HomeMy WebLinkAboutPermit Building 2010-6-25
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00499
ISSUED: 06/25/2010
APPLIED: 04/22/2010
EXPIRES: 12/25/2010
VALUE: $ 290,000.00
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Status
Iss u ed
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 640 Ethan Ct
ASSESSOR'S PARCEL NO.: 170322'i207900.
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling Lot 21 Breanne commons
Sidewalk Type: r b'd 7'
. tOur Sl e
.....E. ~O\lf.'lIl~DIal'i\.ilquires<Y~l-\.l::IJJd Gutter
1\, I Nil" d by the Oregon 0tl1..y
follOW rules adopte se rules are set forth
Notification Center. Tho hOAR 952-001-
In OAR 952'()()1"()010t:~i~S of the rules by
0090. You may obtain Note: the telepho~e .
calling the center. ( Utility Notification
number for the oregooon """-2344).
centerlB 1-8 ....- .
Owner: SESSA SUSAN
Address: 951 BENNETT LN
EUGENE OR 97404
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Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION ~
Contractor License
MATTHEW JAMES CHAPMAN. . 153309
SPRINTER ELECTRICiNe: ,,"(f/~i;^.' ,; :.. '174458
SHEPHERD HEATlNG&,AIR CONDlTlONIN71384
EDWARDLCOOKSR.r,:, .:;, 50557
BUILDING INFORMA TlON ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
# of Stories: 2
Height of Structure 29.00
Type uf Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:, . "
Sprinkled Building: nla
3
I DEVELOPMENT iNFORMATION ~
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Frontyard ~g,hlC:E:'"'''' . .~rE IF THE W{WA{yrist:
Side I Setb'f<i~FS PERMIT SHAll PERMIT \S :ttO;J;t (frees Rqd:
Side 2 Setb'fRl}iHORIZED UNDER . f$ve.~_pbve Rqd:
Rearyard see~.li\\\ENCED OR IS ABhillDONED",r,..y("?~)::~.~:cove..age:
Solar Setba~y 180 DAY PERIOOJl.50 j '.,.' c'.'. - ....
I PUBI:i~~IM'PR0V.EMENTS ~
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Street Improvements:
Fully Improved", \'
No~'"
Storm water to curb via weep hole
Storin Sewer Available:
Special Instruction:
Notes:
Pa~e I of 4
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Residential
Phone Number: 541-206-3184
Expiration Date
10/29/2010
02/20/20 II
07/31/2010
02/15/2012
Phone
541-
541-743-1213
541-420-4219
541-895-4423
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
6,231
1,246
691
472
REQUIRED PARKING
I
Yes
25.50
Total:
Handicapped:
Compact:
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Heat Pump
Plan Review Major - Planning
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 Reimhursement
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
Willamalane Single Family
Total Amount Paid
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I Val~~iion Descriotion r
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
290,000.00
Total Value of Project
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Amount Paid .
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Date Paid
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00499
ISSUED: 06/2512010
APPLIED: 04/2212010
EXPIRES: 12/2512010
VALUE: $ 290,000.00
Value
Date Calculated
$290,000.00
$290,000.00
04/23/2010
Receipt Number
$963.33 4/22/10
$276.13 6/25/10
$132.90 6/25/10
$79.00 6/25/10
$402.00 6/25/10
$38.00 6/25/10
$1,482.05 6/25/10
$88.00,; ,;. . 6/25/10
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$9.00""".' \-n'. li,; ',,' " ',: 6/25/10
$ 13.00,!t;t, ::;W:,,"Y' ~'I;' 6i25/10
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$120.45--'" ....;. 6/25/10
$17.00.'! 6/25/10
$211.00 6/25/10
$-30.00 6/25/1 0
$134.00 6/25/10
$75.00 6/25/10
$683.55 6/25/10
$898.69 6/25/10
$10.00 6/25/10
$22.63 6/25/10
$1,333.57 " .!. 6/25/10
$101.97 6/25/10
$184;25' 6/25/10
$132.48 6/25/10
$943.49 6/25/10
$211.21 6/25/10
$931.64 6/25/10
$79.21 6/25/10
$88.00 6/25/1 0
$63.00 6/25/10
$27.0o';?'~ ',;"-'''' 6/25/10
$2 858 O"o"N\ ".::~"g,~' ''''6/'2'5/10
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$12,579.5~:, :
Paee 2 of 4
2201000000000000387
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
2201000000000000744
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00499
ISSUED: 06/25/2010
APPLIED: 04/22/2010
EXPIRES: 12/25/2010
VALUE: $ 290,000.00
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Plan Reviews ,
Initial Review
04/23/2010
APP LLH
04/2312010
Plannine Review
04/2312010 .
