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Home My WebLink AboutPermit 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: COM2004-01528 ISSUED: 01/04/2005 APPLIED: 12/14/2004 EXPIRES: 07/04/2005 VALUE: $ 115,795.00 SITE ADDRESS: 6025 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 118 - Home Style -Alderwood Owner: HAYDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Residential Phone Number: 541-461-5091 ...:. ...' ,-. j....,. I CONTRACTOR INFORMATION f'eglii1 \./j:;::~ , ' ,'_ ' 'II' , 8'"lt(;;I, ! ilOS~; I ,..118S are set forJl Contractor ;11 "C;AR'.S52-00"j -001 iLi'censeh OAExpiH't'MiI Date HAYDEN ENTERPRISES0090. You may obta9220lpies of the rl0712~/io07 THORNTON ELECTRIC Il'\.,<alling the center.ltW,t9J: the tel~~tl~rM/2006 PACIFIC AIR COMFORT ~ber for the Or~fbl!7Utility NotlflC(}g:)2>sho06 JET HEATING INC Center is 1.a3Q@-332-2344). 05/31/2005 I BUILDING INFORMATION. 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: 20.10 13.80 14.10 20.90 40.00 Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 U VN # of Stories: 1 Height of Structure 16.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 N a iSprinkled Building: n/a "r-,.. ~ il.:C: I Div~liOPNrENJ;~N.f?RMATION . COrvlf0F/~L.tu UNDER T"~/HE IF THE Vv ANy 1 Atr~l~p@.~t:WS 8 HIS PERMIT IS OR~ ~ Str&tt )IJt~f~ I tl~NDONED Fa Nfi7 Paved Drive ~d: RYes % of Lot Coverage: 25.00 3 I PUBLIC IMPROVEMENTS I Phone 541-501-4332 541-686-4151 541-672-9510 503-363-2334 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,096 1,148 400 REQUIRED PARKING Total: Handicapped: Compact: 2 Fully Improved Yes Sidewalk Type: D~wnspouts/Drains: Curbside 5' Curb and Gutter Notes: S,torm drainage piped to curb face 12/17/2004 CAS Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01528 ISSUED: 01104/2005 APPLIED: 12/14/2004 EXPIRES: 07/04/2005 VALUE: $ 115,795.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,148.00 400.00 Value Date Calculated Description Total Value of Project $106,075.20 $9,720.00 $115,795.20 12/15/2004 12/1512004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $401.47 12/14/04 1200400000000001735 -Mechanical Issuance Fee- $10.00 1/4/05 1200500000000000010 + 10% Administrative Fee $106.47 1/4/05 1200500000000000010 + 7% State Surcharge $74.53 1/4/05 1200500000000000010 2 Baths One or Two Family $254.00 1/4/05 1200500000000000010 Addressing Assignment $31.00 1/4/05 1200500000000000010 Building Permit $617.65 1/4/05 1200500000000000010 Curbcut Permit $75.00 1/4/05 1200500000000000010 Dryer Vent $6.00 1/4/05 1200500000000000010 Exhaust Hoods $9.00 1/4/05 1200500000000000010 Furnace - up to 100,000 btu $12.00 1/4/05 1200500000000000010 Gas Outlets 1-4 $4.00 1/4/05 1200500000000000010 Plan Review Major - Planning $103.00 1/4/05 1200500000000000010 PW Mult Disc - 2nd Permit $-30.00 1/4/05 1200500000000000010 Residence Wiring 1000 Sq Ft $106.00 1/4/05 1200500000000000010 Residence Wiring Ea Addtl 500 $38.00 1/4/05 1200500000000000010 Sanitary Sewer - Improvement $365.60 1/4/05 1200500000000000010 Sanitary Sewer - Reimbursement $480.80 1/4/05 1200500000000000010 SDC MWMC Administration $10.00 1/4/05 1200500000000000010 SDC MWMC Improvement $865.31 1/4/05 1200500000000000010 SDC MWMC Reimbursement $82.03 1/4/05 1200500000000000010 SDC Sanitary/Storm Admin $103.36 1/4/05 1200500000000000010 SDC Transpo Admin $66.04 1/4/05 1200500000000000010 SDC Transpo Improvement $772.49 1/4/05 1200500000000000010 SDC Transpo Reimbursement $175.13 1/4/05 1200500000000000010 Sidewalk Permit $75.00 1/4/05 1200500000000000010 Storm Drainage Impervious Area $636.59 1/4/05 1200500000000000010 Vent Fan $18.00 1/4/05 1200500000000000010 Willamalane Single Family $1,000.00 1/4/05 1200500000000000010 Total Amount Paid $6,468.47 Pal!e 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review PlanniDl! Review Public Works Review I Plan Reviews I 12/15/2004 APP 12/21/2004 APP 12/17/2004 POK 12/15/2004 12/1512004 12/1512004 Structural Review 12/15/2004 12/22/2004 OK CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01528 ISSUED: 01/04/2005 APPLIED: 12/14/2004 EXPIRES: 07/04/2005 VALUE: $ 115,795.00 LLH EMM CAS No hook-up to sanitary of CO issued until Public Improvements are accepted by the City 12/17/2004 CAS LDAP required 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. 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 perform'ed 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paf!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01528 ISSUED: 01/04/2005 APPLIED: 12/14/2004 EXPIRES: 07/04/2005 VALUE: $ 115,795.00 225 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. located e front orthe property, and the approved set of plans will remain on the site at all t?