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
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01525
ISSUED: 01104/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 195,813.00
SITE ADDRESS: 6049 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 115 - SANDALWOOD
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
Contractor License Expiration Date
HAYDEN ENTERPRISES '--:-', '. C~~:_~r::;l ;;::922'081uires you tC07/2912007
THORNTON ELECTRIC INC '< - :~L.<j bYlti'6329'egon Utilit)10/01l2006
PACIFIC AIR COMFORT INC- . ';lter, Thos3'9~3i7;s are set forOB/25/2006
JET HEATING INC ,t,';, ~c.-G01-r.01 0 thrlJ94,'lil OAR 952-0QlS/3112005
. '", rrl~lJ nr\l ':..I1T1 ('{H-llo,' 01 [ne rUles oy
BUILDING INFO A TIO e tel h
'" . .. ep one
nu,#mbf~~for. t~e Oregon Utility Notificationt S' .
o ~ ones. . 2 LO lze. '
Heign Eb~tg{rWciu~PO-332-23t~hO Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Contractor Type
General
Electrical
Mechanical
Plumbing
# 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:
20.00
14.90
16.70
15.70
0.00
Phone Number: 541-461-5091
I CONTRACTOR INFORMATION'
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
1
R-3
U
VN
5,969
1,008
1,046
400
3
I DEVELOPMENT INFORMATION. '00183d A'tIO n~ l HI\-!
REQUIRED PARKING
80:1 03NOON\f8\f 81 80 038N::l/\\tl\!UJ
Overlay Di~toN 811n~183d SIHl tJ30Nn 03zT198I;lflnV 2
# Street ~r~~~~d~Hl ::II 381dX3 lJ~H8 Illt\l~~g~'-p'ped:
Paved Drive Rqd: Yes CR",p'a~Jf:
% of Lot Coverage: 23.50 '~~,:1\.l!J)b~
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
FullV Improved
Yes
Curbside 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 12/20/2004 CAS
Pa2e 1 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01525
ISSUED: 01/04/2005
APPLIED: 12/14/2004
EXPIRES: 07/0412005
VALUE: $ 195,813.00
225 Fifth Street, Springfield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin1!s
Gara1!e
Tvpe of Construction
V Wood Frame
Gara1!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
12/30/2004
12/30/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $570.47 12/14/04 1200400000000001738
-Mechanical Issuance Fee- $10.00 1/4/05 1200500000000000013
+ 10% Administrative Fee $147.87 1/4/05 1200500000000000013
+ 7% State Surcharge $103.51 1/4/05 1200500000000000013
3 Baths One & Two Family $306.00 1/4/05 1200500000000000013
Addressing Assignment $31.00 1/4/05 1200500000000000013
Building Permit $877.65 1/4/05 1200500000000000013
Curb cut Permit $75.00 1/4/05 1200500000000000013
Dryer Vent $6.00 1/4/05 1200500000000000013
Exhaust Hoods $9.00 1/4/05 1200500000000000013
Furnace - up to 100,000 btu $12.00 1/4/05 1200500000000000013
Gas Fireplace $15.00 1/4/05 1200500000000000013
Gas Outlets 1-4 $4.00 1/4/05 1200500000000000013
Heat Pump $12.00 1/4/05 1200500000000000013
Plan Review Major - Planning $103.00 1/4/05 1200500000000000013
PW Mult Disc - 2nd Permit $-30.00 1/4/05 1200500000000000013
Residence Wiring 1000 Sq Ft $106.00 1/4/05 1200500000000000013
Residence Wiring Ea Addtl 500 $57.00 1/4/05 1200500000000000013
Sanitary Sewer - Improvement $457.00 1/4/05 1200500000000000013
Sanitary Sewer - Reimbursement $601.00 1/4/05 1200500000000000013
SDC MWMC Administration $10.00 1/4/05 1200500000000000013
SDC MWMC Improvement $865.31 1/4/05 1200500000000000013
SDC MWMC Reimbursement $82.03 1/4/05 1200500000000000013
SDC Sanitary/Storm Admin $116.37 1/4/05 1200500000000000013
SDC Transpo Admin $64.44 1/4/05 1200500000000000013
SDC Transpo Improvement $772.49 1/4/05 1200500000000000013
SDc Transpo Reimbursement $175.13 1/4/05 1200500000000000013
Sidewalk Permit $75.00 1/4/05 1200500000000000013
Storm Drainage Impervious Area $653.17 1/4/05 1200500000000000013
Temp Power 200 amps or less $50.00 1/4/05 1200500000000000013
Vent Fan $24.00 1/4/05 1200500000000000013
WiUamalane Single Family $1,000.00 1/4/05 1200500000000000013
Total Amount Paid $7,361.44
Pa1!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01525
ISSUED: 01104/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 195,813.00
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
12/1612004
12/1612004
12/16/2004
I Plan Reviews I
12/16/2004 APP
. 12/28/2004 APP
12/20/2004 APP
SKG
TAJ
CAS
Storm drainage piped to curb face
12/2012004 CAS
Structural Review
12/16/2004
12/30/2004
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.
