HomeMy WebLinkAboutPermit Building 2009-12-16
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-0I751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
SITE ADDRESS: 189 S 51ST ST
ASSESSOR'S PARCEL NO.: 1702333205802
12/08/2009
06/10/2010
$ 170,000.00
SPRINGFIETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family dwelling - DPA
TYPE OF USE: New
Residential
I PUBLIC IMPROVEMENTS II _. -.,,;,-'i~~.l<""'"' :,::~,
I ....... ~ ~",....~;;;{-ro. .
"'Ol\CE: Si~~{~l\ilfu~WOl\\(T );'
,~H\S PERM\\ SI;\",\jD1H\'S~~~\S ti~);,:~:
, :'" AU1HOR\2ED UN~~: ABANOONE~.~,?~{:~~:r
COMMENCED 0 00 ,"',H,'P,,' ,',
, ANY 180 DAY PERI .
Owner: ROBERTSON BILL
Address: 744 V AN DUYN ST
EUGENE OR 97401
''',>:>,\::~ "I~CONTRACTOR INFORMATION I
.""'~, ..:,.,
ContractorType '--Con'tractor License'
General WILLIAM CABELL ROBERTSON 98264
Electrical STEVE HAUC 147618
Mechanica!......rnON: O~tMf 174821
Plumbing"'1'.."P' tlIl1'fl.'" _ 141736
NotificatIOn ~':10through OAR NG INFORMATION
In OAR 952-00 obt8In copies ot th hone
'0,"0,,_ ....iT. _"'~"'ri"'
Primary Oc01t\llie~ Oregon 1Jl4i!\\Y~) Height of Structure 16.00
Secondary ~ ti"~ . Type of Heat: orced Air Electric
Primary Construcll ype VB Water Type: Electric
Secondary C~nst'ruction,Type: Range Type: Electric
# of Bedrooms: 2 Energy Path:
.~,,,,,,.,,,,,,,,~- Sprinkled Bnilding: No
, .-
I DEVELOPMENT INFORM A TlO~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
6.00
6.00
47.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
ACMat
Yes
Notes:
Storm water to drain to rain garden
r
Pa2e I of 3
Phone Number: 541-954-8636
Expiration Date
04/07/2011
04130/2011
03/16/2011
02119/2010
Phone
54] -484-5542
541-221-2665
54] -653-0297
54] -726-5448
Lot Size: 6.050
Sq Ft ]st Floor: ],3]6
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 393
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
]
No
28.20
Total:
Handicapped:
Compact:
2
.
'Wti:G~~iN,q!ilI~'
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... .....
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation'Description ~
Descrintion Tvne of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier'
$1.00
Square Footage
or Bid Amount
170,000.00
Total Value of Project
~
Fee Descrintion
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
Amount Paid
Date Paid
$10.00
$1,146.50
$101.97
12/16/09
12/16/09
12/16/09
Total Amount Paid
$1,258.47
Plan Reviews ~
Initial Review
APP LLH
12/09/2009
12/09/2009
Plannine Review
12/09/2009
DDK
12/10/2009
APP
Public Works Review
Structural Review
12/09/2009
12/09/2009
12/15120Q9
12/15/2009
APP
APP
BJG
CJC
12/08/2009
06/10/2010
$ 170,000.00
Value
Date Calculated
$170,000.00
$170,000.00
12/08/2009
Receipt Number
1200900000000001337
1200900000000001337
1200900000000001337
Minimum setback letter - see
attached documents. I Street tree
required - if there are existing street
trees they may be used to satisfy the
requirement if they meet the street
tree standards. S. 51st Street is an
unimproved street - driveway is not
required to be paved.
storm water to raingarden.
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, inspections requested after 7:00 a.m. will be made the following
work day.
l.Reouire~nsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnetion witb footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Paee 2 of 3
. .
SeRINGf!11iILD
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CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2009
06/10/2010
$ 170,000.00
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 Buildiug: 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.
Underlloor Plumbing: Prior to insulation or decking.
Underlloor Drain: Prior to cover or placement of concrete.
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 Sewe,' Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
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 utility 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 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 Servi~es 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 ard is located at the front of the property, and the approved set of plans will remain on the site at all
times d 2onst~n.
