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Home My WebLink AboutPermit Building 2011-7-5 .. S:,RI,N,.,G, .,FI,EL~D, ',' a'.. .~, ^ -,,;, . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-00339 IVR Number: 811182134591 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.Of.US PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 03/04/2011 EXPIRES: VALUE: 01/06/2012 $183,072.00 SITE ADDRESS: 545 MOUNTAIN GATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 PROJECT DESCRIPTION: Single family residence #10- Lot3 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Phone Number: 541-556-5756 OWNER: ADDRESS: HAYDEN HOMES lLC 2464 SW GLACIER Pl STE 110 REDMOND OR 97756 Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor CONTRACTOR INFORMATION Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC GO PLUMBING & HEATING lLC PACIFIC AIR COMFORT lNC Lie Type CCB CCB CCB CCB ~ Lie No Lic Exp Phone 121159 03/14/2012 503-648--4552 172526 10/11/2012 541-923-6607 193589 04/0112013 503-507~5350 39237 03/25/2012 541-672~9510 # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Engineered Fill: Fill.Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Pennit BUilDING INFORMATION : ~ R-3 Type VB U Type VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: "~~i-_.~. 2 NOTICE lot Size: """,,,,.,,4279 . . . ''th ~>;,,\ ": 27 . SqFtlstFloor: '~"744 ForceJ.Ii\~f~RMIT SIil~LnGlWJ~ IF 'WE WORK Gas AUTHORIZED ~~li.nU.snP:ERMIT IS NOT Gas COMMENCED Q@~M'lDONEB\lfOR No ANY 180 DAY ~lI\OOrport:i';lj!k,i),&l\' Sq Ft Other: 0 Occupancy load: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: 3 No No Path 2A Certified performance-tested duct system ';,'<)-"'. Municipal! Development Code: . .. "mTTENTION: Oregon law requires you to PIU~b,"~ specla~ty Code Edlti. Bilow rules adopted by the Oregon Utility ReSIdential SpecIalty Code Ej!io~mcation C~%er. Those rules are set forth Structural Specialty Code EdW10eiAR 952-001-0010 through OAR 952-001- 0090. You may obtain 'copies of the rules by , Yes Site Infonnation No . No Yes 7/12/2011 3:26:35PM i..,~~ !'~ :::',~\:; '!~l for the Oregon Utility Notification Center is 1-800-332-2344). (i'~<'" ..' .:.. ~,~ .': ' "....,..... Page 1 017 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00339 IVR Number: 811182134591 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-725-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: . 07/05/2011 03/0412011 EXPIRES: VALUE: 01/06/2012 $183,072.00 SITE ADDRESS: 545 MOUNTAINGATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: . Single family residence #10- Lot3 DEVELOPMENT INFORMATION.' ~. Frontyard Setback: 34 Overlay Dist: Hillside REQUIRED PARKING Interior Setback: 7 # Street Trees Reqd: 2 Total: 2 Sideyard Setback: 5 Paved Drive Reqd: Yes Handicapped: Rearyard Setback: 17.5 % of Lot Coverage: Compact: Solar Setback: 30 Highest point on structure to north property line: 24 PUBLIC IMPROVEMENTS ~ Street Improvements: Fully Improved Sidewalk Type: Curbside 5' StonnSewer: Storm Sewer .~o>ll\~"'''\lf1 Stann Sewer Available: Yes .:. '" J I ":'r} Downspout/Drains: . , _. . -"~ "I ~"'(l"'3 J I,\'j~ TI",..;," :)i,' Spec!~!.!~s!rU!:~C!9:,;n1; 1.\;, -,..i~l'..J ~ ~il--::,'~' ': Subdivision:Accepted:q ?,lrrjoP:J(j,;U O~':;iIUi1 fUr. I Vi', t..'l . Ill;: 1...1 ~~.. . ~-: . -; . ~ '0" Notes: flU:j L13.