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Home My WebLink AboutPermit Building 2002-04-16Job# 02-00342-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 5 SPhtNGFIELD 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2264 00033rd St Spr AssessorsMap#: 17021934 Lot:27 Block: Addition:1st Job Numbe r: 02-00342-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 04600 Subdivision: Ambleside ctTY oF SPRINGFIELD, OREGON Owner: River Valley Builders lnc Address: PO Box 2041 Scope Of Work: Single Family Residence N #''.tU*' SFR Contractor Type GeneralContr River Valley Builders lnc PO Box 2041, Corvallis, OR ElectricalContr G & E Electriclnc Po Box 1686, Albany, OR 97321 MechanicalContr MidwayPlumbinglnc 2428Three Lakes Rd SE, Albany, OR 97321 Plumbing Contr Midway Plumbing lnc 2428Three Lakes Rd SE, Al 97321 Contractor 3RNW 1 (VN) Wood Frame Gas 54468 4687 n# Expiration Date 4t15t2003 9t15t2003 7 Phone 541-726-0330 541-967-8627 541-928-7927 bj 541-928-7927 ql \ho Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Bedrooms: Range: \s\ Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1939 To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Building -lnstall ground rod at footing, and callfor inspection in conjuction with footing and/or foundation ir -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. -Before covering sheathing with finish materials. Phone Number: 54 97339 -Value: $159,1 13 .'i, e7$u$ Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling Insulation Shear Wall Nailing Job# 02-00342-01 Page 2 of 5 Electrical Plumbing - Prior to insulation or decking. - Prior to cover or placement of concrete. -Prior to cover. -Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -Capped within five feet of the property line and capped with an approved material as required by -When all plumbing work is complete. Mechanical Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas Final Mechanical -Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When all gas work is complete. -When all mechanicalwork is complete. Public Works Framing Wall lnsulation Drywall FinalBuilding Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Sanitary Sewer Gap FinalPlumbing SW-Curbside CG-Standard Street lmprovement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 00/00/0000 00:00:00 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Curb and Gutter b 00/00/0000 00:00:00 Required Inspections Buildi - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Types Of Warning Devices Reqd. Temporary Power -Approval required prior to SUB energizing pole. Job# 02-00342-01 Zoning: LDR Overlay District: FloodPlain? [ Wettands? !!] # of Street Trees: 1 Journal numbers 1:2002-03-0067 2:2002-02-0056 3:2002-02-0055 Comments:MOP, PLA and LDAP. Wetland conservation Easement on Lot. Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? { Planner: Jim Donovan Urban Growth Boundary?- Glenwood Area? | I Quantity Of Fill: Supplier: Drainage: Floodway FEMA: ZoneX Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1 153 of 2975 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? Area (Sq Main: 1939 Accessory738 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 29 Current Units: Proposed Units:1 Census Code: New SF - detached Total2677 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 03t26t2002 8418Residential Plan Check Total Plan Check 159,113 $494.42 $494.42 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Buildi 04t16t2002 04t16t2002 04t16t2002 8617 861 7 861 7 159,1 13 $760.65 $s3.25 $60.85 $874.75 Electrical Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 03t26t2002 03t2612002 03t26t2002 03t26t2002 8418 841 8 841 8 841 8 $.00 $50.00 $3.50 $4.00 $s7.50 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Plumbinq 04t16t2002 04116t2002 04t16t2002 04t1612002 861 7 861 7 8617 861 7 $.00 $306.00 $21.42 $24.48 $3s1.90 