HomeMy WebLinkAboutPermit Building 2010-5-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00455
ISSUED: 05/11/2010
APPLIED: 04/12/2010
EXPIRES: 11/11/2010
VALUE: $ 252,047.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4161 Glacier View Dr 4163
ASSESSOR'S PARCEL NO.: 1802052204300
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex - to be owned and occupied by owner/owuHs sons
Residential
Owner:
Address:
HENTON STEPHEN
38261 JASPER LOWELL RD
FALL CREEK OR 97438
Phone Nnmber: 541-747-9841
.~
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mecbanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
~- License
Expiration Date Phone
BUILDING INFORMATION ~
6
# of Stories:
Heightof Structure'
Type ~rH~~ai;. .
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
28.00
Wall Heat
Electric
Electric
Lot Size:
Sq Ft 1st Floor:
Sq' Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,000
1,080
2,440
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type '
Secondary Construction Type:
# of Bedrooms:
2
R-3
U
VB
480
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees R.'l!!: , Ha,ndicapped:
Paved Dr~I(j:IION: Oregon la~qulres Y@lO,M\Jact:
% of Lot~gWflMl~s adopted bli1'JfuOregon Ut'lIty
Notificatfon Center. Those rules are set forth
In OAR 952-001-0010 throu hOAR 952-001-
PUBLIC IMP 0 taln copies 0 e ru es
MnTlt'I::.' nter. (Note: the telephone
Street 1mprov<!m\'lffs: . E n, I ~ number for the OrE&loeW.llllityj)llllificalion
S S TH~PWrmIT SHALL EXP~KE fVpral" ORK Cenler is 1-800-332.2344\. ,
torm ew",r, v.jII 'D ''Ye ,Downspouts/Dhms:
SpeciallnfWu 0',: UNDER THIS PERMIT IS N8T .
COMMENCED OR IS ABANDONED FOR
Notes: ~t('fIOO.CW'A;l:'Ejff1\Q]OURB AND GUTTER - DRIVEWAY APPROACH NOT TO EXCEED 24 FT.
.. - ~ i i ~ 1: "\" " r .
'._,.'.~", . ',' ....-. ,,, ..
T~.iJ ~Ji' ~f}~!"
56.00
5.00
5.00
15.00
0.00
Curbside 5'
Curb and Gutter
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raee 1 of 4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00455
ISSUED: 05/11/2010
APPLIED: 04/1212010
EXPIRES: 11/11/2010
VALUE: $ 252,047.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
GaraeelMisc
SFlDuplex
Estimate
U VB Utility
R-3 VB 1&2 Family
I Valuation DescriI!tion I
$ Per S.qJ't _' ".: . . Square Footage
or multip,lier,)f L;'j or Bid Amount
$LOO " 128,048.00
$37.72 480.00
$96.83 2,416.00
Value
Date Calculated
DescriPtion
Type of Construction
Total Value of Project
$128,048.00
$18,105.60
$233,941.28
$380,094.88
0411212010
04116120 I 0
0411612010
~
Fee Description Amount Paid Date Paid
Plan Reyiew Residential $537.41 . 4112110
+ 12% State Surcharge $314.94 5111110
+ 5% Technology Fee $148.32 5111110
1st Appliance $158.00' 5111110
2 Baths One or Two Family $674.00 5111110
Addressing Assignment $76.00 5111110
Building Permit $1,331.46 5111110
Curhcut - 2nd Curhcut $-45.00 5111110
Curbcut Permit $88.00 5111110
Dryer Vent $18.00 5111110
Exhaust Hoods $26.00. . 5111110
Fire SF Fee. Residential $144.80,:,!.:I' . . '5111110
, lid), "
Plan Reyiew Major - Planning $211.00 .".' 5111110
Plan Review Residential $328.04 ii,'c' . ., 5111110
Residence Wiring 1000 Sq Ft $268.001;, 5111110
Residence Wiring Ea Addtl 500 $50.00 ' 5111110
Sanitary Sewer - Improvement $881.85 5111110
Sanitary Sewer - Reimbursement $1,159.72 5111110
SDC MWMC Administration $10.00 5111110
SDC MWMC Compliance Charge $45.26 5111/10
SDC MWMC Improvement $2,667.14 5111110
SDC MWMC Reimbursement $203.94 . 5111110
SDC SanitarylStorm Admin $189.37 ,5111110
SDC Storm. Improvement $113.12 5111!10
SDC Storm. Reimbursement $1~0.22 5111110
SDC Tran Reimburs-Residential $422.43 5111110
SDC Trans Improvement-Resident $1,863.30 5111110
SDC Transpol'tation Admin $186.98 5111110
Sidewalk Permit $88.00 5111110
Temp Power 200 amps or less $63.00 5111110
Vent Fan $36.00 5111110
Willamalane At(ached (duplex) $6,200.00 5111!10
Total Amount Paid $18,619.3q':'f:;' . -, ).
