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Home My WebLink AboutPermit Building 2004-11-19 Status Issued , -~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01208 ISSUED: 11/1912004 APPLIED: 09/29/2004 EXPIRES: 05/19/2005 VALUE: $ 195,813.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6011 Orchid Ct Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence Jasper Meadows, 2nd Addition, lot 119 Residential Owner: HAYDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Phone Number: 541-461-5091 , I CONTRACTOR INFORMATION I Frontyard Setback: Side 1 Setback: 'Side 2 Setback: Rearyard Setback:, Solar Setbacks: Contractor O~'" License HAYDEN ENTERPRIS~i\\\t. ~ ~a\ 92208 E~TSIDE E~~~ ~~\\ \'2> 117770 \\t)1~ ~~~\ift ~ ~'t.O~ 39237 Isfff ~nN~ Ch ~~\) ""39'4~ ,\-11\ ~',~' _ '\ ern ~'0\\'\~~~Ct.1J ~~~\O\D . BUILDING INFORMATION I COW' CO\) IJ~'{ , , # of Units: ~~'{ '\ 1 ,# of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure ' 26.00 Sq Ft 1st Floor: Secondary Occupancy Group: U-l Type of Heat: Forced Air Ga6 ' Sq 'Ft 2nd Floor: Primary Construction Type VN Water Type: 'I~~'~ Sq Ft Basement: Secondary Construction Type: Range Type: r>.v,\~W;t~~~\'I. ~q Ft Garage/Carport # of Bedrooms: 3 Energy Path: \~~ ,0 O,e~a~\O !;)~ Ft Other: Sprinkled B~n2:~e \eCfJ ~~~~?:f;j €icupant Load: ' (\(0 ,. '01 f\\\.... J\~ "P.~ ~~~~~~\:~~~ 20.00 , ,o\~~~~~~~ o'O\i\~ ~o\~~~~ ~~o.,\. 14.70 ~06~~e~~~~'e~O~ ~~~"" 5 14.60 \~ ~~~~<n,.f\~R.~O'V~~~1 Yes 11.30 ()h}o~~'fe~~{$~ 22.00 0.00 f\v,{\\'<:J cef" Expiration Date 07/29/2007 10/04/2005 03/25/2006 05/31/2005 Phone 541-501-4332 541-915-9828 541-672-9510 503-363-2334 Contractor Type General Electrical Mechanical Plumbing 6,379 1,006 1,008 400 REQUIRED PARKING Total: 2 Handicapped: ' Compact: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: , I PUBLIC IMPROVEMENTS I Fully Improved Yes Roof drainage to curb and gutter Sidewalk Type: ' DO'rnspouts/Drains: Curbside 5' Curb and Gutter Notes: No hookup to public infrastructure until public improvements have been accepted by the City. -MS Pa2e 1 of 4 _.1i!i~~.t~~f,iI~~J' ,_'-""--'~~ ~ ,~ gt 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line J CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01208 ISSUED:' 11/19/2004 APPLIED: 09/29/2004 EXPIRES: , 05/19/2005 VALUE: $ 195,813.00 Status Issued I Valuation Description I Dwellinl!s , Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,014.00 400.00 Value Date Calculated Description Total Value of Project $186,093.60 $9,720.00 $195,813.60 09/29/2004 09/29/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 9/29/04 1200400000000001406 -Mechanical Issuance Fee- $10.00 11/19/04 2200400000000001432 + 10% Administrative Fee $147.87 11/19/04 2200400000000001432 + 7% State Surcharge $103.51 11/19/04 2200400000000001432 3 Baths One & Two Family $306.00 11/19/04 2200400000000001432 Addressing Assignment, $31.00 11/19/04 2200400000000001432 Building Permit $877.65 11/19/04 2200400000000001432 Curbcut Permit $75.00 , 11/19/04 2200400000000001432 Dryer Vent $6.00 11/19/04 2200400000000001432 Exhaust Hoods $9.00 111.19/04 2200400000000001432 Furnace - up to 100,000 btu $12.00 11/19/04 2200400000000001432 Gas Fireplace $15.00 11/19/04 2200400000000001432 Gas Outlets 1-4 $4.00 11/19/04 2200400000000001432 Heat Pump $12.00 11/19/04 2200400000000001432 Plan Review Major - Planning $103.00 11/19/04 2200400000000001432 , PW Mult Disc - 2nd Permit' , $-30.00 11/19/04 2200400000000001432 Residence Wiring 1000 Sq Ft , $106.00 1l/lW04 22004000QOOOOOO1432 Residence Wiring Ea Addtl 500 $57.00 11/19/04 2200400000000001432 Sanitary Sewer -'Improvement' $420.44 11/19/04 2200400000000001432 Sanitary Sewer - Reimbursement $552.92 11/19/04 2200400000000001432 SDC MWMC Administration $10.00 11/19/04 2200400000000001432 SDC MWMC Improvement $865.31 11/19/04 2200400000000001432 SDC MWMC Reimbursement ' $82.03 11/19/04 2200400000000001432 SDC Sanitary/Storm Admin $113.99 11/19/04 2200400000000001432 SDC Transpo Admin $64.72 11/19/04 2200400000000001432 SDC Transpo Improvement $772.49 11/19/04 2200400000000001432 SDC Transpo Reimbursement $175.13 11/19/04 2200400000000001432 Sidewalk Permit $75.00 11/19/04 2200400000000001432 Storm Drainage Impervious Area $695.80 11/19/04 2200400000000001432 Temp Power 200 amps or less ' $50.00 11/19/04 2200400000000001432 Vent Fan $24.00 11/19/04 2200400000000001432 Willamalane Single Family $1,000.00 11/19/04 2200400000000001432 Total Amount Paid $6;846.86 Pal!e 2 of 4 .,.\ Status , Issued CITY OF SPRINGFIELD · , Building/Combination Permit 'PERMIT NO: COM2004-01208 ' , ISSUED: 11/19/2004 APPLIED: ' 09/29/2004 EXPIRES: ' 05/19/2005, VALUE: $ 195,813.00 , 225 Fifth Street, Springfiel~, OR 541-726-3753 Phone 541-'126-3676 Fax' 54i-726-3769 Inspection Line Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. . I " , , . Pal!e 3 of 4 ~...~. CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01208 ISSUED: 11/19/2004, APPLIED: 09/29/2004 EXPIRES: 05/19/2005 VALUE: $ 195,813.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ufer Electrical Ground: Install ~round rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excayated. Foundation: After forms are ereCted but prior to concrete placement. Post arid Beam: Prior to floor in$ulation or decking. Floor Ins~lation: 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. i ' Ceiling Insulation: Prior to cover. . Drywall: Prior to taping. I ' , Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. !, ' Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover :and including required testing. Water Line: Prior to filling trench and including'required testing. I 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. I Underfloor Mechanical. Prior to insulation or decking and including required testing. , Underfloor Gas: After line is inst1alled and required testing and capped if not attached to an appliance. I Rough Gas: After line is installe~ and required testing and capped if not attached to an appliance. Gas Service: After line is installe~ and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior, to ICov~r Final Mechanical: When all,mec~anical work is complete. Temporary Electric: Approval r~quired prior to Utility Company energizing pole. Rough Electric: Prior to Cover I Electric Service: Approval requi~ed prior to utility company energizing s~rvice. Final Electric: When all electrica' work is complete. By signature, I state and agree, that I ha~e carefully examined the completed application and do hereby certify that all information hereon is true and correct, a~d'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 ~ny 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 . I further agree to e~sure that all required inspections are requested at the proper time, that each address is readable from the I. .. 