HomeMy WebLinkAboutPermit Mechanical 2007-6-29
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00967
ISSUED: 06/29/2007
APPLIED: 06/28/2007
EXPIRES: 12/29/2007
VALUE: $ 169,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5753 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005000
SPRING FIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2007-00360 5783 Mt Vernon
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
HA YDEN ENTERPRISES
License
92208
BUILDING INFORMATION'
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure: 25.00
Secondary Occupancy Group: U Type of Heat: Forced Air Gas
Primary Construction Type VB Water Type: Gas
Secondary Construction Type: Range Type: Gas
# of Bedrooms: ___.03_ Energy Path: Path 1
.amoN:Oregon~tld.yblj~ n/a
rut...~ ~ "".:'rr ~ jJ. et:W.
::=:no~I'I"~OOllIR_Z~MATION .
1080. You D01-G\lU,U. J..uugn U'''" ~
calling .,m:,.o:m ,:ra~~J&~ by
1IUmIaef=-..~==Wi~:
11.30 % of Lot t:overage:
0.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
1 PUBLIC IMPROVEMENTS I
Sidewalk Type:
Residential
Phone Number: 541-228-1081
Expiration Date
07/29/2007
Phone
541-228-1081
Lot Size:
Sq Ft 1st Floor: 641
Sq Ft 2nd Floor: 898
Sq Ft Basement:
Sq Ft Garage/Carport 408
Sq Ft Other:
Occupant Load:
1
Yes
35.90
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Partially Improved
Yes Downspouts/Drains: Curb and Gutter
For this parcel in Jasper Meadows 3rd & 4th Add, it is the recommendation to the Building
Division, by the City Engineer: "that final occupancy should not be given until the subdivision is
accepted by City Council".
Notes: Private Street
I . INOTICE:
Valuation Description THIS PERMIT SHALL EXPIRE IF THE WORK
ORIZED UNDER THIS PERMIT IS NOT
$ Per Sq Ft Square F~(] E~lt
or multiplier or Bid A~ENCED Ol';DABANDONm lated
ANY 180 DAY PERIOD.
Description
Type of Construction
Pa2e 1 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00967
ISSUED: 06/29/2007
APPLIED: 06/28/2007
EXPIRES: 12/29/2007
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellin2s
Gara2e
v Wood Frame
Gara2e
$103.00
$27.00
1,539.00
408.00
$158,517.00
$11,016.00
$169,533.00
06/28/2007
06/28/2007
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee- $10.00 6/29/07 3200700000000000444
+ 10% Administrative Fee $140.95 6/29/07 3200700000000000444
+ 5% Technology Fee $75.51 6/29/07 3200700000000000444
+ 8% State Surcharge $104.97 6/29/07 3200700000000000444
3 Baths One & Two Family $306.00 6/29/07 3200700000000000444
Addressing Assignment $31.00 6/29/07 3200700000000000444
Appliance Vent $6.00 6/29/07 3200700000000000444
Building Permit $793.15 6/29/07 3200700000000000444
Dryer Vent $6.00 6/29/07 3200700000000000444
Exhaust Hoods $9.00 6/29/07 3200700000000000444
Fire SF Fee - Residential $97.35 6/29/07 3200700000000000444
Furnace - up to 100,000 btu $12.00 6/29/07 3200700000000000444
Gas Outlets 1-4 $4.00 6/29/07 3200700000000000444
Plan Review Major - Planning $198.00 6/29/07 3200700000000000444
Plan Review Same As $200.00 6/29/07 3200700000000000444
Residence Wiring 1000 Sq Ft $106.00 6/29/07 3200700000000000444
Residence Wiring Ea Addtl 500 $38.00 6/29/07 3200700000000000444
Sanitary Sewer - Improvement $554.14 6/29/07 3200700000000000444
Sanitary Sewer - Reimbursement $728.74 6/29/07 3200700000000000444
SDC MWMC Administration $10.00 6/29/07 3200700000000000444
SDC MWMC Improvement $961.52 6/29/07 3200700000000000444
SDC MWMC Reimbursement $91.61 6/29/07 3200700000000000444
SDC Sanitary/Storm Admin $128.41 6/29/07 3200700000000000444
SDC Transpo Admin $70.06 6/29/07 3200700000000000444
SDC Transpo Improvement $836.32 6/29/07 3200700000000000444
SDC Transpo Reimbursement $189.58 6/29/07 3200700000000000444
Storm Drainage Impervious Area $597.40 6/29/07 3200700000000000444
Storm Sewer Each Addtl 100' $14.00 6/29/07 3200700000000000444
Vent Fan $18.00 6/29/07 3200700000000000444
Willamalane Single Family $2,303.00 6/29/07 3200700000000000444
Total Amount Paid $8,640.71
I Plan Reviews I
Plannin2 Review
06/28/2007
06/28/2007
APP T AJ
Cluster subdivision requires: 3'
walkway from porch to street,
window grids, and windows in the
garage door.
