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Home My WebLink AboutPermit Building 2003-12-19 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '\, SITE ADDRESS: 3433 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194307900 PROJECT DESCRIPTION: SFR CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 06/19/2004 VALUE: $ 234,202.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 Phone Number: 541-726-0330 I CONTRACTOR INFORMATION. Contractor Type General Electrical Engineer Mechanical Plumbing Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC K* A ENGINEERING MIDWAY MECHANICAL INC MIDWAY PLUMBING INC Phone 541-367-1618 541-967 -7045 541-684-9399 541-928-2423 541-928-7927 # 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: 20.00 21.00 15.00 58.00 0.00 License 134566 54468 Expiration Date 04/15/2005 09/1512007 154166 4687 01/30/2005 07/25/2004 I BUILDING INFORMATION I 1 R-3 U-l VN # of Stories: 2 Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Forced Air Gas S~ ff!t\\W1fiJi:YoU t:, Water Type: J1EN1\ON<GiegO'S....q, ~.. Il'~n Utihty Range Type: fi. ru\dit\Sti1b,ptedSlf. ~fIl_tort\ Energy Path: to\\OW ion ~~.r. ~i!!,9dii~Afl 9S2..()()' ~~~~:~5l!,QP~f~~~b~~~aI , DEVELOPMENT IN~~fienter. (Not~e: t~~ tet \ftCation call1ll~' the Oregon D PARKING umber 10r oOo.3g2-2' Overlay Dist: n ... ~~I"I,pr jc 1,-0 ~ Total: 2 # Street Trees Rqd: 3 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 16.10 9,720 810 1,578 750 3 l':~"{'C~: If TII[ W0QI( I PUBLIC IMPRQ;Y.~~' SHALL E~~~ERM\1 is NOT UTHO'Rim> UNQ~~ 1 EO FOR Fully Improved A MMENCEO oR'\~WtlJ\~0N Curbside 5' Yes CO 0 O^~ PE!fl\~ID>.Pouts/Drains: To Storm Sewer ANY 16 t\ Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of 4 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,388.00 750.00 DwelIinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e Total Value of Project ~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 06/19/2004 VALUE: $ 234,202.00 Value Date Calculated $216,352.80 $17,850.00 $234,202.80 11/13/2003 11/1312003 Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.00 11/13/03 1200200000000002461 + 7% State Surcharge $3.50 11/13/03 1200200000000002461 Plan Review Residential $652.86 11/13/03 1200200000000002461 Temp Power 200 amps or less $50.00 11/13/03 1200200000000002461 -Mechanical Issuance Fee- $10.00 12/19/03 1200200000000002635 3 Baths One & Two Family $306.00 12/19/03 1200200000000002635 Addressing Assignment $8.00 12/19/03 1200200000000002635 Annexed 1997 $-23.30 12/19/03 1200200000000002635 Appliance Vent $6.00 12/19/03 1200200000000002635 Building Permit $1,004.40 12/19/03 1200200000000002635 Curbcut Permit $75.00 12/19/03 1200200000000002635 Dryer Vent $6.00 12/19/03 1200200000000002635 Exhaust Hoods $9.00 12/19/03 1200200000000002635 Furnace - up to 100,000 btu $12.00 12/19/03 1200200000000002635 Gas Fireplace $15.00 12/19/03 1200200000000002635 Gas Outlets 1-4 $4.00 12/19/03 1200200000000002635 Plan Review - Planning $59.00 12/19/03 1200200000000002635 Plan Review/Residential Hourly $90.00 12/19/03 1200200000000002635 Plan Review/Residential Hourly $225.00 12/19/03 1200200000000002635 PW Mult Disc - 2nd Permit $-30.00 12/19/03 1200200000000002635 Sanitary Sewer - Improvement $499.09 12/19/03 1200200000000002635 Sanitary Sewer - Reimbursement $656.56 12/19/03 1200200000000002635 SDC MWMC Administration $10.00 12/19/03 1200200000000002635 SDC MWMC Improvement $214.23 1~/19/03 1200200000000002635 SDC MWMC Reimbursement $314.63 12/19/03 1200200000000002635 SDC Sanitary/Storm Admin $109.89 12/19/03 1200200000000002635 SDC Transpo Admin $53.00 12/19/03 1200200000000002635 SDC Transpo Improvement $727.42 12/19/03 1200200000000002635 SDC Transpo Reimbursement $164.89 12/19/03 1200200000000002635 Sidewalk Permit $75.00 12/19/03 1200200000000002635 Storm Drainage Impervious Area $694.26 12/19/03 1200200000000002635 Vent Fan $30.00 12/19/03 1200200000000002635 Willamalane Single Family $1,000.00 12/19/03 1200200000000002635 Total Amount Paid $7,036.43 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 06/19/2004 VALUE: $ 234,202.