HomeMy WebLinkAboutPermit Building 2003-7-28
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00584
ISSUED: 07/28/2003
APPLIED: 07/03/2003
EXPIRES: 01128/2004
VALUE: $ 198,353.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769' Inspection Line
SITE ADDRESS: 3452 AMBLESIDE DR
ASSESSOR'S PARCEL NO.: 1702194307500
. TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: GREG LARKIN
Address: PO BOX 2041 CORVALLIS OR 97339
Contractor \.0 License
RIVER VALLEY BUILDER~~~{\"\ t- 134566
G & E ELECTRIC INC~~0~ ~ ~ ~~~ 0 . 54468
MIDWAYMECH~.N~f$~0~ ~ 154166
MIDWAYPL~l~~~~~~~,~~~.. 4687
. . .O~0~$o'Q1~u~1~&)V"IONI
O~. (J:J<:/ "'~~~O ~<&~ 0 ~ ~
# of Buildings: ~. ~'\~ f/;jfb~ ~$'\.' f\O'4iJ cd1Yl~~~? bi\' 2 Lot Size: .
Primary Occupancy GrNt'p~ ~~ "cR..-~JP ~~~ ~~'1i ucture 28.00 Sq Ft 1st Floor:
Secondary Occupancy ~~:~o ~G1.q ~ 0"0 ~$'\'~~ eat: Forced Air Gas Sq~t nd Floor:
Primary Construction ~R~,(I ~ Cb? ~'if. ~ O~ r Type: Gas ~S ~sement:-
Secondary Construction~I8~ ~O ~0 ~0 \<; '\ ange Type: Gas ~\rage/Carport
# of Bedrooms: \~ f::JqJ;j. ~'$'~~'O'\ ~\.fO'\ Energy Path: . Minimu,* ~...&~~ther:
~ c,'lJ. ~'Qe 06 ~~~ ~~~'[~..~ vious Surface Area:
r~ .--i'c 0,," J~'-I
.. I DEVELOPMENT INFO~~~\"'-
ove~~~~~~~~~-:~~:~
# Strl'~~ ~~~~~ ~~ 2
paved'~ ~~r Yes
% of Lot &~.~N: 27.00
.,..~.. .
Contractor Type
General
Electrical
Mechanical
Plumbing
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: . 541-726-0330
I CONTRACTOR INFORM~TION I
. Expiration Date
04/15/2005
09/15/2003
01/30/2005
07/25/2004
Phone
541-367-1618
541-967-7045
541-928-2423
541-928-7927
1,050
1,029
420
19.00
10.00
7.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
23.00
40.00 .
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fullv Improved Curbside 5'
Yes Downspouts/Drains: To Storm Sewer
Storm drainage approved to private storm line in back of property, please see attached as-built of
Ambleside.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00584
ISSUED: 07/28/2003
APPLIED: 07/03/2003
EXPIRES: 01128/2004
VALUE: $ 198,353.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DwelIinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,079.00
420.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$188,357.40
$9,996.00
$198,353.40
07/03/2003
07/03/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $576.81 7/3/03 1200200000000001710
-Mechanical Issuance Fee- $10.00 7/28/03 1200200000000001830
+ 10% Administrative Fee $131.94 7/28/03 1200200000000001830
+ 7% State Surcharge $92.36 7/28/03 1200200000000001830
3 Baths One & Two Family $306.00 7/28/03 1200200000000001830
Addressing Assignment $8.00 7/28/03 1200200000000001830
Annexed 1997 $-18.46 7/28/03 1200200000000001830
Appliance Vent $6.00 7/28/03 1200200000000001830
Building Permit $887.40 7/28/03 1200200000000001830
Curbcut Permit $75.00 7/28/03 1200200000000001830
Dryer Vent $6.00 7/28/03 1200200000000001830
Exhaust Hoods $9.00 7/28/03 1200200000000001830
Furnace - up to 100,000 btu $12.00 7/28/03 1200200000000001830
Gas Fireplace $15.00 7/28/03 1200200000000001830
Gas Outlets 1-4 $4.00 7/28/03 1200200000000001830
Plan Review - Planning $59.00 7/28/03 1200200000000001830
PW Mult Disc - 2nd Permit $-30.00 7/28/03 1200200000000001830
Sanitary Sewer - Improvement $464.67 7/28/03 1200200000000001830
Sanitary Sewer - Reimbursement $611.28 7/28/03 1200200000000001830
SDC MWMC Administration $10.00 7/28/03 1200200000000001830
SDC MWMC Improvement $34.83 7/28/03 1200200000000001830
SDC MWMC Reimbursement $332.86 7/28/03 1200200000000001830
