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Home My WebLink AboutPermit Building 2004-06-11 (2)Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00542ISSUED: 0611112004APPLIED: 0510712004EXPIRESz 0212712005VALUE: $ 188,296.00 SITE ADDRESS: 2279 36thct ASSESSOR'S PARCEL NO.: 1702194305700 PROJECT DESCRIPTION: SFR, Lot 114 Ambleside Owner: TyNDALL HOMES Address: 3540 OSPREY DR SPRINGFIELD OR 97478 Contractor TYNDALL HOMES Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 653-3383 Contractor Type General Electrical Mechanical Plumbing EVERYDA Y License 94572 136371 3944 158295 25.00 Forced Air Gas Gas Gas Path I ', nla Expiration Date 101t012004 0811212005 05/3U2005 0u1412006 Phone 541-912-1373 541-607-6908 503-363-2334 541-741-35s3 JET # of Units: Primary OccuPancY Secondary 0ccuPancY GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImProvements: Storm Sewer Available: Special Instruction: bJ Structure ID of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ,, 1,228 868 623 3 21.00 9.00 6.s0 14.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: hu1 0R \$s 0 hI REQUIRED PARKING Total: 2 Handicapped: Fully ImProved Yes -Sidewalk TYPe: DownsPouts/Drains: $\s"".n"'' Curbside 5' To Storm Sewer Notes: hN\ Page 1 of 4 Building/Combination Permit uuNII(AUrur(rNru]ryJ to 1 Yes F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00542ISSUED: 0611112004APPLIEDz 0510712004 EXPIRESz 0212712005VALUE: $ 188,296.00 Description Dwellines Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,874.00 623.00 Value $173,157.60 $15,138.90 $188,296.50 Date Calculated 0510712004 0510712004 Total Value of Project Amount Paid Date Paid sl7l04 6nu04 6llll04 6ltu04 6lltl04 6nu04 6ltll04 6lttl04 6lttl04 6llll04 6lltl04 6llrl04 6llll04 6lltl04 6ltll04 6ltll04 6llll04 6ll1l04 6llll04 6lltl04 6llll04 6llll04 6llll04 6m104 6llrl04 6lltl04 6llll04 6/11/04 6llrl04 6/11/04 6/11/04 9lll04 9/1/04 9/1/04 9/1/04 Pas,e 2 of 4 Receipt Number 1200400000000000673 1200400000000000894 1 200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 r200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000001295 1200400000000001295 120040000000000129s 1200400000000001295 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two FamilY Addressing Assignment Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100'000 btu Gas Fireplace Gas Outlets 1-4 Heat PumP Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - ImProvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC NIWMC ImProvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC TransPo Admin SDC TransPo ImProvement SDC TransPo Reimbursement SidewalkPermit Storm Drainage ImPervious Area TemP Power 200 amPs or less YentFan Willamalane Single FamilY + 10% Ailministrative Fee + 7V" State Surcharge **x{,ril?l'lnhlh' $5s5.68 $10.00 $123.49 $86.44 $254.00 $31.00 $-22.32 $854.90 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $326.99 $430.16 $10.00 $214.23 $314.63 $9r.s2 $s4.23 $727.42 $164.89 $7s.00 $748.93 $50.00 $18.00 $1,000.00 sl8.20 $12.74 $106.00 $76.00 tr'pps Paid L} Valuation Description I Status Issued 225Eifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00142ISSUED: 0GflU2004APPLIED: 05t07t2004EXPIRESz 02t27t2005VALUE: $ 188,296.00 Total Amount Paid $6,506.13 Plan Reviews Initial Review Initial Review Planning Review Public Works Review Structural Review 05nu2004 0s11112004 WE LLH 