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Home My WebLink AboutPermit Building 2003-6-12 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 02/14/2004 VALUE: $ 148,313.00 225 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 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: SCOTT JORDAN Address: 28235 CLEAR LAKE RD EUGENE OR 97402 Phone Number: 541-688-3998 I CONTRACTOR INFORMATION. Contractor Type General Electrical Landscape Mechanical Plumbing Contractor f\icense JORDAN CONSTRUCTION e'; '-\o~\~{\.'-\ ~ DEANS ELECTRIC eo..'V\'<. o~ lJ9R~ . GREGORY HAFFNER LAWN ~~"VI~~'3-,\e~t'C)() \ COMFORT FLOW '!..e~O~ '0'-\ \~e,\'V\e'; ~~4'6'd'\).\0'; FRANK ROMERO ^~p _<"I\e~,^o.;e ,$\~ O_~ \40'8~~o~~l'(\ "''\<:V~ ' ~:~ttiW1NO:ffiFOaMiT>JG~f,c0-,"'- ~\ ,.., ,\'V vI $F.::. 'n ~ n,.' \ r- N" ~ \' 0-,.... O\\u' .~~ bt,. \o'f.~,c0-\'~<:>'2:9P~~Sfd?i~S.!~ ~ \)\~~?,,'?>bt 2 ~\ ~~ g ~ fl'eit~~r~ttY'(t~~'O 24.00 U~\ 0 ~.~ 0 ~ '!\YP~\~l~lat~~ Forced Air Gas VN0C)<?i ~,~ ~tliter~o/pe: Gas C ~~'O~aJJ~~Type: Gas 3 ~ Energy Path: Path 1 Expiration Date Phone 06/20/2004 06/30/2004 06/27/2005 12/20/2003 541-935-5303 541-935-5361 541-726-0100 541-935-3263 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: 5,575 Sq Ft 1st Floor: 815 Sq Ft 2nd Floor: 1,047 Sq Ft Basement: Sq Ft Garage/Carport 480 Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 8.00 36.00 36.00 Overlay Dist: ~~Total: # Street Trees Rqd: \~ xN\) (JlIandicapped: Paved Drive Rqd: O\\\'t. ~~x ~\ \S ~ Compact: 't.~\ 0 Q\\ % ofh<t€1?vera~W,.\..\.. \\\\S" ~f1\) t ~~~ ~t.\\~~~ \J~\)~~ ~t()\\~\) REQUIRED PARKING 2 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC ~M~~~~~~.\Q\)' , ~'\:ol\\'<\"" \\~, . F II I d Cv \Q.~ v Sidewalk Type: u y mprove ~i u Yes ~ DownspoutslDrains: Curbside 5' To Storm Sewer Notes: Pae:e 1 of 4 ,..~_li~~!lJ~~!?JJl!!!!dB\' ,,~ , it '~1' 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 Garafe Dwellinfs Garafe Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1997 Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult Disc - 2nd Permit Reside~ce 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 + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential I Valuation Descriotion I $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 1,862.00 480.00 Total Value of Project ~ Amount Paid $471.19 $10.00 $130.79 $91.55 $306.00 $8.00 $-18.73 $6.00 $724.90 $75.00 $6.00 $9.00 $15.00 $4.00 $59.00 $-30.00 $106.00 $57.00 $402.96 $530.16 $10.00 $34.83 $332.86 $84.19 $50.24 $709.81 $160.87 $75.00 $525.93 $50.00 , $24.00 $1,000.00 $4.50 $3.15 $25.00 Date Paid 3/17/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 6/12/03 6/12/03 6/12/03 Pafe 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/1712003 EXPIRES: 02/14/2004 VALUE: $ 148,313.00 Value Date Calculated $138,905.20 $9,408.00 $148,313.20 03/17/2003 03/17/2003 Receipt Number 1200200000000000839 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780, 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000001053 2200200000000001053 2200200000000001053 ,__.I~Jit,a~t1;~~'~2!:'"(".",,, e,""" ~ t Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 02/14/2004 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Minimum/Adjustment Electrical + 10% Administrative Fee + 7% State Surcharge