SDC Sanitary/Storm Admin $94.77 7/28/03 1200200000000001830
SDC Transpo Admin $50.89 7/28/03 1200200000000001830
SDC Transpo Improvement $727.42 7/28/03 1200200000000001830
SDC Transpo Reimbursement $164.89 7/28/03 1200200000000001830
Sidewalk Permit $75.00 7/28/03 1200200000000001830
Storm Drainage Impervious Area $585.80 7/28/03 1200200000000001830
Temp Power 200 amps or less $50.00 7/28/03 1200200000000001830
Vent Fan $24.00 7/28/03 1200200000000001830
Willamalane Single Family $1,000.00 7/28/03 1200200000000001830
Total Amount Paid $6,376.46
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00584
ISSUED: 07/28/2003
APPLIED: 07/03/2003
EXPIRES: 01128/2004
VALUE: $ 198,353.00
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
07/0712003
07/07/2003
07/09/2003
I Plan Reviews I
07/0712003 APP
07/17/2003 APP
07/1012003 APP
LLH
TAJ
VRJ
Structural Review
07/07/2003
07/24/2003 10
TCM
Storm drainage approved to private
storm line in back of property,
please see attached as-built of
Ambleside.
No elevation information, called
contr. and left message to submit
detailed elevations.
Structural Review
07/2512003
07/25/2003
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.
~eouiredJnSDections I
1 Curbcut - Standard: After forms are erected but prior to placement of concrete.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 Ufer 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 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Underfloor Plumbing: Prior to insulation or decking.
16 Underfloor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
22 Underfloor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00584
ISSUED: 07/28/2003
APPLIED: 07/0312003
EXPIRES: 01128/2004
VALUE: $ 198,353.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
29 Rough Electric: Prior to Cover
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 nsure that all required inspections are requested at the proper time, that each address is readable from the
street, that t ermit card is loca~e front of the property, and the approved set of plans will remain on the site at all
~r~cti(-:);:L ~ / 7 - Z??~d7
Owner 0; c~ors Signatur~ Date-;
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
COM2003-00584
Payments:
Type of Payment
CreditCard
Receipt #: 1200200000000001830
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
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
Building Permit
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-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
ANDREA LARKIN
000130 794883
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/28/2003
10:45:07AM
Amount Paid
Item Total:
8,00
1,000.00
50,00
75,00
75.00
(30.00)
585.80
611.28
464.67
164.89
727.42
332.86
34.83
10.00
94,77
50.89
(18.46)
59,00
887.40
306,00
12.00
24.00
9,00
6.00
6.00
4.00
15.00
10.00
92,36
131.94
$5,799.65
How Received
In Person
Payment Total:
Amount Paid
$5,799.65
$5,799.65
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION The following project as submitted has the following
. U --7 /} () ~Z(""WJg and does not require speCifiC land use
City Job Number COW/zoo3 ' 00.58-, Date / ~ 7 ~ /' approval. L7)1C-
Zonlna .
13.~c;gA2'. 110Jj,,~~' f~r:;~~;l~ ~\. 3. COMPLEl'EFE1f:~~r;HEDUiE BELOlV 7- 2.'1--03
l~) r, v v, Y,/ f( ) CJ- '-- VI, j\dU,UfiL8a Signature f(t-J
LEGAL DESCRIPTION
/70;;2/943
07C36()
JOB DESCRIPTION
1~-WlP ONLy
Permits are non-transferable and expirtf work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,CONTRACTOR INSTALLATION ONLY
2.
