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Home My WebLink AboutPermit Building 2003-4-28 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3438 Ambleside Drive ASSESSOR'S PARCEL NO.: 1702194307600 PROJECT DESCRIPTION: SFR CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 04/28/2003 APPLIED: 03/17/2003 EXPIRES: 10/28/2003 VALUE: $ 148,313.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: SCOTT JORDAN Address: 28235 CLEAR LAKE RD EUGENE OR 97402 Contractor License Expiration Date Phone JORDAN CONSTRUCTION oU \0 DEANS ELECTRIC {3~ges './ U\\\\\'.I 06/20/2004 COMFORT FLOW .O{egon \a\l'J'o4@{Sgon a\ ~O(\"06/2712003 SCOTT JORDAN _'1c;\'f\\O~.At"\('\\ad '0'./"_ ..,\\as aJ~ ;C.?-OO~. r~L~~ ~~ . O~p-lON~~;;~U\es O~ ~\\\Ca.\\V ~\J ~~ ~S?'oone ~o O~~ eR?torfij:o'O\a.\n c 0\9'. \'ne \8 )~\\ca.~~\'Size: \n 90~~(g!.~~~\\tiirhN n U\\\\W2~\~J!l Sq Ft Ist Floor: 00 c~i\~a'f\fI\\\te O{e~6~~~R:?das . Sq Ft 2nd Floor: '*,WP~~{\S ~-eO Gas Sq Ft Basement: n ange~Fe: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Impervious Surface Area: Contractor Type General Electrical Mechanical Owner # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 8.00 36.00 36.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-688-3998 I CONTRACTOR INFORMATION I 541-935-5303 541-726-0100 541-688-3998 1 R-3 U-l VN VN 3 5,575 815 1,047 480 I DEVELOPMENT INFORMATION I \f'-1~UlRED PARKING Overlay Dist: \~t. W ,\"\t. \S~: 2 # Street T{~~~: ~t>-\..\.. fC."I-.f? ~S f?i.~~\' ~~andicapped: pave~~~~\' ~~\)t.~ ,~ ~~O~t.\) Compact: % OfLb~~~~U U ()~ \S ~'O23.00 ' , ~Ur\W\~t.~Ct: ~ ryt.~$)$. U!. . '\)~ I PUBLIC IMPR~NiNTS I ' Sidewalk Type: Downspouts/Drains: Fullv Improved Yes Notes: Curbside 5' To Storm Sewer Pae:e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 04/28/2003 APPLIED: 03/17/2003 EXPIRES: 10/28/2003 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Dwelline:s Garae:e Tvpe of Construction V Wood Frame Garae:e $ Per Sq Ft $74.60 $19.60 Square Footae:e 1,862.00 480.00 Value $138,905.20 $9,408.00 $148,313.20 Date Calculated 03/17/2003 03/17/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Residential $471.19 3/17/03 1200200000000000839 -Mechanical Issuance Fee- $10.00 4/28/03 2200200000000000780 + 10% Administrative Fee $130.79 4/28/03 2200200000000000780 + 7% State Surcharge $91.55 4/28/03 2200200000000000780 3 Baths One & Two Family $306.00 4/28/03 2200200000000000780 Addressing Assignment $8.00 4/28/03 2200200000000000780 Annexed 1997 $-18.73 4/28/03 2200200000000000780 Appliance Vent $6.00 4/28/03 2200200000000000780 Building Permit $724.90 4/28/03 2200200000000000780 Curb cut Permit $75.00 4/28/03 2200200000000000780 Dryer Vent $6.00 4/28/03 2200200000000000780 Exhaust Hoods $9.00 4/28/03 2200200000000000780 Gas Fireplace $15.00 4/28/03 2200200000000000780 Gas Outlets 1-4 $4.00 4/28/03 2200200000000000780 Plan Review - Planning $59.00 4/28/03 2200200000000000780 PW Mult Disc - 2nd Permit $-30.00 4/28/03 2200200000000000780 Residence Wiring 1000 Sq Ft $106.00 4/28/03 2200200000000000780 Residence Wiring Ea Addtl 500 $57.00 4/28/03 2200200000000000780 Sanitary Sewer - Improvement $402.96 4/28/03 2200200000000000780 Sanitary Sewer - Reimbursement $530.16 4/28/03 2200200000000000780 SDC MWMC Administration $10.00 4/28/03 2200200000000000780 SDC MWMC Improvement $34.83 4/28/03 2200200000000000780 SDC MWMC Reimbursement $332.86 4/28/03 2200200000000000780 