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl!: Review Public Works Review Structural Review 11/14/2003 11/14/2003 11/14/2003 11/14/2003 I Plan Reviews I 11/14/2003 APP 11/26/2003 APP 11/17/2003 APP 12/03/2004 WE RJB TAJ VRJ 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. Structural Review 12/11/2003 12/18/2003 APP DLM 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 Temporary Electric: Approval required prior to Utility Company energizing pole. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Curbcut - Standard: After forms are erected but prior to placement of concrete. 4 Site Inspection: To be made after excavation but prior to setting forms. 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 6 Footing: After trenches are excavated. 7 Foundation: After forms are erected but prior to concrete placement. 8 Post and Beam: Prior to floor insulation or decking. 9 Floor Insulation: Prior to decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Wall Insulation: Prior to cover. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 16 Final Building: After all required inspections have been requested and approved and the building is complete. 17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insulation or decking. 19 Underfloor Drain: Prior to cover or placement of concrete. 20 Rough Plumbing: Prior to cover and including required testing. 21 Water Line: Prior to filling trench and including required testing. 22 Sanitary Sewer Line: Prior to filling trencIi and including required testing. 23 Storm Sewer Line: Prior to filling trench. 24 Final Plumbing: When all plumbing work is complete. Pal!:e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 06/19/2004 VALUE: $ 234,202.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 25 Underfloor Mechanical. Prior to insulation or decking and including required testing. 26 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 27 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. 28 Rough Mechanical: Prior to Cover 29 Final Gas: When all gas work is complete. 30 Final Mechanical: When all mechanical 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 >>er.mtt card is located at theJfODi)ofthe roperty, and the approved set of plans will remain on the site at all ::;i~~j;;;' (/1/~ r /2-/1~d3 - -........J.~ - / Owner or contrv s Signature Date Paee 4 of 4 r jecl as submitted has the tollowing s not reqUire specific land use Q)l- , 1.-"~i -o3~'-' cp')cJ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~g ELECTRICAL PERMIT APPLICATION A Date City Job Number CoM ZOO? _ /".... II s C, Date i 21( 9 200'3" --> L.) '-I ( {'Ulnonzed Signatur€ 1. LOCA1I0N OF INSTALLA110N 3Y ~3 AM Ia/ts~ de ~r LEGAL DESCRIPTION 170Z17Lf3 JOB DESCRIPTION Q770a - J t:Y1/1 P ?ovJ l=~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address , / City Phone Expiration Date Constr. Contr. Expiration Date Signature of Supervising Electrician Owners Name b.,r e: / Address -:pc) ZJo;<" CityCO<LVA..l(:- ~ LAflJ..c f r- ""' 2-04 ( Phone 76tJ - 73 g- I OWNER INSTALLA nON The installation is being made on propel i, not intend"", ,.to. Ie",. oc 'ent Ownew'~ture: (' <:;/J4C / In'pcction a:,: ~26-3769 3. CO.M.PLETE J.'EE SCHEDULE B1:,"LOl1f A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106,00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less :IN ~a<:.\\ \\{as ~o~\~~,Q3,OO 201 Amps t~~r~1J}p~ \a he oreQon u t ~o,<<.OO ~'\tlV~1\90 6.~~ b'/ t ru\es are s;i'1 ~e5,OO fU\eS a ~ose Op..f\ 9 e.- 1~~ll}PS tt~~i6\nroUg" . _u\~3,OO '-1dfA\G~'ijliW~:;';~'G~R opiCS 0' tn~~~,oo 'nJO~Ji1~~~ ob\a\t~o'te,.. the \6 t\1\C~~0 o090.~OUtne center. ,ut\\\\'1 NO:\ c. wel~3fO(~nw~,~~@s-?-.3A4" ";\\1",b,e ,...,.,I"I'tP'l! i~ ~~, Installation, 'Alteration or Relocation 200 Amps or less I $ 50,00 S- 0 201 Am~s t0400 Amps $ 69.00 401 Amps to'6bOAplps $100,00 Over 60d-~htp?~,rllo,~? ~bl,~~~et~;lltJ?~f' THE \.