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Home My WebLink AboutPermit Building 2010-3-30 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00340 ISSUED: 03/30/2010 APPLIED: 03/18/2010 EXPIRES: 09/30/2010 VALUE: $ 168,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line S[TE ADDRESS: 5766 PUMICE PI. ASSESSOR'S PARCEL NO.: 1802033209200 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCR[PTlON: Single family residence TYPE OF USE: New Residential Owner: HAYDEN HOMES LLC Address: 2464 SW GLACIER PI. STE 110 REDMOND OR 97756 ..........'. ' I CONTRACTOR [NFORMA T10N ~ Contractor Type General Contractor License HA YDEN ENTERPR[SES 92208 BU[LDlNG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure 18.00 Type of Heat: , Forced Air Gas Water Type: Gas Range Type: ' . Electric Energy Path', Sprinkled Building: n/a I 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: 11.00 5.00 9.00 20.00 13.00 .,.',,.,....- .......,. '" Expiration Date 07/2912011 Phone 541-228-6935 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemenl: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 4,500 1,232 465 REQUIRED PARKING I Yes 36.26 Total: Handicapped: Compact: 2 Street Improvements: F II [ u y mpr,9wlhR\\ Storm Se~{rlt~18\able: l:.'6P\RE Ir 1\1t.~~\lr'\1 Special "it,\~<fi~\l\:MIi S~iVl~r~'l.f\tJilTt~~"lll' Notes: \.rn-lORl7.EOO U~~~; ~B~MOOMEO fOR ,:OMMEMCE O. rlN'! I PUBLIC [MPROVEMENTS ~ \'I 1a.'I'J leC\lli(eSo~oUliliW 'Ol-l'Siliego 11' m.e Oleg selloll\'l ^:r\l:.l-li' ~aoep1:~lI< iY"~ules a.le 5200" Curbside 7' " lules ~ 'TnOSe t"\p.f\, 9 - 'o\lo'I'J 1'0\'1 c,Q().Wi\s~'(jt\l~~"". \'Ie 11l1~1l and Gutter ~;~~; ~52-0~~-~~1~l\ cOi~~~\'I~ ~e\e?"O~~n 0090. '(Ou ll\ cel\lel. l\'lo utili\'! \'l011'11:&' ',callil\9 \"~ \\'16 .Ole90~_332_2344). cell Valuation Descri tion Description fPer Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee I of 4 Value Date Calculated ~ ':' ,,' " ',I'" :,;,.,t" , " ,,' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00340 ISSUED: 03/30/2010 APPLIED: 03/18/2010 EXPIRES: 09/30/2010 VALUE: $ 168,000.00 Status Issued T.' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 168,000.00 $168,000.00 $168,000.00 03/18/2010 Total Value of Project ~,. Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $203.46 3/30/10 2201000000000000291 + 5% Technology Fee $102.63 3/30/10 2201000000000000291 1st Appliance $79.00 3/30/10 2201000000000000291 2 Baths One or Two Family $337.00 3/30/1 0 2201000000000000291 Addressing Assignment $38.00 3/30/10 2201000000000000291 $985.51 :<: ' , Building Permit 3/30/10 2201000000000000291 ,.,1.,', ',' Credit - Trans Improv SDC $-931.65- ,. 3/30/10 2201000000000000291 Curbcut Permit $88.00 ". , 3/30/10 2201000000000000291 ','~,,'i'~' Dryer Vent $9.00-,.. .. 3/30/10 2201000000000000291 '. Exhaust Hoods $13.00 3/30/10 2201000000000000291 Fire SF Fee - Residential $84.85 3/30/10 2201000000000000291 Gas Outlets ]-4 $7.00 3/30/10 2201000000000000291 Plan Review Major - Planning $211.00 3/30/10 220]000000000000291 Plan Review Residential $640.58 3/30/]0 2201000000000000291 PW Disc - 2nd Permit $-30.00 3/30/10 2201000000000000291 Residence Wiring 1000 Sq Ft $134.00 .3/30/10 2201000000000000291 Residence Wiring Ea Addtl 500 $50.00 3/30/10 2201000000000000291 Sanitary Sewer - Improvement $529.11 3/30/10 2201000000000000291 Sanitary Sewer - Reimbursement $695.83. . 3/30/10 2201000000000000291 SDC MWMC Administration $10.00'" ." 3/30/10 2201000000000000291 SDC MWMC Compliance Charge $22.63 3/30/10 220100000000000029] SDC MWMC Improvement $1,333.57 3/30/10 2201000000000000291 SDC MWMC Reimbnrsement $101.97 3/30/10 2201000000000000291 SDC Sanitary/Storm Admin $170.99 3/30/]0 220]000000000000291 SDC Tran Reimburs-Residential $211.21 3/30/10 2201000000000000291 SDC Trans Improvement-Resident $931.65 3/30/]0 220100000000000029] SDC Transportation Admin $17.31 3/30/10 2201000000000000291 Sidewalk Permit $88.00' . 3/30/10 220]000000000000291 Storm Drainage Impervious Area $861.7'(:,'. (',. ~ ' ' 3/30/10 2201000000000000291 Temp Power 200 amps or less $63.00 . 