~iOatil?.3A ,l hJ a:aJ~'I:H~lh' .,J stann water to stonn sewerUtJ91~as~"'f~~:.~tiW~$ fvi~~\not been accepted by the city at this time. Valuation Description I Descriotion R-3 l' & 2,family , . R-3 1 & 2 family U Utlli\y, misc. Tvoe of Construction VB VB VB ..,: Unit Amount Unit Tvee 744.00 Sq Ft 992.00 Sq Ft 397.00 Sq Ft Unit Cost 96.83 96.83 37.72 Value 72,041.52 96,055.36 14,974.84 183,071.72 . ~, ,. ,. .I J r:.:. .,. '\ . Springfield Buildjng Permit 7/12/2011 3:26:35PM Page 2 of7 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-00339 IVR Number: 811182134591 www.ci.springfiefd.or.us PROJECT STATUS: STATUS DATE: Issued 07/0512011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us ISSUED: APPLIED: . 01/06/2012 $183,072.00 07/0512011 03/04/2011 EXPIRES: VALUE: SITE ADDRESS: 545 MOUNTAIN GATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 PROJECT DESCRIPTION: Single family residence #10- Lot3 FEES PAID ~ SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential DescriDtion Structural Plan Review Fee Residential SDC: Improvement - Transportation SDC SDC: Total Transportation Administration Fee SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewat. SDC: Improvement Cost - MWMC Regional Wastewater ~ SDC: Compiiance Cost - MWMC Regionai Wastewater SI SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Total Sewer Administration Fee Structural Plan Review Fee Residential Residential Fire (.05 Per Sq Foot) Planning - Major Review - City Address Assignment, each new or change First Appliance Fee Gas Piping up to 4 outlets Single-duct exhaust (bathrooms, toilet compartments, utili Range hood/other kitchen equipment Willamalane fees - Single family detached One or Two Family Dwelling with Three Bath Residence wiring 1,000 sq. ft. or less Each added 500 sq. ft. or portion Temp services 200 amps or less Fumace - up to 100,000 BTU Air conditioner Admin fee (10% of applicable fees) Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) First copy Each additional copy Structural - Additional review per hour Residential SDC: Reimbursement - Transportation SDC SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - Storm Drainage Structural Building Permit Fee Total Amount Paid Springfield Building Permit Amount Paid $473.92 $1,811.51 $133.98 $1,928.70 $101.97 $1,333.57 $22.63 $10.00 $396.17 $208.99 $106.65 $211.00 $38.00 $79.00 $14.00 $45.00 $13.00 $3,409.00 $439.00 $134.00 $75.00 $63.00 $17.00 $17.00 $10.67 $99.23 $233.60 $0.75 $3.50 $58.00 $497.07 $560.61 $3,951.60 $385.31 $1,050.63 $17,933.06 ReciDt # 2011000400 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 2011001864 Date Paid 03/04/2011 07/05/2011 07/05/2011 07/0512011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/0512011 07/0512011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 7112/2011 3:26:35PM Page 3 of7 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00339 IVR Number: 811182134591 WNW.