05/13t2004 0511312004 ro LLH Spoke with JeffTyndall. He asked that we hold the plans until we heard back from him. Do not process until further notice. Okay to process. Received message from Jeff Tyndall okay to process plans. Please proceed with plan review process. Spoke with Jeff Tyndall regarding siteplan LL:45am, 512112004. As per Mr. Tyndall, standard approach, entire approach to be constructed on taxlot, storm sewer to rear of property to existing provate tap, sanitary sewer to front City tap. 0sn4t2004 05114t2004 06t0u2004 05t26t2004 APP APP TAJ VRJ 05fi4t2004 06t03t2004 APP RJB To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete' Temporary Electric: Approval required prior to utility company energizing pole. Rough Electric: Prior to Cover ntectric service: Approval required prior to utility company energizing service' Final Electric: When all electrical work is complete' Site Inspection: To be made after excavation but prior to setting forms. ErosionTGrading Inspection: After all erosion measures are in place. 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' roonoitioo, After forms are erected but prior to concrete placement. iati."O n.em: Prior to floor insulation or decking' Floor Insulation: Prior to decking' - Shear WrlI Nailing: ;tft* t;;;fitg sheathinu with finish materials' nreminq lnspection: "i;io;;;;;tiilro atter "att rough in inspections W"U foiototion: Prior to cover' CJUng fnror"tion: Prior to cover' Pase 3 of 4 Reorrired fnsnections have been aPProved' il Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00542ISSUED: 0611112004APPLIEDz 0510712004 EXPIRESz 0212712005VALUE: $ 188,296.00 Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 4 of 4 L !!t,!;frx;,;:: stI.Do_szig;r:::974n ^ : t1 o^!!O rin Sf i eH Oftici a t R e c ei p t, cvelopment Servtces Departmeitp u blic Wo rk s o "i i.i.rZri RTCNIPT #:12004000000000012ss Date:09/01/2004 e:53:2zAtw Job/Journal Number coM2004-00542 coM2004-00s42 co}i[2004-00542 coM2004-00s42 Description + 7o State Surcharge + l0% Adminiskative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Due 12.74 18.20 106.00 76.00 Item Total:s212.94 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check Number Authorization Check TYNDALL HOMES djb 3 109 In Person Payment Total: $212.94ru gtr12004 Page 1 of 1 NGFIELD, OREGONCITY OF 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-37s3 o FAX: (54 ELECTRICAL PERMIT APPLICATION o^ C,r/O City Job Number S4Lo*" 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder to 9i Amps olts SPEIhI{iTIELT' $ $ 19.00 $50.00 s 63.00 $ 7s.00 s l2s.00 $163'00 $375.00 s s0.00 $ 69.00 $100.00 $ 43.00 $ 3.00 $ s0.00 $ 50.00 $ 25.00 $ 45.00 Fee is $45.00 + Surcharges oot I LEGAL DESCRIPTION '2 3 C STOO A. 17, JOB DESCRIPTION =I L Permits are non-transferable and expire if work is "oi ti".t"O within 180 days of issuance or if work is Suspended for 180 daYs. Electrical contractorFV e 2. Address I3 City Supervisor License Number ,{L Expiration Date Constr. Contr. Number t3(31 Expiration Date Signature of SuPervising Electrician $ s0'00 \n6$epl \- Only Installation, Alteration or Relocation 200 AmPs or less 201 AmPs to 400 AmPs 401 AmPs to 600 AmPs Over 600 or 1000 Volts see "B" above. New Alteration or Exten One Circuit Each Lighting C D. ,fl ?zrpt OWNER INSTALLATION EnergY/Residential Limited EnergY/Commerci al The installation is