~eouire<Unsnections ,
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.
Vfer 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.
Vnderfloor 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.
Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
Vnderfloor 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
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01525
ISSUED: 01104/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 195,813.00
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 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, 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 10 ted at the front of the property, and the approved set of plans will remain on the site at all
times during co u tion.
Paee 4 of 4
/-{-os
Date
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX~ (541)726-3689
ELECTRICAL PERMIT APP!:Ji:ATION '-'~,l>:6\
City Job Number C4 -D J r"-7 ( Date v'<;>~\ C:,~
) t/> ",'" ~,\e
3. ii1i991l'if/L~r~iig~'-':~':~i.gY
"'''c,"_ili__c''__C_''_~_" ,,_.,e_ c"_'",c~,~\~-_",_",_",__,_,ft-'c_'
'o~o ~<0o
1.
bOL{ ~ OrJdJ
LEGAL DESCRIPTION JaJ.p(/ 1-.A.~vlJ
- Z- AbU P H- ~J-tJ~
JOB DESCRIPTION
> )~~ ~1"L)1v -. f2u)t~~
Permits are non-transferable 1nd expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor iJl-oIf40.^- J Elk,) K~
Address i? () :5&ir S?JLI <)
City &~((
Phone f)~ -W):)7
A.
~
c^~
~''''
~\.e . 06
1000 sq. ft. or less Q lS'o\'-';
Each additional 500 sq\?''ft. or
p')rtion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
l
3
$106.00 lof.r,.oo
$ 19.00 ~tpo
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
ReconnecHdp,lyc ~
_ :, You to
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number .:5 () /7 I _ S' "Cr
, Ccc," ; en h
Expiration Date !Cy" 1- 0 10 '~, i,:j the ce:;':~ialrIRftaJt;;;i;~~t~riiiQQM Relocation
n:..: "ell;( TOr th ' c cr. (~~t~b~d 1a.:u1es by I
. # - C c e OregolJ Ul y ercph.one
Constr. Contr. Number I / h 3.-3 7 enter is 1-80f.RJ..,j~WIj;hJrJ1lPft~clif
40'f ~L~LV,/M)500 Amps _
Expiration Date Ir'l - - ! _ !) I-.
/ -,~
Signature of Supervising Electrici
.4~<~ . ~
Own<x' lame fI-t.-J o ""V t-7Vr"1i (1
Address f' c;;> I> ~> 8: g \'1>;\, > !_ i
City S ~1~1~ Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
$ 50.00 >0.00
$ 69.00
$100.00
Over 600 Amps orl 000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Ser:yie-e or Feeder Permit
1 ,I;' '! ,;, J.~? "..( ) '; !(i r,
$ 43.00
$ 3.00
Jj;ri
, r-' -.~
, " I ,_. l' ! ~
." i=>JrnpJ OF ,itri~atlOIf~ ,
Sign/Outlin~ Ligb,tipg ,
.. ..~' ,,' > ~f'~ .1: f
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
2-() (<10
JL/,q(
21,>0
11 'lifi I Ll
TOTAL
Shared Drive(T:)/Building FOIms/Electrical Pennit Application I-03.doc
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. I- CHARGE
2107.00 $0.310 = I $653.17
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x COST PER S.F. I x I DISCOUNT RATE I
I 0.00 I $0.310 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC' $653.17
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 25
B. IMPROVEMENT COST:
NUMBER OF DFU's x
25
CITY OF SP~GFIELD SYSTEMS DEVELOPMENl JRKSHEET
C0M2004-0] 525
Hayden Homes
6049 Orchid St
Lot 1]5 Jasper Meadows 2nd
r:/)
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o
u
~
~
E-<
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>-<
c:;
ga-
BUILDING SIZE (SF:
1514
LOT SIZE (SF):
5969
DISCOUNT
$0:00
$653.17
1070
COST PER DFU
$24.04
$601.00
1091
$18.28
I
1092
$457.00
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,058.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x I NEW TRlP FACTOR