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/05/2011 03/0412011 07/05/2011 SITE ADDRESS: 545 MOUNTAINGATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 01/06/2012 $183,072.00 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #10- LotJ Plan Review ~ DeDartment Phone Call Received Due Date Com Dieted Result 0310812011 0310812011 0310812011 Event occurred Comments: Left message for Eric Hendricson requesting engineering. Reviewer Chris Carpenter Application Acceptance 0310412011 0310412011 0310812011 Application Accepted Oavid Bowlsby Planning Review 03/30/2011 03/08/2011 04111/2011 Waiting internal Tara Jones Comments: This permit needs to be reviewed by the planner who did the site plan review (Andy Limbird). Waiting for Andy to go over this with me. Structural Review 03/0812011 0310812011 06/2812011 Approved Planning Review 0313012011 0310812011 0613012011 Routed Chris Carpenter Public Works Review 0310812011 0310812011 0613012011 Approved Kaye Wilson Comments: Storm water to storm sewer. Note: sewer utilities have not yet been accepted by the dty. Checked site plan, reverse plans.. Original plan review by Ben Gibson on 3-14-2011 Springfield Building Pennit 7/1212011 3:26:35PM Page 4 of7 S_.~.~.I.N. G.F...I...~~L.D.,..... iii". ...."""" ~~-,. . -~OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00339 IVR Number: 811182134591 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.sprinQfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 03/0412011 EXPIRES: VALUE: 01/06/2012 $183,072.00 SITE ADDRESS: 545 MOUNTAINGATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #10- Lot3 Planning Review 03/30/2011 03/08/2011 07/0112011 Approved Tara Jones Comments: Solar setback did not change under the revised plot plan. All original comments apply. Inspection Comments: Inspection in process 07/05/2011 In Process Robert Castile Springfield Building Permit 7/12/2011 3:26:35PM Page 5 of 7 WNW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00339 IVR Number: 811182134591 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 03/04/2011 EXPIRES: VALUE: 01/06/2012 $183,072.00 SITE ADDRESS: 545 MOUNTAINGATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: ResidenUal PROJECT DESCRIPTION: Single family residence #10- Lot3 INSPECTIONS REQUIRED ~ . Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1120 Foundation Footing: After trenches are excavated. Foundation: After fonns are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1160 UFER Ground 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1540 Gypsum Board/lathlDrywall Drywall: Prior to taping. lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building 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. 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 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 1999 Final Building 2200 Underfloor Mechanical. 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 711212011 3:26:35PM Page 6 of7 S~RINGFIE~ ~ """-~EGOH CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WrNW. d. springfield.or. us Building I Residential Permit PERMIT NO: 811-5PR2011-00339 IVR Number: 811182134591 permitcenter@d.springfield.or.u$ . PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 03/0412011 EXPIRES: VALUE: 01/06/2012 $183,072.00 SITE ADDRESS: 545 MOUNTAINGATE DR 10, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802032101800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line 3400 Stonm Sewer Single family residence #10- Lot3 Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4120 UFER Ground Stonm Sewer Line: Prior 10 filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical 1110 Footing 1118 Footing Drain 1120 Foundation Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Footing: After tre,,:!ches are excavated. 