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Home My WebLink AboutPermit Building 2010-4-28 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00517 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: $ 147,106.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1020 53RD ST ASSESSOR'S PARCEL NO.: 1702283402200 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Owner: CUMMINS INVESTMENTS LLC Address: 31221 OSPREY RD '.," LEBANON OR 97355 I CONTRACTOR INFORMATION ~ Contractor Type General Electrical Mechanical Plumbing License 160347 117770 171706 158279 Contractor DAVIS CONSTRUCTION SERVICES LLC EASTSIDE ELECTRIC INC SUNSET HEATING & AIR INC JOHNS PRECISION PLUMBING NOTICE: ):(.5;;',~\dBUlLDIN~I.~.~,?~MATlON I # of Units: THIS PERMrr SHAll EXPIF:~I!l'I' . WORK 1 Primary Occupancy GIW~HORIZE~DER THISlViJRW' ~Bf 17.00 Secondary Occupancy ~IL1IilENCED (9fR IS ABAN1\ffiIle .: Forced Air Gas Primary ConstructionA'&Iil'e18D DAY'fIERIOD Wl:f~'r '" Gas Secondary Construction Type: . . Range Type: . Electric # of Bedrooms: 3 Energy Path: Sprinkled Building: n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION ~ ~,l, ~ - . A!; " Overlay Dist: "7i. S'treeiT~ees Rqd: Paved Drive Rqd: % of Lot Coverage: 18.50 5.00 5.00 10.00 20.00 Expiration Date 06/14/2010 10/04/2011 08/1812010 02/04/2012 Phone 541-868-6294 541-915-9828 541-988-3181 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,319 514 REQUIRED PARKING 2 Yes 32.70 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS ~ A~N: 9,;:moIlJe\'(,JeQ.ufres you.to Fully Improved follow rules adop'ie'cl'By Md'oregon Utility Curbside 7' Yes Notification Centtll.wh!!lP6~ar~ set fortb-ywell - Provide Drywell approved by Eric Walter _ In .OAR 952-001-001 0 through OAR 952-j~ell Engineering . .. 0090. You may obtain copies of the rules by ;1 . calling the center. (Note: the telephone . number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa~e 1 of 4 ."'.'<..Ail: . j . .'. ..,;" '#~.'~ , r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Estimate U VB Utility R-3 VB 1&2 Familv Estimate GaraeelMisc SFlDuplex Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration ,SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Storm - Improvement SDC Storm - Reimbursement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Vent Fan Willamalane Single Family Total Amount Paid ,-' ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00517 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: $ 147,106.00 .E1.,*~~ . ; \r~~ , . ,~l ~~~J"", "'>,., .., ..j ~ .' U".'i' li- I I v aluation Description I $ Per, Sq Ft or multiplier $1.00 $37,72 $96.83 Sqnare Footage or Bid Amount 131,900.00 514.00 1,319.00 Value Date Calculated $131,900,00 $19,388.08 $127,718.77 $279,006.85 04/27/2010 04/27/2010 04/27/2010 Total Value of Project ~ i-1(;\&' ,; =-.'(",- ~::. ,( >- ......,. Amount Paid .' Date Paid Receipt Number UVi' . LI, ' $187.21 if: 4/28/10 1201000000000000388 $91.46 4/28/10 1201000000000000388 $79.00 4/28/10 1201000000000000388 $337.00 4/28/10 1201000000000000388 $38.00 4/28/10 1201000000000000388 $9,00 4/28/10 1201000000000000388 $904.11 4/28/10 1201000000000000388 $9.00 .4/28/10 1201000000000000388 $13.00 4/28/10 1201000000000000388 $91.65 , 4/28/10 1201000000000000388 $7.00 4/28/10 1201000000000000388 $211.(iO;':' 4/28/10 1201000000000000388 $587./b" 4/28/10 1201000000000000388 $-30.00 4/28/10 1201000000000000388 $134.00 4/28/10 1201000000000000388 $50.00 4/28/10 1201000000000000388 $485.02 4/28/10 1201000000000000388 $637.85 4/28/10 1201000000000000388 $10.00 4/28/10 1201000000000000388 $22.63.',;\' t. 4/28/10 1201000000000000388 ~:')'~'.',' "Il';.' $1,333.57 ";", ., 4/28/10 1201000000000000388 $101.971 ' i)' 4/28/10 1201000000000000388 ~. ',-' $100.90,/' , 4/28/10 1201000000000000388 $74.97 4/28/10 1201000000000000388 $52.93 4/28/10 1201000000000000388 $211.21 4/28/10 1201000000000000388 $931.65 4/28/1 0 120]000000000000388 $92.19 4/28/10 120]000000000000388 $88.00 4/28/10 ]201000000000000388 $18.00 4/28/]0 ]201000000000000388 $2,858.00 4/28/10 1201000000000000388 $9,737.99 ',il , ' Paee 2 of 4 '.: CITY OF SPRINGFIELD Building/Combination Permit , . , PERMIT NO: COM2010-00517 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: $ 147,106.