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HomeMy WebLinkAboutPermit Building 2010-4-20 ;.:.,j CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00403 ISSUED: 04/20/2010 . APPLIED: 04/01/2010 EXPIRES: 10/20/2010 VALUE: $ I8I,489.~0 Status Issued SITE ADDRESS: 1253 W Quinalt St ASSESSOR'S PARCEL NO.: 1703273107100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Owner: NORTHWEST BANK Address: 4900 MEADOWS RD STE 410 LAKE OSWEGO OR 97035 I CONT<~eTOR INFORMATION I .' Contractor Type . . General Electrical Mechanical Plumbing Contractor License EQUITY HOME BUILDERS, LLC 176016 DML ELECTRIC, INC 161264 CROWN HEATING LLC 171074 SUMMIT PLUMBING CO LLC 186244 BUILDING INFORMATION ~ # of Units: I # of Stories: 2 Primary Occupancy Group: R-3 Hei{8t of Str,uct.ure 22.00 Secondary Occupancy Group: U ~U"es 'ifV\,\ti\'If Heet: t. orced Air Eleclric Primary Construction Type 9f'o': \!Iff t Oteg~\~ype: Electric Secondary constr~m\\~e" '0'1 \~~\eS ate ~~T'Ype: Electric # of Bedrooms: ~~~'~\ea~. 1'1Qjl6 rI' oJli. ~~th: tD\\<l'f ~\$~O$\toUlell rJ. ~~~~~Ild Building n/a PMENT INFORMATION ~ 'fO'l tafI!.-\et. \.NO ~_"ClII"or9gon PO"::': ,ot ",e ~-&Oo Front yard Setback"'~ cen\9t'i'4.00 Side I Setback: 6.10 Side 2 Setback: . 11.1 0 Rearyard Setback: 54.40 Solar Setbacks: 0.00 Overlay Dist: # Street Trees Rqd: P~f'ed'D;:ive,Rqd: 0,.,,';;0'.;.$,;, .u.f'iJ li'j',,".' " % Of Lot Coverage: I PUBLIC IMPROVEMENTS I Expiration Date 05/04/2011 08/27/2010 07/11/2010 04/16/20 II Phone 541-382-0803 541-923-9897 541-420-3307 541-410-1655 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,555 769 953 391 1 Yes 22.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Sidewalk Type: Downsponts/Drains: Cnrbside 7' Curb and Gutter . . ,. .' '.' ' --.",,,;I,,,~~;;-,,",,,, NOTICE: d -. e ',c '''''':, THIS PERMrr SMAll EXPIRE IF THE WORK:, AUTHORIZED UNDER tHIS PERMl1'. NOTt;" COMMENCED OR IS ABANDONED FOR ;iiff0' ANY 180 DAY PERIOD. ""-,,,,:.'t;"'> Street Improvements: Storm Sewer Available: Special Instruction: Storm water to curb via weep' hole' Notes: ,. Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .541-726-3769 Inspection Line "~/~" .' I Valuation DescriDtion ~ Description Tvpe of Construction Estimate U VB Utilitv R-3 VB 1&2 Familv $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Estimate Garace/Misc SF/Duplex Square Footage or Bid Amount 175,000.00 391.00 1,722.00 Total Value of Project ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00403 ISSUED: 04/20/2010 APPLIED: 04/0112010 EXPIRES: 10/20/2010 VALUE: $ 181,489.00 Value Date Calculated $175,000.00 $14,748,52 $166,741.26 $356,489.78 04/01/2010 04/14/2010 04/14/20 I 0 Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $222.42 4120/10 1201000000000000364 + 5% Technology Fee $107.62..,'.;", ' ';,.:'~(: . 4120/10 1201000000000000364 1st Appliance $79.00.",':. ;,,', 4/20/10 1201000000000000364 3 Baths One & Two Family $402.00 4/20/10 1201000000000000364 Addressing Assignment $38.00 '. . 