HomeMy WebLinkAboutPermit Building 2010-6-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00629
ISSUED: 06/II/2010
APPLIED: 05/]8/2010
EXPIRES: 12/11/2010
VALVE: $ 150,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 551 S 48TH ST
ASSESSOR'S PARCEL NO.: 1802051104300
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SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
I PUBLIC IMPROVEMENTS I"....i.:i.?'i\''''''~{:''':..\.
Fnllv Impro~ed ': Sidewallt:TI'f~~ ~~~ '~~
No DJJ~'OJt, I. ~I\li. ";;;'""
Storm water to tap/ For this parcel in ~~ind't<~1!-\.~~~\\lb~ ~... ~ :t~~Building
Division, by the City Engineer "th,a1b~\!?I~~~1i0il~~'i'J1111~ nit....'1'.o,: storm H2O
systems, until the subdivision is a~cep.teli'li \(;;if;\\ ~o'llnchl'f>.'P!>: ..,"
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PROJECT DESCRIPTION: Single family ~esiden.cF:.
tc.,-"...
Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
,
Plumbing
Contractor
HAYDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
STUTZMAN SERVICES INC
License
92208
172366
39237
31747
I BUlLDIN~INFORMA nON'
laW leqUllel:i Y~"\Ii\V
# of Units: ~\'oITlOI'l: Ole9~0" y t\19 Ole~l}f: I
Primary occupanls.'t'UItS adopt osalulasa a !Olffitruc,ture ]7.00
Secondary Occnl! ~ ~ell\e\Q;!hIOU9h 0 u~t: Forced Air Gas
Primary Constru~ \ .oOI.0gt9.1tl COpieS 01 \ ~~o1illPe: Gas
Secondary Const~ ?'I'OOfl\ay o,el, ll'lota:.t!'a~~\\rea~: Gas
# of Bedrooms: calli"9.the can OIe90" UtilitY. e.,e,rgy Path: .
I\urnbel:~~~:~ \81.800-332'Z ~.-';finkledoBUilding: n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
]0.00
7.00
13.00
16.36
0.00
Overlay Dist:
# Street Trees Rqd:
. Paved Drive Rqd:
0/0 of Lot Coverage:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Residential
'Phone Number: .54]-228-6935
Expiration Date
07/29/2011
.09/29/2010
03/25/2012
06/12/2012
Phone
541-228-6935
541-317-]998
541-672-95]0
541-928-8942
Lot Size: 4,800
Sq Ft 1st Floor: ],04]
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 400
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
2
Yes
30.00
Total:
Handicapped:
Compact:
2
o
"
,
Curbside 7'
Status
Iss u cd
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
I Bath One & Two Family
1st Appliance
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets 1-4
Plan Review Major - Planning.
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Se'~er - 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
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
Total Amount Paid
.hi5:' ::."
,1,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00629
ISSUED: 06/11/2010 .
APPLIED: 05/18/2010
EXPIRES: 12/11/2010
VALUE: $ 150,000.00
I v ai~ation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
150,000.00
Value
Date Calculated
Total Value of Project
$150,000.00
$150,000.00
05/18120 I 0
~
"-":-;~.~' .
