HomeMy WebLinkAboutPermit Building 2003-9-29
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: COM2003-00682
ISSUED: 09/29/2003
APPLIED: 07/29/2003
EXPIRES: 03/29/2004
VALUE: $ 186,702.00
SITE ADDRESS: 3480 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194307300
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: JEFF TYNDALL
Address: 1357 33RD STREET SPRINGFIELD OR 97477 '
Contractor License Expiration Date
TYNDALL HOMES 94572 10/10/2004
BILLS ELECTRIC 21351 ~ \0 04/28/2004
COMFORT FLOW 460 \~eS 'j0 ~\X\\'-j0~/27/2004
SURRETTS PLUMBING INC ,,,,~@t~O{\ ~b\~Qt)l114/2004
BUILDING @""\.. t es~; ~~'l...()\J \
~\ 009 ~'(\OS ~ O~ e ~\).\9fJ
~\~O{~~~~:{\\et. 0 \'(\to\).~es 0\ \~ e9WlR~i^e:
\o\\~i~~~~>>. ~ co~~ . \'(\e \t;}I ~~~rst Floor:
~0\\~\~9t~ 0'0\0.\ ~o\e. ~\\\'i ~O ~ Sq Ft 2nd Floor:
. ~r. ~(;.e"\e'{' 0'<' \)'\l /1.'!>tJir Sq Ft Basement:
\~~~Of:"~ e o'{e~()(y'!>'!>'2; Sq Ft Garage/Carport
~~\li~ \~ '{ \S'\.. Sq Ft Other:
~~il>e Cfl'(\\f!; Impervious Surface Area:
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Buildings:
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:
R-3
U-l
Vlhr
18.00
12.00
6.00
26.00
35.00
Phone Number: 541-912-1373
Phone Number: 541-736-5560
I CONTRACTOR INFORMATION.
Phone
541-912-1373
541-501-5650
541-726-0100
541-741-3553
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 2 HandicaP.I?ed:
Paved Drive Rqd: Y C~lDn{sit~
es W \\"\r:'~ "'\
% of Lot Covet,ag~;t.'. I\\J~~#\?'t. c?~\\ \S ~O
,~O\ \\1 N\\\ S\\t" 1\\\S ?~ fOR
\\\\c, ?~~ c.(,I:t-.\\\ER ,. ;"~I.\,(\~EO
PUBLIC IMPROV '\Em'~ ED O? \S ~o
\ , '" n~~\OD.
c~~ ,\CO\} D~'{~i<'tewalk Type:
t\ Downspouts/Drains:
Fullv Improved
Yes
Curbside 5'
Curb and Gutter
Pa2e 1 of 4
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
V Wood Frame
Garal!e
Dwellinl!s
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1997
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up toJOO,OOO btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence 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 a~ps or less
Vent Fan
Willamalane Single Family
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00682
ISSUED: 09/29/2003
APPLIED: 07/29/2003
EXPIRES: 03/29/2004
VALUE: $ 186,702.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$90.60
$90.60
$23.80
Square Footage
or Bid Amount
1,249.00
693.00
452.00
Value
Date Calculated
Total Value of Project
$113,159.40
$62,785.80
$10,757.60
$186,702.80.
07/29/2003
07/29/2003
07/29/2003
~
Amount Paid
Date Paid
Receipt Number
$551.46
$10.00
$144.54
$101.18
$306.00
$8.00
$-18.73
$848.40
$75.00
$6.00
$9.00
$12.00
$30.00
$4.00
$12.00
$59.00
$-30.00
$106.00
$38.00
$464.67
$611.28
$10.00
$34.83
$332.86
$104.91
$50.44
$727.42
$164.89
$75.00
$779.81
$50.00
$24.00
$1,000.00
7/29/03
9/29/03
9/29/03
9/29/03 '
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03.