1/;1A
Date
Owner or Contractors Signature
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001337
Date: 12/16/2009
2:01:40PM
Paid By
WILLIAM ROBERTSON
Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
Amount Due
101.97
1,146.50
10.00
$1,258.47
Job/Journal Number
COM2009-0 1751
COM2009-01751
COM2009-0175I
Description
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Payments:
Type of Payment
CreditCard
Amount Paid
djb
07665B In Person
Payment Total:
$1,258.47
$1,258.47
cReceintl
Page I of I
12/16/2009
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
SP1;QF~.l;l,G.ii.. ""(."
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,. '< ......
__ ".~.' .. "'^....,i '.',.,.,. ~
... '.n ""__
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001337
Date: 12/16/2009
2:01 :40PM
Paid By
WILLIAM ROBERTSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
101.97
1,146.50
10.00
$1,258.47
Job/Journal Number
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
Descriptio~
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Payments:
Type of Payment
CreditCard
Amount Paid
djb
07665B In Person
Payment Total:
$1,258.47
$1,258.47
cReceintl
Pa.ge 1 of 1
12/16/2009
SPAINGI'1IlLO'~'
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APPLICATION TO DEFER FEES AND CHARGES
AND CONSENT TO ASSESS LIEN
SI
The owners of the property shown below hereby apply to the City of Springfield to pay the fees and charges of$ CfZ ~ 7 ,-
deferred until fmal building occupancy is requested. Such fees and charges include System Development Charges assessed on the
property for the City and Willamalane 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 deferred shall become innnediately 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 all of the owner's interest in the property. The owners hereby apply for and consent to the voluntary imposition
of a lien for $ !fZ ~7 ~ . upon the following described land in the City of Springfield, Lane County, Oregon:
SITE ADDRESS /8 CJ S I' S I ~I- sf
CITY, STATE, ZIP ~I""j {..e-tJ ~ 0"'- 97 "(7 ~
MAP AND TAX LOT
170 z.. 3.3. 3, 2-
OS'Z>O~
BILLING NAME
BILLING ADDRESS
CITY
STATE
SEE ATTACHED LEGAL PROPERTY DESCRIPTION
13; LL l:.O ~~Is.o"'/
7Lf'-l vltll DtAYN' "'::.T
EtA-C-e-tv'E
o \2-ZIP '1740(
FEES AND CHARGES DEFERRED
RECORDING FEES
$
$
'723.1 &
JZf
.
'72~1 ~I
TOTAL LIEN
$
In addition to the fees and charges indicated above, we agree to pay the fees associated with recording the lien and removal of the
lien at Lane County Deeds and Records.
Weare all of the legal owners of the described land or all of the contract purchasers of record of the described land to 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 rhese fees and charges when fmal 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 pay the fees and charges the City shall.have the right to enforce payment of the amount due in any manner 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 Developm~nt
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 aily fee shall be considered delinquent and due. We also agree to
pay the city's cost of colle 'on or foreClosure and any attorney fees n ssary for such collection or foreclosure.
. /~4
Date
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&<?i f/-,;::c;:5c'
Phone #
Print Name of Owner Signature of Owner Date Phone #
Print Name of Owner Signature or Owner Date Phone #
Print Name or Owner Date Phone #
0FflClAL SEAl
_11IIIIIIll
STATE OF OREGON IloTAllV PUBUC.oAEGON
ss. CClaIIl8810N NO. 443128
County of Lane Il'tCOlllllSSlOllElPlllfS DCT4, 2013
ment was executed before me this J 11
day of he{'~.
,~Di.
v:\common\accnting\assessmt\Deferred fees contract.doc
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
. "," .,,- -;-'-,
D~P.ARTMENT USE (jNLY
Pennit no. c:. q-I'7 j(
Date 12-- ~ O{
, ,
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.
