HomeMy WebLinkAboutPermit Building 2007-8-8
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01170
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE: $ 89,940.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5729 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005800
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Singel family residence
TYPE OF USE: New
Residential
I PUBLIC IMP~OVEMENTS ~
. . _fiRers. 8 ........JlUtt
Fullv Improved follow rules adopted ~€W'ID,"~ UIIJIr
. Yes ~otificationCente'. ~fN~~
In OAR 952-OO1-G010througti0AR8fSIoOOf-
0090. You may obtain copfea of'" naIIa hit
calling the center. (Note:... telepJtone. ..,.
number for the Oregon UtlUty NotiftoatIot
Center 181..eoo.aaa4344).
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
License
92208
67362
39237
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure: 15.00
Type of Heat: Forced Air Gas
VB Water Type: Gas
Rl!~ype: Electric
2 ""t~~ath: Path 1
,.,~~ ,f ",~mltled Building: n/a
~~~~cf~ENTINFORMATION I
Frontyard Set~~(),,~6i.f:: Overlay Dist:
Side 1 Setback: P~~",,_::Ilo.'I\l_"" # Street Trees Rqd:
Side 2 Setback: ,,~ ~,... 5.00 Paved Drive Rqd:
Rearyard Setback:i1' 10.70 % of Lot Coverage:
Solar Setbacks: 0.00
1
R-3
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Stormwater to weep hole in curb
Pa2e 1 of 4
Phone Number: 541-228-1081
Expiration Date
07/29/2009
06/19/2011
03/25/2010
Phone
541-228-1081
541-754-6171
541-672-9510
Lot Size:
Sq Ft 1st Floor: 780
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 240
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
1
Yes
32.70
Total: 2
Handicapped:
Compact:
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01170
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE: $ 89,940.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
A.C. - Residen
Dwelline:s
Garae:e
Tvpe of Construction
AC - Residential
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
780.00
780.00
240.00
Value
Date Calculated
Description
Total Value of Project
$3,120.00
$80,340.00
$6,480.00
$89,940.00
08/08/2007
08/08/2007
08/08/2007
~
Fee Description Amount Paid Date Paid Receipt Number
-Mech Iss 2+ Appliances- $40.00 8/8/07 1200700000000001015
+ 10% Administrative Fee $93.29 8/8/07 1200700000000001015
+ 5% Technology Fee $54.35 8/8/07 1200700000000001015
+ 8% State Surcharge $70.56 8/8/07 1200700000000001015
1 Bath One & Two Family $160.00 8/8/07 1200700000000001015
Addressing Assignment $35.00 8/8/07 1200700000000001015
Appliance Vent $7.00 8/8/07 1200700000000001015
Boiler/Comp Up To 100,000 btu $14.00 8/8/07 1200700000000001015
Building Permit $579.94 8/8/07 1200700000000001015
Dryer Vent $7.00 8/8/07 1200700000000001015
Exhaust Hoods $10.00 8/8/07 1200700000000001015
Fire SF Fee - Residential $51.00 8/8/07 1200700000000001015
Furnace - up to 100,000 btu $14.00 8/8/07 1200700000000001015
Gas Outlets 1-4 $5.00 8/8/07 1200700000000001015
Plan Review Major - Planning $205.00 8/8/07 1200700000000001015
Plan Review Residential $8.36 8/8/07 1200700000000001015
Plan Review Residential $368.60 8/8/07 1200700000000001010
Sanitary Sewer - Improvement $326.46 8/8/07 1200700000000001015
Sanitary Sewer - Reimbursement $429.33 8/8/07 1200700000000001015
SDC MWMC Administration $10.00 8/8/07 1200700000000001015
SDC MWMC Improvement $961.52 8/8/07 1200700000000001015
SDC MWMC Reimbursement $91.61 8/8/07 1200700000000001015
SDC Sanitary/Storm Admin $97.01 8/8/07 1200700000000001015
SDC Transpo Admin $76.29 8/8/07 1200700000000001015
SDC Transpo Improvement $862.25 8/8/07 1200700000000001015
SDC Transpo Reimbursement $195.48 8/8/07 1200700000000001015
Storm Drainage Impervious Area $589.27 8/8/07 1200700000000001015
Storm Sewer Each Addtll00' $16.00 8/8/07 1200700000000001015
Temp Power 200 amps or less $55.00 8/8/07 1200700000000001015
Vent Fan $14.00 8/8/07 1200700000000001015
Willamalane Single Family $2,303.00 8/8/07 1200700000000001015
Total Amount Paid $7,750.32
Pae:e 2 of 4
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01170
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE: $' 89,940.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
08/08/2007
I Plan Reviews I
08/08/2007 APP T AJ
Survey required because of
minimum side setbacks. This
property is involved with a property
line adjustment (SUB2007-00038)
along its east side property line.
House design must meet cluster
design standards: 3' walkway from
house to street, window grids and
windows in garage door. These are
occupancy conditions.
Public Works Review
Public Works Review
Structural Review
08/08/2007
08/08/2007
08/08/2007
08/0812007
08/08/2007
APP
APP
BRC
DLM
Stormwater to weep hole in curb.
Approved as submitted
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..JleouiredJnsne~tions ,
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 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.
Final Building: 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.
Underfloor Plumbing: Prior to insulation or decking.
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 Sewer Line: Prior to filling trench.
Pal!e 3 of 4
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01170
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE: $ 89,940.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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
nm:?;:ng CO~
Owner or Contractors Signature
~b-!'
, (
Date
Paee 4 of 4
ZON L;P~.!_ .