1160 UFER Ground Foundation: Aftef forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1020 Zoning/setbacks 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. Foundation: After fonns are erected but prior to concrete placement. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infonmation hereon is true and correct, and I further certify that any and all work perfonmed 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 penmission 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 penmit card is located at the front of the property, and the approved set of plans will remain on the site at all times during conS(ion;4 7-/3-1( Owner or Contractor Signature Date Springfield Building Permit 7/12/2011 3:26:35PM Page 7 of7 Stl'!1cturnl Permit Application DEPARTMENT USE ONLY 5PtLZe. iI-O t::::. 3'3 C( Permit no.: .j"~''":'';'f .".,~.,..,-..:.....,,-- ",-. "" l.'~~'-::il>~';:'"'''' i:1"__-,.ot""'1~ ,'!.,"", 'e:....J;,:'-~. ".'~~1~'yy.:0 CI'fY"OF~SJ>,RINGF;IE.LD,.s:)RE90N., :".?;;"'-.!,:>.: ~ ,,'.:::. . "'.' - 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: 3- _1/ 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 c suspended for 180 days, .. , \' .. ' .' ,,;.L9.(;A~(:,9Y~8NM!'N1c;""~ll~GYA~;~f,::i;)!f~;&i~'l%j This project has final land-use approval. Signature: This project has DEQ approval., Signature: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ;Y;~~B~h~~~s:i'~~:~~r~1(r~'G.~i~Yi}Qf~~~l~~~jR~.G,rtl9:~t~~~fti~;!dx:}~{~~:.Mt:it'~ Residential 0 Government 0 Commercial .A;;;,.,ij9B)il~E:' [N~9I'iMAtIQN)'iANR"~QCATI9Nl:.]iil;,~(i'{,~!; Job site address: LY/s 6r'\,. (: "\:;-~- D.Q... {f City: S~,.)(",~'I<1...~ ZIP: qHr. h:\ 1ts'::. '3 Z. Taxlo!: 0 0 0 PROPERTY OWNER' Name: ~ l.t..ol"'<: Address: "2 ,((,. <{ So w f. LI'K.( c::<L ClIt-. City: Q~~c. State: !l<L Phone:5t({-~ S',....,~ Fax: E.mail: zfkpJf:;)cv...t~~ 4!i>> (f1l-YD& -l~ """"..... . ~ 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 u~:r Ox 1',0 I O. Sign here: ( Date: Date: Subdivision: Reference: I ZIP: '1t-+sv Business name: Address: City: Phone: E-mail: CCB license no.: I ::r1..C'2.4> Print name: l?'t.-\<. /-h,~ll-1<.\!.~ oJ Signature: --71.. ZIP: ';t~~{.i~;';F?{/:\?rp~:~'s'S~B.'"G0N)IRA.GttQR~_(Nf(jF{IVIA:t;tQ~~~~~~~i~5g!~~~~; Name CCB License Number Phone Number Electrical (01) ~ 0'1. 4< I "7 '2 ~ bb Plumbing $......... ~,.,..~ b J8 2 '? Mechanical ~"<<-\,,\ ALlL 392 - 7 c.. ~ ::\"?;'<FEE'is~HEDULE::~'." .'::1, ::~Y.~~~~'iI.~K:i~(6i,~'#.t~p~~i:;iii~il~~:';~:~~{~1c"((\~:1.}~' ~. ,~:;'&; .!~~i./"<\f;'.~:i~j: ',~~: ~ (a) Job description: .1 Occupancy " .,',' ',.; I ~,~:/,c<;.' "IS Construction type: Square feet: Cost per square foo . Other information: Type of Heat: (-.k:> F A Energy Path: ~ e. new 0 alteration 0 addition (b) Foundation-only permit? D Yes No Total valuation: 0'7' . '1 Z :~2~~:'JJ,l:I_U4 ili'g:-t e~~"i~ ~~t~J-Kf:tt~\i,1:ii~?,i~-~~(;::(1;;~#i,;~~;.~::,S~'-; ;.' (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal offees above (2a through 2d): $loCfl 0 ~ c:MtL {)50, :$ $ (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): $ \":i~:'M!~~~,if~yg~:if~rf~~~I~,m;t~:~f_::~;:i:~~:::/;;~:;Y?