HomeMy WebLinkAboutPermit Building 2010-4-6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541- 726-3769 Inspection Line
SITE ADDRESS: 2043 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802033305900
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00398
ISSUED: 04/06/2010
APPLIED: 04/01/2010
EXPIRES: 10/06/2010
VALUE: $ 164,000.00
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SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-00171 5794 Orchid
I CONTRAGT0R INFORMATION I
"I JI:NI~ON: Oregon law a .
Contractor ~Ollow rules adopted by t*lg~l{~~ you ~piration Date
HAYDEN ENTERIJlli " . tion Center. Those r'lflt~~gon Utility 07/29/2011
TOP NOTCH ELE'll6: g-OOl-0010 throudR~A~e9~~_6~~~ 09/29/2010
PACIFIC AtR COM ~ (!lay obtalD copieWe11he rules b 03/25/2012
STUTZMAN SERV e center. (Note: l~M1;'e ho y 05/12/2010
o Ilcation
).
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plnmbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
2
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
7.00
13.00
31.52
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone
541-228-6935
541-317-1998
541-672-9510
541-928-8942
# of Stories: I
Heigbt of Structure, 14.50
Type of He~t: 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:
832
560
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Overlay Dist: Total:
~~!~eet "[r~es Rqd: . .".::,J"'11.;,;i;;;':):,,~Handicapped:
"~~~~ft SHALL EXP~~ THE ~~a~t:
. THIS UNDER THIS PERMIT IS ,.<
I PUBLIC I1"i.f~Ii!MtM\E~~rRIOD.' '
ANY 1 'B'l]""lj Sidewalk Type:
2
Downspouts/Drains:
For this parcel in Jasper Meadows, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
Stormwater to clAlbdoo,..tilraccepted by City Council".
Notes:
Page I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation DescriDtion ~
Description
$ Per Sq Ft
or multiplier
$1.00
Estimate
Tvpe of Construction
Estimate
Square Footage
or Bid Amount
164,000.00
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00398
ISSUED: 04/06/2010
APPLIED: 04/01/2010
EXPIRES: 10/06/2010
VALUE: $ 164,000.00
Value
Date Calculated
$164,000.00
$164,000.00
04/0112010
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $185.55 4/6/10 1201000000000000298
+ 5% Technology Fee $95.16 4/6/10 1201000000000000298
1 Bath One & Two Family $220.00 4/6/10 1201000000000000298
1st Appliance $79.00 4/6/10 1201000000000000298
Addressing Assignment $38.00 4/6/10 1201000000000000298
Appliance Vent $9.00 4/6/10 1201000000000000298
Building Permit $969;23;' .,c', ::(. It~', 4/6/10 1201000000000000298
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Curbcut Permit $88.00, .u'i'" 4/6/1 0 1201000000000000298
Dryer Vent $9.0Q._" .' 4/6/1 0 1201000000000000298
Exhaust Hoods $13.00~, , 4/6/10 1201000000000000298
Fire SF Fee - Residential $69.60 '4/6/10 1201000000000000298
Gas Outlets 1-4 $7.00 4/6/10 1201000000000000298
Plan Review Major - Planning $211.00 4/6/1 0 1201000000000000298
Plan Review Same As $250.00 4/6/10 1201000000000000298
PW Disc - 2nd Permit $-30.00 4/6/10 1201000000000000298
Residence Wiring 1000 Sq Ft $134.00 4/6/1 0 1201000000000000298
Residence Wiring Ea Addtl 500 $25.00 4/6/10 1201000000000000298
Sanitary Sewer - Improvement $352.74 4/6/10 1201000000000000298
Sanitary Sewer - Reimbursement $463.89 4/6/10 1201000000000000298
SDC MWMC Administration $10.00 4/6/10 1201000000000000298
SDC MWMC Compliance Charge $22.63 4/6/10 1201000000000000298
SDC MWMC Improvement $1,333.57 4/6/10 1201000000000000298
SDC MWMC Reimbursement $101.97 4/6110 1201000000000000298
SDC Sanitary/Storm Admin $92,64 4/6/10 1201000000000000298
SDC Transpo Reimbursement $211.21 4/6/10 1201000000000000298
SDC Transportation Admin $94.14 4/611 0 1201000000000000298
Sidewalk Permit $88.00 4/6/10 1201000000000000298
Storm Drainage Impervious Area $307.98 4/6/10 1201000000000000298
Temp Power 200 amps or less $63.00 " 4/6/10 1201000000000000298
Vent Fan $18.00: ')' . f;;"'.. 4/6/10 1201000000000000298
Willamalane Single Family I.t 4/6/10
$2,858.00 1201000000000000298
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Total Amount Paid $8,390.31 '
Paee 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I . Plan Reviews ~
Initial Review
Plannin2: Review
04/01/2010
04/01/2010
04/01/2010
04/0112010
Public Works Review
04/01/2010
04/01/2010
Structural Review
04/01/2010
04/01/2010
Structural Review
04/02/2010
04/0212010
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APP
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APP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00398
ISSUED: 04/06/2010
APPLIED: 04/01/2010
EXPIRES: 10/06/2010
VALUE: $ 164,000.00
DJB
DDK
Access restricted to I driveway/lot.
