HomeMy WebLinkAboutPermit Building 2010-4-13
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00293
ISSUED: 04/13/2010
APPLIED: 03/09/2010
EXPIRES: 10/13/2010
VALUE: $ 287,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 545 MOUNT AINGA TE DR 8
ASSESSOR'S PARCEL NO.: 1802032101700
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
, i,
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
HA YDEN ENTERPRISES 92208
TOP NOTCH ELECTRIC INC 1723 6
PACIFIC AIR ~1QW!lOn law requires
STUTZMA . ted by the Orego~
Notiticat 1.
In OAR 9 _QIl,tain copies 0 bf
OQ90.. You m!~~~lI' te: the tel~phone 2
R_Jlallmg the ~ ClltlllltilitttNotillcatiO!'s.oo
"Q)umber for ... A . 632-23lft\h:ed Air Gas
Can 'I" 1
VB ateI' Type: Gas
Range Type: Electric
. . Energy Path:
Sprinkled Building:
,Expiration Date
i 07/29/2011
09/29/2010
03/25/2012
05/12/2010
Phone
541-228-6935
541-317-1998
541-672-9510
541-928-8942
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Lot Size: 5,543
Sq Ftlst Floor: 973
Sq Ft2nd Floor: 1,384
. Sq Ft Basement:
Sq Ft Garage/Carport 480
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
34.00
6.00
6.00
33.19
25.60
_.9yeday}?ist:
.~ Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
2
Yes
. ...".""dJ,.OJl;;;,.!,Y,'
OR1<.
THIS PERMIT IS NO .
MENCED OR IS ABANIaQWilHJ1It. .'
COM PERIOD .'. . .
ANY 180 DAY . DownspoutslDralllS:
REQUIRED PARKING
2
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Ves
Curb and Gutter
Storm water to curb
",., "
Notes:
Paee I of 4
t'I ""~'t"., ,t '~1, .,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00293
ISSUED: 04/13/2010
APPLIED: 03/09/2010
EXPIRES: 10/13/2010
VALUE: $ 287,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
287,000.00
Value
Date Calculated
Description
, Total Value of Project
$287,000.00
$287,000.00
03/09/20] 0
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $955.40 3/9/]0 ]20]0000000000002]2
+ 12% State Surcharge $273.46' 4/13/10 120]000000000000338
+ 5% Technology Fee $]24.49 cdo :....,~ "'4..-,:, 4/13/10 1201000000000000338
] st Appliance $79.00 4/13/10 1201000000000000338
"
3 Baths One & Two Family $402.00. 4/13/10 1201000000000000338
Addressing Assignment $38.00' 4/13/10 120]000000000000338
Appliance Vent $9.00 4/13/10 1201000000000000338
Building Permit $1,469.84 4/13/10 1201000000000000338
Dryer Vent $9.00 4/13/]0 120]000000000000338
Exhaust Hoods $13.00 4/13/]0 ]201000000000000338
Fire SF Fee - Residential $141.85 4/13/1 0 ]20]000000000000338
Fireplace (Listed) $20.00 4/13/]0 ]201000000000000338
Gas Outlets 1-4 $7.00 4/13/1 0 ]201000000000000338
Plan Review Major - Planning $211.00 4/13/10 120]000000000000338
Residence Wiring 1000 Sq Ft $134.00 4/13/]0 1201000000000000338
Residence Wiring Ea Addtl 500 $100.00 4/13/10 1201000000000000338
Sanitary Sewer - Improvement $705.48 4/13/10 1201000000000000338
Sanitary Sewer - Reimbursement $927.78 4/13/10 t201000000000000338
SDC MWMC Administration $10.00 4/13/10 1201000000000000338
SDC MWMC Compliance Charge $22.63 4/13/10 1201000000000000338
SDC MWMC Improvement $1,333.57 4/13/10 120]000000000000338
SDC MWMC Reimbursement $]01.97 4/13/10 ]201000000000000338
SDC Sanitary/Storm Admin $172.46 4/13/10 1201000000000000338
SDC Tran Reimburs-Residential $211.21 4/13/10 120]000000000000338
SDC Trans Improvement-Resident $93 1.6~ "":~'" . . ~, "1 ';! . 4/13/10 ]20]000000000000338
SDC Transportation Admin $80.5,1 4/13/] 0 1201000000000000338
Storm Drainage Impervious Area $815.04 4/13/10 1201000000000000338
"..,
Vent Fan $36.00 ' 4/13/10 1201000000000000338
Willamalane Single Family $2,858.00 4/13/10 1201000000000000338
Total Amonnt Paid $12,]93.34
I Plan Reviews ~
Initial Review
03/]2120]0
03/16/20]0
APP LLH
Paee 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: COM2010-00293
ISSUED: 04/13/2010
APPLIED: 03/09/2010
EXPIRES: 10/13/2010
VALUE: $ 287,000.00
Status
Issued
.,. 'i.;'~.d
",'
Plannine: Review
~3/22/2010 .