\InQ D B J.h C. "t'l ,,-: I --- ' , , '" j K . ran\; -- 'lrcUl S.:._"-' i " '( i,',,'- L> u," : - i \ ":,', r I ',j I"'''' . Ii...; 1 ~ U 1 New AI~N\iiq'ilr'Exreli:sion~ei-LP!f~iMUI ~cu furi One Circuit I iJ/W f-triiUU. $ 43,00 Each Additional Circuit or with Service or Feeder Pelmit $ 3,00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or in"igation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ST.JBTOTAL OF ABOVE 5"0 ].so s-uD , $"5"85= 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)/Building Fonns/Elechical Pennit Application I-03,doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENf'ltORKSHEET JOURNAL OR JOB NUMBER: Com2003-01139 NAME OR COMPANY: River Valley Builders LOCATION: 3433 Ambleside Drive TAX LOT NUMBER: 17021943 tl7900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: ' '2388 LOT SIZE (SF): 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x COST PER S.F. CHARGE I 2394,00 $0,290 _ = $694,26 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x COST PER S,F, x DISCOUNT RATE DISCOUNT I ' 0,00 $0,290 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 29 $22,64 B, IMPROVEMENT COST: NUMBER OF DFU's ,29 x I COST PER DFU I $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I 9,57 I 1 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS I 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 $314,63 B, IMPROVEMENT COST: INUMBER OF FEU's I 1 x ICOST PER FEU I $214,23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TrVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5, ADMINISTRATIVE FEE: 'I SUBTOTAL x I ADM, FEE RATE I $3,257,78 > I ' 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $694.26 I 9651 $694.26 $656.56 $499.09 $164.89 $727.42 = $314.63 CI:l ~ ~ o u ~ ~ E-< CI:l >-< tJ gz 1070 I 1091 1092 I I i ~ 11093 1094 1054 1055 1054 1056 Virginia Jurasevich PREPARED BY 11/17/2003 DATE $1,155.65 x COST PER TRIP x NEW TRIP FACTOR $17,23 1.00 x I COST PER TRIP x /NEWTRIPFACTOR I $76,01 I 1.00 = I $892.31 $515.56 $3,257.78 CHARGE $162,89 TOTAL SDC CHARGES ..~-,,- - . ,...-- = $214.23 ($23.30) $10.00 109,89 $53,00 $3,420.67 1079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / 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 / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 IURlNAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU'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 2001 CREDIT RA TE/$1 ,000 ASSESSED VALUE $5,04 $5,04 $4,95 $4,88 $4,75 $4,58 $4.41 $4,20 $3,88 $3,50 $3,07 $2,60 $2,14 $1.71 $1.52 $1.38 $\.19 $1.03 $0,87 $0.68 $0.46 $0,27 $0,09 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? , (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o 1997 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $34,26 x $0,68 $23,30 I I =1 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $0.68 o = $23,30 TOTAL MWMC CREDIT 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0l139 COM2003-01139 COM2003-01l39 COM2003-01139 COM2003-0l139 COM2003-0l139 COM2003-0l139 COM2003-01139 COM2003-01139 COM2003-0l139 COM2003-01139 COM2003-01139 COM2003-0l139 COM2003-0l139 COM2003-0l139 COM2003-01139 COM2003-0l139 COM2003-0l139 COM2003-0l139 COM2003-01l39 COM2003-0l139 COM2003-0l139 COM2003-0l139 COM2003-0l139 COM2003-01139 COM2003-01139 COM2003-0l139 COM2003-0l139 COM2003-0l139 Payments: Type of Payment Check Receipt #: 1200200000000002635 Description Building Permit Addressing Assignment Willamalane Single Family 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 Plan Review - Planning 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Plan Review/Residential Hourly Plan Review/Residential Hourly Received By djb Check Number Batch Number Authorization Number Paid By RIVER V ALLEY BUILDERS 000254 365439 City of Springfield Official Receipt Development Services Departm~nt Public Works Departme~t Date: 12/19/2003 9:14:18AM Amount Paid Item Total: 1,004.40 8.00 1,000.00 75.00 75.00 (30,00) 694.26 656.56 499.09 164.89 727.42 314.63 214.23 10.00 109.89 53.00 (23.30) 59.00 306.00 12.00 30.00 9.00 6.00 6.00 4.00 15.00 10.00 90.00 225.00 $6,325.07 How Received In Person Payment Total: Amount Paid $6,325.07 $6,325.07