'I 9.57 ] I $] 8:30 I 1.00 $175;13
B. IMPROVEMENT COST: '''.,0." :.,,:", .
I ADTTRIP RATE x NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR'
I 9.57 ] I $80.72 I 1.00 $772.49
ITEM 3 TOTAL - TRANSPORTATION SDC = J $947.62
4. SANITARY SEWER - MWMC _
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x
I I
1093
1094
ICOST PER FEU
I $82.03
$82.03
1054
=
B. IMPROVEMENT COST:
NUMBER OF FEU's I x COST PER FEU _
I I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $3,616.13 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATIONADMlNISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
12/20/2004
= $865.31 1055
$0.00 1054
$10.00 1056
$957.34
$3,616.13
CHARGE
$180.81
116.37 1079
I
$64.44 ,1078
TOTAL SDC CHARGES =, $3,796.94
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET AuUl1 lONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUlV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
198.1
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
]997
1998
1999
2000
2001
CREDIT RATE/$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 1 for Yes, 2 for No)
BASE YEAR
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth &treet '
Springfiel~, Oregon 97477
541-726-3759 Phone
ii.:.1ij
C'ity of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000013 Date: 01/04/2005 11:55:25AM
J,)b/Journal Number Description Amount Due
COM2004-01525 Addressing Assignment 31.00
COM2004-0 1525 Willamalane Single Family 1,000.00
COM2004-01525 Residence Wiring 1000 Sq Ft 106.00
COM2004-01525 Residence Wiring Ea Addtl 500 57.00
COM2004-01525 Temp Power 200 amps or less 50.00
COM2004-0 1525 Sidewalk Permit 75.00
COM2004-01525 Curbcut Permit 75.00
COM2004-01525 PW Mult Disc - 2nd Permit (30.00)
COM2004-0 1525 Storm Drainage Impervious Area 653.17
COM2004-01525 Sanitary Sewer - Reimbursement 601.00
COM2004-0 1525 Sanitary Sewer - Improvement 457.00
COM2004-01525 SDC Transpo Reimbursement 175.13
cOM2004-01525 SDC Transpo Improvement 772.49
COM2004-01525 SDC MWMC Reimbursement 82.03
COM2004-01525 SDC MWMC Improvement 865.31
COM2004-01525 SDC MWMC Administration 10.00
COM2004-01525 SDC Sanitary/Storm Admin 116.37
COM2004-01525 SDC Transpo Admin 64.44
COM2004-01525 Plan Review Major - Planning 103.00
COM2004-01525 Building Permit 877.65
COM2004-01525 3 Baths One & Two Family 306.00
COM2004-01525 Furnace - up to 100,000 btu 12.00
COM2004-01525 Vent Fan 24.00
COM2004-01525 Exhaust Hoods 9.00
COM2004-01525 Dryer Vent 6.00
COM2004-01525 Gas Outlets 1-4 4.00
COM2004-01525 Gas Fireplace 15.00
COM2004-01525 Heat Pump 12.00
COM2004-01525 -Mechanical Issuance Fee- 10.00
COM2004-01525 + 7% State Surcharge 103.51
COM2004-01525 + 10% Administrative Fee 147.87
Item Total: $6,790.97
P.~yments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check HAYDEN ENT djb 14194 In Person $6,790.97
Payment Total: $6,790.97
1/4/2005
Page 1 of 1