HomeMy WebLinkAboutPermit Building 2005-4-7
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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: COM2005-00345
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/0712005
VALUE: $ 162,640.00
SITE ADDRESS: 6036 Orchid Ln
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 108
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor ATTE~~re~mftBltjqnirD9ttO~ ~hone
HAYDEN ENTERPRISES follov?.u~% adopted b~~on Utll~I-501-4332
THORNTON ELECTRIC INC Notifica\1&i~enter. Tho~~lm'e set f'rti\686-4151
PACIFIC AIR COMFORT INC in OAR~27001-0010 thtiblAtt't1D1t(R 952-QC41'!!672-9510
JET HEATING INC "non .J~i\'\.n~\I obtain c~if)ftd(tBe rule$tpy.363-2334
I BUILDING INFo~~e center. (Note: the tel~~nO~1tf
num'5nr the Oregon Utility Notification
# of Stories: Center i3 1-8~e?344).
Height of Structure 18.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas !,SqFt 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:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
1
R-3
U
VN
20.00
5.80
6.00
46.80
0.00
Phone Number: 541-461-5091
I CONTRACTOR INFORMATION I
1,590
400
3
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd: 2
Paved Drive R<(<!l1JfDlI'> . Yes
% of Lot Covemf.(. !!.bE. 27.40
I u PERMIT
A~T~r:r.:'-i:: SHAll !:jf;:/
, PUBLIC IMPROV.~iM~WJtE~ UNDER THIS ~t IF THE WORK
'1tH 780 D 08.J~'IrB'- ERMIT IS
Fully Improved AY F~mIOD It~NED FOR NOT Curbside 5'
Yes Downspouts/Drains: Curb and Gutter
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face 3/29/2005 CAS
Pa2e 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garal!e
Dwellinl!s
Garal!e
I Valuation Description I
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,590.00
400.00
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00345
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/0712005
VALUE: $ 162,640.00
Value
Date Calculated
$152,640.00
$10,000.00
$162,640.00
04/06/2005
04/06/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 3/28/05 1200500000000000375
-Mechanical Issuance Fee- $10.00 4/7/05 1200500000000000431
+ 10% Administrative Fee $126.74 4/7/05 1200500000000000431
+ 7% State Surcharge $88.72 4/7/05 1200500000000000431
2 Baths One or Two Family $254.00 4/7/05 1200500000000000431
Addressing Assignment $31.00 4/7/05 1200500000000000431
Appliance Vent $6.00 4/7/05 1200500000000000431
Building Permit $770.40 4/7/05 1200500000000000431
Curbcut Permit $80.00 4/7/05 1200500000000000431
Dryer Vent $6.00 4/7/05 1200500000000000431
Exhaust Hoods $9.00 4/7/05 1200500000000000431
Furnace - up to 100,000 btu $12.00 4/7/05 1200500000000000431
Gas Outlets 1-4 $4.00 4/7/05 1200500000000000431
Plan Review Major - Planning $103.00 4/7/05 1200500000000000431
PW Disc - 2nd Permit (Street) $-30.00 4/7/05 1200500000000000431
Residence Wiring 1000 Sq Ft $106.00 4/7/05 1200500000000000431
Residence Wiring Ea Addtl 500 $38.00 4/7/05 1200500000000000431
Sanitary Sewer - Improvement $383.88 4/7/05 1200500000000000431
Sanitary Sewer - Reimbursement $504.84 4/7/05 1200500000000000431
SDC MWMC Administration $10.00 4/7/05 1200500000000000431
SDC MWMC Improvement $865.31 4/7/05 1200500000000000431
SDC MWMC Reimbursement $82.03 4/7/05 1200500000000000431
SDC Sanitary/Storm Admin $118.37 4/7/05 1200500000000000431
SDC Transpo Admin $64.22 4/7/05 1200500000000000431
SDC Transpo Improvement $772.49 4/7/05 1200500000000000431
SDC Transpo Reimbursement $175.13 4/7/05 1200500000000000431
Sidewalk Permit $80.00 4/7/05 1200500000000000431
Storm Drainage Impervious Area $858.08 4/7/05 1200500000000000431
Temp Power 200 amps or less $50.00 4/7/05 1200500000000000431
Vent Fan $12.00 4/7/05 1200500000000000431
WilJamalane Single Family $1,000.00 4/7/05 1200500000000000431
Total Amount Paid $6,691.21
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00345
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/07/2005
VALUE: $ 162,640.00
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
03/29/2005
03/29/2005
03/29/2005
I Plan Reviews I
03/29/2005 APP
04/06/2005 APP
03/29/2005 APP
LLH
TAJ
CAS
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
curb face. 3/29/2005 CAS
Same as 6075 Orchid Street
Structural Review
03/29/2005
04/06/2005 APP
JB
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.
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.
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.
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.
Underfloor 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.
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.
