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Home My WebLink AboutPermit Building 2006-9-13 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00976 ISSUED: 09/13/2006 APPLIED: 08/01/2006 EXPIRES: 03/13/2007 VALUE: $ 243,942.00 Status Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1455 S 58th St ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence -Jasper MDS 3add 4ph lot 153 SAME AS Com2006-00696 5790 Montclaire Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor HA YDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142776 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN # of Stories: 2 Height of Structure 27.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 28.00 17.80 28.90 30.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Sidewalk Type: Curb and Gutter Residential Phone Number: 541-228-1081 Expiration Date 07/29/2007 06/19/2007 03/25/2010 05/05/2010 Phone 541-228-1081 541-754-6171 541-672-9510 541-459-0110 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,858 1,154 664 480 520 REQUIRED PARKING 2 Yes 16.50 Total: Handicapped: Compact: 2 Partially Improved Yes Downspouts/Drains: No Final Occupancy until subdivision is approved by city council. Notes: Storm drainage to curb & gutter. Contractor to complete sidewalk. Pal!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!;s Garal!e V Wood Frame Garal!e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Heat Pump Medical Piping 1-4 Outlets Plan Review Major - Planning PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIlamalane Single Family I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,338.00 480.00 Total Value of Project ~ Amount Paid $200.00 $10.00 $179.46 $99.08 $132.29 $306.00 $31.00 $1,033.65 $80.00 $6.00 $9.00 $140.90 $12.00 $15.00 $12.00 $4.00 $198.00 $-30.00 $106.00 $76.00 $455.18 $598.61 $10.00 $961.52 $91.61 $119.28 $71.16 $836.32 $189.60 $80.00 $665.86 $50.00 $24.00 $1,000.00 Date Paid 8/1/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06, 9/13/06 9/13/06 Pal!e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00976 ISSUED: 09/13/2006 APPLIED: 08/01/2006 EXPIRES: 03/13/2007 VALUE: $ 243,942.00 Value Date Calculated $231,462.00 $12,480.00 $243,942.00 08/0312006 08/0312006 Receipt Number 1200600000000001178 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 ]20060000000000]412 1200600000000001412 120060000000000]4]2 1200600000000001412 ]20060000000000]4]2 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 1200600000000001412 ]2006000000000014]2 1200600000000001412 ]2006000000000014]2 1200600000000001412 1200600000000001412 1200600000000001412 120060000000000]4]2 1200600000000001412 1200600000000001412 1200600000000001412 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2006-00976 ISSUED: 09/13/2006 APPLIED: 08/01/2006 EXPIRES: 03/13/2007 VALUE: $ 243,942.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,773.52 I Plan Reviews I Initial Review 08/02/2006 08/03/2006 APP LLH Planninl! Review 08/03/2006 09/07/2006 APP TAJ Public Works Review 08/03/2006 08/0812006 APP JLP No hook-up to city infrastructure & No Final Occupancy until subdivison is accepted by city council. Storm drainage to curb & gutter. Contractor to complete sidewalk. Structural Review 08/03/2006 09/07/2006 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. ~~olJiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Hold Downs Installed: Special Inspection performed 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. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2006-00976 ISSUED: 09/13/2006 APPLIED: 08/0112006 EXPIRES: 03/13/2007 VALUE: $ 243,942.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 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 of the property, and the approved set of plans will remain on the site at all times during construction. 'l VdAh /,-/,3-0G Owner or Contractors Signatv Date Pal!e 4 of 4 ZON LD2... INITIALS \...J r-"\ -- DATE ct-w ~~, ~ SOURCE f'^...~.Q~: Date '1'- t 3"- ..0<;0 225 FIFTH SfRIEET . SPRINGFIELD, OR 97477 . PFI:(541)726-3753 "FAX: (541)726-3689 ELECTRICAL p~ APPI1CATIOl\T City Job Number l"A..D. C{llo 1. i\~~R~~~~!\~~ttIJ~ji LEGAL DESCRIPTION A~ .~~;~~~~~~~~j~~~~~~~~1&~~iYl~?g~~'~~~~mf~~~M~tf.ijl1 . ~)'rr ASSlb~ . - ., Servicel[ncIuded ".J" '~B DESCRIPT~J ~ t~~ 1000 sq. ft. or less \ $1?6;~0 _ ~- ~" D~' -remp E'lc~ad~itiona1500sq.ft.or A 0... . . \'\Jl.P+ portion tllereof \ $ 19.00" . Per~its ~ non-tra'nsferable and expire if work is. Each 1y!~~~fu~t;d Homeor'-. _,' ''-'\I~'V''''::'''''" 'Il' ,-._ ..., ,~ not, started within 180 days; of issuance or if work is M.O~~~.~~~~in,g~erViqeo.~>.~<.c - ';, : $50l~' . ~ Suspended for 180 ,iays. F~.~r~_," ." ~.,~,J( ',:J:2r~': _' ',_. ,. . ... c =- , ., ~ ./ R ~~~?:f~~-. fj~~~tffi~;~~~r,~:gf~ff~ Cc.,Ij.l[ (.;2 C8iT[.3r. (i\"""'" r.