4/20/10 1201000000000000364 Bnilding Permit $1,042.49 4/20/10 1201000000000000364 Dryer V cnt $9.00 4/20/10 1201000000000000364 Exhaust Hoods $13.00 4/20/10 1201000000000000364 Fire SF Fee - Residential $105.65 4/20/10 1201000000000000364 Plan Review Major - Planning $211.00 4/20/10 1201000000000000364 Plan Rcvicw Residential $18.52 4/20/10 1201000000000000364 Plan Review Residential $659.10 4/20/10 1201000000000000364 Residence Wiring 1000 Sq Ft $134.00 4/20/10 1201000000000000364 Residence Wiring Ea Addtl 500 $75.00 4/20/10 1201000000000000364 Sanitary Sewer - Improvement $595.25 4/20/10 1201000000000000364 Sanitary Sewer - Reimbursement $782.81 4/20/10 1201000000000000364 SDC MWMC Administration $10.00 4120/10 1201000000000000364 SDC MWMC Compliance Charge $22.63 4/20/10 1201000000000000364 SDC MWMC Improvement $1,333.57 4/20/10 1201000000000000364 SDC MWMC Reimbnrsement $101.97 4120/10 1201000000000000364 SDC Sanitary/Storm Admin $147.42 4/20/10 1201000000000000364 SDC Tran Reimburs-Residential $211.21 4/20/10 1201000000000000364 SDC Trans Improvement-Resident $931.65 4/20/10 1201000000000000364 SDC Transportation Admin $83.74 .. 4120/10 1201000000000000364 .,!.-,-.,-"... -<;J{~' . Sidewalk Permit $88.00 '::c " 4/20/10 1201000000000000364 Storm Drainage Impervious Area $634.07 4120/10 1201000000000000364 Temp Power 200 amps or less $63.00 ' 4/20/10 1201000000000000364 Vent Fan $36.00' 4/20/10 1201000000000000364 Willamalane Single Family $2,858.00 4120/10 1201000000000000364 Total Amount Paid $11,016.12 Pace 2 of4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00403 ISSUED: 04/20/2010 APPLIED: 04/01/2010 EXPIRES: 10/20/2010 VALUE: $ 181,489.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line ..p,Hin Reviews I Initial Review 0410112010 04101120 I 0 OK DJB Plannin2 Review 0410112010 04102120 I 0 WE DDK Public Works Review 0410112010 04102120 I 0 PEND LKW Plannine Review 04113120 I 0 04!I3120 10 APP DDK Public Works Review 0411412010 0411612010 APP LKW Overhangs in PUE. Overhang in P.U.E. Revised plot plan received. PUE issues resolved. No Overhang allowed iu P.U.E.'sIStorm water to curb via weep hole Structural Review 04/0112010 0411912010 '..' .' 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. l...P-enuirecUnsnections ~ <f~ri't L~; i.. Ufer Electrical Ground: Install ground rod'aHootiug'and call for inspection in conjunction with footing andlor foundation inspection. fI.::i 0; Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placemeut. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with tinish materials. Framing Inspection: Prior to cover and. afterrall rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Fiual Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill. "'; Undertloor Plumbing: Prior to insulation o.rid;~fki~i~.:y';-, Underfloor Drain: Prior to cover or placem'e~:tor'~~nc~ete: ~'.1 .~. ' Rough Plumbing: Prior to cover and including required testing. Pa2e 3 of 4 . ;,\~,\ \-' '; I CITY OF SPRINGFIELD .,,:, Building/Combination Permit Status Issued PERMIT NO: COM2010-00403 ISSUED: 04/20/2010 APPLIED: 04/01/2010 EXPIRES: 10/20/2010 VALUE: $ 181,489.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to tilling trench and incln,ding required testing. , "". ~ ' Sanitary Sewer Line: Prior to filling trench and inclnding required testing. Storm Sewer Line: Prior to filling trench. Final Plnmbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Underfloor Mechanical. Prior to insulation ~r.~.ecking and including reqnired testing. . ..,''''' ,/. Temporary Electric: Approval required priorSo Utliiiy:'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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of con'crete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further 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 ofany strucinre withont 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. ner or Contractors Signature -4-7o-~O Date ;'d ".. :';:; ; ',:.,"y Page 4 01'4 Structural Permit Application 1_- 225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753. FAX(541 )726-3689 DEPARTMENT USE ONLY COM Z-O(O .OO/..