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , " '-"10;'(' ''',: Plannine: Review 04/27/2010 I Plan Reviews ~ 04/27/2010 APP DDK Meets minimnm setbacks. Inspector to field verify placement at time of footing inspection. Need maintenance agreement and recorded easement for joint drywell for lots 13 & 14 prior to hookup. Per Scott Davis Developer, has approval of drywell from OEQ. As noted on plans Pnblic Works Review 04/27/2010 04/2712010 POK LKW Structural Review 04/27/2010 04/27/2010 APP CJC 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, ~e{lIiire1J.n,snections I Erosion/Grading Inspcction: Prior to grou~d.disturbance and ~fter erosion mcasures 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. Vfer 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 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. Drywall: Prior to taping. Masonry: , .JMA\" )~.~;,,!\.... 1. . " , \ Final Building: After allreqnired inspectio~~..h~ve been requested and approved and the building is complete. n...! ,1,1. "h~' , Vnderlloor Plumbing: Prior to insulation ar'decking. , U nderfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Pa!!e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00S17 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: $ 147,106.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to tilling trench. Final Plumbing: When all plumbing work is,cRmpl.~le.." /.':L.._.", "... ~'_i Underfloor Mechanical. Prior to insulation.or,~~ckiqg and including required testing. ',II.~ ,,:;. , Underfloor Gas: After line is installed and refluired iesting 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 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. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and 1 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 of any structu~'r,t)\'ith,oulp'ermission of the Community Services Division, Building Safety. I further certify that only contractors and employee's'who,,~'re'in 'compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectioiisj~re'requested at the proper time, that each address is readable from the street, that the permit card is located at the front oi'.W~ property, and the approved set of plans will remain on the site at all times during construction. 1/79 110 Owner or Contra tors Signature Date . :'.:~f~.t~' ;r1':/~: ! :'~ \,;:~)' I ;1; :! ~ I I .j , . Paee 4 of 4 ," ;:.;': Electrical Permit Application ;, fr f ~_"'~" "' "'~. _ ~-"" ,t,.._; _ ," ~... ~ . . 1. , ,CI'IjYf 'OIji,S,rRm(j~16LD, "OREGO~, ' - j" "" ~? '~;lJ:""''''",,*:; .'il!.~~~:;.?-;<J,~"."~-'i_ ~~ ,j, 225 Fifth Street. SpriDgfield, OR 97477 tPH(541 )726-3753 H AX(541 )726-3689 DEPARTMENT USE ONLY COM ZOIO. 00 sn Permit no.: Tbis permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days of issuanee or ifwork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes D No CATEGORY OF CONSTRUCTION o Residential I 0 Government 1.0 Commercial JOB SITE INFORMATION AND LOCATION Job site address; (O:U:> . ~?IZI> City: SfFt..t> I State:OL I ZIP; <:;'7 '-('l~ Reference; ('?/J 2. 3o'i3't I Taxlot.:?-'2..oDC:5I DESCRIPTION OF WORK c...J 11U:- StN6-LE::: ~"""L.Y ~ Services Dr feeders: installation. alteration. relocation , ' (tilt) reMf> "\ 200 amps orless (2) $ 81.00 $ PROPERTY OWNEl<- -- 201 to 400 amps (2) $ 95.00 $ Name;WItI\......,....J /tJf/ 401 to 600 amps (2) $158.00 $ Address; 11 2.'2- I " ~ t'~r:'f (l. r) 601 to 1,000 amps (2) $205.00 $ City; LE"S t"rl'l" #J I State; ~ I ZIP: "1 '7 3 S" $; Over 1,000 amps or volts (2) $469.00 $ Ph ~ r-C .. /_,..,--... I Reconnect only (2) $ 63.00 $ one: -~>-D~" ~_ Fax: - - E-mail: /' -r::~'-r Temporary services or feeders: Installation, alteratIOn, relocation '>I, Or.