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: COM2005-00345
ISSUED: 04/0712005
APPLIED: 03/28/2005
EXPIRES: 10/0712005
VALUE: $ 162,640.00
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 located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Q,~
~./'/ V
Owner or (;oIIfractors Signature
Pal!e 4 of 4
Yfrrtr
Date
~ otice to Permit Applicant
Soils stabilization required for subdivision sites
Name of Owner ~"{l{\ ~fl~. Permit: ~~- 3<\~
Address of Project: \_Q ~?Jl 0 \~_(~~\r1_
Tax Map: 1'mc Lot: \ D<O Subdivision .Y\"~~r ''t\{lodc:tt "F;
~ ra Alc\.cti an
The building site at the above address is located oil 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 of a 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 requireinents not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and a1Jproved hv this office
before footin!! or foundation inspection avvroval will be !!ranted bv the Citv Buildinf! Insvector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
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
9 ~j;? 7
c--
Date
Y/7-/~
Affiliation to owner
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
'elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
CbM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
CbM2005-00345
COM2005-00345
COM2005-00345
COM2005-00345
Payments:
Type of Payment
CreditCard
4/7/2005
RECEIPT #:
1200500000000000431
Date: 04/07/2005
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 Disc - 2nd Permit (Street)
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
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Exhaust Hoods
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
HAYDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
081504 In Person
Payment Total:
Page 1 of 1
2:26:29PM
Amount Due
31.00
1,000.00
106.00
38.00
50.00
80.00
80.00
(30.00)
858.08
504.84
383.88
175.13
772.49
82.03
865.31
10.00
118.37
64.22
770.40
254.00
12.00
12.00
6.00
6.00
4.00
9.00
10.00
88.72
126.74
103.00
$6,591.21
Amount Paid
$6,591.21
$6,591.21
225 J<1J< IH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 C
, '~ ' '{\.'I!
ELECTRICAL PE&fIT APPLICATION ''!J '!Jv'O~e '!J
City Job Number (\,~ _ ';J.A. ~ Date ~O\ec\ ~'I. ~eo.-s
_ ~ _ ~~'V 0'!J~
1. t~~~trqtrBwr~L 3. ~roMP~~~~~}~:~~,r;;H'Hi'J%0jOiW<
-EllCj/(l::. 200 ~ps orless $ 63.00
2.01 Amps to 400 Am~ $ 75.00
~??I~p~tO/92~_~t~:~C/O/'1 $125.00
~tAJ;ltJ>,s.to.~B60i~PSQ'bc7l1/ iN $163.00
/7nv6l'/~.p-n(y'Amo~1&'iJlltsr00'!' II,s ~qulj..." $375.00
"',h! v fA -.:<:v..cJ 70 uS 0;::: '-'S
R~ctJgnlJ6lq . II//; I'U;, I"S,g, ,yo $ 50.00
"~~~,~ S/'}Is I/') C 0(; Ss u/7 ~ to
c. \.Te'n1"'O,-Far
C"_"_ .,,,4~-j'" _.(;l/Z'/ 71;,
'6'On'l) UtI!,' 1')$ t. $I'{j '00
Installation, Alter~ ((p ~f~~gw~6 1..
200 Amps or less <?a~-v. l'll/cN..'I)&l ~ $ 50.00
201 Amps to 400 Amps . "01) $ 69.00
401 Amps to 600 Amps, $100.00
Over 600
D.
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor 7:2I:aRd J7'{J .'~ J
Address cf? (J, 1)&1( SOLI V
City Eer
Phone f)~ -e;o::)7
Supervisor License Number
50/7 S'
Expiration Date !{/.~ /- 0 (0
Constr. Contr. Number / 11f5J5;? /
Expiration Date
/(1)- /- 0 b
Phone ifL~. t ffi(' i
OWNER INSTALLATION
The installation is being made on property I own which
is not intended f0r sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
,.:,.,
>\>
{
A.
\Dlo~
S~.CD
$106.00
$ 19.00
Feeder
$50.00
B.
~.((J
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
. Purp:p or,ftrigati6n '
SigTIJoutl~~ Lighting
Limited Energy/Residentia1
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
TOTAL
Shared Drive(T:)/Building Fonus/Electrical Pennit Application I-03,doc
I. COST PER DFU
I $24.04 -
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 21
$] 8.28
I
I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
JRKSHEET
LOT SIZE (SF):
DISCOUNT
$0.00
$888.72
NUMBER OF UNITS x I COST PER TRIP
1 I $18.30
B. IMPROVEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS' x
I 9.57 1
ITEM 3 TOTAL - TRANSPORTATION SDC = 1
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
I $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 - MwMC SANITARY SEWER SDC = 1
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
I $3,651. 76 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMlNlSTRATION FEE: '
x NEW TRIP FACTOR
1.00 = ,
COST PER TRIP
$80.72
$947.62
'x NEW TRIP FACTOR'
1.00 = 1
7238
$858.08
$504.84
$383.88
$175.13
$772.49
=
$82.03
r:/J
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o
~
11070
1091
1092
1093
1094
1054
$865.31 1055
I
$0.00 I 1054
$10.00 1056
$957.34
$3,651. 76
CHARGE
$182.59
11837 1079
$64.22 1078
TOTAL SDC CHARGES =, $3,834.35
Cheryl Slaymaker
, 3/29/2005
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x: UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
DRlNKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
/INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
I CLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,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 ELGffiLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
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
=
2
2
1979
= I
$0.00
o
$0.00