HomeMy WebLinkAboutPermit Building 2001-08-27SPRINGFIET T'
Job# 01-00812-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
i .i tl.u i LLt 4 i i-t_-
225 North Fiflh Street
Springfield, CR 97477
Location Ci . ': ,:ld Site: 3602 Osprey Dr Spr
Assessors : ;,: 17021943
Lot: 168 Block: Addition:
Job Number: 01 -00812-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 08300
Subdivision : Ambleside Meadows
ctTY oF SPRINGFIELD, OREGON
Owner: Greg Larkin
Address: Po Box 2041
Scope Of Wc.lr: lir3le Family Residence
o r:D
Phone Number:
Gity/State/Zip:
New
541-726-0330
Corvallis, OR
Value: $136,124
Contractor -i ,, .,
General Conir
Electrical Contr
Mechanical Cc,l1r
Plumbing Co'lr"
Contractor
River Valley
X,X,X
G&E ELECTRIC
PO BOX 1686, ALBANY, OR 97321
N4idway Plumbing
2428Three Lakes Road, Albany, OR
97321
lr4idway Plumbing
2428Three Lakes Road, Albany, OR
97321
Phone
1-967-8627
1-928-7927
1-928-7927
t'r(\
1
Dwelling
1744
To request ar irspcction call the 24 hour recording at
a.m. will be nra.rc tir I same working day, inspections
working day
Site
Verify Grour '' l::l
Footing
Foundation
Postand Bc-: t
Floor lnsula:, -,r
Ceiling lnsul::ticn
ng
Required !nspections
I Buildins I
-To be made after excavation but prior to setting forms.
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to cover.
Quad Area:
# Of Units:
Gonstr. Typc:
Water Heat:r':
3RNC
1
(\,/l'l)Wood Frame
Office Use
-
Land Use:
Zoning Code:
Single
Bedrooms:
Range:
before 7:00
\attt
aJ
Ge$
Shear Wall Nailing
Framing
Walllnsulatiorr
Drywall
Final Building
Temporary Power
Underfloor Pluml-.ing
Underfloor Lru,i,r
Rough Pluml;in3
Water Line
Sanitary Se'r,er Line
Storm Sewe,' Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor 1,1 : :h : nical
Rough Gas
Rough Mecl,irric:l
Gas Service
FinalGas
Final Mecha.ric. i
SW-Curbside
CC-Standard
Streetlmprr',';11sr1r Fullylmproved
Curb Cut? "'- lmprovement Agr.?[
San Sewer :-'-,. l:r (Ft): 6 - 4
Storm Sewer Available? f
Special Rec.:
Security Required:
Bond Begin DatcTime: 00/00/0000 00:00 AM
Special lnsn: r:11:ns:
Other Utilii':s:
Project Supr ,.. l^rr:
Job# 01-00812-01 PageZ of 4
Required !nspections
Buildin
-Before covering sheathing with finish materials.
-Prior to cover.
-Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole.
Plumbing
I
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
- Prior to fllling trench.
- Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
-When all plumbing work is complete.
Mechanical
-Prior to insulation or decking
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-When all gas work is complete.
-When all mechanicalwork is complete.
Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
B
To Curb and Gutter
o
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [=] Wetlands?
|
Journal numbers,l= 2
Comments:
Planner: Sam Gollah
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway Fll,,.:.: x-white
Overlay District:
# of Street Trees
Job# 01-00812-01 Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? V
Glenwood Area? !
