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HomeMy WebLinkAboutPermit Building 2010-8-10 www.cLspringfield.or.us CITY OF SPRINGFIELD BuildingiI'~esidential Permit PERMIT NO: COM2010-00919 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 8/10/2010 APPLIED: 7/12/2010 EXPIRES: VALUE: 2/512011 $292,675.00 SITE ADDRESS: 780 MOUNTAINGATE DR ASSESOR'S PARCEL NO: 1802032206900 ....~'I . ... ~'...... "' '...' Springfield SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ ..Lie Type Lie No Lic Exp Phone BUILDING INFORMAtiON I " >,-,.J-.,:";,. # of Units: Construction Type Occupancy Type Occupancy Comments U # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat:: ' . 1 21.50 FE E E Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 12205 2610 581 # of Bedrooms: 3 Sprinkled Building: '!liil"!" ._...~,,<".~ . . 140 Energy Path: 002A Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Informatiol)... ~ Fire Alarms: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: l~':"; . ~ .>" . ,~'~',};li~ . ~ u ',' ATTENTION: Oregon law requires you to . ;Ol'.ow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain caples of the rules by cal/:ng the center. (Note: the telephone number for the Oregon Utility Notification Center IS 1-800-332-2344). ~, ""~;:'.l;~;."~ ;'1~'{~k' . I\-1E \NORK N01\CE't-.1\\1 SHl\ll E')(I'\RE ~~Mll IS NOl ~\~:i~ZEO U~~~; ::~~bONEO ~~~ COMMENCEO \00 ; :-:. ., ...." (-t..i"y 180 DI\'1I'ER' \i'~"': .', \.. , Springfield Building Permit 'riC.~;~~f201'~'" r18~17PM "',f,r Page 1 of4 s;e~. ~N.~~ ~ .. I;K' .O~f~ (:;yfl,~ ~ ~ ,',,-x ':%'~'OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: COM2010.;00919 . '. .' . ".. JitR Nuinb~r( permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: APPLIED: 8/10/2010 7/12/2010 EXPIRES: VALUE: 2/5/2011 $292,675.00 SITE ADDRESS: 780 MOUNTAINGATE DR Springfield ASSESOR'S PARCEL NO: 1802032206900 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence .- :,. DEVELOPMENT INFORMATION ~ r," Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18.00 13.00 31.83 23.78 ..1". . Overlay'Oist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: Hill 3 Yes 32.61 REQUIRED PARKING Total: Handicapped: Compact: 23.75 PUBLIC IMPROVEMENTS' ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: STORM WATER TO CITY STORM SEWER FI SS Yes . I ~.';,I\II:\ Sidewalk Type: C5 " "'~'-."'.' Downspout/Drains: .~.-..'" ';':'~T?;Yaluatto'n;Description ~ Description Tvpe of Construction '""i?~;';':':~t: ..... "'. " .:~ ;.~ .'....."'.,.;,;,.,;.; Unit Amount Unit Tvpe Unit Cost Value ',,, .. 'I .' ;:1" ,:'~ , ',~t " }'~ '; ". . ," " Springfield Building Permit 8/10/2010 1:18:17PM Page 2 of 4 '''---0 "~ ~.~ ~ ......'--.~ ~...,.. ,.,,~'.,-_. ." ,(,~~,.,~'~:!.~~~tf;; ;'" ".^~..r~_ - ':'::~-~';.;~~!""'