HomeMy WebLinkAboutPermit Building 2005-1-4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
7
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01524
ISSUED: 01104/2005
APPLIED: 12/14/2004,
EXPIRES: 07/04/2005
VALUE: $ 123,834.00
SITE ADDRESS: 6061 Orchid Ln Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single Family Residence, Jasper meadows subdivision lot 114, Home Style - Cascade
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION'
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET HEATING INC
License
92208
116329
39237
3944
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd: 1
Paved Drive Rqd: Yes
% of Lot Coverage: 25.30
uru n'A'Am.. ,_'OOI83d AVO 08L AN'rI
, IJ~UB~~~I~f.RPY,E~~~~~i' ~~~~~3~~lg8
F II I )itiUMd3Hl.:J1 381dX3 ll\iHS 11'A,SidaeM'~II{Iype:
u y mprove vvtjj SIH
. Yes ->,. J>,p'Xnsp,outs/Drains:
...,M >i.J!,c.Jlb\J
t __.1 BUILDING INFORMATION I
, '.:' ('t'l'>g I
i ,.' -'c on aw re '
11' # oN~,~9r~~b f e qUIres YO~ !01
R,~3 "., l'li: H~ig.~,~"of7~log~rrr~Oregon Uiifit90
'.u ". ')S").iJyp,e~oC.1"eat: u ~rcelJS~hfJ\1.Q'"
- , vv v mrough OA -~
VN.: )'ou m)Yya~Stl~pe:, R 952-~
calling theRange 't'y~' cpp/es of fhe nIDwstriG
vcr"er fe' fh "!Y
3iumber for~~r.~'P t . ,;" e teleph~h 1
Cen~gdn e~j<jihH(ftW~ NotificatiWrf
t;( IS -800-::l<:l?-1'}?11l.
I DEVELOPMENT INFORMATION I
20.00
20.60
10.00
10.00
0.00
Notes: Storm Drainage piped to curb face 12/17/2004 CAS
Pae:e 1 of 4
Phone Number: 541-461-5091
Expiration Date
07/29/2007
10/01/2006
03/25/2006
05/31/2005
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,441
1,235
400
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01524
ISSUED: 01104/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 123,834.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion 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
1,235.00
400.00
Value
Date Calculated
Description
Total Value of Project
$114,114.00
$9,720.00
$123,834.00
12/1512004
12/15/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $418.37 12/14/04 1200400000000001739
+ 10% Administrative Fee $110.27 1/4/05 1200500000000000014
+ 7% State Surcharge $77.19 1/4/05 1200500000000000014
2 Baths One or Two Family $254.00 1/4/05 1200500000000000014
Addressing Assignment $31.00 1/4/05 1200500000000000014
Building Permit $643.65 1/4/05 1200500000000000014
Curb cut Permit $75.00 1/4/05 1200500000000000014
Dryer Vent $6.00 1/4/05 1200500000000000014
Exhaust Hoods $9.00 1/4/05 1200500000000000014
Furnace - up to 100,000 btu $12.00 1/4/05 1200500000000000014
Gas Outlets 1-4 $4.00 1/4/05 1200500000000000014
Heat Pump $12.00 1/4/05 1200500000000000014
Plan Review Major - Planning $103.00 1/4/05 1200500000000000014
PW Mult Disc - 2nd Permit $-30.00 1/4/05 1200500000000000014
Residence Wiring 1000 Sq Ft $106.00 1/4/05 1200500000000000014
Residence Wiring Ea Addtl 500 $38.00 1/4/05 1200500000000000014
Sanitary Sewer - Improvement $402.16 1/4/05 1200500000000000014
Sanitary Sewer - Reimbursement $528.88 1/4/05 1200500000000000014
SDC MWMC Administration $10.00 1/4/05 1200500000000000014
SDC MWMC Improvement $865.31 1/4/05 1200500000000000014
SDC MWMC Reimbursement $82.03 1/4/05 1200500000000000014
SDC Sanitary/Storm Admin $110.34 1/4/05 1200500000000000014
SDC Transpo Admin $65.15 1/4/05 1200500000000000014
SDC Transpo Improvement $772.49 1/4/05 1200500000000000014
SDC Transpo Reimbursement $175.13 1/4/05 1200500000000000014
Sidewalk Permit $75.00 1/4/05 1200500000000000014
Storm Drainage Impervious Area $673.70 1/4/05 1200500000000000014
Vent Fan $18.00 1/4/05 1200500000000000014
WilIamalane Single Family $1,000.00 1/4/05 1200500000000000014
Total Amount Paid $6,647.67
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01524
ISSUED: 01/04/2005
APPLIED: 12/14/2004
EXPIRES: 07/0412005
VALUE: $ 123,834.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
12/15/2004
12/15/2004
12/15/2004
I Plan Reviews I
12/1512004 APP
12/28/2004 APP
12/17/2004 OK
LLH
TAJ
CAS
Storm drainage piped to curb face.