Follow street tree plan.
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council".
TSS
CJC
Stormwater to curb and gutter
Egineering required for lateral
bracing of 40-ft wall line.
CJC
Engineering recieved, with copied
seaVsignature- The building and
roof structure design is the same as
COM2010-00171 for 5794 Orchid
Lane and within the same
development and site conditions,
therefore wet-signed copy of
engineering for above-referenced
project will suftice. Approved for
use for this permit by Charles
DuFault per phone conversation
4/2/20 I O.
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.
UleollirecUnsnectinns 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.
i: ",
Footing: After trenches are excavated. '" i'~,", ~ I
Foundation: After forms are erected but prior"!o concrete placement.
"
Post and Beam: Prior to noor insulation or decking.
Floor Insulation: Prior to decking.
Page 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00398
ISSUED: 04/06/2010
APPLIED: 04/01/20]0
EXP]RES: 10/0612010
VALUE: $ 164,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. l'
Final Building: After all required inspec(jo~s:.h.vebeen requested and approved and the building is complete.
;";r:
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill.
Underfloor 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 filliug 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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is, complete.
Temporary Electric: Approval required prior'to Uiility, Company energizing pole.
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Rough Electric: Prior to Cover :~
:ii'
Electric Service: Approval required prior to utility company energizing service.
Final Electric: Wheu all electrical work is complete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00398
ISSUED: 04/06/2010
APPLIED: 04/01/2010
EXPIRES: 10/06/2010
VALUE: $ 164,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 have carefully examiued the completed application and do hereby certify that all
information bereon is true aud correct, and I further certify that any and all work performed shall be done in accordauce with
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, and
that NO OCCUPANCY will be made of any structure without permissiou 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.
--
Date
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Page 5 of5
Electrical Permit Application
225 Fifth S'reettSpriDgfield, OR 97477tPH(541)726-3753. FAX(541)726-36B9
f(~!;1R~p;..~i~~~~ig:~I~~~~!'{~f
COVlAZ:uIU-OO 3'7,8-
Pennit no.:
,
Date: -b - ( 0
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.
Signature:
'B~~~rf!lID~~1t1[8i!JiT~m~1~~~]tQJ;-l~~~g~~~~gJj~
Business name: Ion \\blch F Ipc
Address: ,..JOY: 7'1 (ove"! C-\--
City: & ,,0\ I State: oR I ZIP:
Phone: 5< " - 311- 191" I Fax:
~~
tx~~
~~
440-2584-J (9/0BICOM)
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Residential, per unit, service include'd: .
1,000 sq. ft. or less (4)
J
$134.00
~~l:K~~:@~G;Q,t(;!;R&MgMif~kigB:[~)(\~J~r~~}'!ii,~i~
Zoning approval verified? 0 Yes 0 No
~_1t~~~~~~~~g'@gWL~1~~Ht~N~INRm~J.i1t~J;!)~~l!'~i~1W~f~
QiResidentia11 D Government I D Commercial
m_@l\'lfS1iTiEJljrNE@E_M1Xillt@F.:@~Nj\:l~i[~rQ:~;~rQN\~"fJfif1i@
Job site address: ",?t>." 3 -? St'-I..