~ . CITY O~iS!,>RINGFIELD '~:-,;.,~':~. . ,., "',."; -' 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541.726-3676 www.ci.springfield.or.us Building (Residential Permit PERMIT NO: COM2010-00919 IVR Number: permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/10/2010 APPLIED: 7/12/2010 EXPIRES: VALUE: 2/5/2011 $292,675.00 " , ,1:~" :.; ", SCOPE: . WORK INVOLVED: TYPE OF STRUCTURE: SFD NEW RES SITE ADDRESS: 780 MOUNTAINGATE DR ASSESOR'S PARCEL NO: 1802032206900 Springfield. PROJECT DESCRIPTION: Single family residence r- *':"~~-7,'~~'~,~: rI~~0~~~~"~~~x.:.:~~~r;;~~s:p._~Ip~~~~~;"'.. =':,~~-~.,:~::'~~'~';~~~:-;:'-~;::::- ,.,~'-"'C:~'{;'J'~: '"';\'" " '.-' ,:,0 ,'~ ". \ " DescriDtion Amount Paid Date Paid ReceiDt # Plan Review Residential $672.33 07/12/2010 9156 Curbcut - 2nd Curbcut $.45.00 08/10/2010 224408 Dryer Vent $9.00 08/10/2010 224408 SDC MWMC Administration ... ..$10.00 08/10/2010 224408 Exhaust Hoods ....,.-.,.' .: ; $13.00 . 08/10/2010 224408 -"-'~ ..... -"'~-"'-' Fireplace (Listed) 1 t-:',g't Ft '~~'$2e.oo' 08/10/2010 224408 .....' . . SDC MWMC Compliance Charge ~';';_:" '.'-. "$22.63 08/10/2010 224408 . /-f'"":l. Vent Fan It,: $36.00 08/10/2010 224408 - Addressing Assignment $38.00 08/10/2010 224408 Temp Power 200 amps or less $63.00 08/10/2010 224408 Residence Wiring Ea AddU 500 $75.00 08/10/2010 224408 ----- 1 s~ Appliance $79.00 08/10/2010 224408 Curbcut Permit $88.00 08/10/2010 224408 Sidewalk Permit $88.00 08/10/2010 224408 SDC Transportation Admin $88.83 08/10/2010 224408 SDC M\Nrv1C Reimbursement $101.97' 08/10/2010 224408 + 5% Technology Fee $133.36. 08/10/2010 224408 Residence Wiring 1000 Sq Ft ,!):. $134.00 08/10/2010 224408 Fire SF Fee - Residential $166.55 08/10/2010 224408 ~Ian Review Major - Planning $211.00 08/10/2010 224408 SDC Sanitary/Storm Admin $276.57 OB/10/2010 224408 + 12% State Surcharge $279.03 08/10/2010 224408 ~_.._~-,-~,~ SDC Transpo F3eir:'_bursement $279.54 08/10/2010 224408 ~""-'~'.""~-"--~'"--'-- --- Pian Review Residential $29B.94 08/10/2010 224408 SDC Storm - Reimbursement $362.67 08/10/2010 224408 3 Baths One & Two Family . . $4.o2.qO 08110/'2010 - 224408 Sanitary Sewer - Improvement '4,::::':. $1,030.40 08/10/2010 224408 SDC Transpo Improvement li:{)~'r 1$,;.;fo;7 . 08/10/2010 224408 "''';;',~ SDC Storm - Improvement ';'~'.:-~ $1,301.18 OB/1 0/201 0 224408 SDC MWMC Improvement ,.-; $1,333.57 08/10/2010 224408 !3uilding Permit $1,494.26 08/10/2010 224408 Sanitary Sewer - Reimbursement $1,722.88 08/10/2010 224408 .~_.- yvillamalane Single Family $3,468.00 08/10/2010 224408 Total Amount Paid $15,396.88 .!.~ Springfield Building Permit '; ',) ';8/10/2010 1:1S:17PM Page3of4 PROJECT STATUS: Issued www.ci.springfield.or.us .:'i f.: , ,~,' CITY OF SPRINGFIELD Building I Residential Permit 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: COM2010-00919 IVR Number: perm itcenter@ci.springfield.or.us ,"',,"-'.> . ISSUED.:, s!1ii/2if1 C).. . ., .' '"',['8'", APPLIED: 7/12/2010 ~. ,,". . :"e,!,: ~ EXPIRES: VALUE: 2/5/2011 $292,675.00 , f-' Springfield SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES SITE ADDRESS: 780 MOUNTAINGATE DR ASSESOR'S PARCEL NO: 1802032206900 PROJECT DESCRIPTION: rs~,:'~,,_~,~~~~y_ "~_ - C'Vo, ~r- DeDartment Planning Review Public Works Review Structural Review Permit Issuance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Single family residence ",i.,.,....: ._ . .... ""'~. H;'~" .