HomeMy WebLinkAboutPermit Building 2010-5-17
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
..,1'
PERMIT NO: COM2010-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/30/2010
11/10/2010
$ 160,000.00
Springfield TYPE OF WORK: Single Family Residence
SITE ADDRESS: 281 S 71ST ST
ASSESSOR'S PARCEL NO.: 1702353405804
PROJECT DESCRIPTION: Single famiJ{ff~iden~it*DPA~~
. . "!TlO!'i:Ore'",
ALL AMERICAN DESIG~~~~~~~t 1.6fl,~~",s Oregon Utility
421 71ST ST J'^~!A9520ija1'()(j1(J II eru/8flar888U rth
SPRINGFIELD OR 97478'~~i;;..~~,~~~ 6/jtil'nt~OU9h OAR 952-00,.
nUffltif;~~~:~r
Wl.23441.
Contractor 'License
AADCO ENTERPRISES LLC 129873
BuiLDING INFORMATION ~
l.
# of Stories: I Lot Size:
Height of Structure ~~., Ft 1st Floor:
Type of Hea>>a aced Air EIUF, Ft 2nd Floor:
WaterTyp.f:1\ "7'f'~t' FtBasement:
Range Type: fJ I Ie' t~q&l!tDll' el,carp, ort
Energy Path: fI~ t : ,IAn
S rinkled Bnil Occnp n 'rl1W
Owner:
Address:
Contractor Type
General
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
TYPE OF USE: New
Residential
Phone Nnmber: 541-744-0428
Expiration Date
06/18/20 I 0
Phone
541-744-0428
I
R-3
U
VB
1,466
452
~f'QTlCE:
THIS P
UT
g~~180 0 :, IS ABANDONED FOR
20.00 AYdUiAlQlbist: ' , .. .
8.49 ':'r# Street'Trees Rqd:
5.00 Paved Drive Rqd:
15.00 % of Lot Coverage:
6.25
VIRED PARKING
Yes
31.50
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downsponts/Drains:
Street Improvements:
Storm Sewer Available: Yes
Special Instruction: Storm water to catch basin
Notes:
To Storm Sewer
I Valuation Description I
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Value
Date Calculated
Description
Type of Construction
. ':, ~'l;'. "
I "\*'J;
,}. '~'Page I of 3
":'i~~\ . ( ..f ,
;
".-:<~.,
"; ~'~~I~ ~ ~ .
CITY OF SPRINGFIELD
Building/Combination Permit
! ,
_....;...'"''
".;"'., ];
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2010-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/30/2010
11/10/2010
$ 160,000.00
Estimate
Estimate
$1.00
, 160,000.00
$160,000.00
$160,000.00
04/30/2010
Total Val,ne of Project
~
Fee Description
Plan Review Residential
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbnrsement
Amonnt Paid
Date Paid
Receipt Number
$619.42
$10.00
$22.63
$ I ,333.57 ."
$101.97': ;'
~ ,;\ "
'" f .
4/30/10
5/17/10
5/17/10
5/17/10
5/17/10
2201000000000000440
2201000000000000516
2201000000000000516
2201000000000000516
2201000000000000516
Total Amount Paid
$2,087.59'7':'
:'
Structural Review
05/1012010
Plan Reviews ~
10
Applicant will provide signed
electrical application so that fees can
be included in DP A. Will remain in
"in review" status until application
is received.
Initial Review 05/05/2010 05/05/2010 ' APP DJB
Plan nine: Review 05/05/2010 '05/07/2010 APP DDK
Public Works Review 05/06/2010 05(07/2010 APP LKW
Structural Review 05/05/2010 05/07/2010 WE CJC
Structural Review 05/10/2010 05/10/2010 APP CJC
'Y.
Approved as shown on plans.
Storm water to catch basin
Need energy option
As noted on plans
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insRectio.'1s requested after 7:00 a.m. will be made the following
workday. . ":' '
~e:rillir~~snections ~
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.
Slab: To be made after all inslab building service equipmeni, conduit piping and other equipment items are in
place but prior to concrete. \
Floor Insulation: Prior to decking.
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springtield, OR
541-726-3753 Phone :;.1
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/30/2010
11/10/2010
$ 160,000.00
7;IO'
.