-" '.', -J 200 Amps or less lhv.C ,2,";$ 63.00 "....J/luiS, lurthe Or''''(10n lr'" ,. 201 Amps to 400 Amps....-'J dt~/. :c~"$v75:.@0l vtll '(\;;I IS 1-800-3 c:. .., . 401 Amps to 600 Amps v -c:.v'-l-4). $125.00 60] Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 , Reconne.ct Only $ 50.00 Installation, Alteration or Relocation 200 Amps or less \ 20 I Amps to 400 Amps '401 Amps to 600 Amps , Ovei600 lunps or 1000 Volts see "B" above. ,p. ~!;~E~HS~f~{ ; ,L~ '.' . I I;:: I) j,. ,_ ii r( New AlteratIolll or)Exteoslon'iP,er:PaneL . .-l'",-",,"""/fJUNFD .'u I'1Uj- One Crrcw~ ' I;. - FOr:; $ 43.00 ~., Each Additional Circuit or with - Owners Name. d.uL 1-1 t:IYli!f::JJ ~erviceor Feec1erpe~t _ ., $ 3.00 . ;:dreR~ Phone ~1:fi E.~=::!~~~~~1;~~i~:::~~j~~l'Jl Sign/Outline Li.ghting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric P'el'mit Inspection Fee is $45.00 + Surcharges 2. ~;;~Z~~g~~~,~f,!~~J18~~i~~ Electrical Contractor vY)f0 fl.eJ~~ _);~c...- Address ~'1-<6~1 Hr.-VU ~L( 5v.J I City Alkll\,,\ Phone S'-ft-7SL{ - CRl7{ Expiration Date i../~7i./ S IO/{i7 Supervisor License Number Constr. Contr. Number (,7 /3(P "2- &~'1/XK;7 Expiration Date Signature of Supervising Electrician !JL---- OWNER INSTALLATION The installation is being made on pro pert)' I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 I ../ TOO III r.- 3. ;~fR~m:Bi:!,it~T~,g~J?J{f1!ft~~!B~~~~lE}:.J; lOfo.tO '\la~ c. ~W~~~;~~~E~EiN~L: '~)l~lf~;~k1 . $ 50.00 $ 69.00 $100.00 nOpD 4. ~r~*%]"~e~~:'~{~~1i~rt. 'L'H!-(1J \~.Ub I~O 0 Administrative Fee 'l:!;.1) . Cj -r~ i(. T rlL . fJ.ro,S .~ Shared Drive(T:)/Building FonnslElectrical Permit Application 6.doc 8% State Surcharge 01aldnNradS dO ALr~ 6g9~9ZLTts XVd 60:0T aGL 90/TT/LO , , . . '. .' " , . CITYOF:~~INGFIELD SYSTEMS DEVELOPMEt11~ORKSHEET' 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 COST PER S.F. CHARGE I 1984.00. $0.336 = I $665.86 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. I x I DISCOUNT RATE I I 0:00 $0.336 . I I 50% = I ITEM 1 TOTAL- STORM DRAINAGE SDC '$665.86 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: . NUMBER OF. DFU's I x 23 I B. IMPROVEMENT COST: I NUMBER OF DFU's I . x I 23 I C0M2006-00976 Hayden Ent. 1455 S 58th Street o SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: . I COST PER DFU $26.03 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC.. = I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I 9.57 B. IMPROVEMENT COST: I ADT TRIP RATE x I 9.57 NUMBER OF UNITS I x 1 . I NUMBER OF UNITS I x I I I ITEM 3 TOTAL - TRANSPORTATION SDC =, 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I I ICOST PER FEU I $9L61 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $96L52 MWMC CREDIT IFAPPLlCABLE (SEE REVERSE) MWM<:: ADMINISTRATIVE FEE . ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE .1 $3,808.70 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw PREPARED BY 8f] 5/2006 DATE I 1596 r:/) ~ Cl o u ~ ~ ,f-; f./) I-< o ~ LOT SIZE (SF): . o DISCOUNT $0.00 $665.86 1070 $598.61 1091 $455.18 1092 $1,053.79 I ,. I j" :! 1093 COST PER TRIP $19.81 x INEW TRIP FACTOR I 1.00 $189.60 COST PER TRIP $87,39 $1,025.92 x, NEW TRIP FACTOR 1.00 r 1094 $836.32 = $91.61 I 1054 = $961.52 1055 $0.00 11054 . I $10.00 1056 $1,063.13 $3,808.70 CHARGE $190.44 119.28 11079 $71.16 11078 I TOTAL SDCCHARGES =! $3,999.14 I. I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTIJB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TIJB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER, SINGLE STALL 0 0 2 = 0 iSHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 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 = I I II :1 I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . rof Springfield Official Receipt '- dopment Services Department Public Works Department Job/Journal Number COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 COM2006-00976 Payments: Type of Payment Cred itCard cReceiot I RECEIPT #: 1200600000000001412 Date: 09/13/2006 Description Addressing Assignment I WiIlamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 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 Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Medical Piping] -4 Outlets Gas Fireplace Heat Pump ~Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Plan Review Major ~ Planning + 5% Technology Fee Paid By HAYDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received dim 012764 In Person Payment Total: Page I of 1 2:57:44PM Amount Due 31.00 1,000.00 106.00 76.00 50.00 140.90 80.00 80.00 (30.00) 665.86 598.61 455.18 189.60 836.32 91.61 961.52 10.00 119.28 71.16 1,033.65 3'06.00 >/ ]2.00 24.00 9.00 6:00 4.00 15.00 12.00 10.00 132.29 179.46 198.00 99.08 $7,573.52 Amount Paid $7,573.52 $7,573.52 9/] 3/2006