>;:t~"" '(;, ~ . . P'lan 'Review'I'~A::; 7"' ".~""h-:,'~l .,-...--' 'z,. .;.,;J'~'~\-4: "~_, 0-7:1:: "'. '?j;~i0~""' Received 07/23/2010 07/22/2010 08/03/2010 08/10/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 Due Date Comments Choose street trees from the storm water to storm sewer. as noted on plans ComDlete Result APP APP APP Issued Over the Counter Over the Counter Over the Counter Over the Counter Over the Counter Reviewer 08109/?0.1 o. Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 . See workflow history Over the counter permit Over the counter permit Over the counter permit Over the counter permit 08/09/2010 08/09/2010 08/09/2010 08/09/2010 Inspections INSPECTIONS REQUIRED I ~,~J ":;:li"\ ,; '-~;b.: fJJ.1-0i~,:t, Signature language: ;';~-,-~~~ ..:: ;~;.:~j': ,\ .'-"~ ]... . ,-" 14.,1,__.. By signature, I state and agree, that I have carefully examinedthe'comph~ted application and do hereby certify that all information hereon is true and correct, and I further certify that any a~d'~~IITwdrk performed shall be done-in accordance with the Ordinances of the City of Springfield and the Laws of the State or 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~f of t property, and the approved set of plans will remain on the ~2:Urlng construction I Owner or Contractor Signature Date Springfield Building Permit ./.)~1'). "". ;;' ,..,.-.-. ,;i,f;:~; .;rii'i. ., 8/10/2010 1:18:,17PM Page 4 of 4 225 Fifth Street+Spriogfie1d, OR 97477 tPH(541)726-3753+ FAX(541)726-3689 ~i:;1'D.EPARi~~B)j19:~t~~~'?~tl~ Electrical Permit Application I t Date: This permit is issued under OAR 918"309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1m.)i:f41f,.iOCQ~~~.G,QY:~RfjMIrN:]!l'~~j~)i~:Y~~~11,f~1i{ ... ~"-._".,,"_.'.,. tiE;QQI!! . , Zorung approval verified? D Yes DNo ?@~~~11~~}~_~ .J;li~il1~:G~fif~:GgJ~~YilQ~~Ji1Jlf$1]~Ju:@lUlp:~}~~M~~~&f~ ~$~~%,.~- ;-iliJ";: 10 10 Residential, per unit, service included: raResidential Government Commercial $!2c; ~1~~P(')J~:jf~]trJ0iiJNR12RM~\lW10N;w~EJ@l[~'Q])]1ftl'QN'I\!'~}~i'Wi 1,000 sq. ft. or less (4) :t- $134.00 address: --7Ho MI~~ Each additional 500 sq. ft. or portion ~ ~ 1~ Job site ~ thereof $ 25.00 $ City: <;-"".v,(','r io{ I State: oQ I ZIP: '17"i7i5 . Limited energy (2) .F:7 $ 32.00 $ .'2" SUbdi~ision\).'\-Yli'-'~'E20.,^,~:fl-'. 1 Lot no.: '. Each manufactured home or modular $ $'tli!i!~~&""""0&1':t)'!:S.€HfR;i1j0N"'OR"i'jV0RKi'~""'""'''''')t.f'''ilf': dwelling servi~e or feeder (2) 63.00 $ ~.$';\i(",},!," . ~~~~~~r;_:'_'''~';''ic~~.'';'';';3A,~,:,~;,J~!-.,. ,,~JI$.'Y~~.h.~,~,,<,-.;:,:!J.t;<:4~&2t~.~rt,,;}i',t--;!)I;:,~, . Services or feeders: installation, alteration, relocation " 200 amps or less (2) l $ 81.00 $ ~1I:'~"'m~?ii~,J[.w.('11~f1ROBERiI!Xljl!fWNlE'f{l"1\';;\~4"~"''!f~'r~~'~~''''~\ 201 to 400 amps (2) $ 95,00 $ It,'.r .,.~i'l&~~~'iJ?~f;:"","~'~'~ c' ,..-_:::_.~,._LA",.".,~,.,,,,,,?' .