Pa2e 2 of 4
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-00967
ISSUED: 06/29/2007
APPLIED: 06/28/2007
EXPIRES: 12/29/2007
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
06/28/2007 06/28/2007 APP BRC For this parcel in Jasper Meadows
3rd & 4th Add, it is the
recommendation to the Building
Division, by the City Engineer: "thaI
final occupancy should not be given
until the subdivision is accepted by
City Council". Stomwater to weep
on in curb.
06/29/2007 06/2912007 APP DLM
Structural Review
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.Reouirecynsnections I
Ufer 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor 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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa2e 3 of 4
. ..-
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00967
ISSUED: 06/29/2007
APPLIED: 06/28/2007
EXPIRES: 12/29/2007
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vndertloor Mechanical. Prior to insulation or decking and including required testing.
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
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required 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 hereby 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 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
t;mes dU'f:oo't'u~ _ & ~ 2 r _ 0 (
Owner or Contractors Signature
Date
Pa2e 4 of 4
ZON L..o1-
INITIALS tv IV'
DATE '1 -71 - D-'
225 FlliTH STREET. SPRfNGFJELD, OR 97477 · PJl:(S41)726-37SJ · FAX: (541)726-3689 ., _ ._S~~R...C, E_~~__ /V_ .._____ _, _ _ ____
- ELECTRICAL PERMIT APPliCATION --------~-- --,------- - -- - - - - - ---~-
City.JobNumber (' ~2/itJ 7 - nI'J 9'ftJ 7. Date6'.?/4 \ 01
, .
1. :~fR8fRg~~f~~t1fE1fg~~~2illlJ~~{ 3. :~~m:Jd;~~~i~:~;f.wr~~~!1imwil~~i]~,~ . ~~~;;; .c~~~
57 S 3 #1 T J/t5t:tVJJV
LEGAL DESCRIPTION
I 5!bo 2.... LJ~/)n
JOB DESCRIPTION
/J51!kJtO
/)F A1e:-r W/ d~~
I ..
Permits are non-transferable and expire if work is .
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. :i~S2e~~~3iY~~~~Egl~[!!9~
Electrical Contractor V"ltiU f.t-tJVl~ .);~c..-
Address
.;{Cj'6~4 tJ <-V<( ~ t..( S tAJ
City
A\k(,\Cof
,
Phone S'j(-7SL(-fRn{
Expiration Date
. &./~7L/ S.
/o/Ot
Supervisor License Number
Constr. Contr. Number
(p /3i.p "2-
&!J'1/XKJ7
Expiration Date
Signature of Supervising Electrician
t/~_______
Owners Name 14t:u?J0tJ!iv77
Address z~~4 ..1;"; 4//,c.ll'<.dJtlL
City ~)h?W).. Phone 711 zia - / &~I
~7 7S-&.
OWNER INSTALLATION
The installation is being made on property I own which
is notAtTrSMrtQNalE)rfg~rP~_\reqUI'es you to
fo".~w r~le$ adopted by the Oregon Utility
o~~~enter. Those rules are set forth
In OAR 952-OO1-0010tbrough OAR 952-001..
0090. YOUmay obtain coDles of fba..rulee by
calling me center. (Note: the telephone
number for the Oregon UtIlity NotiftoatIon
Inspection~. ie2W~-2344).
I
/
lOOfil1
6:i:;
~.:~t:~
~~@iI&~i~~~~~:~gI~itf~~~~
Service Kncluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
Each Mauuf3ct'd Home or
Modular Dwelling Service or.