Needs LDAP 12/17/2004 CAS
Structural Review
12/15/2004
12/29/2004
OK
RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Final Mechanical: When all mechanical work is complete.
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.
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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
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.
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
Pal!e 3 of 4
q:R~~N~~IIE1.Q,
~.t
:I,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01524
ISSUED: 01/04/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 123,834.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU 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 aU 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 aU
times during ,Zu
~f - ,-
Owner or Contractors Signature
1-'1-of'
Date
r
Pal!e 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3
~ . .
ELECTRICALrfAR1lffrfi'KP~ICATION ' :.
City Job Number \ \ J ~ \~' J ~ Date
- - - - -
t',,-""'; "':~, ,', ":+"-', }":";\:~ " ',_ ",' .""
l.j!l:Q..c:4!IO-NOFny~re~
"~"~~(0CIa \ ~\\lA
~kC\\~~ .'i\ r tv\rO_ 2rc~
~~~~~~;:~, ~
not started within 180 days of issuan~r if work is
Suspended for 180 days.
2.
Electrical Contractor 12/:o.R1 J7{J /'-' J -ElK} K1:::.
Address I? {J r)&;r SoLI t.}
City &er(
Phone 9)~ -[0;:)7
Supervisor License Number ::So /7 g
Expiration Date !e!./ 1- 0 to
Constr, Contr. Number I / h .~,b? /
Expiration Date
IrJ- !_ IJ t,
I
Signature of Supervising Electrician
~4-~~- -)
Owno"N~'r\' *'~ Ir\nr\ 11-{~
Ad~~ \)'"\'f~~)-::,
City ~~\t(\\^9W Ph:n: 11 '6. \r16-\
OWNER INSTAL~\TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
Service Inclu~c eC
aI'/':
1000 sq. ft. or leS~3\\'
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
\
1~
~~
'?J ~ rJJ
$106.00
$ 19.00
$50.00
B.
200 Amps or 16ss
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163.00
$375.00
$ 50.00
c.
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
E.
! \' 1 C j\!In'SMla'fi'ort~W1f~Altlbrt%~RVg>cation
. '.-"'0> lw tile Oregon Utlflty
~'c . :,~~:.;mfl1-grs~~tles are set fortr. $ 50.00
1-1. I _ -'ZVT'-'Amas to 400 ~~ 952-001- $ 69.00
in O;\P, 9:J2.0~3IO.Q~pst~J~8~ s^mllhe rules bv $100.00
0090, You ma obtam cOple .
calling the 0 ~:dJhWOOI~@a: "B" above.