Shear Wall Nailing: Before covering sheathing with tinish 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 request~d and approved and the building is complete.
Underfioor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
Final Plnmbing: When all plumbing work is complete.
Underfioor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
dl
~p r
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 ntility company energizing service.
Final Electric: When all electrical work is complete.
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 Springtield 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 witb 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 7ction.
,',\,/1
. \-C.
5)7/0
, /
ner or Contractors Signature
,H':!
.:: It;~. . .
Date
s,
Paee 3 00
2>25 Fiffh'Street
Springfield, Oregon 97477
541-726-3759 Phone
iit'"
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000900~000~0516
Date: 05/17/2010
2:23:42PM
Job/Journal Number
COM20 I 0-00542
COM20 1 0-00542
COM20 1 0-00542
COM2010-00542
Description
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC MWMC Compliance Charge
"r~:~ ';l'
Amount Due
101.97
1,333.57
10.00
22.63
$1,468.17
Payments:
Type of Payment
CreditCard
Paid By
JOHN GRESSER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
o 1773C In Person
Payment Total:
$1,468.17
$1,468.17
J~li!\ 'd::t, It I " f.!.
.,;.;.<:;..... ,....,,::~. ,~.,....
-';:',. "', ~
~;;,~~, , ii._ t ,i ''" '.' .
':'"'1h"~ 7':;,,, ,or.. .~::
cReceintl
Page 1 of 1
5/17/2010
St~uctural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(54t)726-3753. FAX(54 1)726-3689
Date: &{ - ']. 0 - I U
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
, .,!;!trO.dAL':(:;QYE~t.lMENTj7~P'RR9V4l!!ii\J'~1;'.i~~~!~~i;~}
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is withintlood plain: 0 Yes 0 No
r&~~:~;jlrlPJMKGAtE..'g9:r{Y~,9_!5?j~_QN~iRJic:if:{QJ~~~/U;J}~~.~~~,h;jf1i
Residential D Government D Commercial
~~j~ti;;{'k:hi'~~'9'e,~;;:S_I~e-f TNF,-q.RMAff9~_':~A~R:(tE.9~,:t.?f.'Q~~;),;t~~>'~f,~~~
Job site address: .s .71.s;i-
City: State: 0
Reference:
.""
Name:
ZIP <IJY19
e-
City: State: t::ne.
Phone' Fax: 9'.
E-maiL .CA
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRAqOR, If:lSTALLATIONi .,',,' .
Business name:
Address:
City:
Phone:
E~mail:
CCB license no.:
Print name:
Signature:
?SU~'(;0NJ]R.....(;:t9R:If:lF.0RII'IATIQ~n~::!t~~~~iJi~1M~kj .
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
~~ ~
~~~I'
(f;
_~oI
DEPARTMENT USE ONLY
c..OMA ~O,c). 0 0 S 1I Z.
Penn it no,:
,..,.:.',
,; _,.. _..,......,' ,."__:_~,,. . ,~"_' '_"C"" <".
'FEE SCHEDULE' . '; .,
. <:'-.:., 'f':! ~'"T
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
eu=L.
,..,
F
Type of Heat:
Energy Path:
ew D alteration
(b) Foundati~n-only permit?
Total valuation:
o addition
Dyes
ENo
r>t..
(a) Penn it fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
$
,,:.
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
$
(a) Seismic fee, 1% (.01 x permit fee [2a1): $
TOTAL fees and surcharges (2e+3c+4a): $
x-t-
y
(bll1rlf (o)1F ~!P1~@lFllIElL,ID)q (O)~OO~
"~ ZON IDfltk\
~ INITIALS
/'6.. DATE~
\l2JlI SOURCE
225 nITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number () 10 .- ;"(2.-
Date
')11'1//-0
( I
3. COMPLETE FEE SCHEDULE BELOW
I. LOCATION OF INSTALLATION:
1'70.:r: ~S5 V 0 s-.r .:8
LEGAL DESCRIPTION:
:;.Yt $. 'II ';)T 5; T
JOB DESCRIPTION:
N-fJ-U S"F j)
Permits are non-transferable and expire ifwork is
not started within 180 days of issuance or if work is
Snspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor '5:::.l..I.rc,e.. E I-c..c.-n..c.. r...l.
