HomeMy WebLinkAboutPermit Building 2005-4-8
'7
~.
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00347
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,810.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6044 Orchid Ln
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
TYPE OF USE: New
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single Family Residence, Lot 109
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Residential
Phone Number: 541-461-5091
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET HEATING INC
1
R-3
U
VN
License Expiration Date
92208 07/29/2007
116329 10/01/2006
39237 03/25/2006
3944".} +",05/31/2005
Te:;, '1~.
BUILDING INFO~l~'IfI'l~U\ goO \.)t\\\\'I
'T\t+rl\~f'\'. v' ~d 'a'} tn~{e aT~ set ,onn
f #_?r.~to.r,)~s':dopt -rnose TU\es 95ZmBtIze:
"('lIeightRf'Stnl&hr~ tnTOUgn Q~t TU\~& u,JIst Floor:
\' ~;)\f'y,p'i1~~~~ -OO~ r~~~~~~\~?n8~j't 2nd Floor:
\n ~~~Jr'\l'rR%)I O'ota ~ota: tnel~ 'r\~,j\1lBasement:
ORange ~~'Wj center. ~ ~'ljr~ot\ Sq Ft Garage/Carport
Eo~~iBr~~tne OTego~_3~~44). Sq Ft Other:
Sp~~~'fMinl:'\-80 n/a Occupant Load:
I DEVELOPMENT INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
7,755
1,235
410
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
9.80
10.10
55.70
0.00
2
Yes
21.20
Subdivision Not Accepted I PUBLIC IMPROVEMENTS I
Street Improvements: Fullv Improved ~(rnCE: Sidewalk ~YPiRE IF THE WORl<curbside 5'
Storm Sewer Available: Yes lHIS PERMlb.r~~hJv~~a~RMll I~QJand Gutter
Special Instruction: AUTHORIZED UNO R Ai'mONEO FOR
MENCED OR \S AB
Notes: No hook-up to City Infrastructure until Public Improvemeh~~'C~meeR-r ~KtOO.storm drainage piped to curb
face ANY 1 BU
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00347
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,235.00
410.00
Value
Date Calculated
Description
Total Value of Project
$118,560.00
$10,250.00
$128,810.00
03/28/2005
03/28/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 3/28/05 1200500000000000377
-Mechanical Issuance Fee- $10.00 4/8/05 1200500000000000434
+ 10% Administrative Fee $110.29 4/8/05 1200500000000000434
+ 7% State Surcharge $77.20 4/8/05 1200500000000000434
2 Baths One or Two Family $254.00 4/8/05 1200500000000000434
Addressing Assignment $31.00 4/8/05 1200500000000000434
Building Permit $659.90 4/8/05 1200500000000000434
Curbcut Permit $80.00 4/8/05 1200500000000000434
Dryer Vent $6.00 4/8/05 1200500000000000434
Exhaust Hoods $9.00 4/8/05 1200500000000000434
Furnace - up to 100,000 btu $12.00 4/8/05 1200500000000000434
Gas Outlets 1-4 $4.00 4/8/05 1200500000000000434
Minimum/Adjustment Mechanical $2.00 4/8/05 1200500000000000434
Plan Review Major - Planning $103.00 4/8/05 1200500000000000434
PW Disc - 2nd Permit (Street) $-30.00 4/8/05 1200500000000000434
Residence Wiring 1000 Sq Ft $106.00 4/8/05 1200500000000000434
Residence Wiring Ea Addtl 500 $38.00 4/8/05 1200500000000000434
Sanitary Sewer - Improvement $383.88 4/8/05 1200500000000000434
Sanitary Sewer - Reimbursement $504.84 4/8/05 1200500000000000434
SDC MWMC Administration $10.00 4/8/05 1200500000000000434
SDC MWMC Improvement $865.31 4/8/05 1200500000000000434
SDC MWMC Reimbursement $82.03 4/8/05 1200500000000000434
SDC Sanitary/Storm Admin $113.79 4/8/05 1200500000000000434
SDC Transpo Admin $64.74 4/8/05 1200500000000000434
SDC Transpo Improvement $772.49 4/8/05 1200500000000000434
SDC Transpo Reimbursement $175.13 4/8/05 1200500000000000434
Sidewalk Permit $80.00 4/8/05 1200500000000000434
Storm Drainage Impervious Area $776.83 4/8/05 1200500000000000434
Vent Fan $12.00 4/8/05 1200500000000000434
Willamalane Single Family $1,000.00 4/8/05 1200500000000000434
Total Amount Paid $6,413.43
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00347
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,810.00
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
03/2912005
03/29/2005
03/29/2005
I Plan Reviews I
03/2912005 APP
04/0612005 APP
03/30/2005 APP
LLH
TAJ
CAS
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
curb face 3/30/2005 CAS
Same as 6078 Orchid
Structural Review
03/29/2005
04/05/2005 APP
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.
~eouiredJnSDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
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.
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.
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.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00347
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,810.00
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 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 located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~
Owner or Con~rs Sig~atur;
'--
y~,-
,
Date
Pae:e 4 of 4
.IORKSHEET
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7755
LOT SIZE (SF):
DISCOUNT
$0.00
$776.83
1070
11091
COST PER DFU
$24.04
$504.84
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 21
,$18.28
$383.88
1092
ITEM 2 TOTAL ~ CITY SANiTARY SEWER SDC '. j, = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9.57 I
. i.
$888.72
I ~
I NUMBER OF UNITS I x I
I 1 1
INEW TRIP FACTOR
I 1.00
COST PER TRIP
$18.30
$175.13
1093
B. IMPROVEMENT COST:
ADT TRIP RATE x
9.57
x INEW TRIP FACTOR'
I 1.00
I NUMBER OF UNITS x
I 1
COST PER TRIP
$80.72
$947.62
$772.49
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
=; ,
,I
;!
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's' x
I 1
ICOST PER FEU
i $82.03
I' 1054
I
I 1055
I
11054
11056
$82.03
=
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
'I 1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWl\I(C SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) , = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x 1 ADM. FEE RATE
I $3,570.51 I 5%
TOTAL SANITARY ADMINISTRATION FEE: ,
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$865.31
$0.00
$10.00
$957.34
$3,570.51
CHARGE
$178.53
I
113.79 11079
,
$64.74 lI078
I
, ' $3,749.04
Cheryl Slaymaker
3/29/2005
TOTAL SDC CHARGES
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET AuUl J JONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQillV ALENT UNITS
I BATHTUB 2 0 I 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURlNAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
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
=
~ otice to Permit Applicant
Soils stabilization required for subdivision sites
Name of Owner (_~J\r1Q{\ ,. Permit: l'b-~l
Address of Project: \ oDA:+ (C.r~lli(L-
Tax Map: ~Lot: \cA Subdivision ~ \\\oJ1dClDS
trd. I0cJifun
The building site at the above address is located on property that has soils prone to shrink-swell or
other potential movement. Excavations, placement of fill materials and drainage for this site must
be done under the direct supervision ofa properly licensed Professional Engineer or Architect to
verify the stability of the resulting building pad and the site.
The owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate
professional engineer or architect (design professional). The design professional shall provide
direction for the stabilization methods to be used for the building pad (and surrounding site, when
site stabilization is also necessary). The geotechnical report, which was prepared for this
subdivision, may be utilized to provide appropriate guidance for the methods of stabilization and
required compaction for the specific site.
The engineer or architect shall prepare a report to be submitted to the City stating how the soil
stabilization is being accomplished, including requirements not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and approved bv this office
before footin!! or foundation inspection approval will be!tranted bv the Citv Buildinf! Inspector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements fOJ
soil stabilization, including excavation, fill, soil compaction and drainage, as provided in the
geotechnical report for the subdivision. The stabilization will be accomplished under the
direction of a licensed professional engineer or architect as noted above.
Signature
Name
Q~
C-/ ..,
Date
y/~~
I I,.