Backflow Device Minimum/Adjustment Plumbing $20.00 $4.50 $3.15 $14.00 $31.00 6/12/03 8/14/03 8/14/03 8/14/03 8/14/03 2200200000000001053 1200200000000001960 1200200000000001960 1200200000000001960 1200200000000001960 Total Amount Paid $6,126.85 I Plan Reviews I Initial Review Plan nine Review Public Works Review , Structural Review 03/18/2003 03/18/2003 03/18/2003 03/18/2003 03/18/2003 03/21/2003 04/02/2003 03/31/2003 APP , APP APP OK LLH EMM ,DJW 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. Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/1712003 EXPIRES: 02/14/2004 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '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. 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, during construction. ~/6~~ -- t - III - CI) Owner or Contractors Signature Date Pa2e 4 of 4 Q" o ." e"'lr h\ cd,,' ~:i .,;~/ ""d' "I;: ~\ " ..,.\1 ~.'...,'.h".,. ,~} ~f";,',. ' ; i ~. C,C\) .~, ei ~; <U.,... ~j ,<.,"".-::; ~ , (jU; o . ~; '~.' o..:.}; kdJ Q, Q ." V"""'4~ ~, d; ,ibh > ,..,; 'lit ~~ ~: 0) ~, ~J ~ ~;, '" ~-.."",. '.,',...., ",.........;; .- .). ," '. ,~. 00"/".' ~ } J :' - <.; ZZ5 FIITH STREET.. SrRINGFIELD, OR 97477 . rH:(54 1)726<-~753 . FAX: (541)726-3689 City Job Number COV\l\ -z...oO J - 0 0 , 7 g Job Location 1 L/ J r A-"",J, I~J,'rJ f 1702 194'3, Tax Lot 0'7600 Assessors Map Owner ;~ ' f url-I- LurtJf/w ,,1..,:,,.., :JVr~;'l Address [,./..ew !ct/te )1-,;( Phonf' ~\O 'b ~~ ,\~~~ Statp ~ - v ~9<'Zip ,,0U\ 0~o" 'b0\ \ ~ '^ \'O-~ _ 0'\ 0.,\0 -r.tJ':\:) \ 0'?Jv' M ~ f-' ~\0'O t>,,~~::: ~0~ BACKFLO\Y PERMIT IS $52.65 (indud6S\p)~~~~6e~Sta;t0lr~~I\k~& Administrative Fee) :\\v. o.oV'u~~ o~~." 0' 0((\\= ~il.\ ~~ c:. '0: ~0'\' 0 ~'( ~\0'b \0~ .~\c'(): llo.."\'\ ,\~\e G0~ CO". co((. ~0 ...\0\\ r' \O~ .:(\ r-.\' '3-\{\ ~0' .~,' \... '\ \0\\. '}).\\o iJ;0'V 0'0"- ~o 0\v.\\.1 '01:>.1:>.1" ....\O\\\\c ~ oJ;) ~'3-~ :(\\0'\' ~O{\ '.?J"!:>?':~ \...", O~~ -{O~ 0 C0 0"'0 rFY t+~\~'-":,,^n~ ~~0 'r\'~ 'VV' \\"" ,\0' ~ ,- c'o: '~:;16" ~\e E_ {lQY>1'f,;/I 0e City E 141".1"1-1 Contractor Information Contractor 0r1'fl5 Addres~ ().....rl-I {;~ Phonf' '7 ],I"' rJtb / City I/Q"le ,~"- Zip 9''/0/ J>::> State C9 11... Construction Contractors Registration # J..JjJ 4L )/7.1.. Expir~~~ 6- CJ Y ~ \\\S S ~'U"( \. 't.~\>\~\~~~\\ ~~~ By signing this pennit/application, I agree to call f\ttr.t in~~~"&~~~~f1ow prevention devise has been installed and is visible for ins~~'gt~~{~~~~~\~~~tate that all infonnation on this pennit/application is correct. ,\:~\\S \$)~\t~ ~$ \)~ ~\)\). ~\)\~~\:.~C;\)~ \>'t.~ _Ad ~ CV\J ~ \~~ Signature ,a.- Yv?5~ ~~ Datf: r-jt-I-OJ For Office Use Date of Application o <g(L{d"J Checked for Delinquencie" ~ Checked for Historical Status Shared Drive (T:)/Building Fonns/Backflow Prevenlionl-03.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00178 COM2003-00178 COM2003-00 178 COM2003-00 178 Payments: Type of Payment Check Receipt #: 1200200000000001960 Description + 7% State Surcharge + 10% Administrative Fee Backflow Device Minimum! Adjustment Plumbing Paid By GREG HAFFNER Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department. Public Works Department . Date: 08/14/2003 lO:48:00AM Amount Paid Item Total: 3.15 4.50 14,00 31.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65