HomeMy WebLinkAboutPermit Building 2010-4-16
~Ik-- .. ~ CITY OF SPRINGFIELD
~ l "
'. i' Building/Combination Permit
" - "*-
Status Issued PERMIT NO: COM2010-00203
225 Fifth Street, Springfield, OR ISSUED: 04/16/2010
541-726-3753 Phone APPLIED: 02/12/2010
541-726-3676 Fax EXPIRES: 10/16/2010
541-726-3769 Inspection Line VALUE: $ 198,000.00
SITE ADDRESS: 511 S 48TH ST SPRINGFIETYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: WESTWIND ESTATES P
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - WestWinds 10t14
Owner: HAYDEN ENTERPRISES Phone Number: 541-228-6935
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION i
Contractor Type Contractor License Expiration Date Phone
General HAYDEN ENTERPRISES 92208 07/29/2011 541-228-6935
Electrical TOP NOTCH ELECTRIC INC 172366 09/29/2010 541-317-1998
Mechanical PACIFIC AIR COMFORT INC 39237 03/25/2012 541-672-9510
Plumbing STUTZMAN SERVICES INC 31747 05/12/2010 541-928-8942
I BUILDING INFORMATIONJ
# of Units: 2 # of Stories: 2 Lot Size: 6,367
Primary Occupancy Group: R-3 Height of Structure 19.00 Sq Ft 1st Floor: 1,408
Secondary Occupancy Group: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 403
# of Bedrooms: 3 Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION ~ REQUIRED PARKING
Frontyard Setback: 13.00 Overlay Dist: Total: 2
Side I Setback: 5.00 # Street Trees Rqd: 4 Handicapped:
Side 2 Setback: 22.35 Paved Drive Rqd: Yes Compact:
Rearyard Setback: 12.92 % of Lot Coverage: 29.00
Solar Setbacks: 0.00
Subdivision Not Accepted I PUBLIC IMPROVEM ENTS _
Street Improvements: Fullv Improved Sidewalk Type: Curbside 5'
Storm Sewer Available: Yes DownspoutslDrains: To Storm Sewer
Special Instruction : Storm sewer to piped storm system.
Notes:
Paee I of5
---:-...
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00203
ISSUED: 04/16/2010
APPLIED: 02/12/2010
EXPIRES: 10/16/2010
VALUE: $ 198,000.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescrintiQn I
Estimate
Tvoe of CODstr~ction
Estimate
$ PerSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
198,000.00
Value
Date Calculated
Description
Total Value of Project
$198,000.00
$198,000.00
02/12120 I 0
~
Fee Descriotion Amount Paid Date Paid Receipt Number
Plan Review Residential $719.95 2/12/10 1201000000000000132
+ 12% State Surcbarge $221.59 4/16/10 1201000000000000350
+ 5% Tecbnology Fee $109.43 4/16/10 1201000000000000350
1st Appliance $79.00 4/16/10 1201000000000000350
2 Batbs One or Two Family $337.00 4/16/10 1201000000000000350
Addressing Assignment $38.00 4/16/10 1201000000000000350
Building Permit $1,107.61 4/16/10 1201000000000000350
Curbcut - 2nd Curbcut $-45.00 4/16/10 1201000000000000350
Curbeut Permit $88.00 4/16/10 1201000000000000350
Dryer Vent $9.00 4/16/10 1201000000000000350
Exbaust Hoods $13.00 4/16/10 1201000000000000350
Fire SF Fee - Resideutial $90.55 4/16/10 1201000000000000350
Fireplace (Listed) $20.00 4/16/10 1201000000000000350
Gas Outlets 1-4 $7.00 4/16/10 1201000000000000350
Plan Review Major - Planning $211.00 4/16/10 1201000000000000350
Residence Wiring 1000 Sq Ft $134.00 4/16/10 1201000000000000350
Residence Wiring Ea Addtl 500 $50.00 4/16/10 1201000000000000350
Sanitary Sewer - Improvement $529.11 4/16/10 1201000000000000350
Sanitary Sewer - Reimbursement $695.83 4/16/10 1201000000000000350
SDC MWMC Administration $10.00 4/16/10 1201000000000000350
SDC MWMC Compliance Cbarge $22.63 4/16/10 1201000000000000350
SDC MWMC Improvement $1,333.57 4116110' 1201000000000000350
SDC MWMC Reimbursement $101.97 4/16/10 1201000000000000350
SDC Sanitary/Storm Admin $155.25 4/16/10 1201000000000000350
SDC Tran Rcimburs-Residential $211.21 4/16/10 1201000000000000350
SDC Trans Improvement-Resident $931.65 4/16/10 1201000000000000350
SDC Transportation Admin $82.65 4/16/10 1201000000000000350
Sidewalk Permit $88.00 4/16/10 1201000000000000350
Storm Drainage Impervious Area $921.97 4/16/10 1201000000000000350
Temp Power 200 amps or less $63.00 4/16/10 1201000000000000350
Vent Fan $27.00 4/16/10 1201000000000000350
Willamalane Single Family $2,858.00 4/16/1 0 1201000000000000350
Total Amount Paid $11,221.97
Paee 2 of5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00203
