HomeMy WebLinkAboutPermit Building 2010-3-10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00221
ISSUED: 03/10/2010
APPLIED: 02/19/2010
EXPIRES: 09/10/2010
VALUE: $ 155,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4872 A ST
ASSESSOR'S PARCEL NO,: 1702324101200
.~ '
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New Single Family Dwelling, Lot 5 Meyer Estates
20.00
4.00
3.00
14.60
11i.tIDTlCE:
AUTHOR '"
;OMMENCED OR I~R THIS PERMIT IS ~RJf.dewalk Type: Curbside 5'
NY 180 DAyYPl:R ABANDONED FO~ 01Downspouts/Drains: To Storm Sewer
Storm water to curb/ Alr~iJ~.and sanitary sew~~ connections are to private systems. Due to the
nnusual design of the private sanitary sysiein;CityMaio'tenance will not accept responsibility for
the non-standard connection.
Owner: SPRINGFIELD/EUGENE HABITAT FOR HUMA
Address: 1210 OAK PATCH RD
EUGENE OR 97402
I CONTRACTOR INFORMATION ,
Contractor Type
Electrical
Plumbing
License
12772
102974
Contractor
ALERT ELECTRIC INC
SPECIALTY PLUMBING CO
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
~LDlNG INFORMATION ,
ft)//0Iv . liON: Q~
I No~ry,~gon lal.V~ 2
R3 "'OAR~@@th. ~a,..f"e~':!.'!aYdJfi
0090. r~'C . O8e rule, ~ tJiJl
VB calling ;;,'1~b~ !hrough o':EI'lIet'fdffl.
"11mb;; ;'W_telP .COPle, Of ~J.:
3 c'~I'l\I!ote: the t ~e rUle, by"
~gfill:k ,iJUI<<y N, eli~Phofi(J
.3.".lt.> 2&a 0 1i~~lj(J ,
I DEVELOPMENT INFoRM1t'noN _
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay"Dist:.. ....
# Street Trees R9'd;'
Paved Drive Rqd: '
% of Lot Coverage:
.',..'-.:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
\:v~: .1 j: '
,;"":-'
, F.
Page I of 4
Residential
Expiration Date
05122/2011
11/21/2011
Phone
541-747-2213
54 I -686-4191
Lot Size:
Sq Ft 1st Floor: 650
Sq Ft 2nd Floor: 650
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
.1
Total:
Handicapped:
Compact:
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Fire SF Fee - Residential
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Tnlll Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
Plannin2 Review
02/26/20 I 0
02/26/2010
; I,
I Valuation Descriotion ~
$ Per SifFt
or multiplier
; $1.00
... Square Footage
or Bid Amount
155,000.00
Total Value of Project
~
Amount Paid
$606.19
$165.07
$79.33
$79.00
$337.00 .
$38.60
$932.60
$9.00
$65.00
$211.00
$440.93
$579.86
$10.00 .
$22.63":;:rT
$1,333.57 ;::
$101.97':
$105.62
$211.21
$931.65
$82.50
$442.29
$18.00
$2,858.00
$9,660.42
Date Paid
2/19/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/1 0
I,' Plan Reviews ~
02/26/2010
02/26/2010
\t:T
APP LLH
APP DDK
.Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00221
ISSUED: 03/10/2010
APPLIED: 02/19/2010
EXPIRES: 09/10/2010
VALUE: $ 155,000.00
Value
Date Caleulated
$155,000.00
$155,000.00
02/19/2010
Receipt Number
2201000000000000153
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
2201000000000000216
I Street tree to be located in front
yard. This meets cluster subdivision
standards for lot coverage and
setbacks. 3' walkway not required
from street through parking area
but is required from parking area to
house.
';. lJ CITY OF SPRINGFIELD
..
Building/Combination Permit
Status Issued PERMIT NO: COM20IO-0022I
225 Fifth Street, Springfield, OR ISSUED: 03/10/2010
541-726-3753 Phone APPLIED: 02/19/2010
541-726-3676 Fax EXPIRES: 09/10/2010
541-726-3769 Inspection Line VALUE: $ 155,000.00
Public Works Review 0212712010 0310412010 APP LKW Storm water to curbl All storm and
sanitary sewer connections are to
private systems. .Due to the unusual
design of the private sanitary
system, City Maintenance will not
accept responsibility for the
non-standard connection.
Structural Review 0212612010 0310512010 WE CJC Need energy path and stamped
engineering and trnss documents
Structural Review 0310812010 03108120 i 0 10 KLK Received wet-signature stamped,
structural engineering and truss
engineering. Energy Path 4A.
Structural Review 0310512010 0310812010 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.
~eClllirerUnsnectio~s ~
ErosionlGrading 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 andlor
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 decking.
Floor Insulation: Prior to decking.
'-,"'-,., ,..,., ,
Shear Wall Nailing: Before covering sheathing!~ith:fi;'ish materials.
Framing Inspection: Prior to cover and afte~ all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underlloor Plumbing: Prior to insulation or decking. .
, ~,
Underfloor Drain: Prior to coyer or place-ment of concrete.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
,
.. .!
PERMIT NO: COM2010-00221
ISSUED: 03/10/2010
ApPLIED: 02/19/2010
EXPIRES: 09/10/2010
VALUE: $ 155,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.....,.
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.
Rough Mechanical: 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.
By signature, 1 state and agree, that 1 have carefully examined.the completed application and do hereby certify that all
information hereon is true and correct, and 1 fnrthel\c~rtify thatany 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 OCCUP ANCY 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.
1 further agree to ensnre 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.