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03 '
9/29/03
9/29/03
9/29/03
9/29/03
9/29/03
1200200000000001859
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000Q00002221
1200200000000002221
1200200000000002221
1200200000000002221
1200200000000002221
Pal!e 2 of 4
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CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00682
ISSUED: 09/29/2003
APPLIED: 07/29/2003
EXPIRES: 03/29/2004
VALUE: $ 186,702.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$6,701.96
I Plan Reviews I
07/30/2003 07/30/2003 APP RJB
07/30/2003 08/04/2003 APP MS
08i14/2003 08/14/2003 APP TAJ
07/30/2003 08/04/2003 APP MS
07/30/2003 08/15/2003 10 RJB
Called Jeff and requested
engineering for'shear wall's on
plan's~ Jeff will bring engineering on
8/18/03, spoke to Dave B. and he will
put engineering in folder on my
desk.
Initial Review
Plan nine: Review
Plan nine: Review
Public Works Review'
Structural Review
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 Erosion/Grading Inspection: After all erosion measures are in place.
5 Vfer 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 fonns 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 Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
17 Final Building: After all required inspections have been requested and approved and the building is complete.
18 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
19 Vnderfloor Plumbing: Prior to insulation or decking.
20 Vnderfloor Drain: Prior to cover or placement of concrete.
21 Rough Plumbing: Prior to cover and including required testing.
22 Water Line: Prior to filling trench and including required testing.
23 Sanitary Sewer Line: Prior to filling trench and including required testing.
24 Line to Septic Tank: Prior to filling trench and required testing.
25 Storm Sewer Line: Prior to filling trench.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00682
ISSUED: 09/29/2003
APPLIED: 07/29/2003
EXPIRES: 03/29/2004
VALUE: $ 186,702.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
26 Final Plumbing: When all plumbing work is complete.
27 Underfloor Mechanical. Prior to insulation or decking and including required testing.
28 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
29 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
30 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.
31 Rough Mechanical: Prior to Cover
32 Final Gas: When all gas work is complete.
33 Final Mechanical: When all mechanical work is complete.
34 Wood Burning Insert: After installation.
35 Temporary Electric: Approval required prior to Utility Company energizing pole.
36 Rough Electric: Prior to Cover
37 Electric Service: Approval required prior to utility company energizing service.
38 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. '
~~.
. I
Own r or Contractors Signature
Q-)9-03
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
COM2003-00682
Payments:
Type of Payment
Check
Receipt #: 1200200000000002221
Description
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
Plan Review - Planning
Addressing Assignment
Willamalane Single Family
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee~
Gas Fireplace
Heat Pump
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
TYNDALL HOMES
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department -
Public Works Department
Date: 09/2912003
9:01:00AM. .
Amount Paid
75.00
75.00
(30.00)
779.81
611.28
464.67
164.89
727.42
332.86
34.83
10.00
104.91
50.44
(18.73)
59.00
8.00
1,000.00
848.40
306.00
12.00
24.00
9.00
6.00
4,00
10,00
30,00
12.00
106.00
38.00
50.00
10 1.18
144.54
$6,150.50
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$6,150.50
$6,150.50
, . T'. ~, ~~R<: submitted has the following
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726.3753 e F;fS~i)~~fX~&e!J''ffM ;equire specific land use
ELECTRICAL PERMIT APPLICATION "J approval. L1)(2.
City Job Number c.. ~ - OD(Q ~ Date '\ r9 () "3. Zoning C1 _ ~ - 0 :::>
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 ~
Over 1000 Am~~X'\'J
Reconn~~o(\' 0\.\0<'-
\'ao~ ot e ~
Supervisor License Number 9 X () S ~pt~
~i\O ",0,09 i~. o\}~ 0\ \~ ~o~. ~ .
I () - 0/ - :2. ti~ ,,\}\e'O e(\\ei~'~~i&~@ftte'I\.G~~~~lBmcatlon
--:,\0..4 . 0(\ G ,,'\"" Olil,^,~'C Aof)f ~ ~o\~ '$ 50 00
\0 ~\... .t:J'v \0"- ~G4....ell~\'J br" .
Conso', Contr. Number J I 3 '!J / N.O~~'c 0. g';)'t ~~'J~em s~~~ . $ 69.00
, (\u~.~O\\"e~t~ ~Amps $100.00
Expiration Date if - ;c 'if - Q;l. 6Dr:if vC'\~~<'o< ~ f.%~O Am s or 1000 Volts see "B" above.