=;Y~,.,"",~:...,~,,,~..._"" ~"'i;;':${,,,,,g~~~,.,'i~.{,{'1;-,'''"!:,ic Name: \~,;dN\ Kev,.-..'C' <:.. 401 to 600 amps (2) $158.00 $ Address: ,;)i-Ie c( $h/ (!.,("c 601 to 1,000 amps (2) $205,00 $ '" City: Q <'01 vv>cv> ".{ 1 State: 6 Q 1 ZIP: ')775'0. Over 1,000 amps or volts (2) $469,00 $ Phone: 5"11-.2>8- 1O'j')5 I Fax::>?!!-7'1!' ,;)572 Reconnect only (2) $ 63,00 $ E.mail: Temporary services or feeders: installation, alteration, relocation This installation IS being made on residential or farm property 200 amps or less (2) l $ 63.00 $ owned by me or a member of my immediate family, Tills 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1 ) and 479,560(1). 401 to 600 amps (2) $126.00 $ Signature: Over 600 amps or 1,000 .volts, see services or feeders section above 'i'1~_ll""!@0NifR'A'effi€fR'lijNsmA'l!!~iiI0'N:~_'R"~i'&,qii~," Branch circuits: new, alteration, extension per panel -~."ll.V _. . "J~t",~._~,."..,-,-::..""..,"",,,~,_~,,,-.'_.~_JC__j.,..,..d, ....._",\"t.:".i.",',.~,.;.~~, _,' ~~...,.:;~D:f.-;;J":;:. Business name: "'To() \\1,J(~ EI pC a. Fee for branch circuits with purchase of a service or feeder fee: Address: ...JO~70 (OVe'1 Ct Each branch circuit $ 6.00 $ City: &.. Y\cA I State: oR. I ZIP: b, Fee for branch circuits without purchase of a servic.e or feeder fee: Phoue:C) 11,311' 191'1; 1 Fax: - - First branch circuit (2) $ 55,00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no,: ,/y 3iOC: 1 BCD license no,: (' ..22r1. Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 14o~<t oS Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor:\' ,( , , ~W,...L.J ...J. ,,;; Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor:~ .0 L1"' -' 51't> .~... Signal circuit or a limited-energy panel, $ 63.00 $ ~. . alteration, or extension (2) C.Y '. Each additional inspection: (I) $58,00 $ ~&~~"lkV'~p.;eiriIi0Ji:Nm'<U'SE'''''''m'!lt;'''''''''''.'~'''' . ~.~:. ,_'!>"i-,.~~~~' ' -,-;",,~':"I:'<'e'~~,",,~:~,^,. ,L~~~;;,2_c_..,c...:~$&~t: '~4~~~~~]t~ ~~ (A) Enter subtotal of above fees :;1'2- (Minimum Permit Fee $58.00) C\\ C\,\\) (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of[AJ) $ I ,. TOTAL fees and surcharges (A through C): $:;;1 D' < ./ ~ ~& oV f 440-2584-J (9/08/COM) 2~ willamalane tlij Park and Recreation District . Job. No. t!lo - 9ft; SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December31, 2010 NAME: SI^,J71~.L(~f /l L ADDRESS:2'16Q ~t.A:.tt.7L 1M CITY ~t.1>A<tAJ~ LOCATION OF PROPOSED BUILDING SITE: Street Address: 7%6 P1a,~,rl47l5' PHONE: STATE: .(')l...ZIP: '7?? sr.- Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) 5 DEPARTMENT USE ONLY Co~ 'LO{O-O c::> '1(1 Penn it no.: Date: 7-(2-(0 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance Or if work is suspended for 180 days. ..' :'f.;' ,):!~0(;AL' :i3QY$RNNt~~f?;4pi)8Q:V~llf;:?;f,b1!;.M~:;~~i This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No ~~~~:~;~~~~:9l~tr~:ggRY~:9.FJ19,q~:~T:R:q,ctf;lQN-~~:;;;j~2~1l\:z;~~{+W:fWk Residential 0 Government 0 Commercial ~",:t:3~?!;:,',h~:~U_9,'$~~Fr_~f :!N,fip.