HomeMy WebLinkAboutPermit Building 2007-6-26
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5761 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030004800
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00561
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 169,533.00
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -lot 182. SAME AS COM2007-00355 5795 Mt Vernon
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PAPFIC AIR COMFORT INC
DENNIS SCOTT EGGERS,.
License
92208
67362
39237
142776
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
3
BUILDING INFORMATION I
# of Stories: 2
Height of Structure: 24.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
. Sprinkled Building: n/a
J DEVELOPMENT INFORMATION I
Frontyard Setback: 18.00
Side 1 Setback: 7.00
Side 2 Setback: 5.00
Rearyard Setback: 11.00
Solar Setbac~s(T:~:n,!ON' 0.00
"1_ .Ol(:)r,~_,
- ., IUle"'., ~ -'. 'QVV re
/'.Oi.;:cation C ClaOPted b~1 the d!l,pnBJ~J~I~~PROVEMENTS
In Oil Q r enter. Th . I ~8ur un
Street Im~r.pvemen'is:-001_00'1 lase rUles ar Ilty
UU&O. You In 0 thrOU h e Set forth
Storm Sewe.Jc;~Nrdl~ble~1y obtain co i 9 OAR 952-00
Special InH~uction:he center. (N i es of the rule b 1-
IIIOer for the Ore' 0 e: the teleph s y
(', GOn II'r one
Notes: storm tlY€tfl1bl~gpfdeu JBP 4&UfQ;7/fic t'
u -332. -2344): a Ion
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-228-1081
Expiration Date
07/29/2007
06/1912011
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
2,817
641
898
408
REQUIRED PARKING
1
Yes
37.20
Total:
Handicapped:
Compact:
2
Sidewalk Type:
N 0 1U~f~nspoutS/Drains:
THIS PERMIT SH
AUTHORIZED UN~LL EXPIRE IF THE WORK
COMMENCED OR I~R THIS PERMIT IS NOT
ANY 180 DAY PERIO;,BANDONED FOR
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00561
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2:s
Gara2:e
V Wood Frame
Gara2:e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,539.00
408.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$158,517.00
$11,016.00
$169,533.00
04/18/2007
04/18/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 4/18/07 1200700000000000426
~Mechanical Issuance Fee~ $10.00 6/26/07 3200700000000000428
+ 10% Administrative Fee $140.75 6/26/07 3200700000000000428
+ 5% Technology Fee $75.41 6/26/07 3200700000000000428
+ 8% State Surcharge $104.81 6/26/07 3200700000000000428
3 Baths One & Two Family $306.00 6/26/07 3200700000000000428
Addressing Assignment $31.00 6/26/07 3200700000000000428
Building Permit $793.15 6/26/07 3200700000000000428
Dryer Vent $6.00 6/26/07 3200700000000000428
Exhaust Hoods $9.00 6/26/07 3200700000000000428
Fire SF Fee - Residential $97.35 6/26/07 3200700000000000428
Furnace - up to 100,000 btu $12.00 6/26/07 3200700000000000428
Gas Outlets 1-4 $4.00 6/26/07 3200700000000000428
Heat Pump $12.00 6/26/07 3200700000000000428
Plan Review Major - Planning $198.00 6/26/07 3200700000000000428
Residence Wiring 1000 Sq Ft $106.00 6/26/07 3200700000000000428
Residence Wiring Ea Addtl 500 $38.00 6/26/07 3200700000000000428
Sanitary Sewer - Improvement $554.14 6/26/07 3200700000000000428
Sanitary Sewer - Reimbursement $728.74 6/26/07 3200700000000000428
SDC MWMC Administration $10.00 6/26/07 3200700000000000428
SDC MWMC Improvement $961.52 6/26/07 3200700000000000428
SDC MWMC Reimbursement $91.61 6/26/07 3200700000000000428
SDC Sanitary/Storm Admin $133.91 6/26/07 3200700000000000428
SDC Transpo Admin $69.45 6/26/07 3200700000000000428
SDC Transpo Improvement $836.32 6/26/07 3200700000000000428
SDC Transpo Reimbursement $189.58 6/26/07 3200700000000000428
Storm Drainage Impervious Area $695.23 6/26/07 3200700000000000428
Vent Fan $24.00 6/26/07 3200700000000000428
WilIamalane Single Family $2,303.00 6/26/07 3200700000000000428
Total Amount Paid $8,740.97
Pa2:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00561
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 169,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2: Review
I Plan Reviews I
0412012007 APP
OS/22/2007 APP
LLH
TAJ
04/1912007
04/20/2007
Public Works Review
04/20/2007
04/23/2007 WI
JLP
Public Works Review
04/24/2007
04/2412007 APP
JLP
Structural Review
04/20/2007
06/01/2007
APP RJB
Per letter from Hayden Homes
dated 5/5/07, each house shall have:
1. a 3' walkway from the porch to
the street, 2. grids in the windows
and 3. windows in the garage door.
A copy of the letter is attached to th{
permit.
Rcvd 4/2312007---Waiting in order
PW rcvd for rvw.JLP WI 4/23/07
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". Storm to curb &
gutter.JLP APP 4/24/07
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(]uireCVnSDections ,
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Pa2:e 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00561
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Pedmeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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 filJing trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
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 wiII 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 wiII remain on the site at all
time~"ing .construction.