ISSUED: 04/16/2010
APPLIED: 02/12/2010
EXPIRES: 10/16/2010
VALUE: $ 198,000.00
Status
Issued
225 Fifth Street, Sprinl(field, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews ~
Initial Review 02/1612010 02/16/2010 APP LLH
Structural Review 02/16/2010 02/19/20 I 0 WE CJC
Plannioe Review 02/16/2010 02/24/201 0 WE DDK
Plannine Review
03/16/2010
APP DDK
03/1612010
Structural Review
03/31/2010
APP CJC
03/31/2010
Public Works Review
02/16/2010
WI BJG
04/07/2010
Public Works Review
04/15/20 I 0
APP BJG
04/15/2010
New plans pending to meet Planning
requirements
Plans as submitted do not meet
Cluster Development Standards.
Requested revised plans.
Elevations are site specific and
contain REQUIRED design
elements. Inspectors please field
verify that actual elevations match
submitted designs as shown on
approved plans.
Review is complete- will not issue
until public infrastructure tests are
approved by public works
Waiting for aproval from public
improvement acceptance.
Public works has approved sewer
work as it pertains to the PIP. No
occupancy should be autborized
until project acceptance but the
public work building permit review
will be accepted. Storm water
runolTwill be piped to storm system.
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.
U~nllirerIJns.nel'tions I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trencbes are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Ooor insulation or decking.
Floor Insulation: Prior to decking.
Pal!e 3 of5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00203
ISSUED: 04/16/2010
APPLIED: 02/12/2010
EXPIRES: 10/16/2010
V AI:.UE: $ 198,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheatbing witb finisb materials.
Framing Inspection: Prior to cover and after all rougb in inspections bave been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections bave been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter c10tb is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rougb Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trencb and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mecbanical. Prior to insulation or decking and including required testing.
Undcrfloor Gas: After line is installed and required testing and capped if not attacbed to an appliance.
Rougb 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 onc appliance including required
testing. Presure test done at tbis point.
Rough Mechanical: Prior to Cover
Final Gas: Wben all gas work is complete.
Final Mecbanical: Wben all mecbanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rougb Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: Wben all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Pal!e 4 of5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00203
ISSUED: 04/16/2010
APPLIED: 02/12/2010
EXPIRES: 10/16/2010
VALUE: $ 198,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 1 state and agree, that J have carefully examined the completed application and do hereby certity that all
information bereon is true and correct, and I further certity that any and all work performed shall be done in accordance with
the Ordiuances 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.
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.
Owner or Contractors Signature
Date
Paee 5 of5
225 Fifth Streett Springfield, OR 97477 tPH(541)726-3753 t FAX(541)726*3689
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1i<"~~}bio-'3 ~_"
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t~f;r,t'8~p~~I~~&~~~~tt~~~$I{~
COWlZOtO-OO 203
Pemit no.:
Electrical Permit Application
t
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
\ir~Ill~,j[O:~lf'<l:H~M~!;tNM~}{['i:tP,i'~fll~m-S?:'~~~~~~~f~ .u
,
Zoning approval verified? 0 Yes ONo
~~~~ffs.tj~~~]"g;Q@J{oc4j!~fii:i}~t{@r.~r$j]BJ!!~.11ril~rN}fN#!.i.~~~~&Wk Residential, unit, service include"d:
QiResidential 10 Government 10 Conunercial per rP
:t;~~P@~jfIiTm~\i!IN)f@BM~'!riQfit~~f:l~tK[[Q9'giljt~b1~'01}\X'f0%1 1,000 sq. ft. or less (4) I $134.00 $\M
SII <o....lh 4( f/A sf- Each additional 500 sq. ft. or portion 'l.. ~...,.C lJ
Job site address: thereof $ 25.00
City: 'h- ...,~(',> io{ I State: o\< I ZIP: .