being made on properly I own which Minimum Electric Permit InsPection is not intended for sale, lease or rent' Owners Signature: TYoSlate Surcharge i0% Administrative Fee TOTAL ZIZ ?1 lsz zr,l 7 zc, Inspection Request: 126'37 69 4. Shared Drive(T:)/Building Forms/Electrical Permit APPlication l -03'dm 7_A-a + tl Owners Name Address 1 726 -33tr3 Jun-!6-?004 06:?9pn Fronrl( I A Enlinearinr, lnc. C-omnruniry .Sorvjcs.r Difauiltling Sufsry JobCITY OF SPRINGFIELD, ONECbN ZZS S,h .S rec r, .Spri n g fi c lrt, ( )R gt tl I - it l n6-.1 7.,, 9 +51 r -684-9358 I-602 P.902 F-991 Ciry Job #c0|42 Thlr form Esy bc used es a Emporary verltlcation to.eilow construcuon to conllnueon rhe job site unflt the consrila;t'e siampcd drld;t,p"-the elte mil cumpactionand stabilization rc submttrsd to the crty.'ru, io*r;ilt b, comptetcd by a[ce-lrecd desfin prdecsbnal (agi,Gei or archlrect) o, frffued cubdtra; tr. u,rruu;ffip;; prior to ."*-trog";,i;ffm***placLrg foundrtlon conc-rete.lt b @ortant th.t "rf q*di* be,rcwercdcompletely for thc foun&tion sltc to bc epproved lor construction. u:Phil!€F ii:1.5 AMBLESIDE MEADOWS SUBDIVISION -18T ADDITION - new on Owner and/or Contractor Tvn 'l't ructi on 1. Dete of the dcelgr proferrbnelrr clte eveluelion? 5t 2004 3. What waa thc slze and depth of the excrvatlon rnd /or llll? nsl ted o nchi n I nto 2" I-I*-th. destgt profesrionel revhred r copy of the gg€cftnhet inforrnrflonfor th subdlvtdon that nns pr.rovlded witli ihe tuilitng permit? rrlaiir;_ If noa phasc coaaa rtis oficefor a copy of the report. Tlu design professtoml must be famillar with tlu gcotecluical information- before conrpblfing ,itt yorr ex n c n e cu e e i ght 5-feeta Sitr ProfessionatsConculflngfor lvas existing non-strrctural fill or exprnsivc soil encouatffid on oe tot? Yesxtl the If 'JEs", what depths andlocadons?- The entlre area of tlon a roximate'l 3.5 toZ:IrfEet o:f- a cs sma a was 00se a red What uleasur€s were taksn to remcdy the soil condition (iaclude tpe of eneinecrpd fill usedto stabilizcthe soil)? The entlre amount of fi tI materlal w.ith'in the boundary of the fouhd ing of Pia wt tir Lo to support the foundation. I Jun-16-?004 06r29pn From-l( tr A Encinaarinr, lnc. +541-584-9358 T-60A p.003/009 CornnruniryScrviccsDiv,-Buildingtiltury JobAdO&3q 36th Ct: 2279 36th Cl, CffY OF SPRINGFIELD, OREGON ciryJob#@ 225 ltt'Srrcct, .Springlicld. OR 97477 Ph. 726-1159 The firlpUlan f.ill VlrlcS in rrepth fnnm 1 tn 3-fett- Jhe qllanry Alkone was:.ge*tgd I camnacted uslno the backhoa bucket and was qpproved bLls as adequate to support the proposed foundatioh. F-99 r Lla naannrmand *hl t a nenlmetcr fortndatlon driln bp i'nstaI led. c ete 5 ra n roLk, Ie thc site as prcpared adcquan fi inadcqwte Etr to suppofi tlppnoposcd Etnrcnrc? An afirnutivc frutwer is rcquisitc to proceedlng with con*nrctton. If lnadcquah' rvtat additionel vot* is ndd to provlde etlcqultc founda$on Is tbe sirc as plepartd dequate 6, tnadeqwre fJ to maintah constan! moisturc conEnt in the sub grade? Note: Ycrlfication of moisturc stabiliufion in tlu sub grade is a requirenunt of tlu gcotccluical report, and rust bc ffirnud bcfore construclion can continue. If inadequatc, what maasurEs arc needed to provide consBnt moistur€ contcnt in the sub I I t Commcnts: Note: Clty lnsPectorc will inspect insuthd drains prlor to cover Wn reqwsl"' Catl: 726-3769 to schc&th itupcctio* 'l i'n 