HomeMy WebLinkAboutPermit Building 2005-1-4
... CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01527
ISSUED: 01/04/2005
APPLIED: 12/14/2004
EXPIRES: 07/04/2005
VALUE: $ 123,834.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6037 Orchid Ln 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 subdivision lot 117 - same as
COM2004-01524 6061 Orchid, CASCADE
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contracto~' .. .' ' '1 13\/;" require~tb'tPfcf
HA YDENE~!ERP,RISES ,i,' ')",' the Oregc?,H9Prty
THORNTON ELECTRIC INC ,~:;8e rules arEHM9~ th
PACIFIC 'AIR COMFORT IN~~: :lli'Ough OARWl~~1_
JET HEATING INC ' <, r,q.l3In copies of thA3,9,M,,,, h .
t .. ; . ~. .... I i\ I _ . . . ~ ~
l,~" I BUILDIN(:nN'FORMM';;~JJiJ'e
. . . -, ~:::1V' I UlIIllY l\lotlTlCatlon
centeril~f1s~Jl.~e~2.2344). 1
Height of Structure 17.75
Type of Heat: FQrced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
3
Residential
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: 6,120
Sq Ft Ist Floor: 1,235
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 400
Sq Ft Other:
Occupant Load:
DEVELO MENT INFORMWl1IONJ \f0 OB L },N\t
.J \ ;,; v UJ~vtJ:), 38N3V\1V\10J
l~~~i tl~it!t?d SIHl 830Nn 03Z180f-llnV
)jtkk1~e1t1tr~bsiRJWt.3 ll\fHS 111l\l83~ SIHl
Paved Drive Rqd: ::r~~10N
% of Lot Coverage: 27.00
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
16.00
12.00
20.00
17.75
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Notes: No hook-up to sanitary or CO until Public Improvements are accepted by the City 12/17/2004 CAS
Pal!e 1 of 4
~9P. A..':N.G..'~... "'....:....,..'.
Wir..'
. ..~. .
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01527
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
I Valuation Description I
Dwelline:s
Garae:e
Tvpe of Construction
V Wood Frame
Garae: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
12/29/2004
12/29/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 12/14/04 1200400000000001736
-Mechanical Issuance Fee- $10.00 1/4/05 1200500000000000011
+ 10% Administrative Fee $116.77 1/4/05 1200500000000000011
+ 7% State Surcharge $81.74 1/4/05 1200500000000000011
2 Baths One or Two Family $254.00 1/4/05 1200500000000000011
Addressing Assignment $31.00 1/4/05 1200500000000000011
Building Permit $643.65 1/4/05 1200500000000000011
Curb cut Permit $75.00 1/4/05 1200500000000000011
Dryer Vent $6.00 1/4/05 1200500000000000011
Exhaust Hoods $9.00 1/4/05 1200500000000000011
Furnace - up to 100,000 btu $12.00 1/4/05 1200500000000000011
Gas Fireplace $15.00 1/4/05 1200500000000000011
Gas Outlets 1-4 $4.00 1/4/05 1200500000000000011
Heat Pump $12.00 1/4/05 1200500000000000011
Plan Review Major - Planning $103.00 1/4/05 1200500000000000011
PW Mult Disc - 2nd Permit $-30.00 1/4/05 1200500000000000011
Residence Wiring 1000 Sq Ft $106.00 1/4/05 1200500000000000011
Residence Wiring Ea Addtl 500 $38.00 1/4/05 1200500000000000011
Sanitary Sewer - Improvement $383.88 1/4/05 1200500000000000011
Sanitary Sewer - Reimbursement $504.84 1/4/05 1200500000000000011
SDC MWMC Administration $10.00 1/4/05 1200500000000000011
SDC MWMC Improvement $865.13 1/4/05 1200500000000000011
SDC MWMC Reimbursement $82.03 1/4/05 1200500000000000011
SDC Sanitary/Storm Admin $107.92 1/4/05 1200500000000000011
SDC Transpo Admin $65.45 1/4/05 1200500000000000011
SDC Transpo Improvement $772.49 1/4/05 1200500000000000011
SDC Transpo Reimbursement $175.13 1/4/05 1200500000000000011
Sidewalk Permit $75.00 1/4/05 1200500000000000011
Storm Drainage Impervious Area $673.70 1/4/05 1200500000000000011
Temp Power 200 amps or less $50.00 1/4/05 1200500000000000011
Vent Fan $18.00 1/4/05 1200500000000000011
Willamalane Single Family $1,000.00 1/4/05 1200500000000000011
Total Amount Paid $6,370.73
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01527
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
Initial Review
Planninl! Review
Public Works Review
12/16/2004
12/16/2004
12/16/2004
I Plan Reviews I
12/16/2004 APP
12/21/2004 APP
12/17/2004 POK
SKG
EMM
CAS
No hook-up tp sanitary or CO until
Public Improvements are accepted
by the City. 12/17/2004 CAS
LDAP required
Structural Review
12/16/2004
12/27/2004
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.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01527
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
Rough Mechanical: Prior to Cover
, 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 loca d at the front of the property, and the approved set of plans will remain on the site at all
~ timesdU:;;i_ )~ s- CJ~
pr~...... -
Owner or Contractors Signature
Date
Pae:e 4 of 4
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 .(}<:AX: (5~~~~9
~/. .~ 0 :7t9
ELECTRICAL PERMIT APPLICATION 19. <0"0 ~~"o;~~U'
City Job Number C4 -OIJ2-tf Date ~ 1"<s>9, "-'6-'Q
, ~~
,
Electrical Contractor j}Io.R4Jj{) .". J E2K,J KJ:::.- 200 Amps or less
201 Amps to 400 Amps
Address I? {J, r:)&i( wL/ t} 401 Amps to 600 Amps
601 Amps to 1000 Amps
City &~o- Phone9)~ -m~(, ,;~;6~:~~~:~s~~lt~J
ole!opted by the Ore on Uti
Supervisor License Number ;)0/7 s? e'il)r. c.h
); -OOlO't~, :JtJ2-001-
Expiration Date !e}/,.,. /- 0 10 obtainfti~aitJ:i't@bV-1\1fetiaiidn)Or Relocation
> :enter. (~~d~:j,h~ 6tlte!;l;~one I
.f the Oregon I5titlR Notii '
Constr. Contr. Number 1/ h 3,,?- / " . inter is 1-80t9-33;2!~~~~ 4Ul9~
401 Amps to ~O Amps ,
1.
