HomeMy WebLinkAboutPermit Building 2003-02-25OF SPRIN
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00063ISSUED: 0212512003
APPLIEDz 0210512003
EXPIREST 1210912003VALUE: $ 151,110.00
SITE ADDRESS: 2296 37th Street
ASSESSOR'S PARCEL NO.: 1702194306200
PROJECTDESCRIPTION: SFR
Owner: TOWN & COUNTRY HOMES INC
Address: 35920 ELLINGTON DR SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-988-0335
Contractor Type
General
Electrical
Landscape
Mechanical
Owner
Contractor
TOWN & COUNTRY HOMES INC
MAG ELECTRIC INC
SCHELSKYS LANDSCAPE AND IRRIGATI
COMFORT FLOW
TOWN & COUNTRY HOMES INC
THOMAS ANTHONY RYDER 07t26t2004
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Surface Area:
License
76683
149834
6330
460
152323
Expiration Date
08t24t2003
12n3t2005
02t2912004
06t2712003
Phone
s41-988-0335
541-461-0387
541-744-7135
541-726-0100
541-988-0335
(s41)343-097s
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of lleat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot
Sidewalk Type:
Downspouts/Drains:
I
R-3
18.00
s.00
s.00
22.00
s.00
,o I
23.00
Gas
Gas
Gas
Path I
6,000
1,910
440
Fully Improved
Yes
Curbside 5'
To Storm Sewer
Notes:
Page I of4
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U
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CUN IRAUIUI(t(I\ I
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F
Status Issued
225Fitth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLIEDz 0210512003EXPIRESt 1210912003VALUE: $ 151,110.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
$74.60
$19.60
Square Footage
1,910.00
440.00
Value
$142,486.00
$8,624.00
$151,110.00
Date Calculated
02t05t2003
02t05t2003
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
2 Baths One or Two Family
Annexed 1979 or Before
Appliance Vent
Building Permit
Curbcut Permit
Dryer Yent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Low Voltage - Residential
Minimum/Adj ustment Electrical
+ l0o/o Administrative Fee
Amount Paid
$477.s2
$10.00
$127.17
$89.02
$254.00
$-r47.93
$6.00
$734.6s
$7s.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$59.00
$-30.00
$106.00
$s7.00
$369.38
$48s.98
$10.00
$34.83
$332.86
$88.s9
$47.55
$709.81
$r60.87
$7s.00
$767.04
$s0.00
$18.00
$1,000.00
$4.50
$3.1s
$25.00
$20.00
$4.s0
Total Value of Project
Date Paid
2ts/03
2t25t03
2t25t03
2t25t03
2tzst03
2t25t03
2t2st03
2t2st03
2lzsl03
2t2st03
2t2st03
2t25t03
2t25t03
2t25t03
2t2st03
2t25t03
2tzst03
2tzst03
2t25t03
2t25t03
2t25t03
2t2st03
2t25t03
2t25t03
2/25t03
2t25t03
2t25t03
2125t03
2t2st03
2t25t03
2t25t03
2t2st03
4n6t03
4fi6t03
4lt6t03
4fi6t03
6t9t03
Page 2 of4
Receipt Number
1200200000000000651
1200200000000000745
1200200000000000745
1200200000000000745
r20020000000000074s
120020000000000074s
r200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
120020000000000074s
1200200000000000745
120020000000000074s
1200200000000000745
1200200000000000745
120020000000000074s
1200200000000000745
1200200000000000745
120020000000000074s
1200200000000000745
1200200000000000745
120020000000000074s
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
120020000000000101 I
1200200000000001011
120020000000000101 1
120020000000000101 r
1200200000000001472
Fees Paid
[L
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLIED: 0210512003
EXPIRESz 1210912003VALUE: $ 151,110.00
+ 7Yo State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Total Amount Paid
$3.1s
$14.00
$31.00
$6,118.64
6t9t03
6t9103
6t9t03
1200200000000001472
1200200000000001472
1200200000000001472
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Structural Review
02t06t2003
02t06t2003
02t06t2003
02t06t2003
02fiu2003
02n912003
02t2512003
RJB
AJD
DJW
DLM
APP
APP
APP
APP
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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.
