HomeMy WebLinkAboutPermit Building 2010-4-20
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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
. ;,\~,\ \-'
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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 "..
:';:;
;
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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.
\ "","
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~
.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
~.
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4/20/20 I 0