04/27/2010 WE DDK
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Structural Review
04/23/2010
04/29/2010 WE CJC
Plannine Review
05/10/2010 APP DDK
05/1 0/20 1 0
Puhlic Works Review
05/10/2010
05/1112010 APP LKW
Structural Review
05/14/2010
..: 05/14/2010 APP CJC
On hold. Does not meet solar
setback standards. Letter sent to
owner requesting documentation
demonstrating solar compliance.
Revised plot plan and letter from
draftsmau received 517/10 ddk
Structural review complete- waiting
for possible revisions for solar
setback compliance.
See letter attached from draftsman
regarding solar setback. Approved
as shown on plans.
Storm water to curb via weep hole
As noted on plans
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.
~eoujrec.unsnections ~
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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.
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Wall Insulation: Prior to cover. .. .
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Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 3 of4
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00499
ISSUED: 06/25/2010
APPLIED: 04/22/2010
EXPIRES: 12/25/2010
VALUE: $ 290,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concr~~e.
Rough Plumbing: Prior to cover and including required testing;
Water Line: Prior to tilling 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 Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
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Final Mechanical: When all mechanical WOil<.:is,compiete.
Temporary Electric: Approval required priij',q~ UtiliryTompany energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures 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.
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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 ftiither 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 se(of plans will remain on the site at all
times during construction.
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Electrical Permit Application
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~CITY OF :SPRINGFIEI::D~OREGONE
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225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
DEP.AIHMENTUSE ONL V
Pennit no. {!/ (J- 'r-c;'7
Date:
Ii)
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
'LOCAL: GOVERNMENT A~PRQVAli",
Zoning approval verified? 0 Yes 0 No
CATEGORY;OFCON$TRUCl"ION): .
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Reference:
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PROPERrv OWNER
Name: <;;t..>-> v'!-
Address:
City:
Phone:
E-mail:.
ZIP:
Fax:
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, or rent OAR
479.540(1) and 479.560(1).
Signature:
CONTRACTOR INSTALLATION
Business name: $ ~ I<::Ul:.C'\YLc<-
Address: '!rJ-'7 d- V
City: "" I{V~'-
Phone:~1 -?(l- I ;:nJ
E-mail: Sf .r'fb\.. !> ~
CCB license no.: /7 t(Vs;<Jo
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9/08/COM)
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,Num~er orinspeciion.~ per ite~ o. ......Qty. Cost Total.
- . ~ .-' . .. .. '. . ;j' ~il.': cost.
Residential, per unit, service included:
1,000 sq. ft. or less (4) I $134.00 $ ,,0..+
Each additional 500 sq. ft. or portion 'J $ 25.00 $ '/5:
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 $
201 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) l $ 63.00 $&3
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 yolts, see services Of 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 I $ 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 ':lot 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, or extension (2)
Each additional inspection: (1) $58.00 $
'.~:y!;~:fHill:[~j~~t{1R-j:?i::l;t~fA~.-eUicAN*~~O$I:V;i~{~~(::':;{li::~;t:;;t'~fi{.j;:Ti:;:: ;}.~:~
(A) Enter subtotal of above fees ~
(Minimum Permit Fee $58.00) $ ')..T'J'L
(B) Enter t2% surcharge (.12 x [A]) $1'?-~ -
(e) Technology Fee (5% of [A]) $ (3 6;;
TOTAL fees and surcharges (A through C): $ '<;/? '2
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Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days oflSsuanee or if work is
suspended for 180 days,
DEPARTMENT USE: ONLY
Permit no.:
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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Residential D Government 0 Commercial
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Reference:
(a) Job description: f-J'CU./ ~f'o
Occupancy lt2
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat: u..--C\ ~"t) -4, ~
Energy Path, t+c:iAr. ~""- 15. S- 5w<-- ffl-..~r
o alteration 0 addition
(b) Foundation-only permit? 0 Yes
Total valuation:
-
(;
Name:
Address: q'
City:
Phone5-l I -
E-mail: SeS'SasLt
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS~70.j..O.l '_~_
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Sign l!.ere:--- .