SDC Sanitary/Storm Admin $84.19 4/28/03 2200200000000000780 SDC Transpo Admin $50.24 4/28/03 2200200000000000780 SDC Transpo Improvement $709.81 4/28/03 2200200000000000780 SDC Transpo Reimbursement $160.87 4/28/03 2200200000000000780 Sidewalk Permit $75.00 4/28/03 2200200000000000780 Storm Drainage Impervious Area $525.93 4/28/03 2200200000000000780 Temp Power 200 amps or less $50.00 4/28/03 2200200000000000780 Vent Fan $24.00 4/28/03 2200200000000000780 Willamalane Single Family $1,000.00 4/28/03 2200200000000000780 Total Amount Paid $6,021.55 Pae:e 2 of 4 '~"P"'NGFJ"'"",',',ilii, -..- ',.... . '" ~.- . -. : _ ..- .. --- ...-.-.. --_.,~--"_......' ' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00178 ISSUED: 04/28/2003 APPLIED: 03/17/2003 EXPIRES: 10/28/2003 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin2 Review Public Works Review Structural Review 03/18/2003 03/18/2003 03/18/2003 03/18/2003 Plan Reviews ~ 03/18/2003 APP LLH 03/21/2003 APP EMM 04/02/2003 APP DJW 03/31/2003 OK 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. 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Vnderfloor Plumbing: Prior to insulation or decking. 17 Vnderfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 25 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. 26 Rough Mechanical: Prior to Cover 27 Final Gas: When all gas work is complete. 28 Final Mechanical: When all mechanical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 30 Rough Electric: Prior to Cover 31 Final Electric: When all electrical work is complete. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 04/28/2003 APPLIED: 03/17/2003 EXPIRES: 10/28/2003 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. ~-A Lf - Zc:r3 -D':5 Owner or Contractors Signature Date Pa2;e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00 178 COM2003-00178 COM2003-00 178 COM2003-00 178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00 178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00 178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00178 COM2003-00 178 COM2003-00178 COM2003-00178 COM2003-00178 4/28/2003 9: 17:55AM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000000780 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review - Planning 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 Building Permit 3 Baths One & Two Family Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Date: 04/28/2003 Item Total: Amount Paid 8.00 1,000.00 106,00 57.00 50.00 59.00 75.00 75.00 (30.00) 525.93 530,16 402.96 160.87 709,81 332.86 34.83 10,00 84.19 50,24 (18.73) 724.90 306.00 24.00 9.00 6.00 6.00 4.00 15,00 10.00 91.55 130.79 $5,550.36 Page 1 of2 cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt ' Receipt #: 2200200000000000780 Date: 04/28/2003 Payments: Type of Payment Check Paid By JORDAN CONSTRUCTION Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 5,550.36 $5,550.36 4/28/2003 9:l7:55AM Page 2 of2 cReccipt.rpt ,'.';F225rll'ldSTREET .'> lri:SPRINGFIFLD, OREGON 97177 'itt;i"INSPECTI00TREQ~ST; 726-3 ; \tt~;,OlFI~t:'r;ftr:9~;~'&~i; ~i',1 ~ti:.;'I, ~~ATI9N~F~~~t '..., Pi "., .. . '~~~\e .. A'Q.~ - - / ,/ /" ;:>.).-': _ -0-0 , /' / c,'..;P " ,,() ,', LEGAL DESCRIPT. IQ1~. ,( ~~./', ;,/"" \ lD7\~~~ l)~~;i" .' fl~ TION - ~~~ ~~ Permits are rion-t sferable and expire if work is not' started within 180 days of issuance2r if work is suspended for 180 days, " ""j ~<>i)~~,...,\, .X;\S'<~~tyJob o~~.t, ',', Multi-Family per d,relling unit. Service Included: Items Cost 1000 sq,ft. orIess Each additional 500 sq, ft or portion thereof Each ManuI'd Home or Modular Dwelling Service or Feeder \.. $106,00 CP . 