DDK
03/16/2010
WE
Pnblic Works Review
03/24/2010
LKW
03/23/2010
APP
Planniue: Review
03/29/2010
DDK
03/29/2010
APP
Structural Review
Structural Review
"<'~ '",
,04/07/20 I 0 ,"
04/07/20 I 0 ,
-,.
CJC
CJC
04/07/2010
03/16/2010
APP
WE
Requested revised elevations
showing actual elevations proposed.
Storm water to cnrb
Received revised elevations and plot
plan 3/25/10. IS' Conservation
easement. Fence area with orange
construction fencing. 2 street trees
as shown on landscaping plan. 1
tree in front yard and I in rear
(Install one coniferous tree, at least
8' high at time of planting within
rear of lot per condition 21 of Site
Plan Review DRC2008-00040).
Elevations are site specific and
contain REQUIRED design
elements. Inspectors willlield check
that actual elevations match
submitted designs as shown on the
approved set of plans.
As noted on plans
Engineered sheets S I and S2 bear no
signatnre- applicant contacted
4/6/10.
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.Jte{1uiredJnsnections I
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 floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathi~i\;with"rtnish matcrials.
, .rt '"
Framing Inspection: Prior to cover and aft~r all rough in inspections have been approved.
Wall Insulation: Prior to cover.
:'~
Ceiling Insulation: Prior to cover.
Pa~e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00293
ISSUED: 04/13/2010
APPLIED: 03/09/2010
EXPIRES: 10/1312010
VALUE: $ 287,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspection Line
Drywall: Prior to taping.
Masonry:
Final Bllildillg: After all reqllired inspections have been reqllested and approved and the building is complete.
Underground Plumbing: Prior to lilling the trench alld including required testing.
. ,.:~1 ""oj'"
Perimeter Foundation Drains: After gravel'anil'liIter'c1oth is installed hut prior to hackfill.
Underfioor Plumbing: Prior to insulation o'r'de'cking.
Under-floor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inclnding reqllired testing. '1..
Water Line: Prior to filling trench and inclllding required testing.
Sanitary Sewer Line: Prior to filling trench alld inclllding required testillg.
Storm Sewer Line: Prior to filling trench.
Final Plllmbing: When all plllmbing work is complete.
Underfioor Mechanical. Prior to insulation or decking a~d including required testing.
Underfioor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and reqnired 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
Final Gas: When all gas work is complete.
"",
".,-,.,
, ;{".
Final Mechanical: When all mechanical work)s complete,
.. ., I,: ~ . . " , :- .
Temporary Electric: Approval required prio~!o 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, I state and agree, tbat I bave carefully examined the completed application and do hereby certify lhat all
informalion hereon is true and correct, and I further certify that any and all work performed shall be done ill accordance with
the Ordinances of the City of Sprillgfield and the Laws of the State, of Oregon pertaining to the work described hereill, alld
that NO OCCUPANCY will be made of allY strllctllre wilhout permission of the Community Services Divisioll, Buildillg Safety.
1 further certify that only cOlltractors and employees who are ill compliallce with ORS 701.005 will be IIsed 011 this project.