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
$
$
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
(a) Plan review (65% x permit fee [2.]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
(a) Seismic fee, 1% (.01 x permit fee fZa}):
$
TOTAL fees and surcharges (2e+3c+4a): $
IW
Signature:
;t;t!~_~~:p\(f~;'~tJ:~tRS-lJ._E!'~_G_qN.t;~ . tc5RjJNFOJ~N1A~f:!:QN~F~"t;lY3tftf~~1~~~y:T
Name CCB License Number Phone Number
Electrical 6''1) 2207
Plumbing 6'7<) 4'(23
Mechanical 't~O 4)/7
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R~ willamalane
t-w Park and Recreation District
Job. No.
~\\). AC\q
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30,2010
NAME: ~SOJ\ 3eCSSo.... PHONE: 'l1J.o~~\M
ADDRESS: (\~\ Mt\QttcITY c&y\ft\e.. STATEQt.ZIP:a.t\:ffi
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \0<\() <( ~
Plat Name: . ~rffiJ\f)e.
QX
Tax Lot Number: \ 1 D?::/L~\y)~ 01C\cO
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinale-Familv Detached ~.ftl.J~PU
NO. OF UNITS \. X $2,858 per unit = $
B. Sinale-Familv Attached
NO. OF UNITS X $3,100 per unit = $
C. Multi-Family Aoartment
NO. OF UNITS X $2,641 per unit = $
D. Sinale Room Occuoancy
NO. OF UNITS X $1,321 per unit = $
E. Accessory Dwellina Unit
NO. OF UNITS X $1,550 per unit = $
WILLAMALANE SDC $ ?$.~.CO
2. SDC CREDIT (If applicable) SDC payer must furnish proof of ff
Willamalane Credit approval.) $
3. TOTAL WILLAMALANE NET SDC ASSESSED '1/?J6efV
(if SDC reduced for Credit) $
\lliv . 6, 1\, to
Development Services Date.
City of Springfield
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
22010C6~ooooU000744
., ,
Date: 06/25/2010
11:13:34AM
Job/Journal Number
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 1 0-00499
COM2010-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM2010-00499
COM20 I 0-00499
COM201O-00499
COM2010-00499
COM2010-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM201O-00499
COM20 1 0-00499
COM20 I 0-00499
COM2010-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
COM20 I 0-00499
Payments:
Type of Payment
Check
cReceintl
Description
Addressing Assignment
WilIamalane Single Family
Fire SF Fee - Residential
Plan Review Major - Planning
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit
SDC Storm - 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 ".'
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SDC Sanitary/Storm Admin ':;J1i1~~ :.:~~::~~:~.
SDC MWMC Compliance Charg~:'..
SDC Transportation Admin {fb;,&>};~ ~./~;;.
Building Permit .,j"
3 Baths One & Two Family
1st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
SUSAN SESSA
Check Number
Received By Batch Number
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Item Total:
Authorization
Number
Amount Due
38.00
2,858.00
12045
211.00
88.00
88.00
(30.00)
13248
94349
898.69
683.55
211.21
931.64
101.97
1,333.57
10.00
184.25
22.63
79.21
1,482.05
402.00
79.00 .
27.00
13.00
9.00
17.00
63.00
134.00
75.00
276./3
132.90
$11,616.22
How Received
Amount Paid
103
$11,616.22
$11 ,616.22
In Person
Payment Total:
6/25/20 I 0