4. Did the destgp prcf3sdonsl wi&ree placemeut and conpectlol of the englneeltd nU, or h there a rpeciel lnspcclton ryeg{ tqtcomtg film a -qfitifi"d rgcncy? Iwinessed Placcnent$ Special Insplcampaction rePofl A S. The design pnofemioaal tnMr 3o rrsc the folloving method for instellatlom of perforeted pcr'imeterfmtlngdrainr: : - iile'design on tlc amchcd drawing provided by the design professional ' ' ' E The method shown on thc original construction drawings... ,.,, '.. U The tlpical .Fouadation Drad' drawing at6ched to permit EI it d;,.d perirneler dnins aIE not requirca tr 2 Jun-|6-2001 06:30pnr Frorn-l( I I Enrinaerinl, lnc. Conrmuniry Scrvices Divluilding Sal'cty Job CITY OF SPRINGFTELD, OREG-OI{ 22.J Sri Srucr. Springl'iotd, ()R 97471 ph.lh(1-3ililg +51 r -681-9358 T-502 P.904/009 F-091 Ciry Job *? r,oy'noln! cTwt spoc€ trtr e'e requrrcd to prevent thc bulld-up of croccsmoishrne imidc the foudrtrons during (end aiter) conctrgcqon. trri, drsitr q".y be-irytalhd !ftqforndrrion phfu"t ol tho deskEumtsto. +el- a. Tbe design profe.ssionsl has determined the following; rru crawl srycc drak is requircd wtun tlvfourdltio is iwnlled,.... tr TIU ly-poin drain can bc tnsultcd afierloudation plrcenunr wilhow asignifrcant moisturc build-up probhm wtthh ttu Jowrdaion, .. ......... tr f raml nrr- .. slage Jrou t*,0@mIftmlng, ruofiag, ctc. b. Has tlu design profcssional obscrtnd and approved thc insnllation o! thc rlg.uired low point drain?.............. yes, _Noy,t__trf '\ps", wlurc is ttu bw point drak located wder tlu builtting ,T wlpre docs it'tcrmilrau at this tim,e? (must b an apprwed trcitioa i.e, (Tlu low-pokt drain may be installcd at tlu otconstruction) strect gutten storfi sa4,er, sr4ntp pun p and dischargc lhc to tlu strect, The design pmfessional muet detcrmioc whethcr the apprcved permit drawings have adcquarc foundation stecl, Ic any ddlffonal foundrthn etecl requtrcd thet ls not showa on tltc foundadon drrrrhgs for the bulldlng? Yes - No xx If "ys", describ dilitioral stccl required(or provlde druwhg). Thcfolbwing slatenant mtu, be signcd by tlu tndividwl doins tlp obscrvations aad providiag dlrcctlonlor the crcavatlon ard slte prcparattot wo* on the propcrry. 3 iun-16-2001 06r30pm Frorn-l( & A Ensineerinr, lnc Comrtrunity Scrvit:r:s DivlBuilding Sultly Job CITY OF SPRINCFIELD, OREGON 225 5'r Strcuq Springlickl, OR 97477 Ph.726-3759 +51 I -584-9358 T-60a P.005/009 F-sgt aoorees-?!Z9.l9tw-Ct' iirrr The wdqrlgned dalgt ptolcstional (or autfurizcd oryloyce) afficsfi that hclshc absend requircd aoistu.?e st&iliey proccdures on thls t*c, ad tlwt nnh proccdara wcre accomplishd before any cfunges occuned ln the molsfrttv conlcdt of the cub- grade undar and a,round the buildlng (*hcro cryrrslw so{ls werc arrcoan cred)L I'ho undercigncdturtltsr attcsr thot thc sub-grde, u prepandr ls adaguole to swpott the butlding pmposcdfor this tltc, Additionrl comments: (Note): A copy of thle rcport chrtl bc kept on site with the eppmvcd plene at all lirres. This report shall be followed by an affidavit, signed and eumpcd by tho destgn Fofessional uoder whose auspices this report was completcd, affrming the information herein. Thc sigrrcd/stamped affidavir hgether with a copy of this rEport shall bc submitted !o this officc prior to rcquesting framing inspection for tbe building. Coryany K & A Enrtineerlnq. Inc. Phone 684:9399 - Ucense # 19474 * The geotochnical rcport for [l€ Amblesidc Mcadows - I't Addilion subdivision ,eoilnenas immcdiarc moisturc stabilization of cxposcd cxpansivc sub-Erados. and tbat exDansive soils be over-excavatcrl and replactd with at least 12 inches of fiU compacted il;loo;fit-rrasru D69g forfo*&ti* preparation, Thc report also recomnrcads tfrri *i*or". U. tafenio pt"r*t water from c6ttecring in or arannd the founrdatioo areas during and after tt a ,**ta"rion plocess' and that positlve sirc drainage be prcvided to rpduce tfn infiltration of surface water into tbe cxpursive soifu' The gcotcchnical report furttrcr emphasizes that thc finish gnde of tandscape soil adjacent to the rounoation thouldbe at le0tt 24" above ttrc cxpanrive bearing soils' fgly comoast€d to reduce thc infiltration of watEr at thc surface' rhe dequacy of fill soil material around tllp b;id6;;;ib. verificd to the aatisfacdqt of the design profossional. 4 Name fillcPreslden! .. .-- - Jun-I6-?001 06:3lpn Frorrr-l( & I EnIinssrinI, lnc +51t-681-9358 T-60e P.005/009 F-tgl Job,cddras.e - 2279:36th Ct. CiryJob #2 Coarmuniry .S*vice.i lJi v.-lt uikl ing .Safu ry CITY OF SPRI}JGFTELD, OREGON 225 .5'r .Strer;t. Springlicld, OR 9?417 Plr.126-7759 PfiiltlGF!!-i. t") Affidavit For Site Investigation Questionnairc Residenti.rBIili,,Xt#il"f,,Jijii*',trJ.:1-ll:l.,Addition Subdivision Ilre undersigued lrcreby affirms that thc cxcavation, stnctural fitl and moisrurc stabilization rr thods for thc building aite at the address shouro above was observed by mc or an authorizcd cmplopc of my firm and that thc following is mre: l, Th fomdation sub-grade is capablc of supporting a minirnum of 1500 psf, ard is adcquate to support the building proposed for tbis site. 2. The moisture contentof the excavation was adequately maintained duing the site prtparation process and was adequately corrercd to stabilized moisturc coilent prior to any significant change in moistulp cofltent of the sub-gndo. 3. The eite is adequately fadcd urd drained to prtvent tbe mllectioa of watsr in tho cxcavatpd arca during construction. 4. The accompanying rcport titled "sitc Lrrrestigation Qucstiomnairc for Coosultitrg Dcsigr Profcssionals" conuining ficld obscrvations and instuctions madc on for thc building eile was conpleted cithcrby or by an employee of my firm under my supervision, To the bcst of my knowlcdge, the informatiqt contained in that rcPort is complete aod accurate. Namc of Ucensed Profa:sional (prin$ Mtchael Renbol dt Dar.- 6l16l2AM - oilur ormr$ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 2279 36th Ct ASSESSOR'SPARCELNO.: 1702194305700 PROJECTDESCRIPTION: SFR Owner: TyNDALL HOMES Address: 3540 OSPREY DR SPRINGFIELD OR 97478 Building/Combination permit PERMIT NO: COM2004-00542ISSUED: 06fi1t2004APPLIED: 05t07t2004EXPIREST 12fi1t2004VALUE: $ 188,296.00 Springfield TYPE OF WORK: Singte Famity Residence TypE OF USE: New Residential Phone Number: 653-3383 Contractor Type General Electrical Mechanical Plumbing Contractor TYNDALL HOMES EVERYDAY ELECTRICAL SERVICE MARSHALLS INC SHAD CHASAN SURRETT License 94572 136371 25790 158295 Expiration Date t0/10t2004 08fi2t2005 12t23t2005 0u14t2006 Phone 541-912-1373 541-607-6908 541-747-7445 541-741-3553 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # ofStories: 2 Height of Structure 25.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 u-1 VN 1,229 868 623 3 21.00 9.00 6.50 14.