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
Paee 3 of4
I
2
3
4
5
6
7
8
9
10
11
t2
13
l4
15
16
t7
18
t9
20
2t,)
23
24
25
26
27
28
Renrrirpd Insneefions
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00063ISSUED: 0212512003
APPLIEDz 0210512003
EXPIRESz 1210912003VALUE: $ 151,110.00
29 Final Gas: When all gas work is complete.
30 Final Mechanical: When all mechanical work is complete.
31 Temporary Electric: Approval required prior to Utitity Company energizing pole.
32 Low Voltage: Prior to cover.
33 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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 construction.
L o3
Owner or Contractors Signature Date
Pase 4 of 4
225 FIFIH S'IREET . SPRING|IELD, OR 97 477 o PH:(541 )726-3753 r FAX: (541 ) 72(;-3689
City Job 11u^5".Cb'r't2-co3 -C'OO6 3
Job Location 7Z ?6 s?ru s+.
Assessors M4p 17 O L t ? '/ 3 TaxLot O C' Zo O
O r^,,,n ..{
Owner
Address 5f zo 4(.'
City 5zh4 S tete o<zip ?717?
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Contr$cto r I n.form ation
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E".* -o<zip ?7tu [City SfqteJ
Construction Contractors Registration # lz o Expires r/<r/o 3
By signing this permit/application, I agree to call for an inspection once the backflow prevention
devise has been installed and is visible for inspection (726-3769). I also state that all infonnation on
this permit/application is correct.
Date of Application
Si
W---'
Checked for Historical StatusChecked for
060?o:
Shared Drive (T:)/Building Fomrs/Backflow Preventionl-03.doc
CTTY OF SPRINGFIELD, OREGON
Phone
BACKFLOW PERI\IIT lS $52.65 (includes Permit Fee, State Surcharge & Administrative Fee)
$
q,v \Oa
u$(\
( /r/" s
r\19
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 12002000000000 0147 2 Date: 0610912003
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
+ 7%o State Surcharge
+ l0%o Administrative Fee
Backllow Device
Minimum/Adj ustment P lumbing
3.15
4.50
14.00
31.00
Item Total:$52.6s
Payment Total:$s2.65
6/912003 9:17:l8AM Page I ofl cReceipt.rpt
225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: (54l)726-3689
ELECTRI CAL P ERMIT AP PLI CATI O N
City Job Number (9tvl oa} -Date )t't t6 A 3
3. COMPI-UT'E IIEESCHEI,.ULE BE11)II7I
2t?,a 37 "h
A.LEGAL DESCRIPTION
JOB DESCRIPTION
ud {c.ff,+
-t7q? i7y S 062oo 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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
Installation,
Each Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
7%o State Surcharge
l0% Administrative Fee
TOTAL
$106.00
$ 19.00
s50.00
Permits are non-transfera and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,,
Electrical Contractor
Address L1)ox-I D5-1fi',
City
11.(o'1
Phone
B.
€./\-e-''{ t'/- 9 o7Y
$ 63.00
$ 7s.00
$ 125.00
$ 163.00
$37s.00
$ 50.00
00.00
$ s0.00
$ s0.00
$ 25.00
Supervisor License Number _3 -l -t L€ P -
-
Expiration Date lo/t /OZ
ponstr. Contr
(.
Owners Name
97za HL^h-
I
Address
City
LE.
t(tr; Phone
.NVOWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent' HQl
oo --l- $ 4s.oo '-{5e
4." 1r'gO-fOO + Surcharges
l.I\
& z5
$q50
JSl@
ION S I l\tl'l
Owners Signature:
Inspection Request: 726-3769
yU0lll\tHrc
Shared Drive(T:/Building Forms/Electrical Permit Application 1{3.doc
@.00
I\)'-
$ 43.00
/t-??'
