HomeMy WebLinkAboutPermit Building 2010-6-25
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00627
ISSUED: 06/25/2010
APPLIED: 05/18/2010
EXPIRES: 12/25/2010
VALUE: $ 190,000.00
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 In'spection Line
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SITE ADDRESS: 520 S 48TH ST
ASSESSOR'S PARCEL NO.: 1702324406500
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-00203
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
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I CONTRACTOR INFORMA TION .
Contractor Type
General
Contractor
HA YDEN ENTERPRISES
License
92208
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFOR~:U~
A'TlFNTION: Oregon ~~~;Or~gon Utility
rules add/l\lfd;_'es~. es are set lorth I
1o~~ioncent,~}i~ e5ll.ft95Z-001-18.58
Not R 952..oo1~1/.l mrA~e~ o\lhi!'llJ\.lNI~r Gas
In ~ YOU may o\lll~~:th9 te\ephO~e Gas
OOceliingthecedlBl>g~ e"\ityNotilicatlon Gas
number lor \het:Q!' 2-2344).
centerS/irln eil uilding: No
I DEVELOPMENTINFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
5.95
7.00
25.03
0.00
Overlay Dist: . .
# Street Trees Rqd:
Paved Drive Rqd: "
% of Lot Coverage:
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Residential
Phone Number: 541-228-6935
Expiration Date
07/29/2011
Phone
541-228-6935
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,126
1,408
400
2
Yes,
32.37
REQUI~E'D PARKING
Total: 2
Handicapped:
Compact:
Street Improvements: Sidewalk.Type: . .
Fullv Improved 'C_""" CurbSIde 5'
Storm Sewer Available: Yes DOWI~Yt.s:. To Storm Sewer
Special Instruction: For this parcel in Westwind"Ij;,I{jilt:'.; it is the. ~~'iOI~' I ~f,lf, t\15 "li:i&Ii,!g Division, by the City
, Engineer: "that ~o conne~lulJs ~M~~ I'3Yf\:U\'S rffiO:~~stems, until the .
Notes: Stormwater shal~Obijiii8idilimargeJ1UlIh~~~~ 1lJ\'\~'ii1?tJ e~~~tml. '-tonsult .e.ngineer of record for
locations of storm and sanitary service lat~,r~~:V~~~ \) OR \S f>-E
Description
$ Per Sq Ft
or multiplier
Square Footage,
or Bid Amount
Tvpe of Construction
Paee I of5
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00627
ISSUED: 06/25/2010
APPLIED: 05/18/2010
EXPIRES: 12/25/2010
VALUE: $ 190,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Garaee/Misc
SF/Duplex
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
$1.00
,{ $37.72
$96.83
190,000.00
400.00
1,408.00
$190,000.00
$15.088.00
$136,336.64
$341,424.64
05/18/2010
06/18/2010
06/18/2010
Total Value of Project
~
Fee Description Amount Paid":' Date Paid Receipt Number
.. .
Plan Review Same As $250.00 '",! ... ..i- 5/18/10 2201000000000000519
" ...
+ 12% State Surcharge $217.69:_:_,; " . _~"':I, 6/25/10 1201000000000000756
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+ 5% Technology Fee $108.55" " 6/25/10 1201000000000000756
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1st Appliance $79.00." 6/25/10 1201000000000000756
2 Baths One or Two Family $337.00 6/25/10 1201000000000000756
Addressing Assignment $38.00 6/25/10 1201000000000000756
Building Permit $1,075.05 6/25/10 1201000000000000756
Curbcut Permit $88.00 6/25/10 1201000000000000756
Dryer Vent $9~00 6/25/10 1201000000000000756
Exhaust Hoods $13.00 6/25/10 1201000000000000756
Fire SF Fee - Residential $90.40 6/25/10 1201000000000000756
Fireplace (Listed) $20.00 6/25/10 1201000000000000756
Gas Outlets 1-4 $7.00', 6/25/10 1201000000000000756
Plan Review Major - Planning $211.00 ::' 6/25/10 1201000000000000756
PW Disc - 2nd Permit $-30.00' , ' 6/25/10 1201000000000000756
Residence Wiring 1000 Sq Ft $134.00 . 6/25/10 1201000000000000756
Residence Wiring Ea Addtl 500 $50.00 6/25/10 1201000000000000756
Sanitary Sewer - Improvement $772.80 6/25/10 1201000000000000756
Sanitary Sewer - Reimbursement $1,292.16 6/25/10 1201000000000000756
SDC MWMC Administration $10.00 6/25/10 1201000000000000756
SDC MWMC Compliance Charge $22.63 " 6/25/10 1201000000000000756
SDC MWMC Improvement $1,333.57, '_, 6/25/10 1201000000000000756
SDC MWMC Reimbursement $101.97,' :, 1" 6/25/10 1201000000000000756
SDC Sanitary/Storm Admin $203.15', . 'i'.~." 6/25/10 1201000000000000756
SDC Storm - Improvement $778. 7~" 6/25/10 1201000000000000756
SDC Storm - Reimbursement $216.54"'; 6/25/10 1201000000000000756
SDC Transpo Improvement $1,140.17 6/25/10 1201000000000000756
SDC Transpo Reimbursement $279.54 6/25/10 1201000000000000756
SDC Transportation Admin $94.25 6/25/10 1201000000000000756
Sidewalk Permit $88.00 6/25/10 1201000000000000756
Temp Power 200 amps or less $63.00 6/25/10 1201000000000000756
Vent Fan $27.00 6/25/10 1201000000000000756
Willamalane Single Family $2,858.00 6/25/10 1201000000000000756
Total Amount Paid
$11,979.18
, "I,i'Plan Reviews ~
Strnctural Review
OS/20/2010
Paee 2 of5
CITY OF SPRINGFIELD
; :;,.,!. " Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00627
225 Fifth Street, Springfield, OR ISSUED: 06/25/2010
541-726-3753 Phone APPLIED: 05/18/2010
541-726-3676 Fax EXPIRES: 12/25/2010
541-726-3769 Inspection Line VALUE: $ 190,000.00
Initial Review OS/20/2010 . OS/20/20 I 0 APP DJB
Plannim:r Review OS/20/2010 '05/2'1/201'0' , WE DDK On hold - Plot plan doesn't show
,[:'1 extended porch. Tim will come in
on Monday to revise plot plan. --
5/25/10 Tim came in and revised plo,
plan.
