The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-4-25 Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 10/2512003 VALUE: $ 208,590.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3424 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194307700 '.. CITY OF SPRINGFIELD' Springfield TYPE OF WORK: Single Family Residence Yes 30.00 NOTICt(o of Lot Coverage: 32.00 45.00 THIS PERMIT ~J..IAII cvOiR' r: If 11/-' , A ~~-- ,. . i ~ VVUNt\ . C 1IMBlU.t~ MIT IS NOT Fully~~r~OOJ DAY PERIOD ANDONED F~ewalk Type: Yes . Downspouts/Drains: TYPE OF USE: PROJECT DESCRIPTION: SFR Owner: DENNIS CARNEY Address: 6893 GLACIER ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I 'lOU ~.... Contractor Type Contractor :-J'J {e(\\l\~e~n U\\\\\'ltt'" License Owner D1<'N",u.~A~~T~'f)~eg set \0 ... - t;'( l(W"'\:/rwe ?rP. f1}' j).\\E.~\ ~v~ ~do~\e~nose ~\l~~~Eiri~I!DfFORMA TION I o\\o~ ~~ e cen\e~."\ 0 \'C\{o\l~' 0\ ~ 1::" ne # of Buildings~ ~\\\ca\\on ..00'\ ~OO ~n CO?\~~'C\e \E!XQl~~?O!~fl Primary occ~~fMP: a'l Ob\'"Rl~O\e. ~ . ~bfof Structure Secondary Ocm. ~c.y.(<()Fh~~ centeu~ ~n U\\\\\1~~e of Heat: Primary Cons' i9:R\\f@'Iji \ne O~ OO~'3'3'2.~ ''Water Type: Secondary Constr~r~il'~~ :\.e~ \s vN?> Range Type: # of Bedrooms: nU cet' Energy Path: SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Sollir Setbacks: 18.00 5.00 7.00' , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft Square FootaJ!e PaJ!e 1 of 4 New Residential Phone Number: 541-912-4161 Expiration Date Phone 541-912-4161 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1 REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' To Storm Sewer Value Date Calculated . . -~ CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 10/25/2003 VALUE: $ 208,590.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!:s Garal!:e V Wood Frame Garal!:e $74.60 $19.60 2,670.00 480.00 $199,182.00 $9,408.00 $208,590.00 03/28/2003 03/28/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Residential $597.93 3/28/03 1200200000000000909 -Mechanical Issuance Fee- $10.00 4/25/03 1200200000000001073 + 10% Administrative Fee $31.40 4/25/03 1200200000000001074 + 10% Administrative Fee $130.19 4/25/03 1200200000000001073 + 7% State Surcharge $21.98 4/25/03 1200200000000001074 + 7% State Surcharge $91.13 4/25/03 1200200000000001073 3 Baths One & Two Family $306.00 4/25/03 1200200000000001073 Annexed 1997 $-18.91 4/25/03 1200200000000001073 Building Permit $919.90 4/25/03 1200200000000001073 Curbcut Permit $75.00 4/25/03 1200200000000001073 Dryer Vent $12.00 4/25/03 1200200000000001073 Exhaust Hoods $9.00 4/25/03 1200200000000001073 Furnace - up to 100,000 btu $12.00 4/25/03 1200200000000001073 Gas Fireplace $15.00 4/25/03 1200200000000001073 Gas Outlets 1-4 $4.00 4/25/03 1200200000000001073 Perm ServlFdr 200 amps or less $63.00 4/25/03 1200200000000001074 Plan Review - Planning $59.00 4/25/03 1200200000000001073 PW Mult Disc - 2nd Permit $-30.00 4/25/03 1200200000000001073 Residence Wiring 1000 Sq Ft $106.00 4/25/03 1200200000000001074 Residence Wiring Ea Addtl 500 $95.00 4/25/03 1200200000000001074 Sanitary Sewer - Improvement $453.33 4/25/03 1200200000000001073 Sanitary Sewer - Reimbursement $596.43 4/25/03 1200200000000001073 SDC MWMC Administration $10.00 4/25/03 1200200000000001073 SDC MWMC Improvement $34.83 4/25/03 1200200000000001073 SDC MWMC Reimbursement $332.86 4/25/03 1200200000000001073 SDC Sanitary/Storm Admin $95.92 4/25/03 1200200000000001073 SDC Transpo Admin $49.65 4/25/03 1200200000000001073 SDC Transpo Improvement $709.81 4/25/03 1200200000000001073 SDC Transpo Reimbursement $160.87 4/25/03 1200200000000001073 Sidewalk Permit $75.00 4/25/03 1200200000000001073 Storm Drainage Impervious Area $632.24 4/25/03 1200200000000001073 Temp Power 200 amps or less $50.00 4/25/03 1200200000000001074 Vent Fan $24.00 4/25/03 1200200000000001073 Willamalane Single Family $1,000.00 4/25/03 1200200000000001073 Total Amount Paid $6,734.56 I Plan Reviews' Initial Review Planninl!: Review Public Works Review 04/0112003 04/0112003 04/0112003 04/0112003 04/07/2003 04/08/2003 APP APP APP Pal!:e 2 of 4 RJB AID DJW CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 10/25/2003 VALUE: $ 208,590.