~ign ~eofsupe ~. ingEl trician (\\)~ ~
~ " / N l!W Alteration or Extenslon~*~ Q'
/J One Circuit ~~\t "\ ~\ ,':, ~ $ 43.00
,- -, I ~ E~C~AdditiOs...~~~\j~~Q~
OwnersName 5~'~ 'JjywO~ ~\)"\\~~~~ ~\)~r:.
Address)3S7 '3.3 ,....L. \\\\~
~'0\ I\~t: ~ '?
Sf rO Phone C,\)~U~,,~~gation $ 50.00
~~igrl/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
1.
\ 1.().!l\ ~ 't~ Dr"?; to
LEGAL DESCR1P~~ . I "
~~~C\ ~\tp~~~~.
JOB DESCRIPTION
trJ I e.-e-
tfc.:;v.. S(~
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.
Electrical Contractor fJ/ //s if J... eclr/c.--
Address 3 / 7 0 IA J, I J .-c;k
Cit/C.il?O, oR Phone SD1-Sb5P
Expiration Date
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. i
A.
Service Included
I 000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
l)...
$106.00 \ bCt ~
"Po. en
$ 19,00 ~CJ
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
~!!..
~
~
$ 3.00
4.
7% State Surcharge
10% Administrative Fee
'\~i\ ~
\ ~.5B
\ q,LV\ -
~~q8 .;'
TOTAL
Shared Drive(T:)lBuilding Forms/Electrical Permit Application 1-03.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEf\
JOURNAL OR JOB NUMBER: COM2003-00682
NAME OR COMPANY: JeffTyndall
LOCATION: 3480 Abmleside Drive
TAX LOT NUMBER: 17021943 Tax Lot 07300
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF) 2394
_IORKSHEET
LOT SIZE (SF):
5566
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I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S,F, x I COST PER S,F, I CHARGE
2689,00 '$0.290 = ,$779,81
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE DISCOUNT
0,00 '$0,290 ' I 50% = $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $779.81 $779.81 11070
2, SANITARY SEWER - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFUs x COST PER DFU
I 27 $22,64 = I $611.28 1091
B, IMPROVEMENT COST:
NUMBER OF DFUs x COST PER DFU
27 $17.21 $464.67 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,075.95 I
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
I 9,57 I $17,23 1.00 $164.89 1093
B, IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTORl
9.57 I $76,01 , 1.00 $727.42 .' 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $892.31
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU .~.~
I $332:86 ' = $332.86 1054
B, IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I I I $34,83 = $34.83 I 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($18.73) 1054
MWMC ADMINISTRATIVE F~~ $10.00 1056
ITEM 4 TOTAL - MWMCSANIT;\JlY SEWER SDC = I $358.96 I
SUBTOTAL (ADD ITEMS 1,2, 3~'& 4) = I $3,107.03 ,
5. ADMINISTR~TIV:13 FEE:
I SUBTOTAL I , ADM, FEE RATE CHARGE
x
I $3,107,03 5% $155,35
TOTAL SANITARY ADMINISTRATION FEE: 104.91 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50,44 11078
Matt Stouder ,
8/412003 TOTAL SDC CHARGES = $3,262.38
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V ATORY 1 0 2 = 2
SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 - 0
TOILET, PRIVATE INSTALLATION -3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0 I
TOTAL DRAINAGE FIXTURE UNITS 27 I
*EDU (Equivalent Dwelling'Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$ I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $4,92 (Enter I for Yes, 2 for No)
1979 $4,92 IS IMPROVEMENT ELGIBLE 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 $29,74 x $0,63' = ~ $18,73
1986 $3,78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2,98 VALUE / 1000 CREDIT RATE
1989 $2,52 $0.00 x $0.63 = I 0
1990 $2.06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $18.73
1993 $1.31
]994 $1.13
1995 $0.97
1996 $0.82
1997 $0,63
1998 $0.41
1999 $0.22
2000 $0,04
-,