Address 34105 ~".~ "'2:rt--
City t: \A~-el\-e. Phone -;;2..0 - ~ 'i (p &
Supervisor License Number
32'&'5.$
Expiration Date lO - 1- 2.. 00 r
Constr. Contr. Number 2.0 - S 2.0/ C
Expiration Date '1- \ - 2,-OOg"
Signature of Supervising Electri.cian
?J/~
!iJ~
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufuct'd Home or
Modular Dwelling Service or
Feeder
..<' /'3u ~C'
$.106:Ou ,
$,~ $l)OO
"
2-
$50.00
B. Services or Feeders -lnslallatio~;Alteralions or Relocation:
. ~
Installation, Alteration or Relocation
. .
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
200 Amps or less
201 Amps to 400 Amps'
. .
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
ReConnect Only
C. Tempo~ary Services or Feed.."
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C;.;
$:SMO
$ 69.00
$100.00
C,SCO
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
Owners Name ~ \?'\. '( J"~ \ V-,,~
"'<<" ~~"I:\z\;t4UI
CIty ~ one Pump or irrigation $ 50.00
nl 'll\? ~ : AA OID Sign/Outline Lighting $ 50.00
OWNERINSTALLAYiO)q' ~ ""l'2.f\vl Limited EnergylResidential $25.00
The installation is being made on prope~J..ofr1A"hich Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. ~~inimnm Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: ~ 4. SUBTOTAL Of' ABOVE .2,..<-V7
~~~'V<6 'W~.\Q 1~1f;~=,oo- ~;:~
Inspection Request: 726-3769 \ {\-.'t: . \;~ TOTAL
,0- ~ \. Shared Drive(T:)IBuilding FonnsIElectrical Pennit Application 8-06.doc
~~
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each I nstallalion
R?;, willamalane
t\J Park and Recreation District
Job. No. t!;t)-.)~.2-
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: /ltl. If11falaMI ZJES Sour PHONE:
ADDRESS: 7}1 ~,o-.2l CITY .)lFt..L> STATE:~IP: 9'JY?I
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 2F7 .>. 71tT >T.
Plat Name: Tax Lot Number: /'7d.1 :JIY'/ d.fJf:J'r
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Family Detached
NO. OF UNITS I
X $2,858 per unit =
$ 2~Tf
. B. Sinqle-Family Attached
NO. OF UNITS
r
X $3,100 per unit =
$
c. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinqle Room Occupancy
NO. OF UNITS
X $1,321 per unit =
$
E. Accessory Dwellinq Unit
NO. OF UNITS
X $1,550 per unit =
$
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalarie Credit approval.)
$
ff'
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$ )d9
~
-'> I .,
Date
/0
Development Services Department
City of Springfield
\~: \. \D
t7i
5
TRANSACTION RECEIPT
COM2010-00542
281 S 71ST ST
RECORD NO: COM2010-00542 DATE: 12/01/2010
,:;" ',-, _::":g,- v _; ~<:_C9l.1NJ':C_ODE~--;~ ;:':e.MQ_UNIRJ.J~ ;~,;. : '_'''',-J
224-00000-425604 $27.00
224-00000-425604 $13.00
224-00000-425604 $9.00
224-00000-425604 $17.00
224-00000-425602 $38.00
821-00000-215023 $2,858.00
821-00000-215004 $201.83
719-00000-426604 $99.21
447-00000-448027 $1,140.17
446-00000-448026 $279.54
.._~--
441-00000-448029 $7781
442-00000-448024 $1,238.32
440-00000-448029 $216.36
443-00000-448025 $740.60
719-00000-426604 $158.84
100-00000-425002 $211.00
100-00000-425605 $94.65
100-00000-424005 $95.90
224-00000-426102 $63.00
224-00000-425602 $952.95
224-00000-426102 $134.00
224-00000-426102 $50.00
224-00000-425603 $337.00
224-00000-425604 $79.00
TOTAL DUE: $9,132.18
~PAYM~NT;TY~E1it":'_~I'!AY;0R:~-:(;AS>jLE,,j;BQY'lLSBj;"-';"C9111fMENTS" '.' :,,_,:<~.;b',:': i?, -;--';;~f_AM()UiiiTPAID " :0" '-G-i,.::.j
~ ,. >'- "
,
www.ci.springfield.or.us
RECEIPT NO: 2010000941
fD'ESCRIP'f10N.,;.,.;./c' -;-, -, ':':.:;:;
,"._.-.__.~_..~~~,... ""._-'------... ~ ~
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
Addressing Assignment
Willamalane Single Family