Affiliation to owner
225 Fifth Street
Sprhigfit;ld, Oregon 97477
,541-'726-3759 Phone
rity of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000434 Date: 04/08/2005 7:52:47AM
Job/Journal Number Description Amount Due
COM2005-00347 Addressing Assignment 31.00
COM2005-00347 Willamalane Single Family 1,000.00
COM2005-00347 Residence Wiring 1000 Sq Ft 106.00
COM2005-00347 Residence Wiring Ea Addtl 500 38.00
COM2005-00347 Sidewalk Permit 80.00
COM2005-00347 Curb cut Permit 80.00
COM2005-00347 PW Disc - 2nd Permit (Street) (30.00)
COM2005-00347 Storm Drainage Impervious Area 776.83
COM2005-00347 Sanitary Sewer - Reimbursement 504.84
COM2005-00347 Sanitary Sewer - Improvement 383.88
COM2005-00347 SDC Transpo Reimbursement 175.13
COM2005-00347 SDC Transpo Improvement 772.49
COM2005-00347 SDC MWMC Reimbursement 82.03
COM2005-00347 SDC MWMC Improvement 865.31
COM2005-00347 SDC MWMC Administration 10.00
COM2005-00347 SDC Sanitary/Storm Admin 113.79
COM2005-00347 SDC Transpo Admin 64.74
CbM2005-00347 Building Permit 659.90
COM2005-00347 2 Baths One or Two Family 254.00
CbM2005-00347 Furnace - up to 100,000 btu 12.00
CbM2005-00347 Vent Fan 12.00
COM2005-00347 Exhaust Hoods 9.00
COM2005-00347 Dryer Vent 6.00
COM2005-00347 Gas Outlets 1-4 4.00
COM2005-00347 Minimum! Adj ustment Mechanical 2.00
COM2005-00347 -Mechanical Issuance Fee- 10.00
COM2005-00347 + 7% State Surcharge 77.20
COM2005-00347 + 10% Administrative Fee 110.29
COM2005-00347 Plan Review Major - Planning 103.00
, Item Total: $6,313.43
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
,CreditCard HAYDEN HOMES djb 066332 In Person $6,313.43
Payment Total: $6,313.43
4/8/2005
Page I of I
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 . ~
ELECTRICAL P;fRlUI'ftAfPLICATION . :~ ~ ~o'<:Jj:
City Job Number l~A 0 . ~::ff\ Date . ,O\ev~:,- ,eo;
. ~ s -
1. ~~~T~ 3. ~g&:::::~~~~:!:::'
\~~L )ESCQ TPT~~,^ A. ,.~)V)~e~id~m,iaf~~l~gl~;O:
~l'I: \sS\t1 \'tl). 'tll ~ oo,,~ se":;;;I~:;ll~;~~.-~:..7
~~%Wl~U~~~
Permits a~ non-transferabl::liYxPire if work is -
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor 7/I-ote(}/{J /.- j
Address ~ (J, ~&;i(S()L/ lj
City &ecr-
U
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
I
IL
tolo p0
Y6fY
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
ElK.l Kt:. 200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
40)\~11H1SJ1I~~~On taw requires YOUS\Q5.00
6Ofb~1fliliemtWi~~~ by the Oregon UtM~.oo
~tHiooo~~ Those rule~ a~e set$~O
Itra~~~1-0010 through UA11902~no
0090. You ma obtain copies aT me rules by
c.
Phone ,9)3 -e;o;:)7
Supervisor License Number
.-.~o /7 S7
Expiration Date 10/ /- 0 It?
Constr. Contr. Number // 'Ie? ~~ /
Expiration Date IrY'- 1_ c.9 t-,
, I ,-
~
./
\~-
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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps.
Over 600
D. ,
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
E. ~;~i.i~~~l~~"';" '~~~~~~~~~T;~~~~W;~;~fi~'ti~ri;'\
_A"""=fl't'\., t:LY'Y'Hl<2;"\",\~h'\':\i"'+'" .L.._..,....,."...."..". ,.,.,
f j ITHnR\2ED U\\!Jcn I . ~- : ,:,. ,=
Pump ot\\ngl;iuOD\CCD Of IS t\B/J,\~DCl\\~'1$ 50:00
Sign/OU~Q.~r.~\*~~~1 pc\) IOD $ 50.00
ilNY '\ jl1 Un\ \.-\\ .
Limited 'Eh'ergy esidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
. \0/', .Of?
\~~
\\0 'b:\~
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit f\pplication 1-03.doc