'17'178 Limited energy (2) $ 32.00 $
Subdi~ision\) \<<"',O"( iMtOiou-J<; I Lot no.: N Each manufactured home or modular
~~I~~~&l~:~~~BJ8if~,~:,~'igfl~'lYJ~j&~11~rf~~~~1l~I~~ dwelling service or feeder (2) $ 63.00 $
/-Iov~ fA N~" /-;T-- ~ Services or feeders: installation, alteration, - relocation
, 200 amps or less (2) $ 61.00 $
~~,*ff;;~iii~~RRgR!tRE't~~s&fiJ~~'ijt41l~"~~~~~~1~~~;~~{W$~ 201 to 400 amps (2) $ 95.00 $
Name: \-L'IJCV\ Kevr...- s. 401 to 600 amps (2) $156.00 $
Address: :;qC t'./ Sw /i"c, r 601 to 1,000 amps (2) $205.00 $
City: r< ",01 VVlCV< vi I State: 6 Q I ZIP: ')775'G, Over ],000 amps or volts (2) $469.00 $
Phone: SL//- 2>1t- Id-:>5 I Fax:5"11-7'11' ,;J57:? Reconnect only (2) $ 63.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation ciJ
This installation is being made on residential 200 amps or less (2) \ $ . $ I ..a..
or farm property 63.00
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 67.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Signature: Over 600 amps or 1,000 volts, see services or fee?ers section. above
1li\~~j;:~!iX~'fd~?~'Gif~8.iit'J~I[~~~~](O'El~~lfj'Jilrf.TIl;i'1t~v Branch circuits: new, alteration, extension per panel
Business llame: Tn '/\l:i(~ FI pC a. Fee for branch circuits with purchase of a service or feeder fee:
Address: -JO'G 70 (ove"! (t- Each branch circuit $ 6.00 I $
City: &",01 I State: oR I ZIP: b. Fee for branch circuits without purchase of a service or feeder fee:
Phone: 511/- 311-/91'i: I Fax: - - First branch circuit (2) $ 55.00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: ,/Y SlOe: I BCD license no.: ( ..22rJ. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: A.J\ ~ 1" S .' Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: U 11_) ;., ..\S:t~,~ LIe Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor~ ~~ 1.1\' 'l Signal circuit or a limited-energy panel, $ $
., -~. . alteration, or extension (2) 63.00
Each additional i.nspection: (I) $56.00 $
.~ ~~'1#~,t~il~Bei!i'@ifNm&~ilis'E~~&~tt~f&,'6)0~~~
~~0 '~~'_"'.' . ~.-.."..., -- .....".. "- _,",'._.M',_ ."..' -,,_~..,..-,..",.' :"","':"-:r;I-,..,oi..'J,'fJ":..~"Q'~~'i:~
~ (A) Enter subtotal of above fees tAt tJ
(Minimum Permit Fee $58.00) $
~"Q.~ ~0
(B) Enter 12% surcharge (.12 x [AD $~ r.tG /'(
~ ~'W (C) Technology Fee (5% of [AD $ . '" )
~ TOTAL fees and surcharges (A through C): $f) ~ ~
\~~
f1
J ~m~
440.2584.) (9/08ICOM) ~
StrUl ' Permit Application
-
225 Fifth Suee,. Springfield, OR 97477. PH(541)726-3753. FA..X(54l)726-3689
SPRINGFIELD
DEPARTMENT USE ONLY
C6t41ZCtO- oc:::, 20
Permit no.: .
Date: Z
This permit i's issued under OAR 918-460-0030. Permits expire if work is not started within] 80 days of issu
suspended for ]80 days.