3- $ 19,00 _ $ 50.00 L;~';/:;<':; , ", ...,~:~":': B. Services or Feeders Installation, Alterations Relocation: :le:::~~::~~;;~~ION ~k{R;G Address';.~~'lr' &~~ f),. ~ ~~ ~ Il-tO"L City '1 / hone , '. .. ,c',..' c- . ,"0 IN~;T Au~i~ION is being made ,property I O\VTI which isnot for sale, iease or rent.' , ' ;gn~tur'"f supcnis;r-:L ,;c; I . D. Branch ~ir2ui~s 'U '-0 (J..-Cl.f'r:N New. ~~6"~ nsion l . . 0(1 \a\N \> . of' ..t', / /. ' U\e9 'rhe,.' I' {~ \D\~"\eO btJ'ne Ct~~~e: 0'\ \~~ {u\es;:~,\~',\t',:~,~r\J\~~~~~~~~t~ C~~..' Jtt~~ with' \) J 1. . 0:;'7'" .(\8 :'2-0\:1'\- , , ,~.~~er'p~nO.J, ' Op..~ 9~u I'\?<'j Ob\?~' \~cM~")~~O'WC'~\\OC . ., 0090.: \"\18 <IBn~tf~~gHwid. .c.\\~~~.' t.~e/feedernot inclueJ:ed) , c'O\\\(\9t\Oi \fle O~-_ -&..&~3li~?a!1at~ony _ !\\\~~:oe rp0Wf ~ump or lrIlgatlOIl '., $)0,00 " ' Sign/Outline Lighting $50,00 Limited Energy-IRes $25,00 Limited Energy/Comm $-1-5,00 Owners Signature: I\Iinimum Electric Permit Inspection Fee is S-J.5.0n + Sllrchargc~ TOTAL Ol~~ ,~ &BO- ~.~ 4. SUBTOTALOFABOVE 7% State Surcharge I ()..j% Administrative Fce COST PER DFU $22,09 B. IMPROVEMENT COST: NUMBER OF DFU'S.I x COST PER DFU 24 $16,79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9.57 1 B. IMPROVEMENT COST: ADT TRIP RATE x I NUMB~R OF UNITS I x 9,57 I 1 ITEM 3 TOTAL - TRANSPORTATION SDC = , 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU . 1 $332,86 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE' FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $530.16 $402.96 $933.12 COST PER TRIP $16,81 x NEW TRIP FACTOR 1.00 = $160.87 COST PER TRIP $74,17 $870.68 x INEWTRIPFACTORl I 1.00 = $709.81 = $332.86 Ir/) ~ C), o U. ~ ~ I~ ...... o ~ 1070 1091 1092 1093 1094 'I 1054 = $34.83 1055 ($18.73), 1054 $10.00 1056 $358.96 ' $2,688.69 CHARGE $ I 34.43 84.19 1079 $50,24 1078 '''' ..., ..,...- TOTAL SDC CHARGES = , $2,823.12 = I SUBTOTAL (ADD ITEMS 1,.2,3, & 4) __ 0' 5, ADMINISTRATIVE FEE: SUBTOTAL I x ADM, FEE RATE $2,688,69 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: D. Wright 4/3/2003 PREPARED BY DATE ~ , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS' 'BATHTUB 1 ' 0' 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC, 0 0 6 = 0 LAUNDRY TUB 0 0 2 0 CLOTHESW ASHER I MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) '0 ' 0' 6 = 0, MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0, 12 = 0' RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. I 0 0 3 = 0 SHOWER, SINGLE STALL 1 '0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL I WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION , 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984, 1985 1986 1987 , 1988 1989 1990 1991 ~,;' 1992, 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$ 1,000 , ASSESSED VALUE $4,92 $4,92 $4,83 $4,77 $4,64 $4.47 $4,30 $4,09 $3,78 $3.41 $2,98 $2.52 $2,06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0,63 $0.41 $0,22 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o 1997 CREDIT FOR LAND (IF APPLICABLE) V ALUE I 1000 CREDIT RATE $29.74 x $0.63 $18;73 . CREDIT FOR IMPROVEMENT (IF At< ll:'.K ANNEXATION) V ALUE I 1000 CREDIT RATE $0.00 x $0.63 o .' TOTAL MWMC CREDIT = $18,73