2
3:
Additional Requirements
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:1153 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedro::rr:: 3
Handicap /,,:c:ss? fl
Area (Sq. Fc:t)
Main:1744 Accessory80O
# Of Stories: 2 Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2544
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Gheck
Residential Plan Check
Total Plan Clieclr
07131t2001 6296 136,124 $335.56
$335.56
Buildi
Building Permrt
State Surchri-ge [:or Building Permit
Building Ad i:ini:'rrlive Fee
Total Builciiir;
08127t2001
0812712001
08t27t2001
6538
6538
6538
136,124 $516.25
$36.14
$15.49
$s67.88
Electrical
Temporary: 2f i /'rns or Less
State Surclrr'- -. - , lectrical
Administral'" r 'i. -; - Electrical
Total Elect:ie :.1
08t27t2001
0812712001
0812712001
6538
6538
6538
1 $40.00
$2.80
$1.20
$44.00
Plumbing
Minimum Fr,,:-l i''l Permit Fee
Three Batl::lr ri:,.,
State Surclrar;c - Plumbing
Administrative lrc: - Plumbing
Tota! Plun,L; 3
0812712001
08t27t2001
08t27t2001
08t27t2001
6538
6538
6538
6538
1
$'oo
$306.00
$21.42
$e.18
$336.60
Hood and [ 'l'"'rst
One to FoLr r' :ll;ls
Minimum l' -rr rnr:al Permit
Administral r r" - - l',4echanical
Less than i ,', . .,TU
Vent Fan t' I ': -. ct
Gas Firepl: rr
Dryer Vent
MechaniclI 's:t'n^.e
Mechanical
0812712001
0812712001
08t27t2001
0812712001
0812712001
0812712001
08t27t2001
08t27t2001
08t27t2001
1
4
1
1
$4.50
$2.00
$.00
$.e6
$6.00
$12.00
$4.s0
$3.00
$10.00
6538
6538
6538
6538
6538
6538
6538
6538
6538
1
1
Job# 01-00812-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surch:rgc - [{echanical
Total Mecl-r:; ,.,-:rI
Mechanical
0812712001 6538 $2.24
$4s.20
Public Works
New Sidewali<
New Curbcut
Multiple Perrnit Discount - 2nd Permit
Total Public \1.'orirs
08t27t2001
0812712001
0812712001
6538
6538
6538
60
1
1
$65.00
$65.00
$-30.00
$100.00
Residential - li^!r- Family - Storm
Residenti:1 ","'re" rrrent MWMC
MWMC Aclr r "'.'e Fee
SDC Admin',tr;.Ii": Fee
Residenti.l l-r- l r:y MWMC
Residenti :' - llirl:rcvement
Residenti.,l- F i .r-rrrsement
Sanitary S-'^,,:' I Reimbursement
Sanitary $r,, ,q ' J lmprovement
Tota! Syste nr [] cr.,s;epr.t1
Develo
08t27t2001
08t27t2001
08t27t2001
08t27t2001
08t27t2001
08t27t2001
08t27t2001
08t27t2001
0812712001
6s38
6538
6s38
6538
6538
6538
6538
6538
6538
,52 1 6
1
1
1
1
1
32
32
$686.87
$34.83
$10.00
$154.15
$332.86
$659.76
$155.13
$683.84
$519.68
$3,237.12
S.F. Resi,J.' - i - \^.' rrlmalane
TotalWillr' ' ,iDC
Willamalane SDC
08t27t2001 6538 1 $1,000.00
$1,000.00
Planning
0812712001 6538 1PlanningP':'' '' '',v
Total Plar::, ,
$s0.00
$s0.00
Grand Totai
Plan Check T, -'
,n','u, *"u1r' ' :ir:s
Engineerin- l.
Planning-t-
Structural-i ;
$5,716.36
Checked By Date Completed Comment
Bob Barnhart
Steve Templin
Sam Gollah
Tom Max
08t01t2001
08t17t2001
0812312001 Needs to pick up LDAP
08t22t2001
By signatu. , I r ' 'te and agree, that I have carefully examined the completed application and do
hereby cer' , : rll information hereon is true and correct, and I further certify that any and all work
performerJ . lone in accordance with the Ordinances of the City of Springfield and the Laws of
the State o' I r t. I ir.ertaining to the work described herein, and that NO OCCUPANCY will be made
of any strLr ,Lrt permission of the Community Services Division, Building Safety. I further
certify that '.. rctors and employees who are in compliance with ORS 701 .055 will be used on
this projec,
I further a"
address is ,
inspections are requested at the proper time, that each
that the permit card is located at the front of the property, and the
e [,] en.)
rf nla
natu r
on thesite at alltimes during construction
Date
The f0llowiRE{toiect as submitted has the following
zoning. ar ig not require specific land use
225 FIFTH STREET APPTOVAI
SPRINGFIELD, oREGoN g741qNS
NSPECTION REQtrEStE:
OFFICE: 726-3759 Authorized Signature
I. LOCATION OF INSTALLATION
7b0-A 'n-c a^-a)-,L- Dc
U
FEE SCHEDLiLE BELOW
A New Residential-Single or
Mnlti-Family per dwelling uait.