Electrical Contractor
Address
City
Phone
Supervisor License Number
~~
()J
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name 6-Ccr Lo.-J l\'<--t
Address ,?c () \ \=S ~'f.- ? D L\ \
Ci~ff (k'1 L! / ,'5 Phone 7(dJ---,gg I
OWNER INSTALLATION
The installation is being made on property lawn which
is not intended for sale, lease or rent. _
726-3769
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:
4. SUBTOT~. OFABOVE.
7% State Surcharge
10% Administrative Fee
TOTAL
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps .
601 Amps to JRQft>P1.tpRt\\\'1
~)~r\J,(j)()O~~Mo9Jrn'~'i. ~Q\
. ,\~.\..)\\V~~~\\6f;'~l~ ~~~ ~S .JJO
" .___"',l,;~ .tJ,(jfJ9\@1,~~~fi) ~~~O~1?\9~~\.s \..
\\iUN ,:~, C~(\~t'i,tyW'Rij~\~lf\~lmO{\~derS
\~\\\\ca\\'J{\ ..00"..00 ~~ eO?\~ s '\~@?~ t\Ot'
~_ O~f\ 9f6't 'f\\~'l m\Wal\~.#~i~~\\\hq~elocation
\~Q9Q, :gIJ ,\~e C~~~~_2'3AA). I
ca\W(\9; \iO'(,\'f\!bY ~~0'3~0 Amps
~U~'Oe'( ce~\f'4U\( Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits ..
New Altel;ation or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Pennit $ 3.00 ~
NOl~t~... .f\LL EXPIRE \F 1HE T
E. MisceIlan~~ti;Vih\He~b~~ ;If\\2fIM>~11~in~gllation
MJ\\-\ORIIEO UN Bf\NDONED fOR
Pump or iITig~~f-J\MENCED ORIS ~ $ 50.00
Sign/Outline r:~~11f80 Df\'l PERIUU. $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
50
3.)-0
5"c;) 'Z>
f5 58~
Shared Drive(T:)/Building Fonns/Electrical PCllllit Application] -03.doc
~ ~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00584
NAME OR COMPANY: Greg Larkin
LOCATION: 3452 Ambleside
TAX LOT NUMBER: -17021943 tl7500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF:
o
LOT SIZE (SF):
5424
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1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 2020.00 $0.290 = $585,80
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
27 $22.64
B. IMPROVEMENT COST:
. NUMBER OF DFU's I x COST PER DFU
27 I $17.21
ITEM 2 TOTAL - CITY SAN IT ARY SEWER SDC =,
3. TRANSPORTATION
$585.80
$585.80
!'
::
11070
$611.28
1091
$464.67
1092
$1,075.95
A. REIMBURSEMENT COST:
ADT TRIP RATE I x I NUMBER OF UNITS x
9.57 I I
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
COST PER TRIP
$]7.23
x NEW TRIP FACTOR
1.00
$164.89
1093
x I NUMBER OF UNITS x
I ]
COST PER TRIP
$76.0]
$892.31
x NEWTRIPFACTOR
1.00
$727.42
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
= I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x ICOST PER FEU
] 'I $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's
]
$332.86
1054
x ICOST PER FEU
, $34.83
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
I $2,9]3.29 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
= $34.83 i 1055
($18.46) 11054
$10.00 1056
= I $359.23
= I $2,913.29
CHARGE
$ ]45.66
94.77 11079
$50.89 1078
TOTAL SDC CHARGES =, $3,058.95
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
.-
ITEM 4 TOTAL - MWMC SANITARY SEWER SD<
Virginia Jurasevich
PREPARED BY
7/10/2003
DATE
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
CREDIT RA TE/$1 ,000
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2.98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
=
IS LAND ELGlBLE 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
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$29.30 x $0.63
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $0,63 =,
TOTAL MWMC CREDIT
..' 4 ,. '!"
o
1997
$18.46
o
$18.46