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent 04t16t2002 04116t2002 04116t2002 04t16t2002 04t16t2002 04t16t2002 0411612002 04t16t2002 8617 8617 8617 8617 8617 8617 8617 861 7 1 1 $9.00 $4.00 $.00 $5.1 2 $12.00 $24.00 $9.00 $6.00 1 4 1 1 1 1 Job# 02-00342-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 04t16t2002 04t16t2002 8617 8617 $10.00 $4.48 $83.60 New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works Public Works 04t16t2002 04t16t2002 04t16t2002 861 7 8617 8617 b 1 1 1 $75.00 $75.00 $-30.00 $120.00 Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development L Sy"tglllevelopment l 04t16t2002 8617 0411612002 8617 04t1612002 8617 04t1612002 8617 04t16t2002 8617 04t16t2002 8617 0411612002 8617 04t16t2002 8617 04t16t2002 8617 04t16t2002 8617 2 896 1 1 34 1 1 1 23 23 $790.61 $34 83 $10.00 $141.34 $-21.42 $332.86 $659.76 $1 55.1 3 $491.51 $373.52 $2,968.14 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC o4t16t2002 8617 1 $1,000.00 $1,000.00 Planninq 04t16t2002 8617 1Planning Plan Review Total Planning $55.00 $ss.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 04116t2002 8617 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Ghecked By Lisa Hopper Bob Kettwig Liz Miller Date Completed 03t2912002 04t04t2002 04t03t2002 $6,013.31 Comment Modification of Provisions and Property Line Adjustment in progress to result inlot2T having 61 feet of frontage and lot 28 having 59 feet of frontage. Before issuing occupancy check with Jim Donovan or Planner on Duty for Final Plat and approval per Jim Donovan 4t3t02 Structural-Res Tom Max 04t08t2002 Job# 02-00342-01 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 701.055 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 street, that the permit card is located at the front of the property, and the on the site at all times during construction C Page 5 of 5 DateSre CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSIIEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:1 BLIILDING SZE: 2717 SF LOT SIZ: 10540 SF RIVER VALLEY BUILDERS 2264 35th. SINGLE FAMILY RESIDENCE 17-02-19-34 TL:4600 JOURNAL OR JOB NUMBER: 02-00342-01 IMPERVIOUS S.F 2896.00 COST PER S.F. $0.273 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED 190.61x $0.00 TO CITY STANDARDS COST PER S.F.DISCOUNT RATEIMPERVIOUS S.F. x x 0.00 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $790.61ITEM l TOTAL. STORM DRAINAGE SDC NUMBER OF DFU's 23 COST PER DFU $21.37 $491.s 1 B.IMPROVEMENT COST: $373.s216.24 x DT|[]I x 23 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST; $86s.03ITEM 2 TOTAL . CITY SANITARY SEWER SDC ADT TRIP RATE 9.5',7 NT'MBER OF UNITS I COST PER TRIP $ 16.21 $ 155.1 3 NEW TRIP FACTOR 1.00 $6s9.76 xxx x x I ADT TRIP RATE NUMBER OF UNITS NEW TRIP FACTOR B. IMPROVEMENT COST x I9.57 COST PER TRIP $68.94 3. TRANSPORTATION A. REIMBURSEMENT COST: $8r4.89ITEM 3 TOTAL. TRANSPORTATION SDC NUMBER OF FEU'S I COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU $34.83 s34.83 ($21.42) $346.27SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE B. IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: $3s6.27ITEM 4 TOTAL . MWMC SANITARY SEWER SDC $2,826.80SUBTOTAL (ADD ITEMS 1,2,3, &4) $ 141.34 5. ADMINISTRATIVE FEE: ADM. FEE RATESUBTOTAL x 57o $2,968.14TOTAL SDC CHARGES = 91akTr41.l;4- SDC COORDINATOR 4t4t2002 DATE 1070 1091 1092/ 1093 toe4 1055' 1056 to13 a E]ooU & 14Fa or!& ) DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE NUMBER OF NEW FXTURES X UNIT EQUTVALENT = DRAINAGE FXTURE UNMS (NOTE: FOR REMODELS, CAI,CULATE ONLY THE NET ADDITIONAL FXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UNITSFIXTURE TYPE ( *xrw - #oLD ) x TINIT EQUIVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( I 0 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J ., DRINKING FOUNTAIN 0 I 0 FLOOR DRAIN 0 J 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS IETC.0 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.0 6 0 LAUNDRY TUB 0 2 0 CLOTHESWASHER / MOP SINK I J 3 CLoTHESWASHER - 3 OR MORE (EA)0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 t2 0 RECEPTOR FOR REFRIG / WATER STATION IETC. RECEPTOR FOR COM. SINK / DISI{WASHER / ETC. 0 1 0 0 J 0 SHOWER, SINGLE STALL I 2 2 sHowER, GANG (NUMBER OF HEADS)0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I J 3 SINK:COMMERCIAL BAR 0 2 0 SINK: DOMESTIC BAR 0 I 0 WASH BASIN 0 2 0 LAVATORY 3 I 3 URINAL, STALL/WALL 0 5 0 TOILET, PUBLIC INSTALLATION 0 6 0 TOILET, PRIVATE INSTALLATION 3 J 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 - 0 )x 20 0 TOTAL DRAINAGE FIXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 23 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $21.42 $0.00 YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1 980 $4.83 l99l $1.64 l98l $4.77 1992 $l.4s 1982 $4.64 l 993 $1.31 1983 $4.47 1994 $ 1.13 1984 $4.30 1995 $0.97 I 985 $4.09 1996 $0.82 l 986 $3.78 1997 $0.63 1 987 $3.41 I 998 $0.41 I 988 $2.98 1999 $0.22 1 989 $2.s2 2000 $0.04 TOTAL MWMC CREDIT = 0.000 x $0.63 VALUE / IOOO CREDIT RATE 33.999 x $0.63 = 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 , i.'' '-, ,l: i: ,: ii.rl', i i ,ir l:L:: Multi-Family per dwelling unit. LEGAL DES702 JOB DESCRIPTIO o L/& or portion Ezrch Manufd Home or Modular Drvelling Service or Feeder Cost $106.00 $ 19.00 $ s0.00 00 00 Items , i, I li{\Ll and does (]val Permits are lton-transferable ' ir "talro explre if rvork is within 180 days-,-,"ioilzed slgnature of issuance 180 days. 2 Electrical I{OTICE: Supen'i Date rvork is suspended for ALLATION ONLY B. Services or Feeders Installation, Relocation: LL EXPIRE IF THE THIS 1 amps g Eldturtrthef forthe Center iS 1-Pon-x:il? D. Branch Minimum 1. SUBTO t onvith E TOTAL $25 $45 s7> 7oh Sttte Surchlrge 87o Atlministrative Fee ---)re- 225 FIFTH STREET SPRTNGFIELD, OREGON 97477 INSPECTION REQUEST:'1 26-3'7 69 OFFICE: 126-3759 I, LOCATIONOFINS JOB DESCRIPTION uoir; a Permits are non-traasferable and expire Superv'isor License Number Expiration Date a Corxtr Contr. Number Expiratron Signature of Supervising e(rr\L New Residential-single or CATION Items Cost Sum t $106.00 /ob,o0 3 $ le.oo 57,oo $ 50.00 _ $ 63.00 _ $ 75.00 __ $125.00 _ $163.00 --$375.00 _ $ 50.00 lLoZ,o 0 ll,qt I3 oq il t9l .Y5 Multi-Family per dwelling unit. Service lncluded: Name OWNER The installation is being made on properry I own which is not inteuded tbr sale, lease or rent. C)rvners Signature 601 amps to alnps Over 1000 ampsfuolts Recorurect Oniy 5. SUBTOTALOFAEOVE 1Yo State Surcharge 8% Administrative l:ee J, PE C. Temporary Services or Feeders $5o.oo _ $69.00 _ $100.00 - Over 600 amps 0r 1000 volts see "8" above D. Branch Circuits New Alteratio[ or Extensiort r'er Panel One Circuit $43.00 Each Additional Circuit or witir Sen'ice or Feeder Permit $ 3.00 E. Miscelianeous (Serviceif-eeder not rrrcluded) -Each installation Pump or irrigation $50.00 Sigrr/Ou0ine Liglrting $50.00 Limited Energy/Res $25.00 Limited Energy/Cornm $45,00 Minimum Electric Permit Inspectiou Iee is 545.00 * Surcharges (- a laL/',, i!-17:tJU. 'fil1, -lf'lL tu! iry ';t'isl $ I:il]IH it{uTIri:! i-t? lLlll"-1 IUflLUULr AL AVfi'-f-Lull ,ifli6ililfi - i0 : iiEl,lu,Y i. TOT,A.L 47'; 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling or F,leder 2. CONTRACTOR INSTALLATION Electrical qA F \ec x L(cOb city A I b.r u1V pn"", 541'Q bl ,Qq8T)S ORECONCITY OF )LULI 33/d furf (f CITYATTORNEY'S OFFICE ,Ju1y 1-2, 2002 Y rs Inc. 1o204 aI1is, OR 97339 Violation of Declaration of Protective Covenants, Conditions and Restrictions for Ambleside Meadows Subdivision, Springfield, Lane County Oregon; Violation of Special Conditions for FiI1 Permit No. 1-4947, Issued by the Oivision of State Land.s; Violat,ion of Nationwide Permit 1,426, Issued by the Department of the Army, Portland District corps