'
.tl
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLIEDz 0210512003
EXPIRESz 1011612003YALUE: $ 151,110.00
SITE ADDRESS: 2296 37thStreet
ASSESSORTS PARCEL NO.: 1702194306200
PROJECTDESCRIPTION: SFR
Owner: TOWN & COUNTRyHOMES INC
Address: 35920 ELLINGTON DR SPRINGFIELD OR 97478
Springfield TYPE OF WORJ(: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-988-0335
Contractor Tvpe
General
Electrical
Mechanical
Owner
Plumbing
Contractor
TOW}[ & COUNTRY HOMES INC
MAG ELECTRIC INC
COMFORT FLOW
TOWN & COUNTRY HOMES INC
THOMAS ANTHOI{Y RYDER
License
76683
149834
460
152323
Expiration Date
08t24t2003
12t13t2005
06t27t2003
07t26t2004
Phone
541-988-0335
541-461-0387
541-726-0100
541-988-0335
(s41)343-097s
CONTRACTOR INFORMATION
ffi
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of
Type
-001
maY
Centar
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
440
1
R-3
u-1
\rll
VN
3
6,000
1,910
18.00
s.00
s.00
22.00
s.00
I
Yes
39.00
Area:
REQUIRED PARI(NG
Total: 2
Handicapped:
Compact:
ANV
Fully Improved
Yes
Iltl',luldION SI
3HI JI3
Curbside 5'
To Storm Sewer)U0l''It
Notes:
Paee I of4
ot
the
st u0
SIHI SIHI
OF
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00063ISSUED: 0212512003
APPLIEDz 0210512003EXPIRES: 10/1612003VALUE: $ 151,110.00
Valuation Descrintion
Description
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7%o State Surcharge
2 Baths One or Two Family
Annexed 1979 or Before
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC NIWMC Administration
SDC MWMC lmprovement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Low Yoltage - Residential
Minimum/Adj ustment Electrical
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft Square Footase
$74.60 1,910.00
$19.60 440.00
Total Value of Project
Value
$142,486.00
$8,624.00
$151,110.00
Date Calculated
02t05t2003
02/05/2003
Amount Paid Date Pai Receipt Number
12002000000000006s1
120020000000000074s
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
120020000000000074s
r200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
120020000000000074s
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000101 I
12002000000000010r I
120020000000000101 I
120020000000000101 I
$477.s2
$10.00
$r27.17
$89.02
$254.00
$-147.93
$6.00
$734.65
$75.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$s9.00
$-30.00
$106.00
s57.00
$369.38
$48s.98
$10.00
$34.83
$332.86
$88.s9
$47.55
$709.8r
$160.87
$7s.00
s767.04
$s0.00
$r8.00
$1,ooo.oo
$4.s0
s3.15
$2s.00
$20.00
2tst03
2t25t03
2t25t03
2t25t03
2t25103
2tzst03
2t2st03
2t25t03
2t25103
2t25t03
2t25t03
2t25t03
2t2st03
2t25t03
2t25t03
2t25t03
2t25t03
2t25t03
2t2st03
2t25t03
2t25t03
2t25t03
2t25t03
2t25t03
2t25103
2t25t03
2t25t03
2t25t03
2125103
2t25t03
2/2st03
2t25t03
4n6t03
4n6t03
4n6t03
4n6t03
Fees Paid
Pase2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLIED: 0210512003
EXPIRES: 1011612003VALUE: $ 151,110.00
Total Amount Paid $6,065.99
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
02t06t2003
02t06t2003
02t0612003
02t06t2003
02nu2003
02n9t2003
02t25t2003
APP
APP
APP
APP
RJB
AJD
DJW
DLM
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.
I
2
3
4
5
6
7
8
9
10
11
t2
13
t4
15
t6
L7
l8
l9
20
2l
,,1
23
24
25
26
27
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
WalI Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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 lilling trench.
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 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.
