid
$176.79
$90.76
$220.00
$79.00;;::;. ,," "
$38.00' ,
$912.25
$-45.00
$88.00
$9.00
$13.00
$55.60
$211.00
$250.00
$134.00
$25.00
$352.74
$463.89
$10.00
$22.63
$1,333.57
$101.97
$142.12
$2]1.21
$19.36
$88.00
$733.54 0 .
$63.00' "-Co
$18.00' 0
$2,858.00
$8,675.43
Date Paid
4/1/10
4/1/10
4/]/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/ 10
4/1/10
4/1/10
4/1/10
, 4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
4/1/10
I Plan Reviews I
03/30/2010
03/30/2010
, 03/3012010
03/30/2010
OK DJB
APP DDK
APP BJG
APP CJC
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00384
ISSUED: 04/01/2010
APPLIED: 03/30/2010
EXPIRES: 10/01/2010
VALUE: $ 149,990.00
$14,990.00
$14,990.00
03/30/20 I 0
Receipt Number
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
]201000000000000286
]20]000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
1201000000000000286
Access restricted to one
driveway/lot. Follow street tree
plan.
Storm water to curb and gutter
As noted on plans
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springtield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
I'
PERMIT NO: COM2010-00384
ISSUED: 04/01/2010
APPLIED: 03/3012010
EXPIRES: 10/0112010
VALUE: $ 149,990.00
Status
Issued
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,JeouirecUnsnections I
Site Inspection: To be made after excavation:but prior to setting forms.
Erosion/Grading Inspection: Prior to ground 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 tJoor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with tinish 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 inspections have been requested and approved and the building is complete.
Perimeter Fonndation Drains: After gravel and tilter cloth is installed but prior to backtill.
, ,
UndertJoor Plumbing: Prior to insulation or'decking.
Undertloor 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 tilling trench.
Final Plumbing: When all plumbing work is complete.
UndertJoor Mechanical. Prior to insulation or decking and including required testing.
Rough Mecbanical: 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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
'Page 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00384
ISSUED: 04/01/2010
APPLIED: 03/30/2010
EXPIRES: 10/01/2010
VALUE: $ 149,990.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Sidewalk - Curbside: After forms are erected .b~t prior to placement of concrete.
Curbcut- Standard: After forms are erected b~t prior to placement uf concrete.
..;,1-, '!
By signature, 1 state and agree, that 1 have carefully examined the completed application and do bereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance witb
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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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.
. ~~-~~A~~
Owner or Contractors Signatur
4-1-/&
.,'
Date
',.:' 1)1' ,'i" !"': \
I. _,
'"_I
, ;. i " ~..
Paee 4 of 4
5A~E ;l$ 5777 M-l"q
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.
~....-)~,!~\j[0g~.k~G~~i;!:r~Mg:NIt~!gg:B:[<;1M~~~iff~~~~~
Zoning approval verified? 0 Yes 0 No
it~ltf{.i;'valJ~~~ItG:8):~~~QJ~it~f$lTIfR~~it)gt[~tf~~!~~
o Residential 0 Government 0 Commercial
~l~~~~:@"$'f,[~i\fJ;\~IN(~gMAlli!:Q~f~Ji~ll))!Q:~~mI~l1J~Th'ilj;~;
Job site address: .675
City: ," '0(
Electrical Permit Application
225 Fifth StreettSpringfieJd, OR 97477 tPH(541)726-3753t FAX(541)726-3689
Address:
City: &
Phone: 511/-311 - 19'i-;;
E-mail:
CCB license no.: )
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
ZIP:
'-
~~~
\~~~/
b('Vt&-Y(
~~
~
440-2584-J (9/08/COM)
?!I:;F9~PART~~~;]~W~Il~&~lfi~
Perm i t n 0 Cl D - 0 0 :s l? if
D ate 3 - :5 0 - I 0
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00
$ 25.00
Limited energy (2)
$ 32.00
Each manufactured home or modular
dwelling service or feeder (2)
$ 63.00 $
Ser-vices 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 i ,000 amps (2) $205.00 $
$469.00 $
$ 63.00 $
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1,000 yo]ts, see services or ~eeders 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 ofa service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58.00 $
$
$
$
t{
~-
AlJ 577} /'1,/A.-
C 7- 171.{l{
, Permit Application
-,.....,..~
~_.<. ,,", " .. - .. ~ -,O~',!
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54l)726-3689
Stru(
DEPARTMENT USE ONLY
CCaN\ eO(() ~ 0 C.s~
PermIt no.:
SPRINGFIELD t;:;",t,r.::;'"~:,
~~ili:;~~~~
f..(
Date: :J - 50 ~/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.
.. ,'<:'L0.CAC99Stg@i~@T;;*~RR<:lVf,~,,_
This project has final land-use approval.
Signature: Date:
This project has DEQ approval..