2----~- t~ (:&-07-
Owner or Contractors Signature
Date
Pa2:e 4 of 4
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 I 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL I SOLIDS I ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER I MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBll.,E HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 II
URINAL, STALL I WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0 I
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 OFD'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/$I,OOO
ASSESSED VALUE
$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
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
_ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00561
NAME OR COMPANY: . Hayden
LOCATION: 5761 Mt Vernon Rd
TAX LOT NUMBER: Lot # 182
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1112 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
2071.50 $0.336 = I $695.23
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. . x I COST PER S.F. x I DISCOUNT RATE
I 0.00 I $0.336 I . 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$695.23
o
UJ
~
.18
~
~
E-<
UJ
-
o
~
DISCOUNT
$0.00
$695.23
1070
2. SANITARY SEWER - CITY I
A. REIMBURSEMENT COST:
NUMBER OF DFU's x COST PER DFU
28$26.03
B. IMPROVEMENT COST:
NUMBER OF DFU's x
28 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$728.74
I
I
1091
., .$554.14
=,
$1,282.88
3. TRANSPORTATION -
A. REIMBURSEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP F ACTORI
9.57 I I I $19.8 I I 1.00 I $189.58 1093
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP F ACTORI.
9.57 I 1 I $87.39 I 1.00 I $836.32 1094
ITEM 3 TOTAL ~ TRANSPORTATIO~ SDC =, $1,025.90
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST: 11054 .
NUMBER OF FEU's x COST PER FEU I
1 $91.6 I I = $91.61
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $961.52 = $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWERSDC =, $1,063.13
.-
. SUBTOTAL (ADD ITEMS 1,2,3, & 4) '7 , $4,067.14
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE CHARGE
$4,067.14 5% $203.36
TOTAL SANITARY ADMINISTRATION FEE: , 133.91 1079
. TOTAL TRANSPORTATION ADMINISTRATION FEE: I . $69.45 j 1078
"" I
Jeff Prociw 4/24/2007 TOTAL SDC CHARGES = $4,270.50
PREPAREDBY . DATE I I.
. .
ZON
INITIALS
DATE
SOURCE
225 FIFTH SfRIE:ET . SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: (54])726-3689
------ ----ELECTRICAL -PERMITMPLICATlON
City Job Number ~ /7 . 5~ \
1. "\::fg~~8~*&KFY~t1:f~~!~~{~~~~I{
l:)'ltO\ ill) \Jem(){)
LEGThDDffi3DD ~
JO~.f~~~RIPTION' \ qK\
~~ ~l'I1lij I I VO]J .
Permits are nOD-tra:~~XPire if work is
not started within 180 days 01 issuance or if work is
Suspended for 180 days.
2. ~;~2~€[~~;.~f~~i~g~;~lf~~
Electrical Contractor MtiJ fl.tJ.Vll.):;~c..-
Address
~'1~~'1 H '-1./'( ~ '-{ S vJ
City A l kCA\
Phone S'-l/-7S'{-&l7{
Supervisor License Number
Expiration Date
Constr. Contr. Number
(17 /3(;;"2-
&/tC,/.)OrJf
Expiration Date
Signature of Supervising Electrician
1/ -----
Owners Name ~<kr\ .~
Address _<9.4t.04 ~l() 0X1L1O(
City ~ ~ Phone 1...'1..0,(00 {
'\
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
I
/
TOO lPJ
/' .
.', Date. i~ /;}to/-fL7 .
3. :~~3Ml![4~~~~:~;~wr~~t~~t11i~~~ii~~r~,
A. .s~~~~i2iJJi~r~~~ii~~t~ii~~i~'~~:~if~~~'::~
Service [ncluded
1000 sq. ft. orIess
Each additiona1500 sq. ft. or
portion thereof
Each Manumct'd Home or
Modular Dwelling Service or .
Feeder
\Dlo[P
2,~fD
\
A
$1 06.00
$ 19.00
$50:00
B. ~~~~~J~~tr~~~~t~~~&~l~?~~:,~r~tll~;~~
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps'V oIts
. Reconnect Only
. $ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. M~!~l~~~?Ifr.'
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 A1;nps
AD 1 Amps to 600 Amps ,
Over 600 Amps or 1000 Volts see "B" above.
D. ~\J~f~R#.~~~~~:g~ ;".~'
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.. ;\~l~~;!Thj[~:~l~~I~~~~~i~i~€~r;i.i~!;~~i~}11i!~r
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~t~~]',i~i~~~IM~m~~lm~~t:~:':',~'_:':~J1.~~j~~~\~.. \JA (fJ
t \.r ~L
.\4 .ttO
.J.1D
8% State Surcharge
10% Administrative Fee
~). ~gJfo
Shared Drive(T:)lBuiJding FonnslElectrical Permit APPlict~l'~\~
013Idf:lNIHdS dO liD
SS9g9ZLltS XVd SO:OT a:a1 90/TT/LO
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0056I
COM2007 -00561
COM2007 -00561
COM2007 -00561
COM2007-00561
COM2007-0056I
COM2007-0056I
COM2007 -00561
COM2007 -00561
COM2007-0056I
COM2007 -00561
COM2007 -00561
COM2007-00561
COM2007 -00561
COM2007-0056I
COM2007 -00561
COM2007-00561
COM2007 -00561
COM2007-0056I
COM2007-00561
COM2007-00561
COM2007 -00561
COM2007 -00561
COM2007-0056I
COM2007-00561
COM2007-00561
COM2007 -00561
COM2007-0056I
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
3200700000000000428
Date: 06/26/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
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
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
-Mechanical Issuance Fee-
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HA YDEN HOMES/ERIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM 024729 In Person
Payment Total:
Page I of I
2:28:31 PM
Amount Due
31.00
. 2,303.00
106.00
38.00
97.35
695.23
728.74
554.14
189.58
836.32
91.61
961.52
10.00
133.91
69.45
793.15
306.00
12.00
24.00
9.00
6.00
4.00
12.00
10.00
198.00
75.41
104.81
140.75
$8,540.97
Amount Paid
$8,540.97
$8,540.97
6/26/2007