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 04/01/2003 04/24/2003 APP TCM 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 Ufer 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 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 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. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 10/25/2003 VALUE: $ 208,590.00 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. =" ~J~~ _./'-~AL> C--~ - e , O'~ner or Contract~s Sign-ature ~ c.... ~ Pal!:e 4 of 4 L~~r; D';} /v;/ /'", .I (),? 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 Payments: 'Type of Payment CreditCard 4/25/2003 City of Springfield Development Services Department. Public Works Department Official Receipt Receipt #: 1200200000000001074 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Perm Serv/Fdr 200 amps or less Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By DENNIS CARNEY 1:58:06PM Received By djb Date: 04/25/2003 Amount Paid Item Total: 106.00 95.00 63.00 50.00 21.98 31.40 $367.38 Check Number Confirm No How Received In Person Payment Total: Amount Paid 000052 025442 367.38 $367.38 Page I of I cRcceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 Payments: Type of Payment CreditCard CreditCard 4/25/2003 City of Springfield Development Services Department, Public Works Department Official Receiut , . Receipt #: 1200200000000001073 Description 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 Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Willamalane Single Family Paid By DENNIS CARNEY DENNIS CARNEY 1:45:45PM Received By djb djb Date: 04/25/2003 Amount Paid Item Total: 59.00 75.00 75,00 (30.00) 632.24 596.43 453.33 160.87 709,81 332.86 34.83 10.00 95.92 49.65 (18,91) 919,90 306.00 12.00 24.00 9.00 12.00 4.00 15,00 10.00 91.13 130.19 1,000.00 $5,769.25 Check Number Confirm No 000052 031497 000052 098890 How Received In Person In Person Payment Total: Amount Paid 769.25 5,000.00 $5,769.25 Page 1 of2 cRcccipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 COM2003-00221 Payments: Type of Payment CreditCard CreditCard 4/25/2003 City of Springfield Development Services Department,' . Public Works Department' Official Receipt.. . . Reccipt#: 1200200000000001073 Description Plan Review - Planning Sidewalk Permit Curb cut 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 Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace ~Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Willamalane Single Family Paid By DENNIS CARNEY DENNIS CARNEY Received By djb djb 1:45:45PM Date: 04/25/2003 Amount Paid Item Total: 59.00 75.00 75.00 (30.00) 632.24 596.43 453.33 160.87 709.81 332,86 34.83 10.00 95.92 49.65 (18.91 ) 919.90 306.00 12.00 24,00 9.00 12.00 4.00 15.00 10.00 91.13 130.19 1,000.00 $5,769.25 Check Number 000052 000052 Confirm No How Received In Person In Person Payment Total: Amount Paid 031497 098890 769.25 5,000.00 $5,769.25 Page 2 of2 cRcccipt.rpt CITY OF Sfi'tiNGFIELD SYSTEMS DEVELOPMErI';"ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: , LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM , IMPERVIOUS S,F, x I COST PER S,F., CHARGE 2242,00 I $0,282 = $632.24 ,RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S,F, x I COST PER S.F. x DISCOUNT RATE . DISCOUNT 0,00 I $0.282 50% $0.00 Com2003,00221 Dennis & Dyan Carney 3424Ambleside Dr. 17021 934TL00800 BUILDING SIZE (SF) o LOT SIZE (SF): ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER" CITY A. REIMBURSEMENT COST: NUMBER OF DFD's x I COST PER DFU 27 I $22,09 B, IMPROVEMENT COST: NUMBER OF DFD's x 27 $632.24 COST PER DFU $16,79 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x , 9,57 $1,049.76 COST PER TRIP $16,81 x I NEW TRIP FACTOR I 1,00 NUMBER OF UNITS x I I I x NEW TRIP FACTOR 1.00 x COST PER FEU $34,83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $358.78 __..