HomeMy WebLinkAboutPermit Building 2010-6-25
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00724
ISSUED: 06/25/2010
APPLIED: 06/0412010
EXPIRES: 12/25/2010
VALUE: $ 145,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4819 HOLLY ST
ASSESSOR'S PARCEL NO.: 1802051111800
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Westwinds lot 99
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-6935
I CONTRACTOR INFORMA nON .
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERP~.I.S:E~
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
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Expiration Date
07/29/2011
09/29/2010
03/25/2012
06/12/2012
Phone
541-228-6935
541-317-1998
541-672-9510
541-928-8942
# of Units:
Primary Occupaucy Group: . .
Secondary Occupancy Group:
Primary Coustruction Type
Secoudary Construction Type:
# of Bedrooms:
.'
Lot Size:
. Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,098
1,007
400
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
22.26
7.64
20.26
3.75
Overlay Dist: ' .. .~:>
it Street Trees Rqd:
Pa,ved Drive Rqd: "
% of Lot Coverage:,'
2
Yes
23.30
Total:
Handicapped:
Compact:
2
Street Improvements:
Storm Sewer Available: '
Special Instruction:
I PUBLIC IMPROVEMENTS ~ ",,"':"~i:'"' ,
I. ...,y"'" ~
FuUy Improved SIdewalk Type: W 1\\'C. ~O?- Curbside 7'
Yes ~\ct~ DowRtt~~~~lJ\\1 \S ~gltorm Sewer
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Notes:
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
Estimate
Gara!!e/Misc
SFfDunlex
Fee Descriotion
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
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 Sewer - 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 Reiniburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
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I V~\~~tion Des~'riDtion I
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
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.t:,liotai,V,t1ue of Project
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Amount Paid
$579.74
$191.39
$97.60
$79.00
$337.00
$38.00
$9.00
$891.90,."
, '''",'1.",
$88160; .
$9.00 Y
$\3.00
$70.35
$7.00
$211.00
$-30.00
$\34.00 ',',
. , ,
$25.001 }]!'.1:\{"':j,';;',"
$740.69,;.':::.1 ' ", .
$1,238.32,"";' . ....'~;,._" .
,. .', i".. f~.
$IO.OO:':"/.
$22.63
$1,333.57
$101.97
$187.59
$626.70
$174.27
$279.54
$1,140.17'
$95.80
$88.00, .
$63;00;;'
$27.00'
$2,858.00
Square Footage
or Bid Amount
145,000.00
400.00
1,007.00
Date Paid
6/4/10
6/25/10
6/25/10
'6/25/10
'6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
,; 1 ,6/25/10
6/25/10
6/25/] 0
6/25/1 0
6/25/10
6/25/10
6/25/1 0
6/25/10
6/25/10
6/25/10
'9/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
Pa!!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00724
ISSUED: 06/25/2010
APPLIED: 06/04/2010
EXPIRES: 12/25/2010
VALUE: $ 145,000.00
Value
Date Calculated
$145,000.00
$15,088.00
$97,507.81
$257,595.8]
06/04/2010
06/18/20]0
06/18/2010
Receipt Number
2201000000000000640
120]000000000000755
1201000000000000755
]201000000000000755
]20]000000000000755
]201000000000000755
120]000000000000755
]20]000000000000755
1201000000000000755
]201000000000000755
1201000000000000755
1201000000000000755
]20]000000000000755
]20]000000000000755
]201000000000000755'
]201000000000000755
1201000000000000755
]20]000000000000755
]20]000000000000755
]20]000000000000755
]20]000000000000755
120]000000000000755
1201000000000000755
1201000000000000755
]20]000000000000755
120]000000000000755
]20]000000000000755
1201000000000000755
120]000000000000755
1201000000000000755
1201000000000000755
1201000000000000755
1201000000000000755
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00724
ISSUED: 06/25/2010
APPLIED: 06/04/2010
EXPIRES: 12/25/2010
VALUE: $ 145,000.00
, ,.~'-,:
Status
Issued
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225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $1l,738.14
I Plan Reviews I'
Initial Review 06/07/2010 ,. .1:,;06/09/2010 APP LLH
Plan nine Review 06/09/2010 06/1012010 WE DDK
3' Walkway not shown on plot plan.
Customer will come in to revise plot
plan. 6/11/10 - Customer revised
plot plan.
Plan nine Review
06/Il/2010
06/11/2010 APP DDK
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06/11/2010 APP LKW
06/18/2010 APP CJC
Front elevations are site specific and
contain REQUIRED design
elements. Inspectors willlield check
that actual elevations match
submitted designs as shown on the
approved set of plans.