~t:~ ;J J~ Lj-o ) Owp' &fC'ontractors Signature Date Paee 4 of 4 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAXj (541)726-368 ELECTRICAL P~T fcl?PH~ATION ' ~. City Job Number ~~/'t. \ ~//''O Date 1. ~;Il)CAiioNom~:r4iiATioi/ '&, '~GOC~~ '0Kt ~~;'/lc;' ~ _:A ~~ _ ~EG:~ESCRPBON . \ ~ t"' '"' _ . 2 A. l..t~; \ l f) ~r ~ rd Service Included JC)B DES9RIPTI~- '\" 1000 sq. ft. or less ~ - ~_ \) Q ~ / Each additional 500 sq. ft. or \( J ..v portion thereof Permits ar on-transferable and e re if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 3. $106.00 \ Dto ~ 3f2tfJ \ f)/ $ 19.00 $50.00 2. B. Electrical Contractor jJ;lo.R'/ J7{J .f.... j EllE; KJ:::.. 200 Amps or less 201 Amps to 400 Amps Address I? 0 ::)&ir SVLI l) 401 Amps to 600 Amps , r , '_;~.~:,"'.: , ' r:\lO\o..nO:-!, ~Mtb,]" 1000 Amps , ':OLG~ \;FS"I~ \ Cf\1 nC\,( .' Ph~p~;Yi1..:~\'\-e-G" J_ ~_,:-> F'IS rJt,(~f,!~\Q'O~~Nolts 'r I':\C" '-U U\ll)'"" .11. Rec~lUle0t'Qnly !'\,l,\I"I_,\~.._L_ O' \~' ",J.'I\\,801'KUTtJ.. ,-",r'l_I' 11-,:. U rl'JI \ "- C' "uL. J . Supervisor License Number .3'6j,iC~s(;:,:'(a.i~;,\uQ. ' c. City Ee.q- U $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less Constr. Contr. Number I /0 3~ 7 201 Amps to 400 Amps . . . 401 Amps to 600 tops, EXpll1ltlOn Date I (J,- . j _ !) t..., _ ...... '-MfJ--"r s . 00 V It "B" b , I r::: :rTENT\ON: v{egv,.1QY'Ve:~ 0 s see a ove. Signature of Supervising Electrician , fJ\O'tt pS\eS adopted bY ~ ' 4" C. N~llfl~on Center01~~Allillli~t.fJienSion Per Panel r' -;Lf'~ ~ 952..001-0 . ~ fSSIflltUl e tu\es 'I ]h' '. 00 . OU may obta\n~~~~~it or with ' j & _ ~ . ca te. \'j\1Wtyxtfe~~it Owners Nam~ '-- -.J...\. (A2I\ ~ . ego Address \.N () _ ~~ B 6 _ Center \5 City - Q.?2 .\ tBJ ExpirationDate 10/1- Db $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 OWNER mSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges VJ.90 ',O.Og \ ~~~~ 4. Owners Signature: 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electncal Pennit Application I-03.doc . CITY OF S...~INGFIELD SYSTEMS DEVELOPMENf"ORKSHEET COM2004-0I528 Hayden Homes 602 S Orchid Ln Lot #118 Jasper 2nd JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 2053.50 I $0.310 I = $636.59 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE 0.00 I $0.310 50% BUILDING SIZE (SF: 1520 LOT SIZE (SF): DISCOUNT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 20 $636.59 COST PER DFU $24.04 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 20 ,$18.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $846.40 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x ,I 9.57 B. IMPROVEMENT COST:." I ADT TRIP RATE x I 9.57 I NUMBER OF UNITS x I . COST PER TRIP I 1 I $18.30 x 'INEW TRIP FACTOR I 1.00 ' I NUMBER OF UNITS I 'x I 1 I ITEM 3 TOTAL - TRANSPORTATION SDC = I COST PER TRIP $80.72 $947.62 x NEW TRIPF ACTOR 1.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I 1 COST PER FEU $82.03 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 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) = I 5. ADMINISTRATIVE FEE: I SUBTOTAL x' ADM. FEE RATE I $3,387.95 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY 12/17/2004 , DATE 6096 $636.59 $480.80 $365.60 $175.13 IJ) ~ t:l o u ~ ~ f-< IJ) ...... o gj 1070 1091 1092 1093 r $772.49 1094 = $82.03 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGffiLE 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 Springfi~ld, Oregon 97477 541-710.::3759 Phone ,...-'" . Job/Journal Number COM2004-01528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-0 1528 COM2004-01528 COM2004~01528 COM2004-01528 COM2004-0 1528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-0 1528 COM2004-01528 COM2004-0 1528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-01528 COM2004-oi528 COM2004-0 1528 COM2004-01528 COM2004-0 1528 COM2004-01528 COM2004-01528 COM2004-01528 Payments: Type'of Payment Check' 1/4/2005 RECEIPT #: Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sidewalk Permit Curbcut Permit PW MultDisc - 2nd Permit 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 Plan Review Major - Planning Building Permit 2 Baths One or Two Family Fumac'e ~ up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 ' -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By HAYDEN ENT .....~ty of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000000010 Date: 01104/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 14194 In Person Payment Total: Page 1 of 1 11:52:04AM Amount Due 31:00 1,000.00 106.00 38.00 75.00 75.00 (30.00) 636.59 480.80 365.60 175.13 772.49 82.03 865.31 10.00 103.36 66.04 103.00 61 7.65 254.00 12.00 18.00 9.00 6.00 4.00 10.00 74.53 106.4 7 $6,067.00 Amount Paid $6,067.00 $6,067.00