}:"::~:fi~,;.':;.";t;' (a) Seismic fee. 1 % (.01 x permit fee [2aD: $ TOTAL fees and surcharges (2e+3c+4a): $ This permit is issued under OAR 918--309-0000. Permits are nontransferable. Permits expire i(work is not started within 180 ==___.__ ~~y~.;~f !~U~_~~~~~ if w~~k ~: ~~pend~d fo:," ~80 days. Mi,cell~neous fees: servlct or ftedt.r flot tncluded ' Each pump or irrigation. circle (2) $ 63.00 Each ;ign or outlioe lighting (2) $ 63.00 Signal circuit or 1\ limited-energy panel. alterat;DD. or extension 0) ~d. ,E:IIth additional insfMI'ctioJ'l: (1)' . . '. / \ ~ ('\ C' \./' l>-' . .. '" ..".:...;;:....App.L1CANj .:(J$E (\ \<\ i \}> ~ ~:" 't \'0 . (A) . ~ntcr subtotal .Of above fees . \2}\Jv-, ~ _ \J.' ,r-.\J / (Monomum Perm,tF.eSS8.00) .' '" ,,\\~: \~. \:Y"- W.l\' (B)Enter12%surohlll'ge(.I2x[A]) ~~~' . n ,~,l\ 1~)TechnoloIlYFee(5%oflA]) . '\}J'. ~. _ . \ ^t~\:rrOT Al.. rees and surcharge' (A through C): ,-A\!>J .'{\ <\ ,\;\ \* 'vi' --_._-----~._..~.-."-_.~~--~-'-' 067 2BT2011"'~'t4.?qc: 7253575 :c:. ElictriciI~Perm-ii~:Application '::.==.: :us'jim;sm<j. S'prininiid;OIl.-91477. PH($41)716-37S.l. FAX{;41)m.3689 , - -. . ,~, . .. .-._-- .-- -- .----..- ..- -. -------------~- - <, .- - - -.,-,," -. -. _-.--:....___:~ ~lOC~L:..GOVERNMENT_'APPR'OVAL(': . u__. Zoningapprova1\ienfied7 -. 0 Yes 0 No . CATEGORY'OF.CONSTRl1CTION --I-O~iaential~~I-EJ'Govemment-~I-B.Commorcial ::: :;-. :;:":::;: ,J.OS::SITE'lNFORI\IIATIONAND.:LOCA TION. I.. .... Job.ite'addiess: '5!f)'-:MTG.fl-it: ~O City: Sf Fi 1\ I State: AYe.. I ZIP: '7" ,g .Referencc: \ a.fYI ~ 'L\ . I Taxlot.:O\~ DESCRIPTION OF WORK '. '. . (jJIYZ6 . -iln. r?? AI!:J.,~t:l .C'\ \OM~--f."n,;) PROPERTY oWNER ..::::c=,. . Name:-,::/:t'f"!TN!f1i'/--'": Address: ';}4(pL(rc.(J?Ct/;.:n- /JL CityP..6TJ~) I Swe:1117 l ZIP: "'1"']7 \CA Phone: - - . I Fax: . - _.un . . E;.mai1: --- ~ ".~ --." -- - -- . . This'installation :is !ieing made"on residential or filrm property owned by me or a member ofniy immediate family. This 'property is not intended for sale, exchange, lease, or rent. OAR - 479.540(1) and 479.560(1), Signature: : . . .-,----CONTRACTOR INSTALLATION Business name~a rr- b./ ~ ~ ^ -ly, '. (;.; Address:~" -- .. ~ ~ .~. -, "A City: 11:11<' I State: od2. I ZIP:q7J;;~ j>hone9~ IP4>? -'-f rg::,;r-I Fax$)3- /,p'-I;) -7'1 ;}-:;- E-mail: I . . .~ b;- (j.J. - S'/ "." CCB license no.: I;), /15 q )(P1$1;cen,;n/.: 1';';' U SigningSUperVisor'slieen~e/o.: .~L . 707';. Print name of signing supe' . II:! . Signature of signing supervisor: ' ~ .,....ne . CITY OF SPRINGFIELIi~~'-=::--'; PAGE 01 .' 'DEP ARTMENT USE ONLY !SPR'I"o."'~~.~~ ~ t., ~. . .""'1;,,~ ~~-~~~%~' &:~~,~~...., -. '1i~':;'i:~ ~, ,,~.,~.....~_1.." Permit ~o: S, ( ~ i3 3 '7 Date: '. '. ':." "fEE SCI'lEDUlE ." Number ofin,pectionS per item ( ) . Qty. '..".:,.':.,: -':" '.;. Cost I Total I ea. eost Residcptiall,per \lflit, serv;ce included: LOOO"q, ft. or .Ie.. (4) --- -~ --1- -$134;00-- -$F3'-{- Each additional 500 sq. ft. or pOrtion? $ ,;-,r- thoreof j $ 25.00 (... Limited encr~ (2) each manufactured home or modular dweJlinf, service o~ fceder (2) $ 3Z.00 $ $ 63.00 $ Sel"Viees or feeders: in.