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Receipt Number
2201000000000000349
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
2201000000000000483
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00455
ISSUED: 05/11/2010
APPLIED: 04/12/2010
EXPIRES: 11/11/2010
VALUE: $ 252,047.00
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Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
I. Plan Reviews ~
Initial Review
. 04/16/2010
APP LLH
04/14/2010
Structural Review
04/16/2010
APP CJC
04/19/2010
Planning Review
04/16/2010
,04Q'2120.lL,... ' APP. DDK
Public Works Review
WE BJG
04/16/2010
04/27/2010
Public Works Review
APP BJG
04/27/2010
04/27/2010
Per Owner via David Bowlsby, this
duplex will he constructed hy owner
and occupied hy owner and/or sons.
Owner performing all specialty
work.
Review complete
Plan meets minimum setbacks.
Inspector to Iield verify placement
prior to footing inspection. See
letter attached.
Need information from owner about
throught width of driveway.
STORM WATER TO CURB AND
GUTTER - DRIVEWAY
APPROACH WIDTH NOT TO
EXCEED 24 FT.
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, insp'ections requested after 7:00 a.m. will be made the following
work day.
.
l...JleCluirerLlnsnections ~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with fonting and/or
foundation inspection.
Footing: After trenches are excavated.
i4/X:.\ ,11.: '1-.. . . .
Erosion/Grading Inspection: Prior to ground'disturbance and after erosion measures are installed.
Sidewalk - Curhside: After forms are erectcd'but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Foundation: After forms are erected hut prior to concrete placement.
Slah: 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 noor insnlation or decking.
Floor Insulation: Prior to decking.
Shear Wa~1 Nailing: Before covering sheathing ,with nn!sh,'materials.
Framing Inspection: Prior to cover and atter all rough in inspections have been approved.
Wall Insnlation: Prior to cover.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
:';
PERMIT NO: COM20]0-00455
ISSUED: 05/] 1120]0
APPLIED: 04/]2/20]0
EXPIRES: ]1/]1/20]0
VALUE: $ 252,047.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Underfloor Plnmbing: Prior to insnlation or decking.
I
Underfloor Drain: Prior to cover 01'- placement of concrete.
..' I
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 trench and including reqnired testing.
Storm S'ewer Line: Prior to filling trench.
Final Plnmbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
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Final Mechanical: When all mechanical worki; complete. .
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rongh Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do here.by certify that all
information hereon is true 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 of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~'\vho 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 dur'ng constr. ction.
5-/( - 2{')/O
Date
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Paee 4 of 4
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~~ willamalane
tlii Park and Recreation District
Job. No.
Q; ~D .4;S~
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: &~~eX\\;\enm\l. PHONE: 5'\ \ .q\c8 'loD~0
ADDRESS:~51[\o\ ~.D~CITY~STATE:~P:~
LOCATION OF PROPOS~~D~SITE:
Street Address: -\\\0\ 4,\,\o~ G.\H~ley~\fuJ \)~\JV
. Tax Lot Number: \Btf)J)~l}..f2-
Plat Name.