Amount Paid. Date Paid Receipt Number
$592.96 5/18/1 0 22010QOOOOOOOOO0521
$178.71 6/1lI10 1201000000000000659
$92.31 6/11/10 1201000000000000659
$220.00 6/11/1 0 1201000000000000659
$79.00 6/1lI10 1201000000000000659
$38.00 6/1lI10 1201000000000000659
$9.00 6/1lI10 1201000000000000659
$912.25 6/1lI10 1201000000000000659
$88.00. . :6/1lI10 1201000000000000659
$9.00... , ". 6/1lI10 1201000000000000659
$13:00. . 6/1lI10 1201000000000000659
$72.05; 6/1lI10 1201000000000000659
$7.00 6/1lI10 1201000000000000659
$211.00 6/ll/10 1201000000000000659
$-30.00 6/11/10 1201000000000000659
$134.00 6/11/10 1201000000000000659
$25.00 6/11110 1201000000000000659
$547.40 6/1 1110 1201000000000000659
$915.28-";;0<' . ..:- , ". 6/11/10 1201000000000000659
$IO.OO;J~, ;,)d,',{\;j . 6/1 1110 1201000000000000659
$22.63,c,. 6/1 1110 1201000000000000659
. $1,333.57.1 6/li/IO 1201000000000000659
$101.97 6/11110 1201000000000000659
$166.66 6/11110 1201000000000000659
$205.98 6/11110 1201000000000000659
$740.70 6/11/10 1201000000000000659
$279.54 6/1 1110 1201000000000000659
$1,140.17 6/1lI1O 1201000000000000659
$98.20 6/1 III 0 1201000000000000659
$88.00 6/1 1110 1201000000000000659
$63.00 .6/11110 1201000000000000659
$18.00 " 6/11/10 1201000000000000659
$2,858;00 ~ 6/1 1110 1201000000000000659
$11,240.38
Pa!!e 2 of5
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225 Fifth Slreel, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspe~tion Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00629
ISSUED: 06/11/2010
APPLIED: 05/18/2010
EXPIRES: 12/11/2010
VALUE: $ 150,000.00
Status
Issued
:.~ ,
I Plan Reviews I
Structural Review
06/07/20]0
Initial Review
05/20/20]0
05/20120] 0
, APP DJB
Planninl! Review
05/20/20]0
05/21120]0
APP DDK
Front elevations are site specific and
contain REQUIRED design
elements. Inspectors will field check
that actual elevations match
submitted designs as shown on the
approved set of plans.
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Puhlic Works Review
05/21120]0
05/25/20] 0
APP LKW
Storm water to tapl For this parcel
in Westwinds, it is the
recommendation to the Building
Division, hy the City Engineer "that
no connection shall he made to
sainitary or storm H20 systems,
until the subdivision is accepted by
City Council"
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(f)
Structural Review
05/20/2010
06/07/20] 0
APP RWC
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.
!...Reollired.Jnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
.. ,
ErosionlGrading Inspection: Prior to groun(~.isturb~,~ce and aftererosion measures are installed.
Ufer Electrical Ground: Install ground rod at footirig,'arid call for inspection in conjunction witb footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected hut 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.
Pa2e 3 of 5
CITY OF SPRINGFIELD
.~. ..,.
','
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00629
ISSUED: 06/11/2010
APPLIED: 05/18/2010
EXPIRES: 12/11/2010
VALUE: $ 150,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Framing Inspection: Prior to cover and after ,all rough in inspections have been approved.
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Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywal): Prior to taping.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections Iiave been requested and approved and the building is complete.
Perimeter Foundation Drains: After'gravel and filter cloth'is installed'but prior to backfill.
Undertloor Plumbing: Prior to insulation'~~"decking.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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 tilling trench. <'~!~ .: .J;,"l
Final Plumbing: When all plumhing work is;~~in~IC~~::i.1 ""'/"
Undertloor Mechanical. Prior to insulation '?r decking and including required testing.
Undertloor 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.
. . I r~ I
Temporary Electric: Approval required prior to Utility Company energizing pole.
, ,... ~." ,
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspection Line
I.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00629
ISSUED: 06/11/2010
APPLIED: 05/18/2010
EXPIRES: 12/11/2010
VALUE: $ 150,000,00
Status
Issued
By signature, I state and agree, that I have carefully examined the completed application aud 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 illspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of, t!\~, pr~perty, and the approved set of plalls will remain on the site at all
times during construction.
&-11-10
Date
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Page 5 of 5
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Electrical Permit Application
225 Fifth Street. Springfield. OR 97477.PH(541)726-3753+FAX(541)726-3689
~ti~2QEIiART,MENi.US~~.
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Permit no.: ((0 -oD
Date: S -( g . 10
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issnance or if work is suspended for 180 days.
~.~.~=~..~~.-e.~f..V:;;~.1~~;.~BJ\lME..~.~~~BB0M~C'~.o~.'~i ~.'~ '.