__.._.....-..' _.. , ....." 0"'. "," , .- ,.. '" ...-..----.--,.--,- SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $2,911.46 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE '$2,911.46 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $145.57 D. Wright 4/812003 TOTAL SDC CHARGES PREPARED BY DATE 6970 $632.24 = $596.43 $453.33 $160.87, $709.81 ~ ~ 0, o U 0::: ~ E-< ~ >-< d ~ 1070 1091 I 1092 11093 1094 = I $332.86 1054 = I $34.83 1055 , ($18.91) 1054 r $10.00 1056 = 95.92 $49,65 $3,057.03 1079 1078 il MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE' I YEAR CREDIT RA TE/$l,OOO ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? BEFORE 1979 $4,92 (Enter 1 for Yes, 2 for No) 1979 $4,92 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 0 1980 $4.83 (Enter 1 for Yes, 2 for No) 1981 $4,77 BASE YEAR 1997 1982 $4,64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,30 VALUE /1000 CREDIT RATE 1985 $4,09 $30.02 x $0.63 = J $18.91 ' 1986 $3,78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) 1988 $2,98 VALUE /1000 CREDIT RATE 1989 $2,52 $0.00 x $0.63 = ! 0 1990 $2,06 1991 $1.64 1992 $1.45 TOTAL MWMC CREDIT = '! $18.91 1993 $1.31 1994 $1.13 1995 $0,97 ' 1996 $0.82 1997 $0.63 1998 . $0.41 1999 $0,22 2000 $0.04 -.l -. ...-..- -. .--- 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELEClfUCAL PERMIT APPLICAtION City Job Number ~7 "" /77)7~:'b-1 3, CONWLETEFEESCHEDULEBELOW 1. L<?C~TION qF INSJ,ALL~TION "'.;. If t. ",( fh. \ I:, t - .. , c ( A. Ne'1' Residential-Single or Multi-Family per dwelling unit. SeJ.Nilee Included: e \0\10 E-. c.\'(\ . \}5 .\,,0 '(\~;. c \'0-00 :cD'I. ee\l\ . JOB DESCJUPTION . C,~55U J\~e.5\l 1000 s,qAt~orless t/ Cl '- .~}( l I;L {."o \l~o~ (\0\ ~eO: & ~1:1t:fudqitiMal 500 , \'(\e\O~o;~O 00"- v~~(p~,~ PermJts me non-transferable aflrl\~we '09~y~~ere.9!:"- if work is not started within l8(}\l8ays 1-001 >/' ~~;__~:iCh Manufd Home or of issuance or if work is suspended for~.....- \(10 ~,/ Modular Dwelling ~; ~\IJ 180 days, voitEl eO '0\10\1 Service or Feeder 0~\7- . ll\1}\'(\ 2, CONTRACTOR INST ALLA nON ONLY ..... LEGAL DESCRIPTION 17t.. l I c; L{ .~ .:.:' ))( 'c. Items Cost Sum t $ 6 I IV_.W . 10 ,00 \ "'10 r- C15 Ql!.. .""\ $ 1 9,00 $ 50.00 Electrical' Contractor ~' ) . .,. '\ ',\ :t-~ ~ .t)'{ B. Services or Feeders Installation, Alterations or (j'( t Relocation: Address ti. '-.t f\ 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 1 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 63,00 <0'5. Ql $ 75,00 $125,00 $163,00 $375.00 $ 50,00 c"" ~I! ( City ;A~'>1,,-!R.)!fIcJ Phone , I, It. Supervisor License Number c::" \,? ~-j; ~=J Expiration Date Constr Contr. Number 01 Z " - ~ k '-A C. Temporary Services or Feeders InstaI\1tiO,n, Alteration or Relocation 1'(:/.... "i /"1' l\io;:~C(}~an-1Jl~i' Qrl'esl)}.('!:" it) (jliel: afl1~~~'(J~O!~Wr;f:ll(-) tv "'~el~PL(660(}iaIli#s!)Ylfle Or- 0l/er,600 amps orJOO('):~yoH7.~ee''';OOn "B".above $50,00 $69,00 " $100,00 \.)C/ ~O~ Expiration Date Signature of Supervising Electrician Address /, (, ~ '. , t ~ / --" ('hle'c,l... One Circuit a&~ Owners Name "">t/'t/VI .':> (. Li- it. '/ I D. Branch Cirhlits NcwAlterationor Extension Per.p.3I~ei City < ..~?) J-t) Phone Each Additional Circuit or with Service or Feeder Permit $ 3,00 K l\'U~~l;{,;&.ous (Seryice/feeder not included) ..E~kh i~l$tallation r ._, ! f /.' I I l""'l, Pl.!I11p"OUril~1ioJ1 c'- $50,00 ~~~lr?trtI'm~L1.i~tit~~t:if1E IF I 'r- $5~,OO i'i i~~mlledItPArgyiResi'i,) Iltt- '~I.., $2),00 Yti&l.i'1:ed,Enirgj/CiQ1)lf11i' II" t (j!:'i(..j.5 .00 '-I i/0,/ 'Ju'wLil ;:.',0 j~u r Minimum Electric Permit Inspection Feb''ii S--l5.00 + Surcharges OWNER INSTALLATION The installation is being made on property I O\Vll which is not intended for sale, lease or rent. Owners Signature: 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrativc Fce -Sll.\.QJ!l. !). (. 't B ~I.r'i TOTAL ~1, \c?-