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 =
$
B. Sinqle-Family Attached
NO. OF UNITS. z..
X $3,100 per unit =
cO
$ \gQIf).
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
$ lo2.CO ,rP
g
$ l o?1f) ,ex)
$
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credil)_.
S,
Date
I I
,
/U
Development Services
City of Springfield
5
Structural Permit Application
-
225 F,llh Street' Sp,ingfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-J689
SPRINGFIELD h:';:~_'
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k,___'- _ -
DEPARTMENT USE ONL.Y
C~ZC(O~ OOLf
Penn it no.:
~
Date: -( Z -( 0
This permit is issued uuder OAR 918-460-0030. Permits expire if work is uot started withiu 180 days ofissuauce or if work is
suspeuded for 180 days.
LOCAL _GOVERNMENT APPROVAL,
This project has final lund-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within Ilood plain: DYes D No
CATEGORY OF ,CONSTI3UCTION
Residential
o Government
o Commercial
JOB SITE INFORMATION AND _LOCATION
11 h:>
Reference: 18 -b ?-oS -2-2
- PROPERTY OWNER
Name: v\ f-
::U '1'iL I
Address:
Lo
State: o.,e. ZIP: 1743Z
FaxS"! - 7'-i?{ - '5'133
Sign here:
'^"
Print name:
Signature:
'f:~
,cr.
Name
Electrical
Plumbing
Mechanical
CCB License Number Phone Number
Ow <S'l\
O,^,"-W" 5'-\1
5'-\1
~
FEE SCHEDULE -
1. Valuatiou information
(a) Job description: . D<A "Let'
Occupancy 12.-":>
Construction type: V~
Square feet: J--\: ~41b &t: 1.18'0
Cost per square foot: $5"3
Other information:
Typ, ofll,at: Zon,,1 Flee\--.--; ( ! Ca.kt
Energy Path: -=#=' 4 A - 7c:L Per... I~<I. (;D!.J- ~)<_ o"S. c.-.
~ew o alteration D addition
(b) Foundation-only permit? DYes l2f:1'Jo
Total valuation: $jlK,O,-\Z
2. Building fees / -- .
-
(a) Permit fee (use valuation table): $
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2cl): $
(e) Subtotal of fees above (2. through 2d): $
3. Plan review fees .". . .JJ
(a) Plan review (65% x permit fee [2aD: $.:;37 ::.. f-
(b) Fir~ and life safety (40% x permit fee 12a]): $
(e) Subtotal of fees above (3a and 3b): S
4. Miscellaneous fees " "
.
(a) Seismic fee, 1%(.01 x permit fee [2aD: $
TOTAL fees and surcharges (2e+3c+4a): $
FL
Electrical Permit Application
,1f,; '~.:: ,.-. <""f~'- ..::--<-.........-".-_.. t-"""._~-""tf"'Jj-I-..t:'fi.. ;...,.= .'1>",
-~IT~ OF; SPRIN"GEIELD fOREGON':'~
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225 Fifth Street. Springfield, OR 97477.PH(54t)726-3753tFAX(54t)726-3689
SPRINGFIELD ~~
t '" _ "
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. DEPARTMENT USE ONLY
C c....... Z-Ol u . en::, I.( S S-
Pennit no.:
Date: S -11- 10
This permit is issued under OAR 918-309-0000. Permits are nontralIsferable. Permits expire if work is nol started within 180
days of issuance or if work is suspended for 180 days.
LOCAL' c;OVERNMENT APPROVAL>,"
Zoning approval verified? L'!I'Yes 0 No
'.. . .CATEGORVOF.CQNSTRUCTIQN
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Name:
Fax:
E-mail: " .\ k<:. "M<1<'/.l.oW'o,
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, rent. OAR
479.540(1) and 47 . 601).