Planniu!! Review OS/20/2010 OS/25/2010 APP DDK Front elevations.are site specific and
contain REQUIRED design
elements. Inspectors willlield check
that actual elevations match
submitted designs as shown on the
J,:~ad:,;'; approved set of plans.
I.
Public Works Review OS/25/2010 OS/26/2010 WE TSS Approval pending LDAP submittal.
Public Works Review 06111/2010 06/1112010 APP TSS LDAP application received 6/4/10.
Review determined that it will be an
over the counter permit with
additional lot grading and drainage
to be constructed under
""'~- LDP2010-00050.
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Structural Review 06/21/2010 06/21/2010 APP KLK'
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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...PelllliredJnsnections I
Erosion/Grading Inspection: Prior to ground disturhance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
. . . f
Curbcut - Standard: After forms are erected'but prior to' placement of concrete.
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.
Slab: To be made after all inslab building service equipment, conduit piping and other eqnipment items are in
place but prior to concrete. .
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Post and Beam: Prior to 11001' insulation or#.eQlfing; ,: .
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Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Pa2e 3 of 5
CITY OF SPRINGFIELD
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Building/Combination Permit
Issued
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Status
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PERMIT NO: COM2010-00627
ISSUED: 06/25/2010
APPLIED: 05/18/2010
EXPIRES: 12/25/2010
VALUE: ' $ 190,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling [nsulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Roof SheathinglNailing: Before covering sheathing with finish material.
,...,
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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Underfloor Drain: Prior to cover or placem~nt;ofconcrete..
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Rough Plumbing: Prior to cover and includi~irrequfh'd testing.
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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.
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 reqnired
testing. Presnre test done at this point.
Rongh Mechanical: Prior to Cover
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Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Gronnd: [nstall ground rod at footing and call for inspection in conjnction with footing andlor
foundation inspection.
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is c'~'ijjWlet'e~~'.'~~i . i'"'
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Electric Service: Approval required prior th,il;'llity ~';;fupany energizing service.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00627
ISSUED: 06/25/2010
APPLIED: 05/18/2010
EXPIRES: 12/25/2010
VALUE: $ 190,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 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, Buildillg Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 011 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 during construction.
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Owner or COil tractors Signature
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Paee 5 of 5
225 Fifth Streett Springfield, OR 97477 tPH(541)726-3753 t FAX(541)726-3689
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Pennitno.: ('0 -e>c:>bZ7
Date: S -, [)- 10
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
i.'Iif~~~1l1!&0P;I!~G0~ERI\iME:r;fm"'W~eR0\iJii~<:;''1;c0'''il;:~\~,
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Zoning approval verified? 0 Yes 0 No
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[a Residential 0 Government 0 Commercial
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h
ZIP: "INn'
J;;'tf4:~~~~~;'~!i~j"D-R--"O~,-'qE'-'R--'~#t€rW"<i:YE^"-R'-;:;')~~~~{~j::~~~".~~;K~~W,~:f:
1Zl\,';;;;;6~~'ill~~~.;;a\ilrnfi,_"E,,__. ,}L'.tI~:l;W:"'~...~!.;;ti~__..,_:_-,~-"fb-:A_ ,_,,:'21~"'":'''1>,;,.;'t'~
Name: l-Lc dcV'.
Address: L(, <-
City: Q d V"1cv> ~ ZIP: ')775"0,
Phone: 5'11- .22~- IP"'!) 5" .
E-mail:.
This installation is being made on residential or fam, 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).