3/30/10 2201000000000000291 Vent Fan $18.00':" , 3/30/10 2201000000000000291 Willamalane Single Family $2,858.00 ' 3/30/10 2201000000000000291 Total Amount Paid $9,934.42 I Plan Reviews ~ Structural Review 03/19/2010 Initial Review Plannine Review 03/19/2010 03/19/2010 03/19/2010 03/19/2010 '1;" . APi' , APP DJB DDK Access restricted to I driveway/lot. Follow street tree plan, Pa~e 2 of 4 , CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.." <; , PERMIT NO: COM2010-00340 ISSUED: 03/30/2010 APPLIED: 03/18/2010 EXPIRES: 09/30/2010 VALUE: $ 168,000.00 Status Issued i-! Public Works Review 03/19/2010 03/22/2010 APP LKW Storm water to curb via weep hole Structural Review 03/26/2010 03/26120 I 0 APP KLK 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. ~eallirerlJ.n_snec~ Site Inspection: To be made after excavationbut 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 11001' insulation or de,~king., \ Floor Insulation: Prior to decking. " .~ . Shear Wall Nailing: Before covering sheathing with finish 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 Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Undertloor Plumbing: Prior to insulation or decking. " i.",:v:;.~'\ 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.co,"plet,e., Underlloor Mechanical. Prior to insulation !>r;;<!ec~i~,g ~nd including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00340 ISSUED: 03/30/2010 APPLIED: 03/18/2010 EXPIRES: 09/30/2010 VALUE: $ 168,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Temporary Electric: Approval required prior'to Utility Company energizing pole. I , . _ Electric Service: Approval required prior ((hi.tilitY'~oinpany energizing service. Final Electric: When all electrical work is c~inplete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection:, Prior to ground disturbance and after erosion measures are installed. By signature, 1 state and agree, that 1 have carefully examined. the completed application and do hereby certify that all information hereun is true and correct, and I fnrther 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, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections are reqnested 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. /. ' I):%A/A-/~ 3- 30-/0 Owner o~ Contractors Signatnre J Date , H'";'I' ",,', l ~:i'i,r'h i.,( C;\..:,:' ;,i.i, ! -Page 4 of 4 Date "5 -I y--/ 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. :.I,!OCAL ~9YE"!'lM~Nt.APe~~VA~)i;~' )~!;i;~M; This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes DNa Property is within flood plain: DYes 0 No ~T"4~},,ji;Kj~~tGATE g()~y,~()F<t~GO.N ~.t"l.i.cfIQN~,Xi.:q:i;,f;~;';;)!i! ~ Residential 0 Government D Commercial' .,:;\JQB,SITE' INf0RMAtfQN;;ANQrCQc'A;fi'()~i;:2:W;';f\' S7&~ City: d. StrUl 225 Fifth Streett Springfield, OR 97477 + PH(541)726-3753. FAX(541)726-3689 Subdivision: Reference: . PROPERTY OWNER. Name: Address: . City: Phone: . It! ' (, State: 0 Q 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 701.010. Sign here: LATI9~.',._' ,; . . CCB license no.: Print name: Signature: ~~,~2'~\; ....;'!:r~1,;\S.UB"(;0N:r.RAtt6R'INFc:iJ~M;o::r.LQN~~'~jriliW;-;i~0i{i;} Name CeB License Number Phone Number Electrical I 7J7.,u, Plumbing 31 7'17 Mechanical 3'1,? 37 DEPARTMENT USE ONLY CowrZ-OtO-OO 3.l..({ Permit no.: . " '. ." ',' FEE SCHE8ULE' .' '~;(~\Ya,t1l~"t'(p:!F.lritpf,ro~~i(QW:;~U~::(,',:~ 7,r;f- .. (a) Job description: J;4,...., Occupancy V\ Construction type:."-ts Square feet: Hac> Cost per square foot: Other information: Type of Heat: o addition DYes Energy Path: !XI new 0 alteration (b) Foundation-only permit? Total valuation: (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x f~e per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): $ '6 (a) 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): $ Electrical Permit Application , 225 Fifth StreettSpringfieJd, OR 97477 +PH(541)726-3753+FAX(541)726-3689 ~1,;:m~'9~fAI3'.f~~~NI~;~[~~~i~~~ C-I 0 - 0 0 ~ 4 0 Perm i t n 0 Date S' -{ ~ -/ C:::, This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started withio 180 days of issuance or if work is suspended for 180 days. ;:i!l:~~tili~:Q:Q~l\ig'@M~RN:ME!iE~4Rj?,)~.,~Yi~t~~?kyJ~~ Zoning approval verified? DYes D No ta1~~~I~I~~]:E,~!2J~R~f>.J;ig:Ji'~:$.:lDfjJ1!