~_ 12% State Surcharge
SOC Transportation Admin
?DC TLans \mpr~~ement-Res\dent
SOC Tr~~~~~:.Residential
SOC Storm - Reimbursement
~anitary Se~er - Reimbursement
,?DC Storm - Improvement
Sanitary Sewer - Improvement
~mc Sanitary/Storm Admin
~Ian Review Major., Planning
+ 5% Technology Fee
Fire SF Fee - Residential
~p Power 200 amps or less
~~!,~~in~ Permit
Resi9_ence Wirin9 1000 Sq Ft
!3O';;.ide.n=-~~~~ Ea Addtl 500
2 Baths One ,or Two Family
1 st Appliance
CITY OF SPRINGFtELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permilcenter@cLspringfield.or.us
Check
1003
pamela cornet
DPA paid
$9,132.18
$9,132.18
.~ -
~ ~-~ . APPUCATION TO DEFER FEES AND CHARGES
. AND CONSENT TO ASSESS LIEN
The owners of the property shown below hereby apply to the City of Springfield to pay the fees and charges oU'1/ Y2./i ,
deferred until final building occupancy is requested. Such fees and charges include System Development Charges assessed on the
property for the City and Willarnalane Park & Recreation District in the event that the real property on which the fees have been .
deferred pursuant to Ordinances 6233 and 6234 is sold or conveyed, the fees or charges def=d shall become immediately due
and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the
property or any or ~.l1ofth1-"wner's interest in the property. The owners hereby apply for and consent to the voluntary imposition
of a lien far $ <t (3;L , / is . upon the following descnbed land in the City of Springfield, Lane County, Oregon:
MAP AND TAX LOT
1707..
"3';)-3'-( tJ Jdt''f SITE ADDRESS 22""1 5. I; / Sf .sF
CITY, STATE, ZIP 5,oFLO .~ <J?'i? V
SEE ATTACHED LEGAL PROPERTY DESCRIPTION
Bll.LINGNAME At! J)~/~ p')~ '1""' '1~"""<2-./~
~STr:::TEGADD"" ~r~;(J3' . '"
..... _ __ 97C/ 7f/
FEES AND CHARGES DEFERRED
$ q/ s 2 . / r
TOTAL LIEN
$
'lr32./f
We are all of the legal owners of the descn'bed land or all of the contract purchasers of record of the descnbed land io which these
fees and charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to
impose, calculate and collect these fees and charges, and in the imposition and collection of the lien consented to in this
application.. We promise to pay these fees and charges when final building occupancy is requested or at such time the real property
is sold or conveyed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent
failure to p~y the fees and charges the City shall have the right to enforce payment of the amount due in any nianner provided by
the general law of the State of Oregon, or by the Springfield Municipal Code, including but not limited to foreclosure of the land.
We acknowledge that the City has an interest in the property to collect these fees and charges, including System Development
Charges, and that the City has the authority to lien the property to collect those fees and charges. In the event of any proceeding to .
enforce collection or to foreClose, the entire unpaid balance and any fees shall be 'considered delinquent and due. We aLso agree to
pay the city's cost of collection or foreclosure and attorn2/ees necessary for such collection or foreclosure.
-s:f;L &r...s.st!W'" ....JJ-- S/!7j/c; 50//-7'1''1'-0,,/;;<8.
Print Name of Owner Si alure of Owner Date Phone #
Phone #
Print Name of Owner
Signature of Owner
Date
Phone #
Print Name of Owner
Signature of Owner
Date
Signature of Owner
D
. BRENDA JONES
NOTARY PUlLIC . OREGON
COMMISSION NO. 429141
MY COMMISSION EXPIRES MAY 17. 2012
Print Name of Owner
STATE OF OREGON )
) 58.
County of Lane . )
1'7 day of ~
. :;)..0'0 .
Notary
v:\Common\accnting\asscssmt\Dcfcrrcd fees contraCt.doc