of Encrineers This office represents the City of Springfield. It is our understanding that you are the owner of Lots 25 and 27, Ambleside Mead.ows, filed December 29, 1998 in File 75, Slide 750, Surveyors Office Lane CountY Oregon. Lots 25 and 27 are subject to the Declaration of Protective Covenants, Conditions and Restrictions for Ambleside Meadows Subd.ivision fi1ed. December 29, 1998, Reception No. 98103699, Reel No. 24gg[, Lane County Special Records, IJane County Oregon. your attention is directed to Article VIII "Additional Easements and Wetlands," Section 5, "specific Restrictions Related to Wetlands Protection, Easement" Section A establishes a protective 25 foot buffer on l-,ot 25 through 34 adjacent to the wetland boundary which was shown on your p1at. The buffer area is shown on the pIat. The buffer area has also been staked on your property. Subsection (a) (z) requires that 1ot owners maintain the buffer area in its natural state with natural un-mowed vegetation. This has not occurred. Your development of t.he property is impacting the buffer area contrary to t.he requirements of the Protective Covenants, Conditions and Restrictions. SUITE D, 223 ASTREET SPRINGFIELD, OR 97477 (541 ) 746-5621 FAX (541) 746-410e ,veRi P c RE Ri,ver Builders Inc. ,Ju1y 12, 2OO2 Page 2 Subsection5(d)(c)providesthatrestrictionsforbufferareas are enforceable by the corp of Engineers, the Division of state I-,ands, the City of Springfield, the Homeowners Association and the owners of any lots that include the respective buffer areas ' In the event of a court proceeding for enforcement of these restrictions, the losing party shaI1 pay Ehe attorneys fees of the prevailing party or parties at tria1, or appeal or petition for revi"* "rrd in enforcing or collecting any judgment, in such reasonabLe amount as shaII be fixed by the court in such proceedings or in a separate action brought for that purpose' The Declaration of Covenants, Conditions and ResE'rictions was written to implement the requirements for the special conditions for Fi1I Permit No. 1,4947 which you received from the Division of state Land, your attention is directed to special conditions No' 5 and 6 0f that Fi1I Permit. The covenants, conditions and RestricEions were also written to implement Nationwide Permit 1,425 which you received from the corps of Engineers. Please see "Qualifications Conditions" No. L7 and "Implementat'ion Condition" Nos. L, 3, 5 & 9 of that Nationwide Permit ' I am send.ing copies of each of these documents, along with this letter , for your review. copies of this letter are also being sent to Breadner, Parker and Associates, 2045 NW Marshall, portland, oregon 97209, the developer of Ambleside subdivision, and Jay R. IJorenz , 4435 N.W' Westview, PI-.| No' 8' Corvallis' oregon 97330, developer'S agent so they are each informed on this matter. please take whatever action is necessary to immediately cease your unauthor!zed. activities. Please contact Mel oberst, etanning Supervisor, 225 Fifth Street, Springfield, Oregon 97447, 541- 726-3783 at the city of springfield Development services Division to undertake whatever action is necessary to bring your activities on Lots 25 and 27 Lo compliance' It is my understanding that the City of Springfield Build'ing offj.cj.al may be issuing a Stop Work Order until this mattef Can be sorted out and you undertake appropriate actions and measures to commence comPliance. River Builders Inc. July 1-2, 20Oz Page 3 A1so, please be informed that it is my understanding that the City of Springfield Development Services Oivision will be bringing t,o the attention of the Federal Corps of Engineers and the Division of State l-,ands your conduct on this property. Sincerely, HAROI,D IJEAHY & KIERAN \ )LJ o 9r-.\ ,Ioseph J. IreahY iIiIL: IIk €A\51 cc:Me1 Oberst Susie Smith N:\crTY\Pworks\GENERAT.