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: I Yes 25.20 Sidewalk Type: Downspouts/Drains: REQUIRED PARIflNG Total: 2 Handicapped: Compact: Curbside 5' To Storm Sewer street Improvements: Funy rmproved Storm Sefrptf,tflOlkoregon law requires yil.to Special I$ftWtiq|es adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: h oAR 9524014010 through oAR 952-001' 0090 You may obtain Gopies of the rules by calling the center. (Note: the telephone numb; forthe Oregon Utility Notification Center b 1 -80&332-23441' ifl'il[.1UruFiUff s[ffi,'$JBr it.VT5i'['^i PiCrbo PUBLIC IMPROVEMENTS Paee 1 of4 - *.** _-'I t\r .t-r[Y t1L(rriYrtlr\ r lr\rlrr(r]'rAf Il_r\ r ---- Status Issued 225Fifth Street, Springfield, OR 541-7264753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line Building/ C o mb in atio n p e r mit PERMIT NO: COM2004-00542ISSUED: 0611112004APPLIEDz 0510712004EXPIRESz 1211112004VALUE: $ 188,296.00 Description Dwellinss Garage Type of Construction Y Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,874.00 623.00 Value $173,157.60 $15,138.90 $188,296.50 Date Calculated 0510712004 05t07t2004 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + loh State Surcharge 2 Baths One or Two FamilY Addressing Assignment Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - uP to 100,000 btu Gas FirePlace Gas Outlets 1-4 Heat PumP Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - ImProvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC ImProvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC TransPo Admin SDC TransPo ImProvement SDC TransPo Reimbursement SidewalkPermit Storm Drainage ImPervious Area TemP Power 200 amPs or less Vent Fan Willamalane Single FamilY Total Amount Paitl $5ss.68 $10.00 $123.49 $86.44 $254.00 $31.00 $-22.32 $854.90 $7s.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $326.99 $430.16 $10.00 s214.23 $314.63 $91.52 $s4.23 $727.42 $164.89 $7s.00 $748.93 $s0.00 $18.00 $1,000.00 5t7104 6nu04 6m104 6ll1l04 6mt04 6tru04 6mt04 51til04 6ntt04 6nu04 6llU04 6m104 6lrll04 6ltll04 6ltll04 6111104 6111104 6trll04 6m104 6lly04 6ltu04 6llll04 6llu04 611rl04 6lttl04 6llll04 6llll04 6llrl04 6llrl04 6/11/04 6lrrl04 Receipt Number r200400000000000673 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 1200400000000000894 12004000000000008e4 tr'ees Paid $6,293.19 Paee 2 of 4 _.-__- -I Valuation Description I F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COMZ004-00542ISSUED: 06fiU2004APPLIED: 05t07t2004EXPIRESz t2tttt2004VALUE: $ 188,296.00 Plan Reviews Initial Review Initial Review Planning Review Public Works Review 05nU2004 0sltu2004 WE LLH 05113t2004 0sn312004 ro LLH Spoke with JeffTyndaII. He asked that we hold the plans until we heard back from him. Do not process until further notice. Okay to process. Received message from JeffTyndall okay to process plans. Please proceed with plan review process. 05n4t2004 0sn4t2004 06t0U2004 05t26t2004 APP APP TAJ VRJ Spoke with JeffTyndall regarding siteplan 1l:45am, 512112004. As per Mr. Tyndall, standard approach, entire approach to be constructed on taxlot, storm sewer to rear of property to existing provate tap, sanitary sewer to front City tap. Structural Review 05n4t2004 06t03t2004 APP RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. 