number f~
Ce~AliAA.qf~rr or xte .sion Per Panel
Pump or irrigation $ 50,00
Sign/Outline Lightil1~W:\B'],~ )-,\'Cl rw t p\I\$ 50,00
. ,,,.:1 ',,""'I
I{ffi!f~~OO~$1l!fe~ia'i;ri n1,--"\,, ,J' I,,~ 25,00
~~~tc:AlEnel\W/~$interbTalln n 1, . ...._ ,f $ 45,00
M~~~ ~le~trlt ~i-illitlIJ~~~cl~o~ 1~~~~$4,~O~+ Surcharges
.- lL:4 ~
l. ()~CY6 ,
\L\ 40
1kB . ~fL
$ 43.00
$ 3.00
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonDs/Electrical Pennit Application] -03,doc
2, SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 22
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 22
COST PER DFU
$24,04
$18,28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A REIMBURSEMENT COST:
I 'ADT TRiP RATE x
I '9.57
NUMBER OF UNITS x I
1 I
, ,
B. IMPROVEMENT COST:
, J,ADTTRlPRATE I
, I 9,57 I
x
I NUMBER OF UNlT~ x I
., 11 I
=1
ITEM 3 TOTAL - TRANSPORTATION SDC '
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's x
1
COST PER FEU
$82,03
B. IMPROVEMENT COST:
INUMBER OF FEU's x' COST PER FEU
I 1 $86531
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMCSANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM: FEE RATE
I $3,509,70 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
12/17/2004
PREPARED BY
DATE
= ,
$931.04
o
DISCOUNT
$0,00
$673.70
$528.88
$402.16
x /NEWTRIPFACTOR
.I .1.00
$175.13
.,
rF.J
fL1
Cl
o
U
~
~
rF.J
,.....
o
~
1070
I
1091
1092
1b9~
.. '
1094
1054
= $865.31 1055
$0.00 1054
$10.00 1056
= , $957.34
= , $3,509.70
I CHARGE
I $175.49
11034 1079
$65,15 11078
I
TOTAL SDC CHARGES $3,685.19
COST PER TRIP
$183Q ,
COST PER TRIP
$80,72
$947.62
xlm:WTRIP FACTOR
I ' ...1.00
$772.49,
=
$82.03
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO, OF FIXTURES
DRAINAGE
FIXTURE
UNITS
"..'...-
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
2
2
o
o
6
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
IBATI-lTUB 2 0 3 =
DRINKING FOUNTAIN 0 0 1 =
FLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 =
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTI-IESW ASHER / MOP SINK 1 0 3 =
CLOTI-IESW ASHER - 3 OR MORE (EA) 0 0 6 =
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 =
I RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 =
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 =
I SHOWER, SINGLE STALL 0 0 2 =
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 =
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 =
SINK: COMMERCIAL BAR 0 0 2 =
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 =
I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 =
IURlNAL, STALL/WALL 0 0 5 =
TOILET, PUBLIC INSTALLATION 0 0 6 =
TOILET, PRIVATE INSTALLATION 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5,12
$4,98
$4,80
$4.63
$4.40
$4,07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0,72
$0.48
$0.28
$0,09
$0.05
=
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
BEFORE 1979
]979
1980'
1981
1982
1983
1984
]985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
TOTAL MWMC CREDIT
o
22
]979
=,
$0,00
o
$0,00
225 Fifth Street r
Springfield, Oregon' 97477
541-72,6-37'59 Phone
.....,...
Job/Journal Number
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-0 1524
COM2004-01524
COM2004-01524
COM2004-01524
COM2004-0 1524
COM2004-0 1524
Payments:
Type of Payment
Check
1/4/2005
RECEIPT #:
, Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence WiringEa Addtl500
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btti
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
, Heat Pump ,
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENT
City of Springfield Official Receipt
;velopment Services Department
Public Works Department
1200500000000000014
Date: 01104/2005
11:56:29AM
Item Total:,
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
31.00
1,000,00
106.00
38.00
75.00
75,00
(30,00)
673,70
528,88
402.16
175,13
772.49
82,03
865.31
10,00
110.34
65.15
103,00
643.65
254.00
12,00
18.00
9,00
6.00
4,00
12.00
77.19
110,27
$6,229.30
Amount Paid
djb
14194
In Person
Payment Total:
$6,229,30
$6,229.30
~!~}~:~:.~~':~ -:. .
Page 1 of 1
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number Description
COM2004-01524 ~Mechanical Issuance Fee~
Payments:
Type of Payment
CreditCard
Paid By
HAYDEN HOMES
~o ~ I Or-clUJ.. L~
1/31/2005
.~G:': till
~.
r:*\~f Springfield Official Receipt
~. ;~opment Services Department
Public Works Department
2200500000000000109
Date: 01/31/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 046352 In Person
Payment Total:
Page I of I
12:01:31PM
Amount Due
10.00
$10,00
Amount Paid
$10.00
$10.00