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Home My WebLink AboutPermit Building 2005-3-11 , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00146 ISSUED: 03/11/2005 APPLIED: 02/04/2005 EXPIRES: 09/11/2005 VALUE: $ 128,560.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6078 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 add lot 112 - Single Family residence, SAME AS COM200 Overlay Dist: # Street Trees Rqd: 1 Paved Drive Rqd: Yes % of Lot Coverage: 26.20 h{~)YlGE: cVPIRE IF 1HE WORt\. _ _~n<"IT c.Ull\ \ r^ _ .,~.,.. ,"'..... r I.' ".... - HIS PtK\\I\\ I \0 I~U I . I PUBqGIIMf~.([)N~J\11j}N;rS~11BANDONEO 'FOR F II I d CO\\l\\VIENCEO UK \~ DM Sidewalk Type: u y mprove AY PERIO . Yes ANY 180 0 Downspouts/Drains: Owner: Address: HAYDEN ENTERPRISES 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License HAYDEN ENTERPRISES 92208 THORNTON ELECTRIC INC 116329 PACIFIC AIR COMFORT INC 39237 JET HEATING INC 3944 ATTENTlyr~llifi'fNG1~~lT~ follow rules auutJLvJ<l) y !.. ~ Notifiqation Centw'Oif~~I:ules are set forth 1 in CR\ll952-001-~~i2ItPrH'SM.Qm 952-001-17.50 0090uYou may 0~@6lQlP~il: of thEFGt~% I]Wr Gas cMNng the cenWat~e~he telephone Gas number for the :Qlao~'ifi)lptility NotificatioElectric 3 Center i~J1e~IOOIi:-2344). Path 1 Sprinkled Building: n/a # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.10 11.60 5.40 10.10 3.00 Street Improvements: Storm Sewer Available: Special Instruction: 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: 6,237 Sq Ft 1st Floor: 1,235 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Occupant Load: REQUIRED PARKING Total: 2 Handicapped: Compact: 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 2/7/2005 CAS Pa2e 1 of3 ~~~ati'~:O~II\lLil,l ....~, ""~' ;~ ~~~ ""' . _ ~ n""" r"",""''' .'" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00146 ISSUED: 03/11/2005 APPLIED: 02/04/2005 EXPIRES: 09/11/2005 VALUE: $ 128,560.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellin2s Gara2e Tvpe of Construction V Wood Frame Gara2e $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 1,235.00 400.00 Value Date Calculated Description Total Value of Project $118,560.00 $10,000.00 $128,560.00 02/04/2005 02/04/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 2/4/05 1200500000000000155 -Mechanical Issuance Fee- $10.00 3/11/05 1200500000000000321 + 10% Administrative Fee $115.29 3/11/05 1200500000000000321 + 7% State Surcharge $80.70 3/11/05 1200500000000000321 2 Baths One or Two Family $254.00 3/11/05 1200500000000000321 Addressing Assignment $31.00 3/11/05 1200500000000000321 Building Permit $659.90 3/11/05 1200500000000000321 Curbcut Permit $80.00 3/11/05 1200500000000000321 Dryer Vent $6.00 3/11/05 1200500000000000321 Exhaust Hoods $9.00 3/11/05 1200500000000000321 Furnace - up to 100,000 btu $12.00 3/11/05 1200500000000000321 Gas Outlets 1-4 $4.00 3/11/05 1200500000000000321 Minimum! Adjustment Mechanical $2.00 3/11/05 1200500000000000321 Plan Review Major - Planning $103.00 3/11/05 1200500000000000321 PW Disc - 2nd Permit (Street) $-30.00 3/11/05 1200500000000000321 Residence Wiring 1000 Sq Ft $106.00 3/11/05 1200500000000000321 Residence Wiring Ea Addtl 500 $38.00 3/11/05 1200500000000000321 Sanitary Sewer - Improvement $383.88 3/11/05 1200500000000000321 Sanitary Sewer - Reimbursement $504.84 3/11/05 1200500000000000321 SDC MWMC Administration $10.00 3/11/05 1200500000000000321 SDC MWMC Improvement $865.31 3/11/05 