,'i:~;';; {~G:!~9,GA~~,:"~Q9'~t{NM,~N:Tt~~R'~,QY~~~+iZj~ti~;f;i~1~~~;~]
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: DYes 0 No
Property is within flood plain: DYes D No
&:''ih,}\:';:f'''''';W;i'i';~';';';,fi.-';C'.'''''A''';'T'' 'E'G~O--"R""'Y"-"'>Oc, ,,~.:.~I<C O'""'N"" '5' '-.FR""Uo.:. ""'C'T'""IO"'"''N''~';';-~''!;'v''' "<',. ,.r,i'~,.;'.::'~ '"
.,-
~Ell4l.~1~j!)'>1!;lL_,._",'... ,:jj:'~-I".., .... ,", ,'. !', _'_.'5~,-ii:i:i:,{~~~dl"!
E!t'Residential D Government D Commercial
~",:.ljt0~'::~1%t#Q'ij~'S,I~_~JT~U~,9:~.MA1j~fN}AN-R1f~Q:q'AiTQ~Nr~~j:j.:~~~~~~~;~
~ ~
Reference:
',""".
~/i" .'
_'.' "cU'
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new D aiteration
(b) FoundatiooMonly permit?
Total valuation:
D addition
DYes
DNo
Name:
City:
Phone:
State6~
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
'.":::'
;(. '
Address:
City:
Phone;{
E-mail:
Signature:
It,:~~4;'~;r~:~!!~SI)_~'':.Gc:>N)~RAG:t.qR';JN.~p>RM.A;rI(~_~~~0Jf*7~~~%{r~~'?~~-i
Name CCB License Number Phone Number
Electrical 4
Plumbing
Mechanical
(a) Permit 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) Seismic fee, ] % (.01 x permit fee [2a]): $
TOTAL fees arid s.~rcharges (2e+3c+4a): $
"
Electrical Permit Application
D
225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
!~1;~QE€A~fMEN1!USEroNlliY.,.
~~,..,.t'- '.'~;'<_:.' "-"''loJc'-7''''-;i:'is;^'t;j;0~~~s.;;~_;:j, .,'
Pennit no. ~a. - \\~\
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.
~lt'pg~I!!sf,QV:EE.tiNjE~T,!'~Ejg.~Q'Sj,~~
Zoning approval verified? 0 Yes 0 No
_lj:;~i!iEl:rQBY,(GF1l.GJ;j@tBl!!~;t,!ON~~~;\l~
o Residential 0 Government 0 Commercial
_~;Q:~t'$jmEJ!\CllQ8.!\IIt\illJ(;jJ.j1l~I~PllliQ'~e.mi~t:!i!~~-;,yi
~ 5 S
City:
Phone:
E-mail:
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
~'-:G:oi'im~(~)!\(;j'B..INs}tP';IM~~lI1t0N~~~'tfdili~'!f
c.
Business name: -.:; IEUE /ffIiX..IC-
Address: ,Q. 130", 1-136/
City: Gu.
Phone: _5", - ~ 1- G/&0S
E-mail: S S tflluGl'-
CCB license no.: /'-1'110/8
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
440-2584-J (9/08/COM)
1,000 sq. ft. or less (4) $134.00
Each additional 500 sq. ft. or portion !A $ 25.00
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2) Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per pane!
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63.00 $
$ 63.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)
. Each additional inspection: (I) $58.00 $
!I:'$B'~R.~j,E:'AN[fllli:~E:~&~
$ 63.00
$
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of [A]) $
TOTAL rees and surcharges (A through C):
tt ~ !~!!mo~l~~e
JOb.NO.~
ADDRESS:
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME:~\\\ ~D\JQ1t~ PHONE: C\~'~3l.p
lifY tVq f1IlL STATE:~IP:~ 1
LOCATION OF PROPOSED BUILDING SITE:
5. 5\'5t-
Plat Name:
\~q
~
~ttJl"J-
Tax Lot Number: \lO1.~ ~ -02. D~~O"2..
Street Address:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sino Ie-Family Detached
NO. OF UNITS
,
X $2,858 per unit =
$ Q.6S~~
B. Sino Ie-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinole Room Occupancy
NO. OF UNITS
X $1,321 per unit =
$
E. Accessory Dwellino Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC
$ 2-f:,SB.CO
~
2. SDC CREDIT (If applicable) SDC payer must fumish proof of
Willamalane Credit approval.)
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~O-J ~
$ ~e5B.aJ
----1w 3 I '2..D ~ t)
Date
Development Services Dep
City of Springfield
5