Sendce Included:
1000 sq.ft. or iess
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
601 amps to 1000 amps
Over 1000 amp#volts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"8" above
ELECTRIL. .- PERMIT APPLICATIoN
Number Ot -o D 6lZ -O (
Items Cost Sum
/ sioe.oo /06'OO
L$reoo 7a.oo
0
3
LEOAL DESCRtrTIONDOL I7L/3
JOB DESCRIPTION
Permits are non-transferable and expire
if rvork is not started within 180 days
ofissuance or ifwork is suspended for
180 days.
ffi
4gro&
2. CONTRACTORINSTALLATIONONLY B. Services orFeeders
200 amps or less
Erectricar contractor r31lE L l(?j:fr ic- rTn c, ff#ffil? Alterations or
Address PO bcrx tbl(o
$ 50.00
$ 63.00 --
$ 75.00
$125.00 _
$163.00
--$375.00 _
$ 50.00
City,F\ lbar,tv pnon"5!-[:9h] gb? 7 i8l ffi: [ ;33 ffii:
Supervisor License Number Pq F <
Expiration n a03
Coustr Contr
Expiralion Date q t5 7oo'3
Signature of Supervising Electrician
'-f ;]!'{un-iii['6(]; S I: ui_lu ii"lu
T*Si ?ri dl3:31$fl
/i*B?fi{ifi-iil: sstiuHL
oirners Name fu-ri /*uL,;
Address po eo7 Zoql
ci&i,or.- JiC:=3So
OWNERINSTALLATION
The installation is being made on
properry'I own which is not intended
for sale, lease or rent.
Orvners Signatwe:
D. Branch Circurts
New Alteration or Extension Per Panel
One Circuit $43.00
Each Additional Circuit or with Service
or Feeder Pennil $ 3.00
E. Miscellaneous (Service/1'eeder not inciuded)
-Each installation
Pump or irrigation $50.00
Sign/Outline Lig;hting $50.00
Limited Energy/Res $25.00 _
Limited Energy/Comrn $45.00 _
Minimum Electric Permit Inspection iee is $.{5.00 * Surcharges
5. SUBTOTALOFABOVE
TYoState Surcharge
8% Administrative Fee
rorAr, bgo?&0q,30
N*rra", 5V V Q'Q
$5o.oo _
$69.00
$1oo.0o _
OBt'28/2@@t 09:15 5415849358 K 8 A ENGINEERING PAGE O1
ka
engineering
August 28,2001
To: Tom Man, CitY of Springfield
K&AEnglneering'lnc'
P.0- Bor 23524, Eugene, 0B 97402
521 Market St., Suite B, Eugene, 0B 97402
(541) 684'9399 Voice
(541) 68/t-9358 FAx
From: MichaelRemboldt,P.E.
Fax
Fax 726-3689 6
Recommendations -Date: 0812812001subiect 3602 osprey - Rivervalley Builders
permit # 01-00812-0't
Tom
Attached is the completed site lnvestigation ouestionnaire for the subiect lot in Ambleslde Meadows'
Thank you tor your revieW. Please give us a call if you have any quostions or need more information'
SincerelY,
MichaelRemboldt, P-E.
K &A Engineering,lnc.
cc: Biver ValleY Builders
I
I
I
gli2A/ZAAL 09: L5 54L5849358 K & A ENGINEERING
6 q 7-/e.