Storm water to storm
Public Works Review
06/Il/2010
Structural Review
06/09/2010
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.
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lJ.e(]lIir~d..J,D's'~~'~tions ~
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.
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. .1, ":;;'!l .
Foundation: After forms are erected but pri~'r:to co~;~'n~te placement.
,"'" .-
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheatbing with linish materials.
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
I
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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CITY OF SPRINGFIELD
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11
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM201O-00724
ISSUED: 06/25/2010
APPLIED: 06/04/2010
EXPIRES: 12/25/2010
VALUE: $ 145,000.00
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Masonry:
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Final Building: After all required inspectio'os have been requested and approved and tbe building is complete.
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Perimeter 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 filling trench and including.required testing.
Storm Sewer Line: Prior to filling trench.
J... .
Final Plumbing: When all plumbing work'is complete.
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..;:;;',:, ,,:."',
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Final Mechanical: When all mechanical work is complete.
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Temporary Electric: Approval required prior to Utility Company 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.
By siguature, I state and agree, that I have carefully examined me 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
tbat NO OCCUPANCY ,will be made of any stru~ture withont 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 fnrtber agree to ensure that all required inspections are reqnested 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 Contractors Signature
Date
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Page 4 of 4
Electrical Permit Application
225 Fifth StreettSpringfieJd, OR 97477tPH(541)726-3753t FAX(541)726-3689
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P ermit n 0 Cl 0 . 0 0 7 Z. l..{
Date b - t{ - ( 0
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.
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~~RR~a~RifkYjEJ:)}NN~~l-I~~?~~~~~~;1i~
Name:
Address: L
City: r< ,,01 VVl<o"" vi
Phone: 5L!I-2!/f- G")~5'
E-mail:'
State: 6 Q ZIP:')?75G.
Fax:5"11-7'11- ,;!57?
This installation is being made on residential or farm 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:
"'~~~""~NmB'A'i?;';"'-R-""IN-'ST,.",..i1!?^,"'1i0"N"~l'!t""_"j!'J""',!.i'.,S".',
~$~M~~f}W~~'~k~.J~'QJ.:\.\?J.ll*,LL!!L~. ...JI~~I:::I;:t.'~!~_:,-,."__~~~,",;JM)-,"t':;;J?'::.
rc" Ipc
(oVe ct
State: oR.
Address:
ZIP:
City:
Pbone:S! 11-311 - IQ'1<?
E-mail:
CCB license no.: "j
Signing supervisor's license no.;
Print'name of signing supervisor: V
Signature of signing supervisor: U
~~
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~~
440-2584-J (9108/COM)
1,000 sq. ft. or less (4) $134.00
Each additional 500 sq. ft. or portion l $ 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 $
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) t $ 63.00 $ \4 ~
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $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 of a 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) ,
Each additional inspection: (1)
.' ~'.'~Ej~~I{S!'~Jil;fltt1:s~:
(A) Enter subtotal of above fees
(Minimum Permit Fee S58.00)
(B) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ 63.00
$ 63.00
$
$
$
$
$ 63.00
$58.00
.~
Strul 'Permit Application
-
225 Fifth Street. Springfield, OR 97477 . PH(54 1)726-3753 t FA.X(541)726-3689
SPRINGFIELD '.
DEPARTMENT USE ONLY
(OW' Z-O (0 -0e:> 72t(
Permlt no.:
Date f:. -l( - ( D
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for] 80 days,
: Lb.cALGQ'IERN [;1~irrAP~Roit AL
This project has final land-use approval.
Signature:
This project has DEQ approvaL
Signature:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 "Ne:
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[gI Residential 0 Government 0 Commercia!
.']k,/;j9$'~SltE TN~(jR.MATIQNJ{AND U:iCATION....
flaIl. 5'+
Date
Date:
Job site address:
City.
Subdivision: . w~s.f. ~
Reference. 80Z0 $\ \
PROPERTY OWNER
Name:
Address:
City.
Phone: .
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 70\.010.
QQ
Sign here:
'LATI()N, "
(.
State, C!fC
CCB license no.:
Print name:
Signature:
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Name
Electrical
Plumbing
Mechanical
CCB License Number
Phone Number
J7
317'17
YI.:;!.37
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",':'.':FEE'S<:;HEDULF
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(a) Job desc'ription. $1"1.'
Occupancy .~~
Construction type:
Square feet:
Cost per square foot: "loa
Other information:
Type of Heat:
Energy Path:
[X] new 0 alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes -ErNo
$ '45- Coo ?
.