Paee 3 of4
28
29
30
31
Keoutred lnsDecttons I
F
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: COM2003-00063ISSUED: 0212512003APPLIED: 0210512003EXPIRES: 10/1612003VALUE: $ 151,110.00
32 Low Voltage: Prior to cover
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
Pase 4 of 4
41t6t2003
10:31:48AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000001 0 I I
Date: 0411612003
Line ltems:
Job/Journal Number Description Amount Paid
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
Low Voltage - Residential
Minimum/Adj ustment Electrical
+ lYo State Surcharge
+ llYo Administrative Fee
Payments:
25.00
20.00
3.15
4.50
Line Item Total:$52.65
Type of Payment Paid By Received By CheckNumber Confirm No llow Received Amount Paid
Check DTVERSTFTED ELECTROMCS djb In Person 52.65
Total:$s2.6s
Page I of I cReceipt.rpt
OF SPRII{FIELD
Status: Issued
225 Fifth Streef SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
Buildin g/C ombin ation Permit
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLBDz 0210512003E)OIRES: 08/2512003VALUE: $ 151,110.00
SITE ADDRESS: 2296 37th Street
ASSESSOR'S PARCEL NO. : 1702194306200
PROJECTDESCRIPTION: SFR
Owner: TOWN & COUNTRy HOMES INC
Address: 35920 ELLINGTON DR SPRINGFIELD OR ry478
Springfield TYPE OF
TYPEOF USE:
License
76683
149834
460
t52323
Single Family Residence
New Residential
PhoneNumber: 541-988-0335
PhoneNumber: 541-988-0335
Contractor Tvpe
General
Electrical
Mechanical
Owner
Plumbing
Contractor
TOWN & COUNTRY HOMES INC
MAG ELECTRIC INC
COMFORT FLOW
TOWN & COUNTRY HOMES INC
THOMAS ANTHONY RYDER
Expiration Date
08t24t2003
1211312005
06127t2003
07t2612004
Phone
s4r-988-0335
541-461-0387
541-726-0100
541-988-0335
(s41)343-097s
CONTRACT OR INF ORMATI ON
BUILDING INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sheet
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
I
R-3
u-l
VN
VN
3
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I
23.00
Gas
Gas
Gas
Path I
6,000
1,910
18.00
5.00
5.00
22.00
5.00
I
Yes
39.00
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I{STICE:
Curbside 5'
To Storm Sewer
DEVELOPMENT INFORI\4ATION
PUBLIC IMPROVEMENTS
Notes
lof4
440
? 952-or
rUIES
)honc ffiffii*ifldiif$l+ii'fsr
FTELD
Buildin g/C ombination Permit
PERMIT NO: COM2003-00063ISSUED: 0212s12003
APPLIEDz 0210512003E)?IRES: 08/2512003VALUE: $ 151,110.00
Status: Issued
225 Fifth Streef Springfield, OR
541:726-Y53 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
Description
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Annexed 1979 or Before
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft Square Footaqe
$74.60 1,910.00
$19.60 440.00
Total Value of Project
Date
Value
$142,486.00
$8,624.00
$151,110.00
Date Calculated
0210512003
02t05t2003
Amount Paid Receipt Number
1200200000000000651
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
1200200000000000745
1200200000000000745
1200200000000000745
1200200000000000745
120020000000000074s
1200200000000000745
120020000000000074s
120020000000000074s
1200200000000000745
120020000000000074s
1200200000000000745
s477.52
$10.00
$127.17
$89.02
$2s4.00
$-147.93
$6.00
$734.65
$75.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$s9.00
$-30.00
$106.00
$s7.00
$369.38
$48s.98
$10.00
$34.83
$332.86
$88.s9
$47.ss
$709.81
$160.87
$75.00
$767.04
$s0.00
$18.00
$1,000.00
2tst03
2t2st03
2tzst03
2t25t03
2t25t03
2tzsl03
2t25t03
2t25t03
2125103
2t25t03
2t25t03
2t2't03
2125t03
2t2st03
2t25t03
2t25t03
2t25t03
2t25t03
2tzst03
2t25t03
2t25t03
2125t03
2t2st03
2125t03
2t2st03
2t25t03
2t25t03
2t25t03
2l2sl03
2t25t03
2t25t03
2t2st03
Total Amount $6,013.34
2of4
Valuation DescrlBtion
it ees ralo
Buildin g/C ombin ation Per mit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00063ISSUED: 0212512003APPLIED: 02i0512003E)PIRES: 08/2512003VALIJE: $ 151,110.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
02t06t2003
02106t2003
02t06t2003
02t06t2003
02/1u2003
02fi9t2003
02t25t2003
RJB
AJD
DJW
DLM
APP
APP
APP
APP
Reouired Insnections
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.