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 durl:7)tru7/, /' /47 62. ....1- . 1r;/r:4f ow~9Yn&"aciors Signature , r Date I I I I I I' I Pal!e 4 of 4 ~. 225 Fifth Street Springfield, Oregon 97477 541-72~-3759 Phone ' 'ity of Springfield Official Receipt tJevelopment Services Department Public Works Department RECEIPT #: 2200400000000001432 Date: 11/19/2004 2:36:14PM Job/Journal Number Description Amount Due COM2004-0 1208 Addressing Assignment 31.00 COM2004-01208 Willamalane Single Family 1,000.00 COM2004-01208 Residence Wiring 1000 Sq Ft 106,00 COM2004-01208 Residence Wiring Ea Addtl 500 57,00 COM2004-0 1208 Temp Power 200 amps or less 50.00 COM2004-0 1208 Sidewalk Permit 75.00 COM2004-0 1208 Curbcut Permit 75.00 , COM2004-01208 PW Mult Disc - 2nd Permit (30.00) COM2004-0 1208 Storm Drainage Imperyious Area 695.80 " "'~,.. C.OM2004-0 1208 Sanitary Sewer - Reimbursement 552.92 COM2004-01208 Sanitary Sewer - Improvement 420.44 COM2004-01208 SDC Transpo Reimbursement 175.13 COM2004-01208 SDC Transpo Improvement 772.49 COM2004-0 1208 SDC MWMC Reimbursement 82.03 COM2004-01208 SDC MWMC Improvement 865.31 COM2004-01208 SDC MWMC Administration 10,00 COM2004-0 1208 SDC Sanitary/Storm Admin 113.99 COM2004-0 1208 SDC Transpo Admin 64.72 COM2004-0 1208 Building Permit 877.65 COM2004-01208 3 Baths One & Two Family 306,00 COM2004"0 1208 Furnace - up to 100,000 btu 12.00 COM2004-01208 Vent Fan 24,00 COM2004-01208 Exhaust Hoods 9.00 COM2004-01208 Dryer Vent 6.00 COM2004-01208 Gas Outlets t~4 4.00 ., ~ COM2004-0 1208 Gas Fireplace ~ 15.00 .. COM2004-01208 Heat Pump " 12.00 COM2004-01208 ":'Mechanical Issuance Fee"':' 10,00 COM2004-0 1208 + 7% State Surcharge 103.51 COM2004-01208 + 10% Administrative Fee 147.87 COM2004-0 1208 Plan Review Major - Planning 103.00 Item Total: $6,746.86 Payments: Check Number Authorization Type of Payment, Paid By Received By Batch Number, Number How Received Amount Paid Check HAYDEN ENT djb 13454 In Person $6,746.86 Payment Total: $6,746.86 ,:~ 'i. 11/19/2004 Page I of I CITY OF sf~NGFIElD SYSTEMS DEVELOPMENT WORKSHEET JOU.RNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x COST PER S,F, I CHARGE l I 2244.50 $0.310 = $695.80 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I 0,00 $0.310 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$695.80 I COM2004-0 1208 Hayden Enterprises ' 6011 Basalt Street Jasper Meadows 2nd Add Phase 3 Lot 119 SINGLE F AMIL Y RESIDENCE 1 BUILDING SIZE (SF: ' o LOT SIZE (SF): ' 6379 r-- CI) ~ o o u ~ ~ E-< ~ CI) ...... Cl ~ DISCOUNT $0,00 $695.80 1070 2. SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's x 1 23 B. IMPROVEMENT COST: 1 NUMBER OF DFU's. x 1 23 I COST PER DFU ,I ' $24,04 $552.92 1091 $18.28 $420.44 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $973.36 3, TRANSPORTATION A REIMBURSEMENT COST: ADT TRIP RATE x I NuMBER OF UNITS x I COST PER TRIP x INEWTRIPFACTOR I 1 I 9.57 I 1 $18.30 1.00 $175.13 1093 B. IMPROVEMENT COST: ,I ADT TRIP RATE x I NUMBER OF UNITS x 1 COST PER TRIP x NEW TRIP FACTOR 9.57 1 1 I $80.72 1.00 $772.49 i"~ ITEM 3 TOTAL - TRANSPORTATION SDC = , $947.62 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 .. $82.