HomeMy WebLinkAboutPermit Building 2005-4-8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00346
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/07/2005
VALUE: $ 120,208.00
SITE ADDRESS: 6028 Orchid Ln
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Jasper Meadows 2nd lot 107 - Single family residence same as COM2004-01528 6025
orchid Ln
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-461-5091
I CONTRACTOR INFORMATION I
~..~.
1
R-3
U
VN
3
, DEVELOPMENT INFORMATION ..
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
6,937
1,148
400
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
20.00 Overlay Dist:
8.70 # Street Trees Rqd: 2
11.60 Paved Drive Rqd: Yes
40.tldOTICt: % of Lot Coverage: 22.30
O.OPHIS PERMIT SHALL EXPIRE IF THE WORK
2~~~F?~~m=~rJ~~IFgR NOT
Fu~~i'mW.QvQd\Y PERIOD. Sidewalk Type:
Yes Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hook-up to City infrastructure until public improvements accepted by the City; storm drainage piped to curb
face 3/30/2005 CAS
Contractor License Expiration Date
HAYDEN ENTERPRISES 92208 07/29/2007
THORNTON ELEC~lINfbN' 0 116329 10/01/2006
PACIFIC AIR CO~rlhi!S a'd regon raWJ9~res you to 03/25/2006
JET HEATING Il'kOtificatinn ("o....+te~.by the~QOn IJtjU~' 05/31/2005
In IltJR5DBlo;n re set forth
O. ay obtain c' R 952-001_
callin; tlf~~;ffl:!r. N oples of the rUrfJS byLot Size:
numbElll~;J~~~te:. ~he ter~l1Ble , Sq Ft 1st Floor:
'Osmef Jier1BO ih'~Qtlfj~n Sq Ft 2nd Floor:
Water Type: 2-2344). Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path.:. . &th 1 Sq Ft Other:
Sprinkled Building:.' n/a Occupant Load:
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00346
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/07/2005
VALUE: $ 120,208.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwelline:s
Garae:e
Tvpe of Construction
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,148.00
400.00
Value
Date Calculated
Description
Total Value of Project
$110,208.00
$10,000.00
$120,208.00
03/28/2005
03/28/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 3/28/05 2200500000000000353
-Mechanical Issuance Fee- $10.00 4/7/05 1200500000000000432
+ 10% Administrative Fee $107.49 4/7/05 1200500000000000432
+ 7% State Surcharge $75.24 4/7/05 1200500000000000432
2 Baths One or Two Family $254.00 4/7/05 1200500000000000432
Addressing Assignment $31.00 4/7/05 1200500000000000432
Building Permit $633.90 4/7/05 1200500000000000432
Curbcut Permit $80.00 4/7/05 1200500000000000432
Dryer Vent $6.00 4/7/05 1200500000000000432
Exhaust Hoods $9.00 4/7/05 1200500000000000432
Furnace - up to 100,000 btu $12.00 4/7/05 1200500000000000432
Gas Outlets 1-4 $4.00 4/7/05 1200500000000000432
Plan Review Major - Planning $103.00 4/7/05 1200500000000000432
PW Disc - 2nd Permit (Street) $-30.00 4/7/05 1200500000000000432
Residence Wiring 1000 Sq Ft $106.00 4/7/05 1200500000000000432
Residence Wiring Ea Addtl 500 $38.00 4/7/05 1200500000000000432
Sanitary Sewer - Improvement $365.60 4/7/05 1200500000000000432
Sanitary Sewer - Reimbursement $480.80 4/7/05 1200500000000000432
SDC MWMC Administration $10.00 4/7/05 1200500000000000432
SDC MWMC Improvement $865.31 4/7/05 1200500000000000432
SDC MWMC Reimbursement $82.03 4/7/05 1200500000000000432
SDC Sanitary/Storm Admin $99.52 4/7/05 1200500000000000432
SDC Transpo Admin $66.57 4/7/05 1200500000000000432
SDC Transpo Improvement $772.49 4/7/05 1200500000000000432
SDC Transpo Reimbursement $175.13 4/7/05 1200500000000000432
Sidewalk Permit $80.00 4/7/05 1200500000000000432
Storm Drainage Impervious Area $570.40 4/7/05 1200500000000000432
Vent Fan $12.00 4/7/05 1200500000000000432
Willamalane Single Family $1,000.00 4/7/05 1200500000000000432
Total Amount Paid $6,119.48
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00346
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/07/2005
VALUE: $ 120,208.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 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
03/30/2005 APP
SKG
TAJ
CAS
No hook-up to City infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
curb face 3/30/2005 CAS
Same as 6025 Orchid
Structural Review
03/29/2005
04/06/2005 APP
RJB
i 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.
L..ReouireCU nsnections 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.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa2e 3 of 4
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00346
ISSUED: 04/07/2005
APPLIED: 03/28/2005
EXPIRES: 10/07/2005
VALUE: $ 120,208.00
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.
A~
-
Y~~-r
Owner or Contrac~Signature
......