INITIALS I,; IV,.
DATE \'i ,---,." I .:"
SOURCE C'\,., ., '\ ....,.'
'\/ (-'j , .\ --1,
. ,-.,\..
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FA.X: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~.2t:Jtl? - (j / / .7 (J
I
~l
X I
'lJ'
Date
1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOW
fJ72-7' ~/ri/t1l1llVtJ ,ea..
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
LEGAL DESCRIPTION:
/2;~2-/)!; (!H) ~5~OO
JOB DESCRIPTION:
)IU~~,A?e:r I C;~2-
$117.00
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$ 21. 00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
CONTRACTOR INSTALLATION ONLY
2.
$ 70.00
$ 83.00
$138,00
$180.00
$413.00
$ 55.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
\J('JU t.O 60 I Amps to 1000 Amps
..Q"el3 1 .,.....
th..M~aW fe'-':.. '"'1/'" \..It.i"" Over 1000 AmpsNoIts
~\'1"\10~t Ote'rd' b'J \\"\e '~.~' ~{e set 'o~t _ Reconnect Only
1'\,' ,~ fU\~~ aUO?,..e ,'nOS8 N\\>(SJ' ~r: ,;:'S't..QO",J
. 41(;'J~'O~ ;..,_ ot,\tef. \.\"n 1'\' . lieS b1
Supervlsor'L c~~1)ro~ ,,/"\'\0 \,,\fO ~'n' ~V' e C. Temporary Services or Feeders
NO n\V~' ../S..QO ..~, "n' ,,'S/"; ,0(\
\ Op..~~'" a'/ obU\\fI "::: ;'3'. \'r\<, ,
Expiration ~_ '(OU ~tet. ,h)'"" ,I ':, \
cal\\n9 \. \nC - .j'
."'l~t lOt ',.\
Constr. Contr~~'Ilf{)'etc~e\ is
Electrical Contractor
//
Address
City
Installation, Alteration or Relocation
200 Amps or less ,~ $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110,00
{;;5:tUJ
Expiration Date
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
Signature of Supervising Electrician
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
~ -
Owners Name i'iI J ~/ "
Address 2M ~ ?LJ a/ AClcJc. !,(/~ ·
City ~4VJ Phone 2iJ US -ml
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
l:,\..:,:".~,l~r,'~: "'~ _o.~~=~J -~~.:
\\1.\;, \;~2t.O \J~m 'tofOR ~'?""
I:',) \ \""uR ~1\s:~i e ? . ,r
CO\,~iMINC\~ p~';UOO. / 7. ... r
f>. ~{{ i 80 0" TOT'AL CO _ _ co.)
\ Shared Drive(T:)/Building Forms/Electrical Pennit Application 7-07,doc
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
t
Ow}t'ers Signature? /,:'
;X L ./ ,/ / "
7- .,,/'/
'- . -
Inspection Request: 726-3769
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
IMPERVIOUS S.F. x I COST PER S.F. I ' CHARGE
1703.00 I $0.346 = I $589.27 ;
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. X I COST PER S.F. x DISCOUNT RATE I I
'0.00 I $0.346 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC $589.27 I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
COM2007-01170
Hayden Ent.
5729 Mt Vernon
18-02-03-00 5800
Single Family Residence _
I BUILDING SIZE (SF' r-lO~
LOT SIZE (SF);
3111
r:/)
W
Cl
o
u
~
W
E-<
- r:/)
>--<
CJ
~
DISCOUNT
$0.00
$589.27
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 16
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 16
COST PER DFU
$26.83
$429.33
11091
COST PER DFU
$20.40
$326.46
1092
= I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC.
$755.80
3. TRANSPORTATION
A. REIMBURSEMENT COST;
I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR'
, 9.57 I I I 20.43 I 1.00 , $195.48 1093
B. IMPROVEMENT COST;
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x 'NEW TRIP FACTOR
9.57 I 1 $90.10 I 1.00 $862.25 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,057.73
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x I COST PER FEU I
, I I $91.61 I = $91.61 1054
B. IMPROVEMENT COST;
INUMBER OF FEU's x ICOST PER FEU
I I I $961.52 -' $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL ~ MWMC SANITARY SEWIJ;R SDC =1 $1,063.13
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,465.93 ;i
5. ADMINISTRATIVE FEE: I
SUBTOTAL x I ADM. FEE RATE CHARGE
$3,465.93 I 5% $173.30
TOTAL SANITARY ADMINISTRATION FEE: 97.01 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE; $76.29 1078
_.~.-
Billy Curtiss 8/8/2007 TOTAL SDC CHARGES =l $3,639.23
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
'SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK; SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 16
"EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 ga\~~~ per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/IOOO CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 .Fi~tb. Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-0 1170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-0 1170
COM2007-01170
COM2007-01170
COM2007-0 1170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-0 1170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-01170
COM2007-011.70
COM2007-01170
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001015
Date: 08/08/2007
11 :53:20AM
Description
Plan Review Major - Planning
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
Plan Review Residential
Building Permit
Addressing Assignment
Willamalane Single Family
1 Bath One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
205.00
589.27
429.33
326.46
195.48
862.25
91.61
961.52
10.00
97.01
76.29
8.36
579.94
35.00
2,303.00
160.00
16.00
14.00
14.00
14.00
7.00
10.00
7.00
5.00
40.00
55,00
51.00
54.35
70.56
93.29
$7,381.72
Paid By
HAYDEN
HOMES/ERICHENDRICKSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 047742 In Person
$7,381.72
Amount Paid
Payment Total:
$7,381. 72
Page I of 1
8/8/2007