.5 'It?~
Date
; .:.~-i'
-'.'
, ' .~;' (I'
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..,
Paee 4 01'4
R-~ willamalane
t~ Park and Recreation District
Job. No.
~\\). tt. \
SYSTEM DEVELOPMENT CHARGE WORKSHEET
. January 1-June 30, 2010 .
NAME: \~\~ ~ ~~ PHONE: \'\\ \,D"1
, .
ADDRESS: \t\O ~ CITY~TAT~ZIP: Q'"\4c:fl---,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: %1 Cl- fJr ~ .
Plat Name:\\Q t~)( eb'\OJe,s Tax Lot Number: JJD1.31- '\ \ (')\'2.f1)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions .are on the
back.)
A. Sinale-Family Detached
NO. OF UNITS \
,
X $2,858 per unit =
$
dJ
2.f(:r:~f} .
B. Sinale-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C: Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinale Room Occupancy
NO. OF UNITS
X $1,321 per unit = .
$
E. Accessory Dwellina 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.)
$
3. TOTA[ WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
/
/
3
. Date
/0
Development Services D
City of Springfield
5
:'.
r_~,
Structural Permit Application
DEPARTMENT USE ONi.. y
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Pennit noC J..8 -2---;2-1.-
Date: 2--
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.
. ',;,'J;. ~i;,iJ9GA(:9Qyg~~M!=~i~~'A~R8QV~~1}1\l1R;',~f:t4:~~;5
This project has finallanct-use approval.
Signature: Date:
This project has DEQ approval.,
Signature: Date:
Zoning approval veritied: 0 Yes 0 No
Property is within flood plain: DYes D No
1~~~Ji$J:~~fi~tl~:~t.E.i?:qi~y~qjt~^G,9~r;r$J~_pC,[rQNJ~rtii~}_ft1ti~'~~~&~~
Residential 0 Government D Commercial
~!;),~(h~~ijQ131Isl;i-~1_,fN[ORM.A,fiO:N~'if.t-iQi:~ock-'fi9't-i~}J;1~~~\';';,;
Job site address: Z "J1"
City:
ZIP Q747.
Name:
Address:
City:
Phone:
E-mail:
This installation is being made 0 residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
ZIP: '17402...
(5'A}1C; A5
1-368
'A' .s-r:)
_, 'rj')~(~;~')fEE"' '~CH~ptiL~1'i:if:r;"."
'[~}.y.~.j~~'t,it)m1~fJrill~'tiQ~;~nlj';:(~,~%1;~,i:~/:;nf,;1';it;'f:~'i1iX~tf:l:.\.,Z:';~;:.li~~~~~.:~~~
(a) Job description: $3:N
Occupancy ~ - 3
Construction type:
Square feet:
Cost per square foot
Other information:
Type of Heat:
Energy Path:
new 0 alteration
(b) Foundation-only permit?
D addition
DYes
DNa
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ 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):
$
$
$
$
$
Sign here:
Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
;~l1{:~~~i{?~.4~t~:i?sl)I;f,:_G~NIR~GX9RtiN,~.Q,_f{.!YIA!l1tQ)~~~~%j-~'~J~~*~~
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
il
IG ~ \t ~\k~Q ~
(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 surcJtarges (2e+3c+4a): $
,e" pJ>'{ :
1tf'i - q'-:2.?O
A I ger /3.ELr,
SPEZl4;ry 1'1-<J/''f8/101l.:,
'\(\D:a-'>se
~ '. '..,
.; . .....
229>Flfth Street
Springfield, Oregon 97477
541-726-3759 Phone
iIi:~\
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000216
9:01:08AM
Date: 03/10/2010
Job/Journal Number
COM20 10-00221
COM20 1 0-00221
COM20 1 0-00221
COM20 1 0-00221
COM20 J 0-00221
COM20 I 0-00221
COM20 I 0-00221
COM20 I 0-00221
COM20 I 0-00221
COM20 I 0-0022 I
COM20 1 0-00221
COM20 I 0-0022 I
COM2010-00221
COM2010-00221
COM2010-00221.
COM20 I 0-00221
COM20 I 0-00221
COM20 1 0-00221
COM20 1 0-00221
COM20 1 0-00221
COM20 I 0-00221
COM20 I 0-00221
Payments:
Type of Payment
Check
Cash
cReceintl
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Tran.s Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC Transportation Admin
SDC Sanitary/Storm Admin
SDC MWMC Improvement
Building Permit
2 Baths One or Two Family
1 st Appliance
Vent Fan
Dryer Vent
-+- 12% State Surcharge
-+- 5% Technology Fee
Paid By
SPFD EUG HABITAT FOR
HUMANITY
RODDY TOYOTA
Amount Due
38.00
2,858.00
65.00
211.00
442.29
579.86
440.93
211.21
931.65
101.97
10.00
22.63
82.50
105.62
1,333.57
932.60
337.00
79.00
18.00
9.00
165.07
79.33
Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
$9,054.23
Amount Paid
djb
$9,052.23
2435
In Person
djb
In Person
Payment Total:
$2.00
$9,054.23
. . ~
Page 1 of2
3/10/2010
225 Fifth Street
Springfield, Oregon 97477
541.72.6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000153
11 :36:58AM
Date: 02/19/2010
Job(Journal Number
COM20 I 0-0022 1
p.ayments:
Type of Payment
Check
cReceintl
Description
. Plan Review Residential
Paid By
HABITAT FOR HUMAN1TY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
606.19
$606. I 9
Amount Paid
KLK
$606.19
$606.19
2358
KLK In Person
Payment Total:
Page 1 of 1
2/1 9/20 1 0