Sigilature: Date:
Zoning approval verIfied: 0 Yes 0 No
Propelty is within flood plain: 0 Yes D No
~~tt~~?Wi~1'~'G~A;t~-g.QB~~~.~4~g:QN$jfr{ucftQN~~>~
~ Residential D Government D Commercial
~\;:'riW::ij{b'9~KsIT~i...fN.r~,*MAT!QN'1'AN[)\L6.~A5fi9t>lXl,::
Name:
Address:
City:
Phone: '
\....{ .
(j,
oQ
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.0] O.
Sign here:
'!AllaN. .'
Address:
City:
Phone: 'fl/( -
E-mail:
CCB license no.:
State:
Print name:
Signature:
-':!::ht:;Y;~:~,J;~S.l:!.Ei'C;0N.mBAc;:t.QRi!f:lFb,~,."Al'LQN!f:lii:;:2i;&-i\;:~;4i!;;
N a m e CC B Li ce nSf N u m ber P h on e N u m be r
EI ectrica I I 7J1u'
PI u m b in g 31 71{7
Mec h a n ica I 3 ,/J- 37
. "1FEESCHEOULE .
'1. VaIllatlbn- iriforlnati()h~: . _ "r "'. '" . .:'", ", f~,,\;' '>;::;'LU':)~~-,':: ;,~;~. ",'
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energy Path:
[XI new 0 alteration
(b) Foundation-only permit?
Total valuation:
D addition
DYes ENo
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(e) Reinspection ($ per hour):
(number of hours x fe~ per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2e]):
(e) Subtotal of fees above (2a through 2d):
$
$ :
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x pemlit 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): $
I
I
/
/
!
I
i
,
2'" willamalane
. t\6 Park and Recreation District
Job. No.CIO~ 3~z..1
SYSTEM DEVELOPMENT CHARG~1.'V9RISSHEET
January 1.-June 30,2010
NAME: rtA,/J)E:l-..l l\-OMES, PHONE:9tI."2.F.~'7.?J"
ADDRESS:2'I~l/ S/,.J 1lAl.1DZ. CITY~~....D ST A TE:3/1!.. . ZIP: q ~?.r~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: S--?S<V JRZlftD
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 =
$ :2F"J:r
B. . Sinqle-Familv Attached
NO. OF UNITS
X $3,100 per unit = . $
c. ~.1u!tj-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. SinQle Room Occupancy
_NO.DE UNITS______ . ._..u___ X.$l,321per-unit=--c-----$
--- ~-~--,-- "-~-~------'-""--'--
E. Accessory Dwellinq Unit
NO. OF UNITS
X $1,550 per unit ~
$
$ :U-rJ'
WILLAMALANE SDC
2. SDC CREDIT (if appiicable) SDC payer must furnish proof of
Wil/amalane Credit approval.)
- ~
$fJ
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$2-dS-S
~
Development Service.s Department
City of Springfield
3 I -:?CJ I 1(:)
Date
"
~'iifth Street
S;~~field,DregOn 97477
541-726-3759. Phone
......~._~..!lJ!I.:..._ ...... ... ......
it.
..........~ ;
. ~ .
'..,..... ",-
"...."'.""'~.":"^"".:."."
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000286
9:39:54AM
Date: 04/01/2010
Job/Journal Number
COM2010-00384
COM2010-00384
COM2010-00384
COM2010-00384
COM20 I 0-00384
COM20 10-00384
COM20 1 0-00384
COM20 1 0-003 84
COM2010-00384
COM2010-00384
COM2010-00384
COM20 I 0-00384
COM20 I 0-00384
COM20 I 0-00384
COM20 I 0-00384
COM20 I 0-00384
COM20 I 0-00384
COM2010-00384
COM2010-00384
COM2010-00384
COM2010-00384
COM20 I 0-00384
COM2010-00384
COM2010-00384
COM20 I 0-003 84
COM2010-00384
COM20 1 0-00384
COM20 1 0-00384
COM2010-00384
Payments:
Type of Payment
CreditCard
cRcceiotl
Description
Plan Review Same As
Sidewalk Permit ,'.
Curbcut Permit . -".
Curbcut - 2nd Curbcut .." .
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
Plan Review Major - Planning
Addressing Assignment
Willamalane Single Family
1 Bath One & Two Family
1 st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addt! 500
Temp Power 200 amps or less -.. " ,
Fire SF Fee - Residential
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
250.00
88.00
88.00
(45.00)
733.54
463.89
352.74
21 L21
101.97
1,333.57
10.00
142.12
2263
19.36
211.00
38.00
2,858.00
220.00
79.00
18.00
13.00
9.00
134.00
25.00
63.00
55.60
912.25
17679
90.76
$8,675.43
... ,.
.,
'.
Paid By
HA YDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
075572 In Person
Payment Total:
$8,675,43
$8,675.43
Page I of I
4/1/2010