1200500000000000321 SDC MWMC Reimbursement $82.03 3/11/05 1200500000000000321 SDC Sanitary/Storm Admin $110.12 3/11/05 1200500000000000321 SDC Transpo Admin $65.18 3/11/05 1200500000000000321 SDC Transpo Improvement $772.49 3/11/05 1200500000000000321 SDC Transpo Reimbursement $175.13 3/11/05 1200500000000000321 Sidewalk Permit $80.00 3/11/05 1200500000000000321 Storm Drainage Impervious Area $712.27 3/11/05 1200500000000000321 Temp Power 200 amps or less $50.00 3/11/05 1200500000000000321 Vent Fan $12.00 3/11/05 1200500000000000321 Willamalane Single Family $1,000.00 3/11/05 1200500000000000321 Total Amount Paid $6,404.14 Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00146 ISSUED: 03/11/2005 APPLIED: 02/04/2005 EXPIRES: 09/11/2005 VALUE: $ 128,560.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannine; Review 02/07/2005 02/07/2005 I Plan Reviews, 02/07/2005 APP 02/25/2005 WE SKG TAJ Plot plan shows 7' rear setback. Spoke with Jeff H today. He will reorient house on the lot and get me new plot plans. received a revised plot plan 3/3/05 from Jeff Harrison. No hook-up to City Infrastructure until Public Improvements accepted by the City: Storm drainage piped t( curb face. 2/7/2005 CAS Same as 6061 Orchid Plannine; Review 03/04/2005 03/04/2005 APP TAJ Public Works Review 02/07/2005 02/07/2005 APP CAS Structural Review 02/07/2005 03/07/2005 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. I Reouired Insoections I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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 ofthe property, and the approved set of plans will remain on the site at all dmfidur;o <0,7;6 _ (';; k~ Contractors~nature ~ / Pae;e 3 of 3 . 225 F.ifth Street Spr!ngfield, Oregon 97477 541-726-3~59 Phone City of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00146 COM2005-00 146 COM2005-00 146 COM2005-00 146 COM2005-00146 COM2005-00 146 COM2005-00146 COM2005-00 146 COM2005-00146 COM2005-00146 CbM2005-00 146 COM2005-00146 COM2005-00146 CbM2005-00 146 COM2005-00146 COM2005-00146 COM2005-00146 COM2005-00 146 COM2005-00 146 Payments: Type of Payment Check ,j 3/11/2005 RECEIPT #: 1200500000000000321 Date: 03/11/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curb cut 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 Plan Review Major - Planning 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 15406 In Person Payment Total: Page 1 of 1 3:05:16PM Amount Due 31.00 1,000.00 106,00 38.00 50.00 80.00 80.00 (30.00) 712.27 504.84 383.88 175.13 772.49 82.03 865.31 10.00 110.12 65.18 103.00 254.00 12.00 12.00 9.00 6.00 4.00 2.00 10.00 659.90 80.70 115.29 $6,304.14 Amount Paid $6,304.14 $6,304.14 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 I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2297.651 $0.310 I = I $712.27 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I 0:00 $0.310 50% ITEM 1" TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 21 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 21 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENlI'/~ORKSHEET COM2005-00 146 Hayden Homes 6078 Orchid Ln Jasper Meadows II Lot 112 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF: LOT SIZE (SF): 6237 [/) ~ ~ o u ~ ~ E-< [/) ...... o ~ 1630 DISCOUNT $0.00 $712.27 $712.27 1070 COST PER DFU $24.04 $504.84 1091 $18.28 $383.88 1092 = I $888.72 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE I 9.57 I NUMBER OF UNITS x I 1 x I NEW TRIP FACTOR I 1.00 1093 COST PER TRIP $18.30 $175.13 x I NUMBER OF UNITS x ,. I 1 x INEW TRIP FACTOR' I 1.