I,
3
4
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to coyer or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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.
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 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.
5
6
7
8
9
10
11
t2
13
t4
15
t6
t7
18
t9
20
2t
22
23
24
25
26
27
28
29
30
31
3of4
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
FIELD
Buildin g/C ombinatio n Permit
PER,MIT NO: COM2003-00063ISSUED: 0212s12003APPLIEDz 0210512003E)PIRES: 08/2512003VALUE: $ 151,110.00
By signature, I state and agree, that I have carefully exarnined the completed application and do hereby certiS 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
hereiq and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.06 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 that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at ob
or Contractors
4of4
2/25/2003
9:03:52AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 12002000000000 007 45
Date: 0212512003-
Items
Job/Journal Number Description Amount Paid
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
Plan Review - Planning
SidewalkPermit
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 1979 or Before
59.00
75.00
75.00
(30.00)
767.04
485.98
369.38
160.87
709.81
332.86
34.83
10.00
88.59
47.55
(147.93)
Page 1 of3 cReceipt.rpt
)
2t25/2003
9:03:52AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 12002000000000 007 45
Date: 0212512003
)
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
coM2003-00063
Building Permit
2 Baths One or Two Family
Willamalane Single Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ lYo State Surcharge
+ l0Yo Administrative Fee
734.6s
254.00
1,000.00
12.00
18.00
9.00
6.00
6.00
4.00
15.00
10.00
106.00
57.00
s0.00
89.02
127.t7
Page2 of3
Line Item Total:$5,535.82
cReceipt.rpt
2125/2003
9:03:52AM
City of Springlield
Development Services Department
Public Works Department
Oflicial Receipt
225 Fifth Street
Springfield, Oregon 97 47 7
541:726-3759 Phone
Receipt #: 1200200000000000745
Date: 0212512003
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check TOWN & COUNTRY Ikw 66s9 In Person 5,535.82
Total:s.82
Page 3 of3 cReceipt.rpt
*Gffita*l*It
,'ments:
uec:- r:r-rrr Lr.; :.+|Err
225 FIFTIJ STREET
SPRII,.IGFIELD. OREGON n 47 7
INSPECTION REQIJEST: 726'37 69
OFFICE: 726-3759
OF
LEGAL DESCRIPTION
Pcrnrits arc
i[ruork is nol sttncd 180
ofissuance or ifrvork is suspended
ELEC T.CAL PERMIT APPLICATION
-:, cit!'Joh xorrlo,fu ffi? -@06V
3; COTViPLETEFEE SCHEDI.'LE BELOW
drvelling unil-
Items Cost Sum
or hss
additional 500
sq. fr or portion
lhcreof
Each }lanufd Hotuc or
Modular Drvelling
Servicc or Fccdcr
/stocr.tto &
3 s te.oo il
r-ttc
s 5u.00 _
3 63.00
3 75.00
$125.00
3l(r3.0O
_ 33?J.q)
s 50.oo _
t/850.00 fu_ s9.oo
-3t00.00
_r3.m
.at"ir.J180 da1's.
2. CONTRACTORINSTALLATIONONLY B. ServiccsorFecdcrs
t.o
f t I r IutalletimrAltcretiolsor
at{6fi l[nuaatron:Elecrricaf
OITNEN, IIISIAI,LATION.' -....:
:'.Orvncr! SipeEre:
Brrrcb Circdas
New Alterarion or Brlereion Per Pand
Onc Ciiirtrit'
EidlAIilimJrFced*hir Cirait or sith Service
i. Thc hstdldion is bciog rudc q .
:. propcrty I oin rhffi k m imrdce.