Address:
City:
Phone:S< 1/-311: 19'1<<
E-mail:
CCB license no.: -/
ZIP:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584.1 (9/08/COM)
1,000 sq. ft. or less (4) \ $134.00
Each additional 500 sq. ft. or portion ?. $ 25.00 $
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 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
60 I 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
$
$
$
201 to 400 amps (2)
40 I to 600 amps (2)
$ 87.00
$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 ofa service or feeder fee:
Each branch circuit
$
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)
Each sign or outline lighting (2)
Signal circuit or a limited.energy panel,
alteration, or extension (2)
$ 63.00 $
$ 63.00 $
$ 63.00 $
Each additional inspection: (I) $58.00 $
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;;lifif~?r,~~t~._~.ft.r.,,~._~:_\.J:,,1~~;if~~".."_m~t~w;i~~i!~~;ci~'1"1~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
(e) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
SAME,4S 57!.5 ~$~'"
StrU( 'Permit Applicate CIO-ZO.
SPR1NGFIEl..D ,~;
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225 Fifth Street. Springfield, OR 97477 . PH(54 I )726~3753 . FAX(541)726-3689 i' -'''-!;;~'-~,?i,
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I DEPARTMENT USE ONLY
(J::>.AA 20 If:> - 0 C bZ7
Permit no.:
Date 5-( 8-/0
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
, LOCAL GQYERtJM~NT.APPRcivAL'.
This project has final land-use approval.
Signature:
This project has DEQ approval.
I
Date"
Date:
Signature:
Zoning approval verified: DYes 0 No
Property is within flood plain: DYes 0 No'
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Reference:
PROPERTY OWNER
Name:
Address: .1,( .
City: State: QQ ("
Phone: Fax:
E-mail:
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 701.010.
Sign here:
LAfl.ON
City:
Phone. 51-11 -
E-mail:
CCB license no.:
Print name:
r
State:
Signature"
., ," ,. :;::SU~-CONTRAc:rOR'dNFORMAfl6N"/' ,.':, i;::<.
Name
Electrical
Plumbing
Mechanical
CCB License Number
Phone Number
n
J17l/7
3"1;J.37
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(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy P2th:
[XI new 0 alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes ,-EjNo
~.. ;. j'-.
(a) Permit fee (use valuation table):
(b) Investigative fee (cqual to [2a]):
(c) Reinspection ($ per hour):
(number cfhours x fe~ per hour)
(d) Enter ]2% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$ .
$
(a) Plan review (65% x permit fee [2a)):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
(a) Seismic fee, 1 % (.0] x permilfee [Za))"
$
TOTAL fees and surcharges (2e+3c+4a): $
R-?, willamalane
t\it Park and Recreation District
Job. No. ~ j\C) .\0 iLl
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME:~().Q~ f~ PHONE: ~.'4~.~
ADDRESS: 2..lo~'2- '&u.:>~~P~E:~IP: 41l~(o
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~~D ~ ~~
Plat Name: ~\.t X.{\~ Tax Lot Number: \\.O"Z.:~'2.k4 DlD~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
. A. Sinqle-Familv Detached
NO. OF UNITS \
X $2,858 per unit =
$ ~ S8:,.CO
B. Sinqle-Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Apartment
NO. OF UNITS
X $2,641 per unit =
$
'0. Sinqle Room Occupancy
NO. OF UNITS
. X $1,321 per unit =
$
E. Accessory Dwellinq Unit
NO. OF UNITS .
X $1,550 per unit =
$
$ 2~5B.CO.
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
Development Services Department
City of Springfield
w
$C/
$ 1.0 r:f6 ,0::>
~~\O
Date
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
5
225 Fifth Street
. .-
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000756
Date: 06/25/2010
10:03:47AM
Job/Journal Number
COM20 I 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 I 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM2010-00627
COM2010-00627
COM20 1 0-00627
COM20 1 0-00627
COM2010-00627
COM2010-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 I 0-00627
COM20 I 0-00627
COM20 1 0-00627
COM20 1 0-00627
C0M20 1 0-00627
COM20 1 0-00627
COM2010-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 I 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 1 0-00627
COM20 10-00627
Payments:
Type of Payment
Check
cReceintl
Description
Plan Review Major - Planning
Curbcut Pennit
Sidewalk Permit
PW Disc - 2nd Permit
SDC Stonn - Reimbursement
SDC Stonn - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stom1 Admin
SDC MWMC Compliance Charg.~,"
SDC Transportation Admin rt".t:~r ,',
Fire SF Fee - Residential ',,,},
Building Penn it
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
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Paid By
HA YDEN HOMES LLC
Check Number
,Batch Number
Received By
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Page 1 of 1
Item Total:
Authorization
. Number How Received
Amount Due
211.00
88,00
88.00
(30,00)
216,54
778,71
1,292,16
772.80
279,54
1,140,17
101.97
1,333,57
10,00
203,15
22,63
94,25
90.40
1,075,05
38,00
2,858,00
337,00
79,00
27,00
13,00
9,00
7,00
20,00
134,00
50,00
63,00
217,69
108.55
$11,729.18
Amount Paid
26165
$11,729,18
$11,729.18
In Person
Payment Total:
6/25/20 I 0