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. Drywall: Prior to taping. Reouired Insneefions Paee 3 of 4 m-i Status Issued 225 Fifth Street Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00542ISSUED: 0611112004APPLIED: 05/0712004 EXPIRESz l2llll2004VALUE: $ 188,296.00 By signature, I state and agree, that I havecarefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthlr certify that any una "u work performed shall be done in accordance with the ordinances of the city of springfield and the Laws of the state Lf oregon pertaining to the work described herein, and that NO OCCUPANCy will be made of any structure without permission or tn. co--unity Services Division, Building safety r further certify that only contractors and employees who are in compliance with oRs 701'005 will be used on this proiect' I further agree to .oro.. th"t all required hd;;hrl: are requestea at ttre proper time, that each address is readable from the street, that the permit card is tocated at the front of the propirty, and the appioved set of prans wil remain on the site at all times during construction. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. finat fulaing: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to lilling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance' Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. ,t^ U<__) \ Dateor Contractors Signature Pase 4 of 4 I I 225FIFTH STREET . SPRINGFIE*, OR97477 o pH:(541)726_3753 o FAX: (1 ELECTRI CAL PE RM IT APP LI CATION City Job Number COM2OO4_00542 Date AGW+ ,26-3689 I 3. 2279 36'}. Ct LEGAL DESCRIPTION 1702t943 05700 JOB DESCRIPTION Temp Power Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,, Electrical Contractor Address Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Jeff Tyndall / Tyq4aLEqlqgq Address 3540 Osprey Dr City SPFD Phone 653-3383 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signatwe: A. Ncw Residential * Single cr illulti-Fanrily per drvclling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 19.00 B. 200 Amps 201 Amps 401 Amps 601 Amps Over 1000 Reconnect rules adopted by the Center. 01-0010+hreugh Center is 1-$ s0.00 C. Telnporary Scrvires or Fccclers $ 106.00 y obtain+ep+e+o 00 $ 163.00 $375.00 $ 50.00 50.00 $ 69.00 $ 100.00 $ 43.00 s 3.00 $ 50.00 $ s0.00 D. Installation, Alteration or Relocation 200 Amps or less I 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. Ilranch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. IVliscellaneous (Scrvice/l'eeder not included) -Each lnstallation Pump or irrigation Sign/Outline Lighting Lim ited Energy/Residential Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7%o State Surcharge 3.50 10% Administrative Fee 5.00 TOTAL 58.50 $ 2s.00 4. suBT'orALot'enow 5o.oo Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc f-rqffi flf f fd^11'tJ?Ha$fl ?S,lf"dgljpBgqlotg.6cation: ferth $50.00 OR NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS IMPERVIOLJS S.F" 0.00 NUMBER OF DFUb l9 B.IMPROVEMENT COST: NUMBER OF DFUb-- 19 ADT TRIP RATE 9.57 B.IMPROVEMENT COST: ADT TRIP RATE 9.57 COST PER S-F $0.290 COSTPER S-F- s0.290 COSTPEESFU- $22.64 COST PER DFU $17.21 CHARGE- $748^93- AND CONSTRUCTED TO CITY STANDARDS DISCOLINT$0I0- CITY OF SPRINGFIELD SYSTE MS DEVELOPM ENI WORKSHEET Com2004-00542 ))10 36th Court 1702t943 tl 5700 SINGLE FAMILY RESIDENCE BUILDING SIZE (SF,-LOT SrZE (SF): aHa U & rI.]Fa r!