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Home My WebLink AboutPermit Building 2003-4-25 (2) Status Issued -,' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 06/24/2004 VALUE: $ 208,590.00 225 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 Springfield TYPE OF WORK: Sin'gle Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR. Temp occ issued 122903. Owner: DENNIS CARNEY Address: 6893 GLACIER ST SPRINGFIELD OR 97478 Phone Number: 541-912-4161 I CONTRACTOR INFORMATION 1 Contractor Type Mechanical Plumbing Contractor CRYSTAL CLEAN AIR INC GARY MCMICHAEL License 96878 28832 Expiration Date 02/17/2005 09/21/2005 Phone 541-484.2286 541-744-9099 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 7.00 REQUIRED PARKING Overlay Dist: Total: 2 # Street Trees Rqd: 1 Handicappedi Paved Drive Rqd: "v..- \aW r~NOU ~t . 'T\ON'Qft1\F" ,0 .c.I'\lOO Uti" ':oj % of Lot Covera~e.N, . ap\lJJtH)':oj ~h0, \I'''"'G) eet,qgr\ to\\O\1\4 fU~~fll ad er. 1'hos(& ru'<SlS @,\l'e ~..oo , "ll-eNnn C. en! ,~ __~f\l.I'f\OA'fl ' \ '1' 'nr.. . "'~1.w:t~ ~,..c..;.ii- , h,a V'U(5l:lo I PUBLIC IMPROVE~i~~52~_: 'i" obta\ri\~otl~ oi tli)Q hone 0090. ~O~!VJ~y g'f.~cffWtQte: ihG t~e? . 0 ' Fully Improved ' C8\\\"g'h~~ I~~ U. t\Ut\f N. .ot'flCat\:?urbside 5' Yes - Ut1ihbrartlP'&\l~~M':;'~-2.344).TO Storm Sewer " 'f'r."'+...,......, ,- . 30.00 45.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 4 I' Status Issued CITY OF SPRINGFIELD Building/Combination Permit ,PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 06/24/2004 VALUE: $ 208,590.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated \, or multiplier or Bid Amount DwelliDl!:s V Wood Frame ' $74.60 2,670.00 $199,182.00 03/28/2003 Garal!:e Garal!:e $19.60 480.00 $9,408.00 03/28/2003 Total Value of Project , $208,590.00 ~ Fee Description Amount Paid Date Paid 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 Serv/Fdr 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/i5/03 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 Refund - Admin Fee $-6.30 5/14/03 VOUCHER # 62080 Pal!:e 2 of 4 _~et~@c~I!![~!1!?1 , " ~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 ,APPLIED: 03/28/2003 EXPIRES: 06/24/2004 VALUE: $ 208,590.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,Refund - Electrical Refund - Surcharge Temporary Occupancy $-63.00 $-4.41 $100.00 VOUCHER # 62080 VOUCHER # 62080 1200200000000002666 5/14/03 5/14/03 12/29/03 Total Amount Paid $6,760.85 I ~lan Reviews I '1 Initial Review 04/0112003 04/0112003 APP RJB Plannine: Review ,04/0112003 04/07/2003 APP AID Public Works Review 04/0112003 04/08/2003 APP DJW Structural Review 04/0112003 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrcete. Site Inspection: To be made after excavation but prior to setting forms. Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavate~. 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. Final Building: After all required inspections have been requested and approved and the building is complete. 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. 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: Approv,al required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pae:e 3 of 4 CITY OF SPRI~li111~LD ' Status Issued Building/Combination Permit PERMIT NO: COM2003-00221 ISSUED: 04/25/2003 APPLIED: 03/28/2003 EXPIRES: 06/24/2004 VALUE: $ 208,590.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 30 Electric Service: Approval required prior to utility company energizing service. 31 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, thatthe 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. . (',1 ~/ ,1.(, ./ ) UL'____ ~ '. t-);<1"--~~ O~er o~ C'ontraCtors Signature/ l;z -'~9' --03> Date I , I I Page 4 of 4 225 F lIth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00221 Payments: Type of Payment CreditCard Description Temporary Occupancy Paid By DY AN V ANNETT Receipt #: 1200200000000002666 Received By djb Check Number Batch Number Authorization Number 000260 020419 City of Springfield Offi\:lal Receipt Development Services Department. Public Works Department' Date: 12/29/2003 1:34:14PM Amount Paid Item Total: 100.00 $100.00 How Received In Person Payment Total: Amount Paid $100.00 $100.00