{O Permit no.: -1-10 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. LOCAL GOVERNMENT APPROVAL "Jlis project has finalland~use approval. ~;ignalure: Date: ".;.'his project has DEQ approval. ~;ignature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION ~esidentia] 1 D GOVCl11ment I 0 Commercial JOB SITE INFORMATION AND LOCATION lob sile address: \' ") ~~l v\c. \ ~ ~ ti 'City' , fIJD' State: CTI ZIP"1-r4,T'" 3ubdivis\on'i" v.. lsill f\. I -\- I Lot no,: ~ :Mer'ence:\10'3 2.73 \ I Taxlot: 07/00 PROPERTY OWNER ' '-lame: { \\ ~ Address: ,2.?..:2. I n~ City: ~ II t'" \.' C ~\, ,,\ Phone: '- - ~ La ' State~ CfI- ZIP!-1-!l1,t of Fax: E-mail: This installation is being made Oll rtsidential or falTl1 property owned by ,Tie or a member of my immediate lumity, and is exempt from licensing ,-equirements underORS 701.010. Sign here: CONTRACTOR IN{lTALLt,T10N Business name:f--c]lJt--h1 : ILl 0, (11{~ I 1/ Addres: ~~ Y~')\tl'o \"If ,,""'lop , 'City: l r\" State: )oJ ZIP: T\rr Phonc:~ \...,~~2-ol{\, Fax;::' ''7<.. .,.....,+-L~ E-mail:~<t.Jf' IrJiM..Ci . -- CCB licl,\s~ no, \ -::. alll \ D Print name ~I\A' ( ~,.., .A/)(l M Signalure:' ~'~LA SUB.-CQNTFfACTORIN.FORMA TION Name '.li eB License ~tlmber Phonc ;\'umber Elcrtriral Plumbing .\1erhaniral A.l.l ~L.\ ID-r ~ ~~1-<{7"- "'-.~ \ ,,,I '7104. , ~l^ '2-'-1:4: \ , , FEE SCHEDULE 1. Valuation information " (aIJobdcscription: 5,..,,/6;" '::A_, I... iCes...J '/:' Occupancy f<. "3 / LA ' Construction type: I VlS Square feet Cost per square foot Other information: t--'4-c.C'6 71.d.. Type of Heat: e'(..(:"1:.., Energ)' Path: S [Zl new D alteration (b) Foundation-only permit? Total valuation: 2. Building fees (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c, Rcinspection ($ per hour): (number of hours x fee per hour) D addition DYes -:Pen. ,..,p~ $ $ $ (d) Enter 12% surcharge (.12 x [2a+2b+2cj): (e) Subtotal offees above (2a through 2d): 3. Plan review fees (a) Plan review (65% x penn it fee [2aD: (b) Fire and life safety (40% x pennit fee [2a)): (c) Subtotal offces above (3a and 3b): 4. Miscellaneous fees (a) Seismic fee. 1%(.01 x pemlit fee [2a]): $ TO!AL fees and surcharges (2e+3c+4a): S $ s CLO $'b::> ( $ $ 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 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. \ ""," ~<J ~ .0 \\) VIl\V" l\.:V[)~ V ~ 440-2584-) (9!08/COM) - 5" ~~ ~~ Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof I $134.00 :1 $ 25.00 $ 32.00 $ 63.00 ~~~~-!iItroCAJ};tG()~EgNI\IIENT~;.<<~ggO.VAL;t;~jt!;]t;;;~i~ Zoning approval verified? 0 Yes 0 No ;1!~;':i>!~08;;eJ;\'tEGo~Y"i;()I'J;eoNSmR.UC'tION~~;;;;;;T;9;j;'l' i:i1IResidential 1 0 Government 1 0 Commercial Eiir;;;;;::lOEl;$IJEmINI',ORMA'!IloNWANo;;IfOcA'tIQNTimwl;;;m Job site address: _f-):') " l \ \1\ rl \..l.. ft,. '" City~'I--\\l\1 h p\C State: () ~ I ZIP: C\.'1-. TT ~ ~U\t ILO~ ~ 'Ul ~~ ~.!; ~ ~~ 200 amps or less (2) ~~~ ~\T'\' \ .' Address: \ L~- AV\f\--(' \.;) City: :'>.x:ID..Cl.t\':-f'.IAI State: '(,)1<.: 1 ZIP:~l=tt-l(+-~ Pbone: '. - ~ I Fax: - - E-mail: \B.~ le~ I;'" Ql\> This installation is being made on resideuJj1'l~ ~t1'~\e~e owned by me or a member of my i~&:li\&' ~9 ~os'll' ~.. property is not intended for sale, ~~~'qIt~tt\\~ ~~\)~~!: 479.540(1) and 479.560(I). ~O\~~ca\iO(\ $\.oO~~"" Signature: ~O~~~ 90'2; e.'