-~~~GAmEG0R;(,g,0FA(;"e}iSmRl!lG;I"i10N"~ _
~~~- __.,",.._t",___,_ -, .'. ,~., _.,-- .- '" .'--.'-'..-' '''''.,-,,-'.'~' Residential, per unit, service included:
0. Residential I 0 Government I 0 Commercial
~~0I3!SI!f~!illi\iii:~BIYle;\T~0N~NI;5II!!0GP.;mll1iI'l~~~"'!! 1,000 sq. ft. or less (4) I $134.00 $ 1?Y
. ddr -'""L""":7";' ~H 11'\<:1 .. ... Each additional 500 sq. ft. or portion I $' 25.00 $ <
Job site a ess: So::;> J ""TV i1, thereof . 1--,;
City:y,."A,,\,:..loi. I State: oQ . ZIP: CJ7'iT8' Limited energy (2) $ 32.00 $
Subdi~ision\) \4"-."}>( IlVIo"t>tov-J~ I Lot no.: J2.. Each manufactured home or modular
~~E_SCRI~tlIQIl!I:QFJfVli5:>R~~ll!S'~~i.l!\l dwelling service or feeder (2) $ 63.00 $
I... J _ _ Services or feeders: installation, alteration, relofPlion
.: I.v,'rc '1'0:0""10'.
200 amps or less (2) .A" $ 81.00 $
~4ii:~._",BJfQP.;~~j)j;Y~~WIil!'~~~;l!:;~r;!iiJ-t~"l 201 to 400 amps (2) $ 95.00 $
Name: l-L"J<V\ Kc;vr.". s. . ,. ,,,nuileS yC Uf 0401 to 600 amps (2) $158.00 $
Address: :/LiCL( $tll.Y'TEIlI'r,.IP)'rS)le?:'~'bv the OlegoO ~t;~'.~\l,1 to 1,000 amps (2) $205.00 $
City: Q..,,{ v>'1Cvt vi 10\\?~~~~tel. 1z'Mia.t7./liVo.Q 9' 2- ~ver 1,000 amps or volts (2) $469.00 $
Phone: W/-.22g- 1;,')::>5, ::~nAR 9~~iP-G;\,;.. ~moS olt\1e lelle SRl:'ionnect only (2) $ 63.00 $
E_mail..0090.(OUI11..J_tl(Note:U1.._.~...he.iOI.l..POrary services or feeders: installation, alteration, relocation
. '. MO e, ,"'''" Noth
This installation is being ma~l:\l.~fIMntM 6tlm~'fJ'!in44). 200 amps or less (2) l $ 63.00 $ h-';
owned by me or a member of\IiIY''i\1\.ip,'€fI~f liuniJy:"flflS 201 to 400 amps (2) $ 8700 $ ~
property is not intended for sale, excl:lfrl\ge, lease, or rent OAR .
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Each sign or outline lightipg (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each ~~ditional inspection: (I) $58.00 $
.'!! ," '~!l&-~eFf~fC3"ANifi"if"SME~!iI!1~
~" ~!,Lfi~ _ 0" liIiu ;~ .
~. ~?\? -(A~ ,~~lil;U of above fees
N01\C ~W\" S\\f:>,\"\" 1\-\IS?~ ,ermit Fee $58.00) $ z:z:z-
,\-\IS ?;~Ilt\) \l~\)ti f:>,'t>f:>,~ \QB1)\'lfnrer 12% surcharge ( 12 x [AD $
f:>,~~~t~Ct\) ~~~IO\). (C) Technology Fee (5% of [AD $
C, ~'i "\ \',0 \) f:>,'i TOTAL fees and surcharges (A through C): $ ? ~ "
t'" L/./ ,
Signature:
~~Il!I:G5:>Nm~GiIL&1B~I/SIsIft~~I!'~IQtii~;~r~J
Business name: . Ion Y\M-C\'" F I pC
Address: ..Jo~"7"i (OVt?<1 C-I-.