Signature:
Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Signing suPSr:vise;;.,s license no.:
Print narn; of signing supervisor:
Signature of signing supervisor:
~~~o
t><,';\ ~
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440-2584-J (9/08/COM)
::'i':::.i,(~~:;-,i','~1)t,t';'(F.EE:sSQHEDl.Jl:E: ~:'(~'::r~'i.t/?;i{~,~~;l;0~F~~~B~~~
!.Nu~,~~r' ofi~~p,~cti~:.~~ p~,~;~,te.~,: O. Qty. Cost , Total
ea: cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) Z $134.00 $zb$ -
Each additional 500 sq: ft. or portion 2- $ 25.00 $.$0
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00, $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20] to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 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) ( $ 63.00 $t."? -
20] to 400 amps (2) $ 87.00 $
40] to 600 amps (2) $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 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:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder ~ot 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, 9r extension (2)
Each additional inspection: (t) $58.00 $
:k~M~~~T~~$~~;f~.i~t4t~\.~tMe.CiCAN,.(~:tJS.EW;,~:Y_::.;;!:"~,~J:h?)~t::;i:~ .
(A) Enter subtotal of above fees "
~(Minimum Permit Fee $58.00) $ :3 g- ,
(B) Enter ]2% surcharge (.12 x [Al) $ Ar..tI):1 g
(C) Technology Fee (5% of[Al) $ \Q",r
TOTAL fees and surcharges (A through C): $4 Lj .5 7
6U
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000349
Date: 04/12/2010
3:00:53PM
Job/Journal Number
COM20 1 0-00455
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Residential
Paid By
STEPHEN HENTON
. Check Number
Received By Batch Number
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Item Total:
Authorization
Number How Received
Amount Due
537.41
$537.41
Amount Paid
012360 In Person
Payment Total:
$537.4 1
$537.41
4/12/2010
RECEIPT #:
'Y"
2201000000000000483
Date: 05/11/2010
] :54:38PM
Job/Journal Number
COM20 10-00455
COM20 10-00455
COM2010-00455
COM20 I 0-00455
COM2010-00455
COM20 I 0-00455
COM20 I 0-00455
COM2010-00455
COM2010-00455
COM20 1 0-00455
COM20 I 0-00455.
COM20 I 0-00455
COM20 I 0-00455
COM20 I 0-00455
COM20 I 0-00455
COM2010-00455
COM20 I 0-00455
COM20 I 0-00455
COM20 I 0-00455
COM20 I 0-00455
COM2010-00455
COM2010-00455
COM2010-00455
COM2010-00455
COM20 I 0-00455
COM2010-00455
-COM20 I 0-00455
COM20 I 0-00455
COM2010-00455
COM20 I 0~00455
COM20 I 0-00455
Payments:
Type of Payment
CreditCard
Check
cReceintJ
Description
Plan Review Residential
Addressing Assignment
Willamalane Attached (duplex)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or iess
Fire SF Fee - Residential
Building Permit
2 Baths One or Two Family
I st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
+ 12% State Surcharge
Plan Review Major - Planning
Sidewalk Permit.
Curbcut Penn it .~'-';t!:
Curbcut - 2nd Curbcut
SDC Storm - Improvement \1'1 ' .
SDC Storm - Reimbursement
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 0:ompliance Charge'
SDC Transportation Admin
+ 5% Technology Fee
Paid By
STEPHEN HENTON
STEPHEN HENTON
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Item Total:
Check Number. Authorization
Received By Batch Number Number (How Received
nJm
nJm
05536c In Person
In Person
Payment Total:
5520
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Page 2 of2
Amount Due
328.04
76.00
6,200.00
268.00
50.00
63.00
144.80
1,331.46
674.00
158.00
36.00
26.00
18.00
314.94
211.00
88.00
88.00
(45.00)
113.12
160.22
1,159.72
881.85
422.43
1,863.30
203.94
2,667.14
10.00
189.37
45.26
186.98
148.32
$]8,081.89
Amount P~d
$9,500.00
$8,581.89
$]8,081.89
5/11/2010