\r,Er Eo River Builders rnc.wpd Job# 02-00342-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 5 Job Numbe r: 02-00342-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04600 Su bdivision : Ambleside SPR!NGFIELE, 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2264 00033rd St Spr AssessorsMap#: 17021934 Lot:27 Block: Addition:1st crTY oF sPRtNcFrELD, OREGOTV Owner: River Valley Builders lnc Address: PO Box 2041 Scope Of Work: Single Family Residence SFR Phone Number: Gity/State/Zip: New 541-726-0330 Corvallis, OR 97339 Value: $159,113 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor River Valley Builders lnc PO Box 2041, Corvallis, OR 97339 G&EElectric, lnc PO Box 1686, Albany, OR 97321 Midway Plumbing lnc 2428Three Lakes Rd SE, Albany, OR 97321 Midway Plumbing lnc 2428Three Lakes Rd SE, Albany, OR 97321 Registration # 1 34566 Expiration Date 4t15t2003 Phone 541-726-0330 541-967-8627 541-928-7927 541-928-7927 54468 4687 4687 9t15t2003 7t25t2002 7t25t2002 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNW 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Gas # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1939 To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Buildinq Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Geiling !nsulation Shear Wall Nailing - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -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. -Before covering sheathing with finish materials. Framing Walllnsulation Drywall Hold Downs lnstalled FinalBuilding Temporary Power Rough Electrical Electrical Service Fina! Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Sanitary Sewer Cap Perimeter Foundation Drains Backflow Device FinalPlumbing Underfloor Mechanica! Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Gurbside CG-Standard Street lmprovement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' I To Curb and Gutter 6 00/00/0000 00:00:00 Job# 02-00342-01 Page 2 of 5 Required lnspections Buildins - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrica! -Approval required prior to SUB energizing pole - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbing -Prior to insulation or decking. -Prior to cover or placement of concrete. -Prior to cover. -Prior to filling trench. -Prior to filling trench. -Prior to filling trench. -Capped within five feet of the property line and capped with an approved material as required by -After gravel and filter cloth is installed, but prior to backfill. -After device is installed but before backfilling trench -When all plumbing work is complete. Mechanical -Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When allgas 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 00/00/0000 00:00:00 Types Of Warning Devices Reqd. Job# 02-00342-01 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? V Zoning: LDR Overlay District: FloodPlain? ! Wettands? f] # of Street Trees: 1 Journa! numbers 1:2002-03-0067 2:2002-02-0056 3:2002-02-0055 Comments:MOP, PLA and LDAP. Wetland conservation Easement on Lot. Planner: Jim Donovan Urban Growth Boundary?[ Glenwood Area? [] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: FIood PIain FEMA:Panel 1153of2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? - Area (Sq Main: 1939 Accessory738 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 29 Current Units: Proposed Units:1 Gensus Code: New SF - detached Total2677 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 03t2612002 8418 159,113 $494.42 $494.42 Buildinq Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 04t16t2002 04116t2002 04t16t2002 8617 8617 861 7 159,113 $760.65 $53.25 $60.85 $874.75 Electrical Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical State Surcharge - Electrical 8% Admin Fee - Electrical 8% Admin Fee - Electrical Total Electrical 03t26t2002 05t28t2002 05t28t2002 03t26t2002 03t26t2002 05t28t2002 03t26t2002 05128t2002 8418 9260 9260 8418 8418 9260 841 8 9260 1 3 1 $.00 $106.00 $57.00 $50.00 $3.50 $11.41 $4.00 $13.04 $2/14.95 Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device 8% Administrative Fee - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Plumbing 04t16t2002 08t27t2002 04t16t2002 04t16t2002 08t27t2002 08127t2002 04t16t2002 08t27t2002 861 7 10448 861 7 8617 10448 10448 8617 10448 1 1 $.00 $31.00 $306.00 $21.42 $3.15 $14.00 $24.48 $3.60 $403.65 Job# 02-00342-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanica! Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 04t1612002 04t16t2002 04t16t2002 0411612002 04t16t2002 04t16t2002 04t16t2002 04t16t2002 04t16t2002 04t16t2002 8617 8617 8617 8617 861 7 861 7 8617 861 7 8617 8617 1 1 $9.00 $4.00 $.00 $5.12 $12.00 $24.00 $9.00 $6.00 $10.00 $4.48 $83.60 1 4 1 1 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 04t16t2002 04t16t2002 04t16t2002 8617 8617 8617 6 1 1 1 $75.00 $7s.00 $-30.00 $120.00 Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 04t1612002 04t16t2002 04t16t2002 04t16t2002 04t16t2002 04t16t2002 04t1612002 04t16t2002 04t16t2002 04t1612002 $790.61 $34.83 $10.00 $141.34 $-21.42 $332.86 $659.76 $1 55.1 3 $491.51 $373.52 $2,968.14 8617 8617 8617 8617 8617 861 7 8617 8617 861 7 8617 ,896 1 1 34 1 1 1 23 23 2 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 04t16t2002 8617 1 $1,000.00 $1,000.00 Planning 04t16t2002 8617 1Planning Plan Review Total Planning $55.00 $s5.00 Address Assignment Total Permits wlo Srchg Permits w/o Srchg 04116t2002 8617 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res $6,252.51 Checked By Lisa Hopper Bob Kettwig Date Completed 03t29t2002 04104t2002 Comment Svstem Deve 1 Plan Gheck Type Planning-Res Checked By Liz Miller Job# 02-00342-01 Date Completed 04t03t2002 Page 5 of 5 Comment Modification of Provisions and Property Line Adjustment in progress to result in lol27 having 61 feet of frontage and lot 28 having 59 feet of frontage. Before issuing occupancy check with Jim Donovan or Planner on Duty for Final Plat and approval per Jim Donovan 4t3t02 Structural-Res Tom Max O4tOgl2OOz 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 inat any and all work performed shall be done in accordance with the Ordinances of the City of SpringfielO anO tne 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 701.055 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. Signature Date 225llFfH STREET . SPRINGFIELD,OR 97477 o PH:(541)726-3753 r FAX: (541)726-3689 City Job Nnmber DZ@ 3/2-D/2264 74 @;*" Job Location Z /,JAssessors Address Tax Lot Owner '"l e'/a t4C ()2a City eor,u //.',S zip BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee) C ontructor Information Contractor City .fZr*w S tcte zip er/ 9 Construction Contractors Registration #44s7 Expires By signing this permit/application, I agree to call for an inspection once the backflow prevention devise has been installed and is visible for (7 26-3769 ). I also state that all information on this permit/r correct. r tfi:vf,S For Office Use Date of Application checked f* il0ilfifii status THIS PEBMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONEO FOR ANY 180 OAY PERIOD. Checked for Delinq llencles z L Shared Drive (f:)/Building Fonns/Baclflow Preventionl-02.doc M CITY OF SPRINGFIELD, OREGON o4a a O a. 4,.Ph","(il1\ ?L3-7727 a otification Center. Those rules are set for OAFI 952-001-0010 through OAR 952-00 83/All28s? 68:53 8416849388 ffflttiffi,;#d'i#,ff*Ttb^, 225 S'r Strccr, Springfictd, On itqz pn.'ne-fisg K & A ENGINEERING PAGE 66 lob 3 G2 City lob# IELO Affidavit For Site Investigation Qucstionnairc Foundation Sub-Grade Approval for Residcntial Building Site in Ambleside Meadows - l$ Addition Subdivision The undersigned hereby affirms that thc excavation, struc-ural flrll and moisture stabilization methods for thc building site at the address shown abovc was obserued by me or an authorized employco of my firm and that the following is true: l. The foundation sub-grade is capable of supporting a minimum of 1500 psf, md is adcquate to support the buitding proposed for this site' 2. The moisture content of the excavation was adcquately maintained during the site prcparation process and was adequately covered to stabilized moisture content prior to any significant change in moisture content of the sub-grade. 