! 0'0 ~e', N ;~'tt~m;Inm;;tCQN'11Me.iI"og~IN . 7 Business name: II- Jm l P . :;.., \9 \ Address:GjlQ\ "Ii\. I ~ll '_ ir ~ City:'\? Ll LIlA Nil ({ f State: O~ '1 ZIP: Phone:i:)q.,-U 10-"7"'-'-"" I Fax:FlJI-C/? -.~:';;-+<, First branch circuit (2) E-mail: C ml ~I . . ,'r.\ VI fl. LiJQnl . I1NIIA CCB license no.: IW ~(,,'-I I BCD license no.: "f<JtK. Signing supervisor's license no.: ~r;:l"",t:'" 5 Print name of signing supervisor: D'" .. 'M' I Signature of signing supervlsor: ~ ~ jV(. ~ V Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 20 I to 400 amps (2) 401 to 600 amps (2) 601 to 1,000 amps (2) $ 81.00 $ $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ Over 1,000 amps or volts (2) e t only (2) $ J:J~ $ 7'5 $ $ services or feeders: installation, alteration, relocation ~rless (2) I $ 63.00 $ 63 ~ ps(2) s (2) $ 87.00 $126.00 $ $ 00 amps or 1,000"volts, see services or feeders section above aRch circuits: new, alteration, extension p'er 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: $ Each additional branch circuit $ 55.00 $ 6.00 Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) ,<>' Each sign or outline lightin&;(.])>" ~._< > $ 63.00 $ 63.00 Signal circuit or a limited-e~ alteration, or extension. Qd.'\"~ Eacb additional. , $ 63.00 $58.00 ~ ~~.. ~ efees ~~~ ~ . ~l!ree $58.00) .<\:~fo :<'iTI t~~ge (.]2 x [A]) \>.\')~~ ';"~gy Fee (5% of[A]) c,CI.NIii'i AL fees and surcharges (A through C): ~ $ $ S $ $ $ 'll $2'72- $ 32''1 $ 1]6.. $ ?192~ 2' willamalane t Park and Recreation District Job. No. i!/O~9tJ3 SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30,2010 NAME: AI.t./ M.A/K I Ut+a:r/4J.7)' PHONE: t ADDRESS: /2"52 ~ ut? CITY tfFL-f> STATE:MZIP: 91lf'J1 LOCATION OF PROPOSED BUILDING SITE: Street Address: I:2-Sg 4/ !l(L(I/~a- Plat Name: Tax Lot Number: /2J:J 27 3( . 11M 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 = $ 2'iS~ 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.) $ g 3. TOTAL WILLAMALANE NET SOC ASSESSED (if SDC reduced for Credit) ~., $ ;2Ji~ tt i Ai ..2-d 1(1 Date ~ Development Services Department City of Springfield . 5 .~ ',.; City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 1201000000000000364 Date: 04/20/2010 8:44:51AM Job/Journal Number COM20 I 0-00403 COM20 I 0-00403 COM20 1 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM2010-00403 COM20 I 0-00403 COM2010-00403 COM20 1 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 1 0-00403 COM20 I 0-00403 COM20 I 0-00403 COM20 1 0-00403 COM20 I 0-00403 COM20 I 0-00403 Payments: Type of Payment Check eRecciotl Description Plan Review Residential Plan Review Major - Planning Plan Review Residential Building Perrn!t Addressing Assignment Willamalane Single Family 3 Baths One & Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less "..1 :,,' 'J; Fire SF Fee - Residential + 12% State Surcharge Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential 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 Amount Du'e 659.10 21 (00 18.52 1,042.49 38.00 2,858.00 402.00 79.00 36.00 13.00 9.00 134.00 75.00 63.00 105.65 222.42 88.00 634.07 782.81 595.25 211.21 931.65 101.97 I 1,333.57 10.00 147.42 22.63 83.74 107.62 $11,016.12 '.' I !t, Paid By EQUITY 1-I0MEBUILDERS LLC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid 4772 In Person $11,016.12 d'b ).. .i. Payment Total: $11,016.12 ~. Page I of I 4/20/20 I 0