<:taliatlon. alteration, re.loc.atiDJ1 200 amps or I... (2) $ 81.00 $ 201 to 400 amp' (2) $ 95.00 $ 401 to 600 amps (2) -- $158.00 $ 601 to 1,000lll'Op' (2) $205.00 $ Over 1.000 amp' or volts (2) $%9.00 $ Rteonnect only (2) . - $ 63.00 $ .Tempo.a.tyservice~ or feedersl instalJarion, alte.ration, relocation 200 amps or Ie.. (2) 1. $ 63.00 S t;-) 201 to 400 amp' (2) $ 87.00 $ 401 to 600 amp' (2) $126.00 $ Over 600 amps or 1,000 ....oltf" see services or feeders section above: BnmC'b cir-cuiu: neW, a/JeraJion. tXlpuion per pant~' a. Fee for branch circUits with purchase of a service or feeder fee: each branch circuit $ 6.00 I $ b. Fee for branch oircuits without purchase of B service or feeder fee: First branch circuit (2) Each additional branch ojreuit $ 55.00 $ 6-00 $ $ $ 63.00 $ $ $ $ $58.00 .... " $ 2?r, $ ')z,IP..:;!- $ Isi2! $3IX~' \. 2'!twillamalane t.~ Pilrk and Recreation District , Job. No. ~ / 1-:7:57 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-December 31, 2011. ., NAME: f-trr'-lb EN ffl-yV\CS ADDRESS:2''1'b~ SW ~/)1<-1 t7L- CITY:,,~'7:JM.~O 'PHONE: 55'6 - 9? S-& STATE:O/LZIP; 977n - '. . ' ... .._____-,--_._..__ .___ u_.____.__________~.u_.__._.___.~+__ __ _ __. _.__ ..____._.__...___.___~_n_____..__...________.__'_ _ __ _ .__~ LOCATION Of PROPOSED BUILDING SITE: Street Address: "l:.(>'Jl1~f,(}lI,q-(~( An; 11'-~ /0 " Plat Name: Tax Lot Number: "/'60 2.. O~2! 0 I ~d) ,1. DEVELOPMENT TYPE (Refer t6'developme~t type definitions on the reverse,f A. Single-Family Detached NO. OF UNITS' ( X $3,409 per unit = $ , 'J'-!{) 7 B. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ C. Multi-Family Apartment , , . NO.OFUNITS X $2,800 per unit = $ D. Single Room Occupancy , .< NO. OF UNITS' x $'1,400 per ,u n it = ' $ / " E: ,Accessory Dwelling Unit NO.OF UNITS X $1,705 per unit = $ -~~2;-~S DC'CREDIT-(lfapplica'ble;-SDcpayer'mustfurnish'proofof credit approval:) ($ 3. tOTAL PARK AND RECREATION SDC ASSESSED $ D~ City o(Springfield ~ . ~.; , ',~~ [7/ City of Springfield" '. '.' 'J / it / 1/ Date of building permit submittal 7 / S- / II Date of building permit issuance SP~I.N..G..FIEL~ .~M .-:- i41i _'1,..; OREGON TRANSACTION RECEIPT WNW.ci.springfieJd.or.us 811-SPR2011-00339 545 MOUNTAINGATE DR 10 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 974n 541-726-3753 permitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-00339 ACCQUNT_C.ODE 224-00000-425602 224-00000-426605 224-00000-425604 224-00000-426102 224-00000-425602 224-00000-425604 224-00000-425602 224-00000-425604 224-00000-425604 224-00000-425603 100-00000-425002 224-00000-425604 224-00000-426102 100-00000-424005 611-00000-426604 444-00000-426607 447-00000-448027 443-00000-448025 445-00000-448025 440-00000-448028 446-00000-448026 442-00000-448024 444-00000-448024 441-00000-448029 719-00000-426604 719-00000-426604 224-00000-425604 821-00000-215004 224-00000-425602 224-00000-425602 224-00000-425602 100-00000-425605 224-00000-426102 821-00000-215023 TOTAL DUE: RECEIPT NO: 2011001864 IDES.CRI~TION Address Assignment, each new or change Admin fee (10% of applicable fees) Air conditioner Each added 500 sq. ft. or portion Each additional copy First Appliance Fee First copy Fumace - up to 100,000 BTU Gas Piping up to 4 outlets One or Two Family Dwelling with Three Bath Planning - Major Review - City Range hood/other kitchen equipment Residence wiring 1,000 sq. ft. or less Residential Fire (.05 Per Sq Foot) SDC: Administrative Fee - MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional Wastewater SDC SDC: Improvement - Transportation SDC SDC: Improvement Cost - Local Wastewater SDC: Improvement Cost - MWMC