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , COST PER TRIP $80.72 $947.62 $772.49 . 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x. COST PER FEU I 1 $82.03 = $82.03 1054 B. IMPROVEMENT COST: NUMBER OF FEU's I x ICOST PER FEU I 1 I I $865.31 I = $865.31 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 I MWMC ADMINISTRATIVE FEE $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $957.34 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,505.95 l 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE 1= I CHARGE $3,505.95 I 5% I I $175.30 TOTAL SANITARY ADMINISTRATION FEE: 110.12 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $65.18 b078 I Cheryl Slaymaker 2/7/2005 TOTAL SDC CHARGES =/ $3,681.25 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNT AlN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 21 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 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 =! $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. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX; (541)726-3689 eO ELECTRICAL PERlUIT APPLICATION .. ,,)O~~ ":J~0 C. J bN b r: --- ":J":J ,:S Ity 0 um er ./.> -00 I 'If.., Date c'- 1J. <:l:>; 0,0 0' . 3. f7\Q()~f~:tg;rg~EEE!S~~~[;x.T]J"'E'fqf" ,:;~~it;"d.,t:,:\:::-:_,:"'._<~,;;,~;.;;-d ~,:),:;:;,.;;o__ _':f:>:b;;:\,?'jj~:;_:::~;u:;t::/K:::\;-::::!;;.h-):'''";,-:,,,:;,-(:1.\'x.~~> '_;:ti.~;:i:> ~. ~ ~ 1. I 2- $ 19.00 JOB DESCRIPTION c; 0 ?f!3 t)f'r .hLI Ut . - " . Ja.S.Ir:/' ~o~ A. 2 ,4-J).lvPH- 5. 5vb&?r ilL Service Included II] (J. ..'. 'c"./._ 1 000 ft I 0. "f i l'. Co' ..1/->, k., .' ~~V . or ess . _ '090. r. ''.1'::'2'(h /1/0.'/ Ea~pfti~),)OO sq. ft. or r) /' Ii!? J I ()' ~C: oLt' (/1'0' In..' '.i?';;"nf e" ..) . /le;(L,J I-C(h'i Iv !te..f11'i [l!)iQ Tt /f7<:?y '0. 7 0 povtJ~ ~lu.urg..g ,l You ~. v I Ii i:::I 'It 061' //){: 0/e<:;,.. 0/2} 1<. 0 Permits are non-transferable and expire l~* ~ Ce/]/, it/t) &a8iJMJ19-vfaati1HOf;i;i~.fr not started within 180 days of issuance or if 'C8~k &Se 0 er, (Iv. }$~ac;~liri'~S4wlhe or Suspended for 180 days. I]ter is lego ClfeeWJ.; tf}e r.~-007 7-8 I] . e Lt - '00..,9 2. >>3. V. 101] EJK,) 1(1::.. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone if:3 -['0;:)7 Over 1000 AmpsNolts "4;~/ I - . Reconnect Only I '\.J ,f I f Supervisor License Number 10 17' \ iJ';' ; r Sf '.: ~ L E ~f;.., '/~'i '-"' (j:)[ir:,--, 'It /l-?,r: !~ -.. j/J') / 0 /Y 1 n,.) "-/1 Tfil('I~< rrUfJ.U- '.Ute' R I . Expiration Date (v"".- (0 I f Ui"" 1(' _' ; c) iDlta a[}(ID,!~, ~atIon or e ocatIon '_', ,~ ' f-E;'? i(~!":! 5A Iv {~O'~10. ~~/& ;1~~.~1:.( / , '~L r I , t- '04, ~ III Constr. Contr. Number 1/ h 3.c? 7' ' ~. 20 I A'in ,9/0400' Amps 401 Amps to 600 Amps , Over 600 Amps or 1000 Volts see "B" above. D. $106.00 /o{, rOo 1(3,00 LEGAL DESCRIPTION $50.00 Electrical Contractor i.J.loR~.J1(J ,I<.. J Address f? (), r5&.ir SvL/ (j City &<:'0- $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 50.00 Expiration Date /(/-1_ ;9 b Signa""e ofSupemsmg Elec~ ~ ~\:l4(J._A. .~) Owners Name II j\-'Yb (5'" 6'/ r Address ? v ~t:":'< ?'> 7J City 5 ? ,.:- j) Phone New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. Inspection Request: 726-3769 TOTAL /tji . a:> Is,~e3 , 11,LfO f ZU /16 7% State Surcharge 10% Administrative Fee Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 1-03.doc