City: &...\0\ I State: oR. I ZIP:
Phone:Sll/-3i1-1'11<? Fax: - -
E-mail:
CCB license no.: FJ-l3tOC. I BCD license no.: r .:l2r1.
Signing supervisor's license no.: 1-654-.s..
Print name of signing supervisor: t! - . \ .5:1\:., ~.J.I Q ....c.,
Signature of signing supervisor:'7L I.JI . ~ ~. J,~. \J ;L..
U
~Q.~
~ (\.".",.\.~
0-; \:1 -
440-2584-J (9/08/COM)
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 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00
$ 6.00
$
$
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
$ 63.00
$ 63.00
$
$
$ 63.00
$
'If
2?, willamalane
.' "" Parkand Recreation District
Job. No.CIO-627
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30,2010
NAME: rtA"/DE:}..l lroME$
. ADDRESS$'{6i/ St.J 1/fil./DZ. CITY~~b
LOCATION OF PROPOSED "BUILDING SITE:
Street Address: . \~ / s.. Lf JT4.. .
PHONE: 911-),2-80 ~ ,~~
STATE:8l1!. ZIP: q'l?r~
Plat Name:
. Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.) .
A. SinGle-Familv Detached
NO. OF UNITS . /
.
X $2,858 per unit =
$ ;:2.?:\ r
B. SinQle-Famllv Attached
NO. OF UNITS
X $3,100 per unit =
$
r ~Aultl' "'a"""iI.. ^....-....--en.'
_. .,,,. -I IIIIIY r\J,JaIUII I L
NO. OF UNITS
X $2,641 per unit =
$
D. SinGle Room Occupancy
n.~..NO.OEUNITS----'..__..__.-.nX$1,32_1 per'unit =_..~
'$-'- ._.~._.-...
E. Accessory DwellinG Unit
NO. OF UNITS
WILLAMALANE SDC
X $1,550 per unit =
'$
. $ .2Fnf'
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
, WiI!<irnal.ane .Credit approval.)
. _. ...:.....:'.. 0____. _ _~_ ~___ . ..' .._.. _ _ ~,_
_,.... ....,_ ... - - .~._. .~.~. .0- _____.___~..,._ ,_ -._...~ ._ _ "".,._ . __ .. _.,."-_ _ _.,___. -:-__ _
' '3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~
Development Services Department
City' of Springfield
$LJ
$ 2$sX-
.6 i / I /CJ
Date
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000659
Date: 06/1112010
9:02: I2AM
Job/Journal Number
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM2010-00629
COM20 I 0-00629
COM2010-00629
COM20 I 0-00629
COM20 I 0-00629
COM201O-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM2010-00629
COM20 I 0-00629
COM20 I 0-00629
COM2010-00629
COM2010-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
COM20 I 0-00629
Payments:
Type of Payment
Check
cReceintl
Description
Plan Review Major - Planning
PW Disc - 2nd Pennit
Curbcut Penn it
Sidewalk Permit
SDC Stonn - Improvement
SDC Stonn - 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/Stonn Admin ,,-,.ii.,
SDC MWMC Compliance Charge ;"
. . ",titl?~J
SDC TransportatIOn Admm ,...tl'~:;:~":
Building Penn it }'liPl;
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring' Ea AddU 500
Temp Power 200 amps or less
Addressing Assignment
Willamalane Single Family
I Bath One & Two Family
1st Appliance ". ,';' ,
Appliance Vent
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
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Item Total;
Check Number Authorization
R~~.~!,v.ed":~Y;,.,,. " .~.atch Number Number How Received
Paid By
HAYDEN HOMES LLC
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25635
In -Person
Payment Total:
Amount Due
211.00
(30.00)
88,00
88,00
205,98
740,70
915,28
547.40
279,54
1,140.17
101.97
1,333.57
10,00
166,66
22,63
98.20
912,25
18,00
13,00
9,00
7,00
134.00
25,00
63,00
38,00
2,858,00
220,00
79,00
9,00
72.05
178,71
92.31
. $10,647.42
Amount Paid
$10,647.42
$10,647.42
6/1112010