Regional Wastewater SDC SDC: Improvement Cost - Storm Drainage SDC: Reimbursement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: Reimbursement Cost - Storm Drainage SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Single-duct exhaust (bathrooms, toilet compartments, utility roar State of Oregon Surcharge (12% of applicable fees) Structural - Additional review per hour Residential Structural Building Permit Fee Structural Plan Review Fee Residential Technology fee (5% of permit total) Temp services 200 amps or less Willamalane fees - Single family detached rPAYMENT TYPE Check 36469 'PAVOR' CASHIER: CCARPENTER HAYDEN HOMES LLC COMMENTS Also covers S11-1281 DATE: 07/05/2011 AMO.UNT:D.UE 38. 00 10.67 17.00 75.00 3.50 79.00 0.75 17.00 14.00 439.00 211.00 13.00 134.00 106.65 10.00 22.63 1,811.51 1,928.70 1,333.57 560.61 497.07 3,951.60 101.97 385.31 396.17 133.98 45.00 233.60 58.00 1,050.63 208.99 99.23 63.00 3,409.00 17,459.14 AMOUNT PAiD $17,459.14 I TOTAL PAID: $17,459.14 SPRIN~LD ~~~' "'~ ":C OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 974n 541-725-3753 WrNW. ci.springfield.or. us 811-SPR2011-00339 545 MOUNTAINGATE DR 10 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000400 lDESCRI~TioNO Structural Plan Review Fee Residential RECORD NO: 811-SPR2011-00339 ,..", ~C.C.O.UNT_C.ODE 224-00000-425602 TOTAL DUE: DATE: 03/04/2011 AMOUNtDUE 473,92 473.92 !",;," AMOUNT PAii::i'L , $473.92 r 'PAYMENT TYPE Credit Card 005235 PAYOR ' CASHIER: OBOW!.SBY': HAYDEN HOMES LLC COMMENTS TOTAL PAID: $473.92 * 2 STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. �.vIFE�X C �lO� GST /N (T,�LCZ` r ly"644 ✓Da C&T MINIMUM SETBACKS - INTERIOR LOTS N All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet SCALE: 1" = 20' P.U.E. MAY CHANGE SETBACKS BUILDING SETBACKS FRONT BLD 10' (FROM PL) SIDE 5' (FROM PL) STREET SIDE 5' (FROM PL) REAR 10' (FROM PL) �jr /CzwkkYr►-770 A+ E SEMt7✓� \ � . � 3� FAD a✓�aatn.y� 1 � . /{/�'/7vt dEyc'T�TION7b-i3'E' \I\ �92j ��a �o sce�.�N �n✓t Ty E3 S.F. I \ �� Itj ews 1 1 4\, 279''S F./ 9.52 1 I /10 40.00' I \ Lo 1 I 3,901 S..5n 1 0 00n na 1 WOOD I ,Qe rear Q. FT. 1 I .3 " II LOOKOUT 4 Lq I 1736 SQ. FT. RAINER I 1993 S.F. I I I I 1 1 7.00 I I G I I G 0 e.R I I or h IS 1 porch )WY I I al DWY I I DWY c --- Al 0 40.00' — HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 1)923-6607 LOT 3 545 #3 MOUNTAINGATE DR. MOUNTAINGATE NORTH CLUSTER SUB. SPRINGFIELD, OREGON ;•TORIES Z Tl PE l �!'f`t l pi " Via L+:g1'g02 032/ o/ t�0 F�UDPE'�5 "or_ ^vMNT+f/I�_14_zl� D THE CONTENTS F-)4lE BEEN REVIEWEDT 4 ITl ALTERATIONS I JD CATFD ON COLORED PENCIL. CHANGCE OR ALTERAr ONS M1r GE TO THE APPROVED DRAWINGS OI - PROJECT AFTER TI-iE DATE BELOW SHALL BE APPROVED Bl TI -6c BUILDING OFFICIAL. CITY ORF.IOREGON DATF / 73PPROVED X - vw REVIEWED FOR �iDTICE: C 'PL/Al NCE THIS PERMIT SHALL EXPIRE IF THE WORK AUl HURIZED UNDER THIS PERMIT IS NOT tENCED OR IS ABANDONED FOR ANY 1130 DAY PERIOD, ATTENTION: Oregon law requires you to follow rules adopted by rile Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090 You may obtain copies of the rules by calling the center. (�4'31e: the telephone number for the Ore cn Utlfr; No+fication Center is 1-c_ -352 2344). �QoNT /ti//1 ,2r7r-+z Elevations are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. ✓l s�� o f �0 f l/