City lob #
PAGE 02
Contmunity Services Div, Building Safety Job
CITY OF SPRINGFIELD, OREGON
225 sth Strect, Springlield' OR 97477 Ph'726-f759
IS the site as pfepared adequate fl inadequate^ fl. to maintain constant moisture
content irr the sub grade? ^Note; Verificatiorr of moisture stabilization in the sub
grade is a requirement of the geotechnical report, and must be affirmed before
constuction can continue,
ff irra"qrate, what measutes are needed to provide constant moisture corrtent rn
the sub grade?
Is the site a$ prepared adeqtnte @ inadequate E to su-PPort the proposed-
structure? An affirmativelnswer is requiiite to -proceeding
with construclion'
iif".a"q"ate, vihat additional work Is needed to provlde adequate
4. Dtd the design professional witness Placement arrd compaciion-of the
errgineered fillr;;k grere a s,ecial inspectlon re^n91t forthcoming from a
quatilied ug"rlJi t *if,,"tna-rUr"ir"i-E Special Insp/compaction report fi
foundation suPPort
5. The design Professional intends to use the following method for installation
of Perforated perimeter footlng drains:
The design on the attached drawing Provided by the design Professional """tr
The rnettrod shown on rhe original construction drawings D
The tlpical 'Foundation Drain'drawing attached ro Permit E
drains are Dotrequired .-"'tr
Perforated
Comments
Note: Ciry insPectors will insPect installed drains
insPection.
1
Catt: 726-3769 to schedule
prior to coYer uPon requcst"'
gBl28/?8Al 69: L5 5415849358 K & A ENGINEERING
City lob #
la
PAGE O3
Community Services Div' Buildirrg Safety Job
CMY OF SPRINGFTELD, OREGON
225 5(h S[rcut, Spring[retcl, OR97477 Ph,726-3759
of consffuction)
Low-point crawl spsce drains arc requirua _to P.alent the butld'up of excess
moisture inside tfre foundntions durtng (and efter) construction' This drain
may be installed "iiui to""detlon placement onlv wlth the expr$s oermlssion
of the eqien Profespional.
a.Thedesignprofessionalhasdeterminedthefollowing..
The crawl space drainis rcquiredwhenthefomdationis install"d""' D
The low'point drain can be installed afierfoundation placetnent without a
s i gn ili cant moi stur e b uild'- uP within the foundation. - -.... -.., -EIproblem
(The low-point drainmay be installed at the
b. Has the design proiessional obsertted. and approved tlle- irctall'ation of the
required toi piini arain?....,"' Ye$'
-No
X
if,,yrr,,, whire is the low point drain located under the building and
where does it.terminate ai this ttme? (must be an aPproved location, i'e'
stteetgutter,stonnsewer,sumpPumpanddischargelinetothestreet'
etc.).
The design professional must dercrmirre whether the approved permit drawings have
adequate foundatioi rt"uf. Is arty additional foundation steel required that is not
shown on the foundation drawings for the buildtng?
yes _ Nr -Ja.--'ij;;;;,ljirriii iiaitunot sleelrequired (or provide drawins)'
The followint statefnerrt must be signed by the individual doing the obsentations and
provid,ing dir"rtionlo,r the excavoion ond site preparationwork on the property'
3
A8;28/2A81 89: L5 5415849358
ComnruniLy Services Div. Building Safcty Job
CTTY OF SPRINGFIELD, OREGON
225 5'h Strcct, Springfield, OR 97477 Ph,726-1759
K & A ENGINEERING
City Job #
PAGE A4
o
The und,ersigneil design professional (or authorized cntployee) ottests thathelshe
obserted rcqaired, moisture stabilig ptocedares on this site, and that such Procedures
were acco;plished, beforc any changes occurred in the moisture cofltent of the sub'
grade undei and. around the buitding (where exPansive soik *ere cncountered). The
-undcrsignedfwther attests that tha sub-grde, as prupared, k adequate to suppott lhe
buiUing proposedtor this site.
Additlonal comments;
(Note): A copy of this report shell be kept on site with the apProved Plans at all
times.
