HomeMy WebLinkAboutPermit Building 2003-12-19
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: COM2003-01139
ISSUED: 12/19/2003
APPLIED: '11/13/2003
EXPIRES: 09/17/2004
VALUE: $ 234,202.00
SITE ADDRESS: 3433 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194307900
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Owner: GREG LARKIN
Address: PO BOX 2041 CORVALLIS OR 97339
Contractor Type
General
Electrical
Engineer
M,echanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
RIVER V ALLEY BUILDERS INC
G & E ELECTRIC INC
K* A ENGINEERING
MIDWAY MECHANICAL INC
MIDWAY PLUMBING INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
134566
54468
154166
4687
I BUILDING INFORMATION.
1 # of Stories: 2
R-3 Height of Structure, . Qy~to
U-l ,Typ~ ofMn~t1w re~~d' l<<I\frfs
V~11EN1\OWfttllP9my the oregoO t~n
tn\\oW ru\~p\f,flose ru\es are Elk t5:\
3'" . {I .p l . R 9'"P1lt
Not\ficat\OO ~0~1 0 t 'ro~gh ~~ne r\,l\es b,>
in ()AR 952 , _.....t'.:lin copies .l },~..,h()ne
009t~~~_h ~~tioo
c \ Sgu"@4)
oumbertorthe. _ 00_332-234 .
20.00 C~t<ilraIYni~:
21.00 # Street Trees Rqd:
15.00 Paved Drive Rqd:
58.00
0.00
% of Lot Coverage:
New
Residential
Phone Number: 541-726-0330
Expiration Date
04/15/2005
09/15/2007
Phone
541-367-1618
541-967-7045
541-684-9399
541-928-2423
541-928-7927
01130/2005
07/25/2004
Lot Size: 9,720
Sq Ft 1st Floor: 810
Sq Ft 2nd Floor: 1,578
Sq Ft Basement:
Sq Ft Garage/Carport 750
Sq Ft Other:
Imperviou~ Surface Area:
3
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
16.10
I PUBLIC IMPROVEMENTf.1E \NaRK
N01\Cc.. I 'L EX\"\t\t:. If. Id[)i'f
F"\lrn~~~~1 SHfl.\.. 1\1\S PERM\\" \S ~ewalk Type:
~lI1HORN.Q) lit-mER ~B~NOONEO FO~ownspouts/Drains:
MENCEO OR \S
COM 0 OA'{ PER\OD. . '
AN'l16 h '
Pal!e 1 of 4
Curbside 5'
To Storm Sewer
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Gara!!e
Dwellin!!s
Gara!!e
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Plan Review Residential
Temp Power 200 amps or less
-Mechanical Issuance Fee-
3 Baths One & Two Family
Addressing Assignment
Annexed 1997
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
Plan ReviewIResidential Hourly
Plan ReviewIResidential Hourly
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
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01139
ISSUED: 12/19/2003
APPLIED: 11/13/2003
EXPIRES: 09/1712004
VALUE: $ 234,202.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,388.00
750.00
Value
Date Calculated
$216,352.80
$17,850.00
$234,202.80
11/13/2003
11/13/2003
Total Value of Project
~
Amount Paid
$5.00
$3.50
$652.86
$50.00
$10.00
$306.00
$8.00
$-23.30
$6.00
$1,004.40
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$59.00
$90.00
$225.00
$-30.00
$499.09
$656.56
$10.00
$214.23
$314.63
$109.89
$53.00
$727.42
$164.89
$75.00
$694.26
$30.00
$1,000.00
$20.10 '
$14.07
Date Paid
Receipt Number
1200200000000002461
1200200000000002461
1200200000000002461
1200200000000002461
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
-1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200200000000002635
1200400000000000256
1200400000000000256
11/13/03
11/13/03
11/13/03
11/13/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
. 12i19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
12/19/03
3/1/04
3/1/04
Pa!!e 2 of 4
,_/i~~@'~9,~J@~gl';.., ~
~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01139
ISSUED: 12/19/2003
APPLIED: 11/13/2003
EXPIRES: 09/17/2004
VALUE: $ 234,202.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
+ 10% Administrative Fee
+ 7% State Surcharge
$106.00
$95.00
$139.24
$97.47
3/1/04
3/1/04
4/28/04
4/28/04
1200400000000000256
1200400000000000256
1200400000000000559
1200400000000000559
Total Amount Paid
$7,508.31
I Plan Reviews I
Initial Review 11/14/2003 11/14/2003 APP RJB
Plannin2 Review 11/1412003 11/26/2003 APP TAJ
Public Works Review 11/14/2003 11/17/2003 APP VRJ
Structural Review 11/14/2003 12/03/2003 WE DLM
Structural Review
12/11/2003
12/18/2003
APP DLM
24 ft max. for driveway throat.
Need additional information to
complete structural review.
Contacted engineer for clarifications
12/04/2003. Met w/ engineer re:
needed revisions. Also met w/
applicant 12/5/2003 to review
request for info letter. 12/8/2003 dim
Applicant submitted revised plans &
engineering on 12/11/2003 dim For
plan review comments, see
documents.
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.
24 Temporary Electric: Approval required prior to Utility Company energizing pole.
21 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
6 Curbcut - Standard: After forms are erected but prior to placement of concrete.
22 Site Inspection: To be made after excavation but prior to setting forms.
25 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
9 Footing: After trenches are excavated.
10 Foundation: After forms are erected but prior to concrete placement.
15 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation, Prior to decking.
20 Shear Wall Nailing: Before covering sheathing with finish materials.
11 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
29 Wall Insulation: Prior to cover.
5 Ceiling Insulation: Prior to cover.
7 Drywall: Prior to taping.
13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
1 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Pa2e 3 of 4
Status
Issued
CIl Y OF SPRINGFIELD. -
Building/Combination Permit
PERMIT NO: COM2003-01139
ISSUED: 12/19/2003
APPLIED: 11/13/2003
EXPIRES: 09/17/2004
VALUE: $ 234,202.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
28 Underfloor Plumbing: Prior to insulation or decking.
26 Underfloor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
30 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
23 Storm Sewer Line: Prior to filling trench.
4 Final Plumbing: When all plumbing work is complete.
27 Underfloor Mechanical. Prior to insulation or decking and including required testing.
16 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
12 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.
17 Rough Mechanical: Prior to Cover
2 Final Gas: When all gas work is complete.
3 Final Mechanical: When all mechanical work is complete.
31 Rough Electric: Prior to Cover
32 Final Electric: When all electrical work is complete.
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
Pae:e 4 of 4
225 Fifth Street
SpringfIeld, Oregon 97477
541'-726-3759 Phone
RECEIPT #:
, Job/Journal Number
COM2003-0 1139
COM2003-0 1139
Description
+ 10% Administrative Fee
+ 7% State Surcharge
Payments:
Type of Payment Paid By
CreditCard RIVER V ALLEY BUILDERS
4/28/2004
""'ty of Springfield Official Receipt
,velopment Services Department
Public Works Department
1200400000000000559
Date: 04/28/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000368 161499 In Person
Payment Total:
Page 1 of 1
11:05:13AM
Amount Due
139.24
97.47
$236.71
Amount Paid
$236.71
$236.71