(a) Permit fee (use valuation table): $
(b) investigative fee (equatto [2a]). $
(e) Reinspeetion ($ per hour): $
(number afhours x fe~ per hour)
(d) Enter"12% 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 [2aJ) $
(c) Subtotal of fees above (3a and 3b), $
(a) Seismic fee, 1 % (.01 x permit fee [2a)): $
TOTAL fees and. surcharpes (2e+3c+4a): $
R-?, willainalane
tlDi Park and Recreation District
Job. No. ('... \D ,\ 'LA
SYSTEM DEVELOPMENT CHARGE WORKSHEET
, January 1-June 30, 2010
NAME: l AcwfQf\ ~X\t PHONE: ~L\\.~,fL8-lA3,:)
ADDRESS~-\\A ~~) C\\~Q< Vo~:1LJWp:~
, q-r\~
LOCATION OF PROPOSED BUILDING SITE:
Sl~t Add,~ ~ \,,\ \;\ () lli ~ .sl.-- . .
Plat Name: \}.j,9 D-\-~~)l(\c9. ' ) Tax ot NUmber:' \ ~O( on ,\ \\&:0
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Familv Detached
NO. OF UNITS t
, B. Sinqle-Familv Attached
NO. OF UNITS
X $2,858 per unit =
X $3,100 per unit =
C. Multi-Familv Apartment
NO. OF UNITS
X $2,641 per unit =
D. Sinqle Room Occupancy
NO.'OF UNITS
X $1,321 per unit =
E. Accessory Dwellinq Unit
NO. OF UNITS
X $1,550 per unit =
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approvaL)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$ '2.5 CfJ6. CCJ
$
$
$
$
$ ~SC6_CO
, if
$
$ 1/ fQ\?::/O.aJ
Date
6 '4' ~a
Development Service
City of Springfield
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225 Fifth Street
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Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000755
10:00:28AM
Date: 06/25/2010
Job/Journal Number Description
COM20 I 0-00724 Addres~ing Assignment
.,.....,~->..,'
COM20 I 0-00724 Willamalane Single Family '.-.- -_...-
..
COM20 lO-00724 Residence Wiring lOOO Sq Ft . ...-. . .
COM20 I 0-00724 Residence Wiring Ea Addt) 500 .::....
COM20 I 0-00724 Temp Power 200 amps or less
COM20 I 0-00724 Fire SF Fee - Residential
COM20] 0-00724 Plan Review Major - Planning
COM20 I 0-00724 Sidewalk Permit
COM20 I 0-00724 Curbcut Permit
COM20 I 0-00724 PW Disc - 2nd Permit
COM20 I 0-00724 SDC Storm - Improvement
COM20 I 0-00724 SDC Storm - Reimbursement
COM20 I 0-00724 Sanitary Sewer - Reimbursement. ~ JI: , ..
COM20] 0-00724 Sanitary Sewer - Improveme.nt'l!N~' ~'\: _1..1
1$'
COM20 I 0-00724 . SDC Tran Reimburs-Resideiitial ,
COM2010-00724 SDC Trans Improvement-Resident
COM20 I 0-00724 SDC MWMC Reimbursement
COM20 I 0-00724 SDC MWMC Improvement
COM20 I 0-00724 SDC MWMC Administration
COM20 lO-00724 SDC Sanitary/Storm Admin
COM20 lO-00724 SDC MWMC Compliance Charge
COM20 I 0-00724 SDC Transportation Admin .-,..,..",~..... . ',,".4','~"""""
. .~-.. A_
COM20 I 0-00724 Building Permit ,d
COM20 I 0-00724 2 Baths One or Two Family ,--',
COM20 I 0-00724 1 st Appliance
COM20 J 0-00724 Vent Fan
COM20 I 0-00724 Appliance Vent
COM20 I 0-00724 Exhaust Hoods
COM20] 0-00724 Dryer Vent
COM20 I 0-00724 Gas Outlets 1-4
COM20 I 0-00724 + 12% State Surcharge
COM20 I 0-00724 + 5% Technology Fee
Payments:
Type of Payment
Check
~~Check Number
,Re_~;eiyed By ~atch Number
Paid By
HA YDEN HOMES LLC
d)b
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cRcceiotl
Page I of I
Item Total:
Authorization
Number How Received
Amount Due
38.00
2,858.00
134.00
25.00
63.00
70.35
211.00
88.00
88.00.
(30.00)
626.70
174.27
1,238.32
740.60
279.54
1,]40.]7
101.97
],333.57
. ]0.00
187.59
22.63
95.80
891.90
337.00
79.00
27.00
9.00
13.00
9.00
7.00
191.39
97.60
$11,158.40
Amount Paid
26167
$11.158.40
$11.158.40
In Person
Payment Total:
6/25120 10