I further agree to ensllre that all reqllired inspectiolls are reqllested at the proper time, that each address is readable from the
street, that the permit card is located at the front of tbe property, alld the approved set of plans will remaill on the site at all
times during construction.
22~
- .;;;;---~' 0/".- -
Owner or Contractors Signature
Lf- I"~r /0
Dafe
, ',," '.. Pa2e 4 of 4
. fi\ i~ ' , ~ ~ c ': I ;'
,.
,;" -~ ! ,~,
Electrical Permit Application
t
225 Fifth StreettSpriogficld, OR 97477 +PH(541)726-3753. FAX(541)726-3689
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ate
SPRINGFIELD ~
~. .
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fi1:.~,;.~"-i-~'-<'O~~ ~.JI
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.
~~_i~JKG>:~&~gQM~Rf.JMr;M(i)irPigag@:M~B~~~~~lfJ1
Zoning approval verified? 0 Yes 0 No
~_~_"~~~411,~~~1TI~,~1i&Yi~~B[Q~~N:$lTIB"~~ltJl~r&$~r~~~~~~~4
0: Residential 0 Government 0 Commercial
w.tr~~:fm;ifj:jjNil~E1Yi*l!I@][Iii~:r'iPtlli@W.~ilj@N~&~~:;;~~
Job site address: M-I- 'lIt INt,
City: ZIP: "j nn .
I
Subdivision. '" [)? oviou-J ' Lot no.: .,p.
lifiW__\'j_~{ID:~~:~gi~f;Jii):Nl<[~*w<!)J~'Kf,~~~~'~~;
r> ',..~ f
oZO 2. C:> 700
~4;>jttt~f;~}€~}~:f~~~t~i'~jgJ:~:0J?ER.tY~0W&E-R--:;€{~,':\!'~~~~f;;..,i~~ib;-!{~~'1Sj:tfA
?~~~lt\W:'1W~&Ethi,~i"\~'R,<r_,." '.___,,_;~...~,,:,,"~'.' ~,~"__~,,,',":.,::,_, .~f ;.',~,,.i;?'.'<t,~;>W~Fifi~f,,,,.r2ir'\~~l""';"'''''''::"
Name: \--L, d.N\
Address: '-I< "-
City: Q ",01 v>1c"" .0 ZIP: ')775'G.
Phone: 5LII- ;2Jg- (,') -:,5 .
E-mail:.
This installation is being made on residential or fann property
owned by me or 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:S1I/-311.!Cj1jQ;
E-mail:
CCB license no.: -;
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
ZIP:
BCD license no.:
~~Q
ro'~~
~~
~~
'IJ't ..i> -:;"
440-2584.1 (9108/COM)
\,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq, ft. or portion L-/ $ 25.00 $
thereof
Limited energy (2) . $ 32.00 $
, Each manufactured home or modular $
dwelling service or feeder (2) 63.00 $
Services or-feeders: instaIla'(ion, alteration, relocation
200 amps or less (2) $ 61.00 $
20 I to 400 amps (2) $ 95.00 $
40 I 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, alteration, relocation
200 amps or less (2)
20 I to 400 amps (2)
40 \ to 600 amps (2)
$ 63.00 $
$ 67.00 $
$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 cir~llits with purchase ofa service or feeder fee:
Ea.ch 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: (I) $58.00 $
"~:>m,1II~~-t!)"1'r61~1''6't;iN'.'''''''%'S<CE~.~,c!!,,,,,,,.._,,,,,,,,,,,,,,,.,~,,,,,,
,..: -,~ird;~~~f?~~.F;j.~$!:*,d''4ltY~_~,;:1~~4~~&~.tr7J~~~~hl<;
(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 surcbarges (A through C):
$Z3<-f
$ Z3" 8
$17
$
StrUl ' Permit Application
111(-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(S41)726-3689
Date: S - '/-10
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of is sua nee or if work is
suspended for 180 days,
.. If'o.CAL C3Q\IE~NI'I1~NT,:"8Jl'R9Y:"[!;:.ii;..:Y~, ;;~i~;'
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Sig'nature: Date:
Zoning approval verified: DYes 0 No
Prop~lty is within J1oodplain: DYes 0 No
~j;~~:~,1~;;~{~~~~~~i~~k:GA\Il;q~?:~Y~tQ:EflG,9N?JR~lG[to_~3{::~h?1,;{~'~~M~;~Fi,:"~":
~ Residential 0 Government 0 Commercial'
,V\;;;":;ifUQElh(SI;[E iN ~9RMA Tii:1NP;\'N P~~6.cAl'lqN;::i)).i~~:',i':
:# 1'1t-
ZIP: "i'7f'7S:
, (.