'frrsate, lcac'orrcd- " -
E Miscelleirins (Sctrlccfeeder not included)
-Ert imalbtion
hrytr inlgetu
-
350.00
-$ienoutlircHgtting
-
t5o.0o
-
Litnited Bicrgr/Res
-
S25.0O
-
.LimitodEmgr/Cmm
-S'15.0o-Illinimum Ehctric Permit tnspcction Fcc is S,l5.0l) * Surcharycs
4. SUBTOTALOIIAEOVE
?9/o stole surchiltTc
10fon edmnistratirc Pec
TOTAL
230"
2'/,zo
4?',/
JOB
'Constr Contr-
Erairadon
I\fumbcr
Espirrion
2fl) urpe or lccs
201 auryc to 400 amps
401 anps to 6m 8mp6
601 aurys tri'lilXl amps'
.Orcr lm0anpe^oLs"RmrncsrOn$
C-',Icrifurorery. Senicer irr Fccdcrs
. .'lnsidltitim, AIIrliu or Relocdim
.'. .. ZOt agpsro.400_arps
'''Ots'.tml-b6(x)rys
OEr 6dO atrys o llXl0 rdrs s
'B'abor=
of Blcclriciea
CITY OF SPI. .GFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00063
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLINC UNITS
Town & Country Homes
2296 37th Street
17021943-TL06200
DUPLEX
I BUTLDTNG SIZE (SF) 0 LOT SIZE (SF):6099
a
EInoU
&r!Fv)
o
E]&
1070
l09l
to92
t093
1094
1054
1055
1054
1056
to79
1078
1. STORM DRAINACE
DIRECT RUNOFF TO CIry STORM SYSTEMt rMPERVrotJs sFl x
| 2720.00
COST PER S.F
$0.282
CHARGE
$767.04
RUNOFF ROUTED TO DRYWELL DESIGNED AND TO CITY STANDARDS
IMPERVIOUS S.F.
0.00
x COST PER S.F
$0.282
x
ITEM T TOTAL. STORM DRAINAGE SDC
DISCOUNT RATE
507o
DISCOUNT
$767.04
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
22
x COST PER DFU
$22.09 = I $48s.98
B. IMPROVEMENT COST:
NUMBER OF DFU's
22
x COST PER DFU
$16.79 = I $369.38
ITEM 2 TOTAL - CITY SANTTARY SEWER SDC $8s5.36
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIP RATE
9.57
x NUMBER OF UNITS
I
x COST PER TRIP
$r6.8r
x NEW TRIP FACTOR
r.00 = f Jr6o-8T
B.IMPROVEMENT
x NUMBER OF UNITS
I
x COST PER TRIP
$74.17
x NEW TRIP FACTOR
1.00 = I $7093r
ITEM 3 TOTAL - TRANSPORTATION SDC $870.68
ADT TRIP RATE
9.57
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
I
x
= I $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
x
= f $34.g3
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANTTARY SEWER SDC =
= I ($147.93)
= I $10.00
$229.76
COST PER FEU
$332.86
COST PER FEU
$34.83
SUBTOTAL (ADD ITEMS t, 2, 3, & 4)722.84
5. ADMINISTRATIVE FEE:
SUBTOTAL
$2.722.84
x ADM. FEE RATE
5Vo
CHARGE
$136.14
TOTAL SANITARY ADM INI STRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
t 885t
Steve Templin 2fi9t2003
PREPARED BY DATE
TOTAL SDC CHARGES = f S2^8sBJ8
I-$A-
DRAINAGE FIXTURE UNIT CALCULATION TABLEt tu
NUMBER OFNEW FXTURES X UNIT EQUTVALENT = DRAINAGE FIXTURE UNITS
DRAINACE
FIXTURE
UNITS
NO. OF FIXTURES
FIXTURE ryPE NEW OLD
(NOTE: FOR REMODEIS, CAI-CUI-ATE ONLY THE NET ADDIT]ONAL FIXTURES)
UNIT
EQUIVALENT
3103
0 1 00
0 0 3 0FLOOR DRAIN
3 0/ O[ / SOLIDS / ETC.INTERCEPTORS 0 0
0 0 b 0FOR SAND / AUTO WASH / ETC.