& x DISCOUNTRATE s0% x ITEM 1 TOTAL . STORM DRAINAGE SDC A. REIMBURSEMENT COST: I 070 1091 I 093 I 094 I 055 I 056 x x 1092ITEM 2 TOTAL - CITY SANITARY SEWER SDC A. REIMBURSEMENT COST: x NUMBER oFIJNj=ITS I NUMBER OFIM I ADM. FEE RATE 5Yo COST PERTRTF- s17.23 COST PER-RIP-$%oi- $51 6.54 CHARGE $ I 45.75 NEWTRIP FACTOR I.00 NEW TRIP FACTOR 1.00 x x x x ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENT COST: NUMBER OF FEUb I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBTOTAL (ADD ITEMS t,2,3, & 4) 5. ADMINISTRATIVE FEE: x SUBTOTAL $2,914.93 x TOTAL SANITARY ADMINISTRATION FEE TOTALTRAN SPORTATION ADMINISTRATION FEE: Virg inia Jurasevich 512612004 Homes $7 l6 I $3r $r0.00 91 .52 s54.23 s3,060.68 I COST PER FEU $3 r 4.63 COST PER FEU $214.23 PREPARED BY DATE TOTAL SDC CHARGES I 079 CITY x x DRAIN FIXTURE TYPE MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS *EDU toa AGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES X I']NIT EQUIVALENT:DRAINAGE FIXTURE UNITS FOR CALCULATE ONL,Y THE NET ADDITIONAL NO. OF FIXTURES UNIT NEW OLD ALENT 20 DRAINAGE FIXTURE UNITS 0 unit set at I 67isa MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 330 0I0 0 1 0 BATHTUB FOUNTAIN DRAIN 03 3 0 0 060 020 c30 0 0 1 0 0 2 0 0 1 0 ETC.SOLIDSGREASEOILFOR ETCAASHUTOwSANDFORINTERCEPTORS LAUNDRY TUB ASHER / MOP SINK WASHER - 3 OR MORE PARK STAATER TRAP 1 PERHOMEMOBILE ETCTIONwREFRIGFORRECEPTOR ASHER ETC.DISHWSINKCOM.FOR SINGLE STALL KITCHENIDENTIALSINK: COMMERCIAL BAR ATORYLAVWASHSINK: OFGANG 060 0120 0I0 030 220 20 330 020 2 0 2 0 0500 0 2 LAVA BARTORSINGLESINK: PUBLIC STALL i WALL 060 630ALLATIONATEINSTPRIV cneptr RATE/$l ,000 ASSESSED VALUE YEAR ANNEXED $5.04BEFORE 1979 $5.041979 $4.951980 $4.88t98l 1982 s4.581983 s4.411984 $4.201985 $3.88r986 $3.501987 $3.071988 s2.601989 $2.1 41990 $1.71 2t99l $1.521992 $ 1.381993 $1.191994 $r.031995 $0.871996 $0.681997 1998 $0.271999 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIP (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) TOTAL MWMC CREDIT s0.68 CREDIT FOR LAND 0 1997 $0.00 x $0.68 VALUE / IOOO CREDIT RATE VALUE / IOOO 532.83 x 2000 s0.042001 0 0 0 0 1 I 10 $4.75 $0.46 /5 Fifthsfree/ jl.,rgoo d, Oregon 92472 541-726-J7Sg phine ^i ty o f S p ri n gtield O ftic ialReceiof cv eto p m e nf Seryices o " p uiii-r.,ii Public Works Department RECEIPT#: 12004000000000008s4 Date:06/17/2004 2:34toePlw Job/Journal Number coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00s42 coM2004-00542 coM2004-00s42 coM2004-00542 coM2004-00542 coM2004-00s42 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00s42 coM2004-00542 coM2004-00s42 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 coM2004-00542 Description Building Permit Addressing Assignment Willamalane Single Family Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1997 2 Baths One or Two FamilY Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat PumP -Mechanical Issuance Fee- Plan Review - Planning Temp Power 200 amPs or less + 7o/o State Surcharge + l}Yo Administrative Fee Amount Due 854.90 31.00 1,000.00 75.00 75.00 (30.00) 748.93 430.16 326.99 164.89 721.42 314.63 214.23 10.00 91.52 54.23 (22.32) 254.00 r 2.00 18.00 9.00 6.00 4.00 15.00 12.00 10.00 71.00 s0.00 86.44 123.49 Item Total:$s;.51 Payments: Type of PaYment Paid BY ryNoeLL coNS Received BY dlm $5,737.51@In Person Payment Total: Batch Number Number How Received Amount Paid TRUCTION 3058 Check 6/11/2004 Page 1 of 1