00 T7- O('cA hi s r
LEGAL DESCRIPTION J t-,sfkr MaJDA~ Zittl>D A.
PH J koHf1-
JOB DESCRIPTION
~)h~~ ~)/~ '~(~''IP~
Permits are ~on-transfera(.e and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Expiration Date IrJ- /- /) b
Signature of Supervising Electrician
e}r~)~~~~-)
Owners Name I ','-1 . i) (f': i' ,'V r
Address
, -.
1 L) 15~' "c'
.- ~
.(f ;f )0
CityS '? I~':> 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
3.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/0(;, d;)Q
36,Lb
'-
:1-
$ 19.00
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
ro,oe
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Servitb'.oltFeeder 'Perroit
$ 43.00
$ 3.00
.~ 1 n:~\lnn
i il'nFl~.~
L ::li l\!irj'{j T]\,JeiC: : i .., ('
, - P~~p or irrigadon .:'
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
/qtf,OO
1),<;'8
/qAO
Z~{qi 1e
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT
JOURNAL OR JOB NUMBER: COM2004-01527
NAME OR COMPANY: Hayden Homes
LOCATION: 6037 Orchid Ln
TAX LOT NUMBER: Lot 117 Jasper Meadows 2nd
DEVELOPMENT TYPE:
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1630
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2173.22 I $0.310 = $673.70
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE
I 0.00 I' $0.310 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC , $673.70
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x
21 I
COST PER DFU
$24.04
B. IMPROVEMENT COST:
NUMBER OF DFU's I x
21 I
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
JRKSHEET
--'
LOT SIZE (SF):
6120
VJ
~
Q
o
u
~
~
r-<
VJ
>-<
o
~
DISCOUNT
$0.00
$673.70
]070 '
$504.84
109]
$383.88
1092
=,
$888.72
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 I
, B. IMPROVEMENT COST:
ADT TRIP RATE,
9.57
x
NUMBER OF UNITS x I
1 I
= ,
ITEM 3 TOTAL - TRANSPORT A nON SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $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 - MWMC SANITARY SEWER SDC =,
SUBTOTAL(ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
I $3,467.38 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
12/1 7/2004
PREPARED BY
DATE
COST PER TRIP x I NEW TRIP FACTOR
$18.30 I 1.00 $175.13 I 1093
COST PER TRIP x INEW,TRIP FACTOR
$80.72 j 1.00 $772.49 1094
$947.62
=
$82.03
=
$865.31
$0.00
$10.00
$957.34
$3,467.38
CHARGE
$173.37
107.92
$65.45
1079
1078
TOTAL SDC CHARGES
=, $3,640.75
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASHBASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlJs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
.1
IS LAND ELGlBLE 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 Street
Springfielrl,"Oregon '97477
541-726-3759 Phone
r:ty of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2004-01527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
COM2004-01527
COM2004-01527
COM2004-0 1527
COM2004-01527
COM2004-0 1527
COM2004-01527
COM2004-01527
COM2004-01527
COM2004-01527
, COM2004-01527
COM2004-01527
COM2004-0 1527
COM2004-01527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
COM2004-0 1527
C;OM20.04-0 1527
COM2004-0 1527
COM2004-0 i 527
COM2004-0 1527
COM2004-01527
. COM2004-01527
COM2004-0 1527
Payments:
Type of Payment Paid By
Check
1/4/2005
RECEIPT #:
1200500000000000011
Date: 01104/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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 MWMCReimbursement
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 btu '
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace.
Heat Pump
":'Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
HAYDEN ENT
djb
14194
In Person
Payment Total:
Page 1 of 1
1l:53:02AM
Amount Due
31.00
1,000.00
106.00
38.00
,50.00
75.00
75.00
(30.00)
673.70
504.84
383.88
175.13
772.49
82.03
865.13
10.00
107.92
65.45'
103.00
643.65
254.00
12.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
81.74
116.77
$6,270.73
Amount Paid
$6,270.73
$6,270.73