Feeder
.~. $106.00 /fJ/c; ';<>
1
3~"
2-
.$ 19.00
$50~OO
R. ~~~~~~~&t[~t~~~~!i~1!!!~tf~~r[~I~I~~i'~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. M~!i?~1l~7
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 AIpps
. 401 Amps to 600 Amps .
Over?,O,O l~:~P~.?! lOOOyolts see "B" above.
D. ~~!f~;€~P~~~:~~'
New Alteration or Extension Per Panel
$ 50.00
$ 69;00
$100.00
One CirrniI .. $ 43.00
~~~;StThtl EXPIR~i~~T~~~t.... __.... .
E. ~}~::~:~,~l .~,~'" .:; ~_~li~~1~~'~
~~':/\fi'kat~g D~AY PERIOD. ~-_.,,~,.~.~~o~'''' '..-"".00 ,- ~"".'.'--'
Sign/Outline Lighting $ 50.00
Umited Energy!Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee .is $45.00 + Surcharges
4. ~~.~~'~~f1i~gr~l1i; .j11ir".;;"~~t~]j~~~~~ ! 11- -
8% State Surcharge J} 52-
. ~(_1 AO
10% Administrative F~ q. ...,..
. , ,:
~?;~ rO::7f ~ . ~ 2>-t)
Shared Drive(T: )/Building Fonns/Ele:trical Permit APPtation 1 ~.dOC .
. (~~ I tOz..7?--...-
689t9ZLltS IVd 60:01 Hal 90/11/LO
(flHId~NIHdS dO ill::>
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x' COST PER S.F. CHARGE I
1780.00 $0.336 = $597.40
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.336 I 50% I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $597.40
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's x
I 28
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x 1
1 28 I.. 1
C0M2007-00967 - Same as 5783 Mt Vernon-
Hayden Ent.
5753 Mt Vernon
18-02-03-00 05000
. SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF:
COST PER DFU
$26.03
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$19.79
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x. NUMBER OF UNITS x
I 9.57 1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x NUMBER OF .UNITS x
I 9.57 I 1
ITEM 3 TOTAL - TRANSPORTA nON SDC = I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
1
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
1 1 . I
ICOST PER FEU
I. $91.61
ICOST PER FEU
I $961.52
MWMC CREDIT IF APPqCABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1; 2, 3, & 4) = I
5. ADMINISTRATIVE FEE:
1 SUBTOTAL x ADM. FEE RATE 1=
I $3,969.31 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Billy Curtiss
PREPARED BY
6/28/2007
DATE
1539
2893
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LOT SIZE (SF):
DISCOUNT
$0.00
$597.40
1070
$728.74
1091
$554.14
1092
=,
$1,282.88
COST PER TRIP x NEW TRIP FACTOR
$19.81 1.00 , $189.58 11093
COST PER TRIP I x I NEW TRIP FACTOR I
$87.39 I I 1.00 $836.32 1094
$1,025.90 I
=
$91.61
1054
$961.52 1055
$0.00 II 1054
$10.00 1056
$1,063.13
$3,969.31
CHARGE
$198.47
128.41 11079
$70.06 , 1078
TOTAL SDC CHARGES = , $4,167.78
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FlXTURES x UNIT EQUIVALENT = DRAINAGE FlXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FlXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
1 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER, SINGLE STALL 0 0 2 = 0
1 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED V ALOE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
V ALOE / 1000 CREDIT RATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
=
2
2
1979
= I
$0.00
o
$0.00
. 225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00967
COM2007-00967
COM2007 -00967
COM2007-00967
COM2007 -00967
COM2007-00967
COM2007-00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007-00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007-00967
COM2007-00967
COM2007-00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007 -00967
COM2007-00967
COM2007 -00967
COM2007-00967
COM2007-00967
COM2007-00967
COM2007-00967
COM2007-00967
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
3200700000000000444
Date: 06/29/2007
Description
Plan Review Same As
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
~Mechanicallssuance Fee~
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HA YDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 091583 In Person
Payment Total:
Page I of I
2:53:51PM
Amount Due
200.00
597.40
728.74
554.14
189.58
836.32
91.61
961.52
10.00
128.41
70.06
198.00
793.15
31.00
2,303.00
306.00
14.00
12.00
18.00
6.00
9.00
6.00
4.00
10.00
106.00
38.00
97.35
75.51
104.97
140.95
$8,640.71
Amount Paid
$8,640.71
$8,640.7]
6/29/2007