~MAif9NyjANp~_~6,GAfIqJ~~~J~~~j-~i3,'R~'~ Job site address: 780. --'-"..'-- '. . -~''/;'?,t:FEE' SCH~QiJLE:::"'}:: i;;:t;~'T', ." ~~i::;/Yalu~ti,9~)'f~,f~r#{~:ii9:~\::'!~YLi'jMi~7)i\!}j~~j\:r~'i~ff-'~}';U!~::?;\:,~:~:;~1tl:~~%:t;':f;~- (a) Job description: S.", Occupancy 'i J LA Construction type: V j] Square feet: J..f.Q \ D Cost per square foot: Other information: Name: Type of Heat: FA- ~\.c. Energy Path: ZA- )2t'ilew D alteration D addition (b) Foundation-only permit? DYes ..Etno Total valuation: ~ Po '2 VI <) ,<i\/ ~ $' 'to ~ City: Subdivision: Reference: ::r7)).j,~JJgJ#'g:;.fe~~~~f,m'~~"~~~~rYb~I*ff~i\{]~:~:~wf$~55r~~; .,1' l=',_;;:~;::'~:i/'{;~;:d\~'_ , ' (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): number of hours x fee per hour) $ $ $ $ Sign here' " " (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): Business name: (a) Seismic fee, 1% (.01 x permit ree [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ Gc _"",,- Print name: Signature: Name Electrical Plumbing Mechanical Aii(QN~~;'~fr*ik$}~t;~;~1 Phone Number 2t-IO ,\y ( I '-to 1> 4 f s . D'P,-T\4 f.P. 't ~ v.I=-. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000815 Date: 07/12/2010 12:IO:03PM Job/Journal Number COM2010-00919 Payments: Type of Payment CreditCard cReceintl Description Plan Review Residential Paid By HAYDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 075232 In Person Payment Total: Amount Due 672.33 $672.33 Amount Paid $672.33 $672.33 l)~").';~ "I',: , J\':; ,..., .. ~.~,. /,~(! , I" \ I:'\' :1}F : , .,. .... '~""'r~ . , ;' ~I ~-!". -," :, ~ C,;' ,vi I . I '1 1 ~ ,~. ~. ~~' . Page 1 of 1 7/l 2/20 1 0 TRANSACTION RECEIPT CIlY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 WNW.ci.spnngfield.or.us permitcenter@ci.springfield.or.us RECEIPT NO: 2010000032 RECORD NO: COM2010-00919 DATE: 08/10/2010 TOTAL DUE: $-45.00 $9.00 $10.00 $13.00 $20.00 $22.63 $36.00 $38.00 $63.00 $75.00 $79.00 $88.00 $88.00 $88.83 $101.97 $133.36 $134.00 $166.55 $211.00 $276 57 $279.03 $279 54 $298.94 $36267 $402.00 $1.03040 $1.140.17 $1,304.18 $1,333.57 $1,494.26 $1,722.88 $3,468.00 $14,724.55 .....,iAMOUN:j:"'A"IO.!iil~q!.,ilqq!.,'!;; $14,724.55 "Hiq Curbeut - 2nd Curbeut Dryer Vent SOC MWMC Administration Exhaust Hoods Fireplace (Listed) SDC MWMC Compliance Charge Vent Fan Addressing Assignment Temp Power 200 amps or less Residence Wiring Ea Addtl 500 1 st Appliance Curbeut Permit SOC Transportation Admin SOC MWMC Reimbursement + 5% Technology Fee Residence Wiring 1000 Sq Ft Fire SF Fee - Residential Plan Review Major - Planning SOC Sanitary/Storm Admin + 12% State Surcharge SDC Transpo Reimbursement Plan Review Residential SDC Storm - Reimbursement 3 Baths One & Two Family Sanitary Sewer - Improvement SOC Transpo Improvement SOC Storm - Improvement . SOC MWMC Improvement Building Permit Sanitary Sewer - Reimbursement Willamalane Single Family l!iqRAYMEN:j:JJ~PEIilWJ~eA"YORWiIiI~JjAsHieR''fccAReelii"fE.fjllil!rcoMMEN;t5'i Check Simplicity Homes 02596 '"''''' o~m'o"