3. The site is adcguately graded and draiaed to prcvent the collcction of warcr in the excavated area during construction. 4. The accomPanylng report titled "Sits Investigation Questionnaire for Consulting containing ficld observations and instructions madc on ) for the building sito was completed oithcr by or by an employee of my firm under my supcnision. To the best of my knowlcdgc, thc information contained in that report is complete and accurate. Name of Licensed Professional (print) te47a .s 63/47lzgtz 68:53 5416849358 Conrmunily S.jl.jl _Ol, ,lding Safcty JobCITY OF SPRINGFL-D, ONECON zzs s,n Srcer, Springfietd, OR ii){in,7zr;37ss K & A ENGINEERING 226 43 R9 Ci:y Job #*OO ELD PA6E 02 AMBLESIDB MEADOWS -1ST ADDITION This form may be T$ * a tcmporary vcrilt_cation tqrllow construcrion to condnueon thc Job stre until the coruurdnt" d;;; "m;;r,Hth. spe so1 compacrronand stabllizarron is cubmitted to rhe city. Thls form;;;t b. compreted by alicensed design professional (engineer oi architecO or r,-isner author.lzed employee,and subrnitted to the buildlng_ inspcctor prror to .;q;u-r-ti"gtity rrxpe-ctron;;;''placing foundation concrete. It rsimportant that adqu*iiii, be rnsweredcompletely for the foundstion elte to be approved for co*t*ction. rcqu - new on res Owner andTor Contractor 3. What was the slze and depth of the rxcavatlon and /or fill?0r ?Trl , AD Jt- sx-lL +D la-tl\rct# Site forQuestlonnrire Design Professionals ) lVas existing non-stnlctural fill or cxpansive soil encounterpd on tbc lor?Yes_/Vo_Y- If "yos", what t1rycs, dcpths and locations? vFL tr What measures were taken to remedy thc engineercd fill used o stabilize rhc soil)? soil condition (include rype of 6 U|l Deg 6r-t'tsltr6.o 6a^J-a-|f (z-r c-tq \,.rb, r{s|Flp reoAt}tuc -To ^ C:.{Lo-,2g / Tt PPVD r*, rT* 2-^ 3 tr\rc(+fr oP alq',V) ClL, h{rb I l. Dare of the design profcssimapr slts evaruetion? s t +l oz-, 2' llas lhe d:tipl professional reviewcd a copy of the geotechntcat lnformationfor the subdivision that wes providcd with ihe builirng permtr? yr,.[iii_ If not, please contact this olfice for a copy of the repon. The design professional must be familiar wilh the geoteclmical iiformationbeforc comptiing tiiryo*,. I 63/67/2992 68:53 5416849358 Communrly Sc-rvrces Dir lding Safery JobCITY OF SpRINOFtruD, OnECOw 225 5'h.Srrucr, Springficld, OR glllj e[.:fz647ilg K & A ENGINEERING Ciry Job # PAGE 83ush c) Is the site as prcpared g(o*,teB inadequare E to maintain co'stanr moisturecontenr in the sub grade?- Nole: verificatiin oJ moisrure ,taiiizotion in tlw subgrade is a requirement of the geotcclanical report, ond. must be affirmed beforeconslruction can conl inue. lf inadequate, what measunes arc needed to provide constant moisturc content inthe sub Is the site as pr€pared adequate fi inadequatc ff to suppon the proposcd structure? An afrirmativc answdr k requlsfie to procaeding with construction. If inadequetg what addltional work b needed to provide adequate foundation support 4. Dtd the deign professlonrl witness placencnt and comprcllon of the engineered fill, or is therc a rpeeirl inspcctlon rcport forthcomlng lrom a qualified agency? I witnessed Placcment B Specdat lnsplcompaction report Q 5. The design professional lntcndr to use the lollowing method for installatlon of perforated perlmeter footi,ng draln* The dcsign on thc attachcd drawing provided by the design professional ...... The method shown on the original construction drawings... The typical 'Foundation Drain' drawing attached to permir Perforated perimeter drains are nol required Note: Ciry inspcctors will inspcct installed drains prior to cover upon request... Call: 726-3769 to schedule inspection. trn tr n 2 AJE[). O3/O7lzag? aB:53 5416849358 Communiry Services Dir lding Safcry Job CITY OF SPRINGFITT_D, OREGON 2?.5 5v'Sucet. Springfisld, OR g747-t pn.7h6-375g K & A ENGINEERING ?