~~mr~J..~~it1!~W:f~ [!Residential D Government D Commercial ~~~~!gif$lj[~If~WJJ.I\'.jR@'i[!Yl~\l1iQj'f,~H)4j.~i[ilJ:P'~ill:~fj~iii19ii} Job site address: City: 18c2D:n ~CC:> ;;~i",,"'''IJ;f~~\'/ii;i1('''~irR~O';'~ER%Y~0W.81'i'ro,''i~:\:"'''4'!i:'''ff,,'''''''ilf''2,;,\""'11 Ji.;,~~\\J$~~"~.:il:'-,'Jii_<5;r'~m~~Wft_,_~._'-.,~,,,, >>'__.' - '~_~"""_..;,.,-)'.i~'. ...Q.~"0;;,,?~;;;:M'1~~3-~~\~'l:-t'H4'" Name: l-L, dcv\ Address: L(, "- City: Q ",01 VVlCV/ <-1 ZIP: ')775'G, Phone: 5LII- 2<g- IS')") 5 . E-mail:' This installation is being made on residential or farm property owned by me ot 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). Address: City: Phone: 51 1/-317 - /9'1Q E-mail: CCB license no.: -; Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ZIP: . ~ f'J..~\:~ ~ L@...(J/ ~~ , ~~ (\C\.\O (\'V 440-2584-) (9/08/COM) 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 00 $ 25.00 oJ . $ 32.00 $ $ 63.00 $ Limited energy (2) Each manufactured home or modular dw~lljng service or feeder (2) Services or feeders: installation. alteration, relocation 200 amps or less (2) $ 61.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $156.00 $ 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, alterCftion, relocation 200 amps or less (2) (J.J , $ 63.00 $ $ $ 20] to 400 amps (2) 401 to 600 amps (2) $ 67.00 $126.00 Over 600 amps or-I ,000 .volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa 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 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: (1) $58.00 $ "';I%"i))f)f,~!g;,)l"~-''''''''''ri'ifl'iif!;;CN'''''m"lJ''"S''E'i!ilii''''''" '~""'I!'''l"",'~q,,, ~t~1,.~~I~a~~~I~~F<,..L;.t".8;~'7dll;1;L,--_ :.:~<l>m~j~!~~~b~~~~i;'~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): ~ ~ !~!~m~!~~,e Job. No. (/0 ~ oos yo ___ H eV~E~~.~T_~Ht~_GE WO~~S_~_~~TF~~ 20_09 NAME: . ~ PHONE: I . . (}Iawp : ADDRES~(-Y '-. 'StJ CITY :~;t'J??(jXcXs:rATEO~ZIP: 9'77)~ LOCATION OF PROPOSE~ BU~G SITE: , Street Address: 576& .I/JO{ (7./ Plat Name: Tax Lot Number: , 1. DEVELOPMENT TYPE (Check appropriaie dwelling(s). Dwelling type definitions are on the , ~~) I A SinGle-Family Detached NO. OF UNITS i X $2,858 per unit = $ ~,,~Sg-, OU B. SinGle-Family Attached NO. OF UNITS X $3,100 per unit = . $ C. Multi-Family Apartment . NO. OF UNITS XF,641 per unit = $ D. SinGle Room Occupancy NO. OF UNITS X $1,321 per unit = $ ,.--- E. Accessory Dwellino Unit NO. OF UNITS r X $1,550 per unit = '$ WILLAMALANE SDC $ ~,g5f. ~ r-zJ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SO reduced for Credit) adJa~ . $ d. 35[(. , CJg I -5D I ;JGIU Date cru 5 Wi~f ",.."0.",..."."........,.,...,,"....,. ~,-. '" City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: I 2201000000000000291 1 :42:02PM Date: 03/30/2010 Job/Journal Number COM20 10-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 C;OM20 I 0-00340 COM20 1 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 1 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 1 0-00340 COM20 I 0-00340 COM20 1 0-00340 COM20 1 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 I 0-00340 COM20 1 0-00340 Payments: Type of Payment Check cReceintl Description Plan Review Residential Plan Review Major - Planning Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement . ."."';:. SDC Tran Reimburs-Residential 'c,. SDC Trans Improvement-Resident. Credit - Trans Improv SDC . c: SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stoml Admin SDC MWMC Compliance Charge SDC Transportation Admin Fire SF Fee - Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1 st Appliance Vent Fan 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 Amount Due 640.58 211.00 88.00 88.00 (30.00) 861.77 695.83 529.11 211.21 931.65 (931.65) 101.97 1,333.57 10.00 170.99 22.63 17.31 84.85 985.51 .38.00 2,858.00 337.00 79.00 18.00 13.00 9.00 7.00 134.00 50.00 63.00 203.46 102.63 $9,934.42 ,...... .".,.", ., ~ , ";'; ,. .~. ,'.:m' Paid By HA YDEN HOMES LLC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm In Person Payment Total: $9,934.42 $9,934.41.,:' .,.< .:.". ,-,r 23319 .- ;"~. '-".. .;., ,'Oil .. 'Page 1 of 1 , 3/30/20 I 0