This report shall be followed by an affidavit, sigrred and stanlPcd by the to1gl
frof".rio"al under whose auspices this report was completed, affirming the inforrration
ir.rrin. The signed/stamped affidavit together witha copygf this report shall be
submittcd to th-is office plior to requesting frarring inspection for the building.
Title
Comparry
Phone A Q4-9 a ra
The geotechnical repon for the Ambloside Meadows - IttAddition subdivision
recommends immeji"t* ^oiitrrre
stabilization of oxposed cxpansive sub-8rades, and that
expansive soils be over-excavated and replaced with at.least 12 inches of filt compacred
to at least 95?o ofAsTM D69t for foundation preparatiort. The report also recommends
that measures be taken to preven[ water from colteiting in or atound the foundation afeas
during and after the construction Proce$s, and that positive site drainage be provided to
,"Ju"i the inf,rltration of surface watet into the expansive soils'
The georcchnical report fuxtheremphasizes that the finish grade of larrdscape soil
adjacerrt ro the founiation should bu at least 24" above the expansive bearing soils' firmlv
comuaqted to reauce ttre infiluation of water at the surface' The adequacy of fill soil
material around th;i;ildirg *rtt be verifred to the satisfaction of the design
professional.
4
License *, /" q,? +
-
OB,'?ilzOAI 89: L5 54L5849358
Community Servi$es Div, Building Safety Job
CITY OF SPRINGFIELD, OREGON
225 sth strec(, Springlield, OR 97477 Ph. 72G3759
K & A ENGINEERING
City Job #
PAGE A5
SPRINGFIELD
Affidavit
For Site Investigation Questionnaire
Foundation Sub'Grade Approval for
Residenrial Building site in Ambleside Meadows - l't Addition
Subdivision
The undersigned hereby affirms that the excavation, stmctural fill and moisrure
stabilization methoJs ior the building site at the address shown above was obseryed by
me or an authorized employee of my firm and that the following is true:
l. The foundation sub-grade is capable of supporting a minimum of 1500 psf, and is
adequatetosupportthebuildingproposedforthissite.
Z. The ntoisture content of the excavation was adequatety maintained during the site
preparation process and was adequately covered to stabilized moismre content
prior to *yiignincant change inmoisture cQlrtent of the sub-grade'
3- The site is adequately graded and drained to prevent the collection of water in the
excavated area durirrg constnrction'
4. The accomPanYing report titled "Site Investigation Questionnure for Consulting
" containing f,reld observations and instructions made on
for the building site was comPletcd either bY
or an employoe of mY firm under my supervision-To the best of mY
knowledge,the information contafured in that repoft is comPlete and accurate.
Name of Licerrsed Professional (print)
Stamp
aEruts
Date P/ z-. il. t
The folle' "ng Proiect as submitted has the lollowing
land use
I
STREET
T
JOB DES
Permits are non-transferable and expire
if r,vork is not started rvithin 180 days
ofissuance or ifwork is suspended for
180 days. ",
t,'
E
o
ob
Multi-Family per drvelling unit.
Service Included:
Items Cost
2
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Horne or
Modular Drvelling
Service or Feeder $5
INSTALLATION ONLY
Supervising Electrician
B. Services or Feeders
Installation,
Relocation:
200 amps or
201 amps to
1 amps
I amps
Date
E
Ol,er
rBr 4
D. Branch
4. SUB
1Vo St
87o Admini
not in
-
$15.
TOTAL
ion Fee is 545.00 +
OFFICE: 726-3'7s9
FEE SCHEDULE BELOW
$106.00 l
$ r 9.00
Signature'
r l'
A.
LEGAL DESCRIPTION
t7-oL. \q.43 ' 0 (ao a
Electrical' Contractor..--.
400 alnps
Supen'isor I'.icense Nmnber
Expiration
Feeders
or Relocation ,
Signature
t
, A',,i,
OWNT'R INSTALLATION
One Circuit
Each Additional Circuit or lvith Service
or Feeder Permit
t. Lo
$ 3.00
$so.oo
$2s.00
?-.70W