= _,", This installation is being made on residential or farm property" rUI~; ~~?;' H;jJ(l$1Otal\1'i"'"",,' $ 63.00 $ owned b~ me or a member of my immediate family. TIjis.)'ii!CCltio, I C e'm)J~ YrJAAi1regon Utili;, $ 87.00 $ property IS not mtended for sale, exchange, lease, or rent. OAR9S< -0 1..0.0. are 479.540(1) and 479.560(1). ()090. You """-"OO>f1lI setforth . $126.00 $ Signature: Cal1!ng Ih ~c\~~F!j~~o~:lbrvices or feeders section above. CONTRACTOR INST ALLA TION "1.1,,, ro I . ;1'. . fteli#SPhoil&-fxtension per panel Business name: e" S T SID EEL E L T (( J C "'" Ie \l! f/eBWls&11''2~Ji~II~lll4lIIljlm-chase of a service or feeder fee: Address; ~ 'ii.).5' 5 80 $ c..A~ EO t. N . Each branch circuit' $ 6.00 $ City: 5 P f <.,D I State: 0 lZ I ZIP: '17 4 7'8' b. Fee for branch circuits without purchase of a service or feeder fee; Phone: - -7lf/-I'iCj9 I Fax: - -73I:,'Y960 E-mail: R/C/C.U,S751i)E~ YAHo6, (01Vl CCBlicenseno.: }1J"7,O I BCD license no.; 10 ,VOS'L 1./7),75 0& Ef(. K HJ (j- )u.. IVa Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) NOTICE: Each addi(ional.inspectioD: (I) THIS PERMITSHAl _'':Tuc;,~ICANT USE AUTHORIZED UNDE \<tt!I8''PER~ ~'lWffees . COMMENCED OR IS m . l'ilFlee $58.00) 0..:\0 ANY 180 DAY PERI( ~)-Enter 12% surcharge (.12 x [A]) tx.~ fS!' (C) Teclmology Fee (5% of[A]) ~ ~ TOTAL fees and surcharges (A through C): Signing supervisor's license no.: Print name of signing supervisor; Signature of signing supervisor: ~w~ h\\\J,:r ~' 'Y''P 440-2584-J (9/08/COM) FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $'J'f Each additional 500 sq. ft. or portion 1..- $ 25.00 $$l) thereof Limiled energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) ~"-First'branch circuil (2) $ 55.00 $ $ Each additional branch circuit $ 6.00 Miscellaneous fees: service or feeder not included $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 $ . $~ $~'.! $~~ $ ~U~ l!~ willamalane t~ Park and Recreation District Job. No. (JILl - '>1'7 SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 NAME: {}tutl'fll-O IIVY. PHONE: ADDRESS: 3/22.-/ oJSp~:-V ((ft CITY It"fj...~ STATE:d\LZIP: 7'lt("J( LOCATION OF PROPOSED BUILDING SITE: Street Address: la 2<J >3~.a- Plat Name: Tax Lot Number: /7/12 ;Zii3'f .22L>V 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinqle-Family Detached NO. OF UNITS I X $2,858 per unit = $~r 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 Credit) $';2.ffl ~ Development Services Department City of Springfield t..11~ 10 Date ?!i!J 5 RECEIPT #: 1201000000000000388 Date: 04/28/2010 9:22: I3AM Job/Journal Number Description Amount Due COM20 I 0-00517 Plan Review Major - Planning 211.00 COM20 I 0-00517 Sidewalk Pennit 88.00 COM20 I 0-00517 PW Disc - 2nd Pennit (30.00) COM20 I 0-00517 SDC Stonn - Improvement 74.97 : COM20 I 0-00517 SDC Stonn - Reimbursement ,.. 52.93 COM20 I 0-00517 Sanitary Sewer - Reimbursement. ~~ 637.85 COM20 I 0-00517 Sanitary Sewer - Improvement , ; . 485.02 ',' t. ,~ COM2010-00517 SDC Tran Reimburs-Residential 211.21 COM2010-00517 SDC Trans Improvement-Resident 931.65 COM2010-00517 SDC MWMC Reimbursement 101.97 COM2010-00517 SDC MWMC Improvement 1,333.57 COM2010-00517 SDC MWMC Administration 10.00 COM20 10-00517 SDC Sanitary/Stonn Admin 100.90 COM20 I 0-00517 SDC MWMC Compliance Charge 22.63 COM20 I 0-00517 SDC Transportation Admin 92.19 COM20 I 0-00517 Plan Review Residential 587.67 COM20 I 0~00517 Building Permit 904.11 COM20 I 0-00517 Addressing Assignment "-' 38.00 COM2010-00517 Willamalane Single Family 2,858.00 COM20 I 0-00517 2 Baths One or Two Family 337.00 COM20 I 0-00517 I sl Appliance 79.00 COM20 I 0-00517 Vent Fan 18.00 COM20 I 0-00517 Appliance Vent 9.00 COM20 I 0-00517 Exhaust Hoods 13.00 COM20 10-00517 Dryer Vent 9.00 COM20 I 0-00517 Gas Outlets 1-4 " 7.00 ,- '. Residence Wiring 1000 Sq Ft t,;"~'- .J' COM2010-00517 ' I".r.~, 134.00 COM20 I 0-00517 Residence Wiring Ea Addtl 500., 50.00 COM20 I 0-00517 Fire SF Fee - Residential 91.65 COM2010-00517 + 5% Technology Fee 91.46 COM20 I 0-00517 + 12% State Surcharge 187.21 Item Total: $9,737.99 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard SCOTT DA VIS djb 01692d In Person $9,500.00 Check DA VIS CONSTRUCTION djb 1474 In Person $237.99 Payment Total: $9,737.99 I_,~~ 'l '\l.:', .,.' '. .,. ).. ., ., cRcceintl Page 2 of2 4/28/20 I 0