Date
Pae:e 4 of 4
. . CITY OF"~lRINGFIELD SYSTEMS DEVELOPMEr-.. I WORKSHEET
JOUR.NAL OR JOB NUMBER: COM2005-00346
NAME OR COMPANY: Hayden Homes
, , LOCATION: 6028 Orchid Lane
TAX LOT NUMBER: Jasper Meadows 2nd Add Lot ]07
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS ] BUILDING SIZE (SF: 1200 LOT SIZE (SF):
]. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I ]840.00 I $0.310 _ = I $570.40
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTEDTO CITY STANDARDS
'IMPERVIOUS S.F. ' x ,I ,COST PER S.F. I x I DISCOUNT RATE I 'I
0.00 I $0.310 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$570.40 I
6937
r:rJ
iJ.1'
Q
o
u
~
iJ.1
E-<
r:rJ
>-<
o
~
DISCOUNT
$0.00
1 ' $570.40
11070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I' NUMBER OF DFU's x
I 20
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 20
COST PER DfU
$24.04
= 1
$480.80
109]
.' $]8.28
$365.60
1]092
I
ITEM 2 TOTAL - CITY.SANITARY SEWER SDC'
= ,
$846.40-
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS I x I COST PER TRIP I x NEW TRIP FACTOR
I 9.57 i 1 I I $] 8.30 I 1.00 $175.13 1093
B. ]MPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x COST PER TRIP x . NEW TRIP FACTORI
I 9.57 ' I I ] I $80.72 1.00 $772.49 ' 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947.62
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x ICOST PER FEU
] I I $82.03 = $82.03 1054 '
B. IMPROVEMENT COST:
NUMBER OF FEU's x ICOST PER FEU
] I $865.31 = $865.31 lOSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
I
MWMC ADMINISTRATIVE FEE $10.00 11056 '
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $3,321.76
5. ADMINISTRA TIVEFEE:
I SUBTOTAL x I ADM. FEE RATE CHARGE
I $3,321. 76 I 5% $]66.09
TOTAL SAN]TARY ADMINISTRATION FEE: 99.52 1079
TOTAL TRANSPORTAT]ONADMINISTRATfON FEE: $66.57 1078
. Cheryl Slaymaker TOTAL SDC CHARGES =/ I
3/30/2005 $3,487.85
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONL Y THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
]998
1999
2000
2001
CREDIT RATE/$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
=1
$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 ~ \...~o.f.:Y Permit: ~~-?i\l(J
Address of Project: \_otfJ}J) (.D\t'n'tct_
Tax Map: ~ot: \\)1\ Subdivision ~~~ ~~C1OS
- f'lrt\ ~110Y\
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 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 requirements not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and approved hv this office
before footim! or foundation insvection approval will be f!ranted hv the Citv Buildinf! Inspector.
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
c:0~.
Date t;4h~
Affiliation to owner
225 Fifth Street
Spr.ingfield, Oregon 97477
.541-72.6-:3759 Phone
lty of Springfield Official Receipt
.aJevelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
COM2005-00346
CbM2005-00346
COM2005-00346
\
Payments:
Type of Payment
CreditCard
"
..
4/7/2005
RECEIPT #:
1200500000000000432
Date: 04/0712005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-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 094632 In Person
Payment Total:
Page 1 of 1
2:57:07PM
Amount Due
31.00
1,000.00
106.00
38.00
80.00
80,00
(30.00)
570.40
480.80
365.60
175.13
772.49
82.03
865.31
10.00
99.52
66.57
633.90
254.00
12.00
12.00
9.00
6.00
4.00
10.00
75.24
107.49
103.00
$6,019.48
Amount Paid
$6,019.48
$6,019.48
225 FIFTH STREET . SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAXJ (541)726-3689
ELEL"l1<lCAL PE~fIT APPLICATION .'
City Job Number ~ ~(XJ J tf b Date
ali?) I(~ 200 Amps or less $ 63.00
201 Amps to 400 Amps . eS 'Inti \0 $ 75.00
401 Amps to 60R,~ {e~U\{ nOt' \)\\\\\'1 $125.00
,~('\N. !e9: me Ote", \ \On"
~11e~~ps 0 ?~6~\hps \eS axe se.~.. $163.00
Phone f)~ -CO;:)'7 \\O~\f.OO~ 0 s~e {U O;.,?t 95'l-\)V~, $375.00
\0 'y~~'t6ii\&~A~~ 0 \ntou.gn 0\ \ne t\.lll::;) ~ J $ 50.00
Not\ 52-001' 'n copIes \e non\:')
\n 0 \,:Q~;iii}
oftJ .ti~~!H ~
ca\\il1g t\\~ Otego 32-'2.344.
~~~~\~\~~O~"Relocation
200 Am~s or less
201 Amps to 400 Amps
401 Amps to 600 Amps.
Over 600
D.
1.
((J Iofl, D{'c)" r..{ [" ,
LEGAL DE~RIPTI.ON ...tJ Jt~~.l'- f--k.;"t.-..d A.
~Ob #\SS{CrY\~ l-mk(,i.h".. 3lJ~
JOB DESCRIPTION ~ L-o.r- Io'}-
> 1 ^' L. Fa,41 ) it fl J ),.] ;;~1L.P--"
r' .
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor -;JIo,R4..1fZJ ..!:..... j
Address I? (J, 6&ir SoLI ~
. "
City ~cr-
u
Supervisor License Number
,30/7 .s'
Expiration Date I (}I / 1.- 0 It?
Constr. Contr. Number / / h 3d? /
Expiration Date
1(1- 1_ to t...,
/ I~
Signature of Supervising Electrician
,'~)., /) / ( . ,. .._-~
,t/::;~L)~ / P~f'~'14~ ..~
Own'" Na"N ~ \.~F\ I q1)ffiQD
Address LNG I A~J <<~
City ~J\i~~o~e fAFi .-\1)31
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.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwdling Service or
Feeder
$106.00
/ CratOD
x
$ 19.00
~6,oc
$50.00
B.
$ 50.00
$ 69.00
$100.00
y
New Alteration or Extension Per Panel
One Circuit
Eachl~~~iVM-al Circuit.or,"Yitp". " 1\ ;
ServiCe orFc;eQ.e'(':Perfu~t ,.
\ ~-l', l; , , .
$ 43.00
I: \
$ 3.PO
E.
Pump or irrigation
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.
~JOC
J(.;IO~
IY.Y-O
# 1~~~+0
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/ElectricaI Pennit Application 1-03.doc