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 1 j $865,31 = I $865.31 1055 MWMCCREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $957.34 I SUBTOTAL (AQD ITEMS 1,2,3, & 4) = , $3,574.12 ' I ' . I . ,5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE CHARGE $3,574.12 5% $178.71. TOTAL SANITARY ADMINISTRATION FEE: 113,99 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $64.72 1078 Matt Stouder 11/19/2004 TOTAL SDC CHARGES =1 $3,752.83 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRlNKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION I ETC, 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 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 LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 OEDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I ,000 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 '$5.29 (Enter 1 for Yes, 2 for No) 1979 $5,29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $5,19 (Enter 1 for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE I 1000 CREDIT RATE I 1985 $4.40 $0,00 x $5.29 = , $0.00 r 1986 $4.07 I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE I 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0,00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0,28 2000 $0.09 2001 $0.05 ~"-! ~" o~o ",e, Sf''''~l ~~, ;:) ~"'~ &~,~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689 '[J~~0",~~<i" ;'~d" ijz :~=;::~~~CATION 3. ,co;;~~elEE~~::;~/;/ . \Q,\)\\'t){~~\,(L; "'.' -;~~~o~~~~~/.:..~~,e ~ LEGAL DESC1]ON A. Ne)\'.Resid.~~tiakSiogIe ~f1l'l~,;;"family per dwelling urnt ;&1DE~~ON3 DO DO~~. ~~i:.~e~:~:s ... ...... 0"\SI0600 \rA.o~ ~~., ~O.~tC..Q~ ;:~:'::~:~IS00sq.h "!:J S19.00 m0' Permits a~ non-transferable expire if work is Each Manufact'd Home or ,.' not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder $50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders -Installation, Alterations or Relocation: -,;,_~;,>:~:;':;;:';;:;:':'i:_'..<_<::_<~.~'. ~ . '.--'-'''''':. City 5P~LD 17Y7~ Phone 7V(-IYc;CJ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps . 60 I Amp~ to 1 090 An\p~ 'Over 1000 kpsNolts\\ ", Reconnect, ()nl~'- - " \.\' $ 63.00 $}5,OO r;:: \ ,'SU5,00 ,\ \:..~ \'s1~3.00 \ \ \ UI-\ $375,00 $ 50.00 Electrical Contractor E A 5 rs / DC. (L E C. Address 3 ~ ~ 5 3 go 5C A Gf L-I-J, tL ........ V \~- Supervisor License Number If 7 J 75 C. C~~~~~a~r~~~~~Fe~~ers ; ,\ \ Installation, Alteration or Relocation 200 Amps or less \ 20 I Amps to 400 Amps 40 I Amps to 600 Amps :3)0 Expiration Date 10"0/- D7 $ 50.00 $ 69.00 $100.00 Constr. Contr. Number /17 7 7 0 Expiration Date J 0 .. 0 1- 0 5 Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits f New Alteration or Extension Per Panel .Rt-G),~1 ~-Cj One Circuit ~ ^ I C Each Additional Circuit or with Owne" Name" ~;O I ~ ci.a.0 (J'ct Service 0' Feede, Pennit S 3.00 Address ~ 'L!J~ -S\t ') t"\ $) ~1:~N: 0'r~~~6~eyo\S"'6eeder not included) -Each Installation City $ ^ Pot! N\ r\.J'. J.._" ~^ j AT,~1I9"i::!iM. rdopted by t~~ O~egon Utility , ~\ \{'L Phone:: m 'N&iJ~,q)~ntef.~ePmf~~O&e set forth $ 50.00 In OAR 952-001-0~GDi~~2-001_ $ 50,00 OWNER INSTALLATION 0090. You may obLiinitW~wg~iMm~by $ 25,00 callil19.. the centOl'.-JI\I..r.fBht.b..n.t<=!~A.....;.,1 $ 45 00 The installation is being made on property I o'fffirt'l~i~y qwulteQl ,....~ \;wc;~~ . is not intended for sale, lease or rent. 6~~~Il?~'~$~~~[~~t~~lktion Fee is $45.00 + Surcharges Owners Signature: 4. SUBTOTAL OF ABOVE i l3 f1J lL\9.. \ '2. \ .~U 'L4Q .~ $ 43,00 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application I-03.doc