-a 6 ,3 B2 -sI: City Job # PAGE 64 Low'point crawl space dri_* are rcqulred ro prcveut the bulld-up of excessmolsture inside the foundations durlng (aud aiter) construciion. Thtu drain qa.y be- instrlled $g furnaatlon placiment of the desien profc$sioFal. a, The design professional has determined the followingr The crawl space drain ts requiredwhen theforndation is instalted..... c The low-point drain can be installed, aficr foundation placcment without asignificant moisture build-up probrem within the fowdation. . .. ... ., , . ., tr (The low-point drain may be irrstalled at the , , - stase of construction) pon tl bcom ftanli3. rooliiX-7i|. b. Has the design professional obscrved and approved the installation of the required low point drain?....... yes, _ No _,l "yes", whcre is the low point drain located under the buitding and where does it terminate at rhis lime? (must be an approved locarion, i.e. street gutrct, stonn sewcr, sump pump and discharge line to the streel, elc, The design profcssional must dctermino whethcr thc approved permit drawings have adequate foundation steel. Is any eddttional foundatlon stcel requlred that is not shown on the foundatlon drawings for the buildlng? I/as _ No *. Il "ycs", describe ailitional steel required (or provid,e drawtng} The following starcrnent must be signed by thc individual doing the observations and providing directionJor the excavation and site preparailon work on the property. 3 CI3ls7/2662 6E:53 5416849358 K & A ENGINEERING Communiry.ServiccsDiv, Jing Safcty Job Address z2-4il TID CMY OF SPRINGFIEtrD OREGON Ciry lob # 225 5'r'Stroct, Springfield, OR 97477 Ph.726-1759 (Note): A copy of this report sbalt be kept on stte wtth the rpproved plans et rll tlmes, This report shall be followod by an affidavit, signed and stampcd by thc design professiond under whose auspiccs this rcport was completed, affuming the information hercin, Thc signed/stampcd affidavit together with a copy of lhis repon shall be submitted to this office prior to requesting frarning inspection for the building. Title License #2- PAGE 85 The undersigned deslgn prolesstonal (or authorizcd omplayce) a6csb that hclsheobscmed rcqulrcd m.ols^tarc stability pmcedures on rhis;it;, and gut such pro,cedures were accomplished bctor_c gn! clrrlngcs ucuned in thc moisture content of the sub-grade under and around lhc buiBing (wherc expansive soils werc cncounierod), Theurd-crsignedfuahcr drr::& that thc tyl.grdc2 is prepared, ls adequue n support thcbuildtng proposedtor this site. Additional eomments! The geotechnical repon for the Amblecide Meadows - I't Addition Subdivision recommends immcdiate moisurc etabilization of exposed expansive sub-grades, and that expansive soils be over-excavated and replaced with at lcast t2 inchcs of fill compacted to "t lu^rt 93% ofASTM D698 for foundatinn Fcparation. The rcport also rccommcnds that messures be talceo to prEveut water from colleding in or around the foundation areas during and afrer rhe construction process. and thal positive sirc drainage bc providcd to rcduci the infiluation of surface water into thc cxpansive solls. The geotechnical rcpon funhcr cmphasizes that thc finish gradc of landscapo soil adjajent to the foundarion should be at lcast 24' above thc expansive bearing soils, firmly coinpacted to reduce the infiltration of warcr at the surfaco. The adequacy of fiIl soil ;;t-al around the buitding must bc vorifrcd to thc satisfaction of the design profcssional. 4