LOCAL GOVERNMENT APPROVAl"
,;:~,:'.> :>;::,,:
This project has final land-use approval.
Signature:_
This project has DEQ approval.
Signature:
Zoning approval verified:
Property is withifl flood plain:
Date:
Date:
DYes
DYes
DNo
DNo
>':' :;J98 SIT"
.-'ti:\_',
City: ~,'
Subdivision:
Reference:
'. PROPERTy'OWNER '
Name:
Address:
City:
Phone: .
ICl ' {,
State: 0 Q
Fax:
G
E~mail:
This installation is being made on residential or farm property owned by
me or a member ormy immediate family, and is exempt from licensing
requirements under ORS 70 J .01 O.
Sig.n here:
Ll\];IQI'I'
City;
Phone;.5L/l -
E-mail:
CCB license no.:
State; ClK_
Print name:
Signature: ~
':~~<!,~ ;:;,;\,,>\,,-,c,",,-,
Name
Electrical
Plumbing
Mechanical
~
CJ.;~
. ,FEE SCHEDULE
':i::,y~\K"tib~:i~,f(h-ili"libR..::'.'
(a) Job description:
Occupancy
Construction type:
Square f~et:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
IXI new 0 alteration 0 addition
(b) Foundation-only permit? 0 Yes ,A31'Jci
Total valuation:
(a) Permit .fee (use vaJuation table):
(b) Investigative fee (equal to [2a]):
,(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter ]2% surcharge (.12 x [2a+2b+2c]);
(e) Subtotal of fees above (2a through 2d);
$,
$
$
$
$
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges.(2e+3c+4a): $
(\
5 p.z./ID Ib \.9
\9
R~ willamalane
t~ Park and Recreation District
Job. No.
~D.~~
SYSTEM DEVELOPMENT CHARGE WORKSHEET
~ January 1-June 30, 2010
NAM . ~ ~ . PHONE M.~ ~'O '5
ADDRESS: i '1\.oL\- ~ \<1~ ~~TATE:~IP: L\115Lo
LOCATION OF PROPOSED BUILDING SITE:
Street Address: !5\\ !l. ~PJm !:j;
Plat Name: ~'ll's\u)\..Y'd-- Tax Lot Number: ~A'E:6 (ap-~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.).
A. SinQle-Family Detached
NO. OF UNITS \,
X $2,858 per unit =
$
'lf6r::fb.cXJ
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
$ 'Jfrl;Jp'.CD
p
$ 9~f-6 P
?-II~ /0
Date
$
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 De
City of Springfield
5
4/19/20]0
8:]6:23AM
City of Springfield
Development Services Department
Public Works Department
Amount Paid
$38.00
$2,858.00
$134.00
$50.00
$63.00
$1,107.61
$337.00
$79.00
$27.00
$13.00
$9.00
$7.00
$20.00
$90.55
$211.00
$221.59
$88.00
$88.00
($45.00)
$921.97
c T ransactionLog. rpt
COM20 10-00203
COM201O-00203
COM201O-00203
COM201O-00203
COM201O-00203
COM201O-00203
COM20 10-00203
COM201O-00203
COM201O-00203
COM2010-00203
COM2010-00203
Payments:
Method
Check
CreditCard
1183
1184
1173
1174
1186.
1187
1189
1190
1113
1175
2099
Paid By
HAYDEN HOMES
TIM DREILING
Transaction Log
For Date: 04/16/2010
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residentia1
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
+ 5% Technology Fee
4/19/20 to
8:16:23AM
City of Springfield
Development Services Department
Public Works Department
442-00000-448024
443-00000-448025
446-00000-448026
447-00000-448027
444-00000-448024
445-00000-448025
611-00000-426604
719-00000-426604
444-00000-426607
719-00000-426604
100-00000-425605
$695.83
$529.11
$211.21
$931.65
$101.97
$1,333.57
$10.00
$155.25
$22.63
$82.65
. $109.43
Line Item Total:
$10,502.02
Received Check How
R" Nn Annroval # D..."d
C1C 23354 In Person
C1C 037095 In Person
Payment Total:
Page 4 of 15
Amount Paid
$10,366.00
$136.02
$10,502.02
cTransactionLog.rpt