0002LAUNDRY TUB
0 3 3/ MOP SINK 1
0 0 6 0CLOTHESWASHER - 3 OR MORE
0 12 0PERTRAP0
0001ATERREFRIGFORw
0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
2 4SINGLE STALL 2 0
0 0 2 0OFGANG
3SINK:KITCHEN 1 0 3
0 0 2 0SINK: COMMERCIAL BAR
1 0 2 2SINK: WASH BASIN/DOUBLE LAVA Y
1 1ATORY/RESIDENTIAL BAR 1 0
0 0 5 0STALL/ WALLURIN
6 0INSTALLATION00
2 0 3 6PRIVATE INSTALLATION
,,.,
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FXTURE UNITS
*EDU lSa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATR$I,OOO
ASSESSED VALUE IS LAND ELCIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
I
0
1979
CREDIT FOR LAND OF APPLICABLE)
VALUE / IOOO CREDIT RATE
$30.07 x $4.92 = I $147.93
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ lOOO CREDITRATE
$0.00 x $4.92
TOTAL MWMC CREDIT I $147.e3
BEMRE 1979 94.92
t979 $4.92
l 980 M.83
l98l s4.77
1982 M.64
l 983 $4.47
I 984 s4.30
I 985 $4.09
1986 $3.78
1987 $3.4r
l 988 $2.98
I 989 92.52
1990 $2.06
l99l $1.64
t992 $1.45
1993 $1.31
t994 $r.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
tw s0.22
2000 $0.04
SF'FIt'cGF!E!.t,
DEV ELO P M ENT SERVI CE S DEPARTM ENT
November 30, 2001
Interested Agencies
RE: Steet Address changes in Anrbleside Subdivision, First Addition
The following addresses have been changed in Anrbleside subdivision, First Addition
LotNumber CurrentAddress New Address
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
163
162
161
120
119
118
The following agencies are being notified of these changes:
Springfreld P oiice DePartnent
Springfi eld Fire DePartrnent
U.S. Post Office
U.S. West Communications
Northwest Natural Gas
TCI Cable
United Parcel Ser/ice
2299 376 Street
2297 37h Steet
2293 37ft Steet
2288 376 Steet
2296 37ft Steet
2298 37ft Steet
3679 Osprey Drive (Lot 118 is a duplex lot and if the
development takes access from Osprey Drive, the
addresi will remain the same as originatly assigned
fromOsprey)
Springfi eld Utility Board
Lane Council of Governments
911 Dispatch, Public SafetY
Lane County Elections DePartment
Sanipac
Rainbow Water District
Springfi eld News/Register Guard
2295 376 Steet
2293 37ft Steet
2287 376 Steet
2284 376 Steet
2288 376 Street
2294 37h Steet
3679 Osprey Drive
This change is effective immediately. If you have any questions, please feel free to phone tE at726-3790.
Sincerely,
Lisa Hopper
luil.lin g Safety Supervisor
{{'rN
SECTION t 9,
F SECTTON 30,
TE MERIDIAN
IREGON
1 00'
PARTMENT
i9,57,v 93.6t
i9'57"W 93.61'19
i9'J7.W 25.00. _
i9'37"W
9'J7"W 25.o0.--_
i9.37,,w 25.OO'l
4'54tW 99.67.
4',54,,W 99.87'l4?
27.50, - -
2 of 5 LOTS 8.r-l04 A}{D l50-t4a
J of 5 LOIS l2l-129 Al.lO l.t9-t6o
,1 of 5 LOTS 81-8J. 1O5-12O AI{D tOt-172
5 of 5 SURI/EYORS CEFnRCAIE.
DECllRANo.{. ICKNOTUI.EDGET,IENT
Al.tD APPRW t.s.
JOHN P. TACCHINI. PI.s 2267
fM 200e00836E
NPR SUBD T -l'.oe-3!.60 lt.oo
FOUNO RAILROAD RAIL VPUNCH [TAR(
PER C.S. 25766 ANO 54923
FOUNO 5,/8', |RON ROD PER c'5' 25766 Al,l0 5492
0:59:0EI CnSHtEn
ffi e2lr{/2000l05
s 67.58'
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