City: <;,-,.,,,.(',:,. io( I State: 61,2 _ I ZIP: '17'-fn'
Subdi~ision\) \Cl."'-O?( IMtt-iov-J"; I Lot no.: ~
~~~~j{@:~:$~J~fJ&mf[~~flf,i~~~~J~tl~~~fj~1~~~
4~, 'vl':-"_
1802--05>>- OS'7C,C:::> 200 amps or less (2) $ 81.00 $
1i';~I~{.~~~_~~ff@i~~JThY~~~lWtt~L8~~f~!W}~~~~:f~~;~~r$~ 201 to 400 arnps.(2) $ 95.00 $
Name: \--l.'fJ,V\ Kevr.-e "- 401 to 600 amps (2) $158.00 $
Address: .:Jitc~/ SI.--J .A - ION: Oregon law req Ir Siyou~OO amps (2) $205,00 $
City: k> ,,0( VV1"'" vi I Skllb:l'l!\ ~Ies_ ~<lililt ,... ~ e amps or volts (2) $469.00 $
Phone: SL//-.2J.I5- (;,')')') . ~~!I?"iJ-~~_ 1__hrough DA 19S2'4)et.on1y (2) $ 63.00 $
E moil' 0090 You may obtain Cople5' f t ~rUM ~_~ services or feeders: mstal/atlan, alteratIon relocahon
- tl . ",_., ..... t '
This installation IS being made on r&flljl;li~ g liJrrotilit N _r less (2) I $ 63.00 $ h3
owned by me or a member of my i:IDlfIJzIl!ll{~<p!rmlJ,~ M-::!32-~~ ~I to 400 amps (2) $ 87.00 $
property is not intended for sale, exchange,CkefS\JjfolSr!Ii1. VAX
479.540(1) and 479,560(1), 401 to 600 amps (2) $126.00 $
Each additional 500 sq. ft. or portion
thereof
$ 25.00
Limited energy (2)
I Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00
$ 63.00
~ervices or feeders: installation, alteration, relocation
$Js'/
$ Z-')
$
$
Over 600 amps or 1,OOOyolts, 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
$ 6,00
b. Fee for branch circuits without purchase of a service or feeder fee:
$
First branch circuit (2)
$ 55.00
E-mail: Each additional branch circuit $ 6.00
CCB license no.: 'j;2 3roC / BCD license no.: ( ..22r1. Misc~IJ.~!l~?H1~Je~s:-'service or feeder not included
Signing sup.ervisor's license no.: A__: 14-- ,:"..,.:' ;E;ChPU~'p-'/'i.l.'.~ .iil~n\~.'nrC.I.e(2) $ 63.00
Print name of signing supervisor: \I,,~~'---' I I l_l~~~(2) $ 63.00
Signature of signing supervisorLt- ,J8 \. ::1l... \t.\riE~ll~i1I.I<I'i\IMt~ i~teg~energy panel, $ 63.00 $
r7:,..-...- ~::- 'II> 11I!~\:W,b'l"extenslOn'(2) .. .
. - {i. OR _..,
OWlWlE~CEn p,1 ~\I!~ch addiii',;~~linspection: (I) .' $58.00 $
~~'{ 18Q \)f>,'{ pE _:i'--l~.V.B.:~Rg'~I@:~mffi~.\fi.~t;D\!~l"II~~
. _.......~ (A) Enter subtotal of above fees .
~ .:...... (Minimum Permit Fee $58.00) $ 2-2-2--
~ l\ (\ .\,\) (B) EDter 12% surcharge (.12 x [A]) $ 2b b'
r\ :I,..V\; (C) Technology Fee (5% of [A]) $$ II Ie
\.J\,. TOTAL fees and surcbarges (A through C):
V'~ I
$
$
$
$
7'{
2!l willamalane
t\it Park and Recreation District
Job. No. Q,\~ i M~
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME, ~ HI, }\omo 1) ) PHONE I)..').B. kfl2:jQ
ADDREss24\o 9\&.lQu6.e.(CITY ~STATE:~IP: C{1415
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 2W.:> 6 ~~ <...~~ .
Plat Name: ~~_~ Lot Number: \PJO 1.0'C>3 ~
,
1. DEVELOPMENT TYPE (Check appropriatedwelling(s). Dwelling type definitions are on the
back.)
A. SinQle-Family Detached
NO. OF UNITS . \
X $2,858 per unit =
$~fV
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 $~ ,321 per unit =
$
E. Accessory DwellinQ Unit
NO. OF UNITS
X $1,550 per unit =
~
$
$ Il/6:::6W
if
$ 28fJ3 ,ex)
I lo 12.0\0
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.).
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Development Services
City. of Springfield
Date
.5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
fii~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000298
Date: 04/06/2010
9:46:4IAM
Job/Journal Number
COM20 I 0-00398
COM20 1 0-00398
COM20 I 0-00398
COM20 1 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20] 0-00398
COM20]0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 1 0-00398
COM2010-00398
COM20 1 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 1 0-00398
COM20 1 0-00398
COM20 1 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20 1 0-00398
COM20 I 0-00398
COM20 I 0-00398
COM20] 0-00398
Payments:
Type of Payment
CreditCard
cReccintl
Description
Plan Review Same As
Building Permit
Addressing Assignment
Fire SF Fee - Residential
Willamalane Single Family
1 Bath One & Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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+ 12% State Surcharge ,,,tt'"
Plan Review Major - Planning "
Storm Drainage Impervious Area,,,
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
+ 5% Technology Fee
Paid By
HAYDEN HOMES
Received By
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Page 1 of 1
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Check Number
Batch Number
Item Total:
Authorization
Number How'Received
Amount Due
250.00
969.23
38.00
69.60
2,858.00
220.00
79.00
]8.00
9.00
13.00
9.00
7.00
134.00
25.00
63.00
185.55
211.00
307.98
463.89
352.74
211.21
101.97
1,333.57
10.00
92.64
22.63
94.14
88.00
88.00
(30.00)
95.16
$8,390.31
Amount Paid
080894 In Person
Payment Total:
$8,390.31
$8,390.31
4/6/2010