State: 0 Q
Fax:
E-mail:
This instal1ation 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 70].010.
Sign here: \..
'LATlON.-.
City:
Phone: 5tH -
E-mail:
ces license .no.:
Print name:
Signature:
:~)i'!;:i't'i )';'!ij'~T;!SI.jEi'c;0N:i1BAGJf6R:I~F,6.~MA;rIQN,!(i\':;:i5.?ii~j;2.~D;j't
Name CCB License Number Phone Number
Electrical I 7JV~
Plumbing 31 71{7
Mechanical 3'1,;l. 31
DEPARTMENT USE ONLY
~~~t~(D"OOZ 93
';,".-'.
,:FE,ESCHEDULE .'
Square feet:
'~'f;~.\~.~\~~\{~h~(lpf6i~I1'~J)9}i?;~:Hn)^~(r;:0;:,,:A(;;:~' .-'.
(a) Job description: Ml/V\ l L
Occupancy
Construction type:
Cost per square foot:
Other information:
Type of Heat:
o addition
DYes .-ErNo
FA
Energy Path:
[Xj new D alteration
(b) Foundation-only permit?
Total valuation:
".,,,.,
Cc
(a) Permit fee (use valuation table):
(b) InvestigativeJee (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):
$
$
$
$
$"
c
(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): $
2~ willamalane
t'W Park and Recreation District
Job. No.
NAME:
ADDRESS:
.LOCATION OF PROPOSED BUILDING SITE:
n\~ ~-t ~ ~fJ
Street Address:
o )\\j . TLo... 'b
Plat Name:
Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
$
$ 'If:f::B. r:o
$ r;
$rwS6~
L{ I (3 I 2<:YO
A. SinQle-Family Detached
NO. OF UNITS \
X $2,858 per unit ':'
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 $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)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC, reduced for C
Development SerVice
City of Springfield
Date
$ ~pO
$
$
$
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
12010000000000002]2
9:06:43AM
Date: 03/09/2010
Job/Journal Number
COM20 I 0-00293
Payments:
Type of Payment
CreditCard
cRcceinll
Description
Plan Review Residential
Paid By
HA YDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
955.40
$955.40
Amount Paid
djb
$955.40
$955.40
037022 In Person
Payment Total:
J'
.. - ."
",-'.'
Page I of I
3/9/20 I 0
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000338
II :30:29AM
Date: 04/13/2010
Job/Journal Number
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 1 0-00293
COM20 1 0-00293
COM20 I 0-00293
COM20 1 0-00293
COM20 I 0-00293
COM20 1 0-00293
COM2010-00293
COM20 1 0-00293
COM20 1 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 1 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
COM20 I 0-00293
Payments:
Ty.pe of Payment
Check
cReceintl
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC MWMC Compliance Charge:'"
Plan Review Major - Planning "
Stonn Drainage Impervious Area
SDC Sanitary/Storm Admin
SDC Transportation Admin
Building Permit
3 Baths One & Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
38.00
2,858.00
134.00
100.00
141.85
927.78
705.48
211.21
931.65
101.97
1,33357
10.00
22.63
211.00
815.04
172.46
80.51
1,469.84
402.00
79.00
36.00
9.00
13.00
9.00
7,00
20,00
273.46
124.49
$11,237,94
Paid By
HA YDEN HOMES LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
DJB
23582
In Person
Payment Total:
$11,237,94
$11 ,237.94
. ..
P~!'.e 1 of 1
4/13/2010
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