HomeMy WebLinkAboutPermit Building 2004-12-17
I
_~~B,~~"~I~I,;~,_~~_,.,
Status
Issued
~..-."- CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01445
ISSUED: 12/17/2004
APPLIED: .11/24/2004
EXPIRES: 06/17/2005
VALUE: $ 257,528.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3479 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194308100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Single Family Residence, Ambleside 1st lot 149
New
Residential
O,wner:. GREG LARKIN
Address: PO BOX 2041 CORVALLIS OR 97339
Phone Number: 541-726-0330
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
RIVER VALLEY BUILDERS INC 134566 . 04/15/2005
G & E ELECTRIC INC 54468 09/15/2007
MIDWAY MECHANICAL INC 154166 01130/2005
MIDWAY PLUMBI~~n~'':'I\I.nro~nn 1~\,fl~uire5 vOt) to 07/25/2008
. - - - cI R<l\Ql'll11 -egon Utility.
Notification Center. os are 5,..et fmill
In OA~ ~01 0 through OAR 9p2-0C'Uot Size:.
0090.~Y'~eopies of t3mO'Olles lsij Ft 1st Floor:
caltlila\rl~-@&Wt:er. (N~~lt"e\.it;I~Sio~eSq Ft 2nd Floor:
nunfA~~~o~me:oregon Utility N~{lj!Catlo5q Ft Basement:
an~e ~fs 1-800-332-2344f.as Sq Ft Garage/Carport
Ene?g'y3'ih: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone r
541-367-1618
541-967-7045
541-928-2423
541-928-7927
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary. Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
7,711
940
1,660
951
3
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.00
10.00
17.10
46;70'
32.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
25.00
":\
REQUIRED PARKING
Total: 2
. H~ndicapped:
Compact:
I PUBLIC IMPROVEMENTS. .
Street Improvements: "" Fullv Improved - .~ I~~~MIT SHAL~~X~fl!tt~~PfHE WORK
Storm Sewer Available: Yes AUTHORIZED UNDEROJ'ffi8>~lJMli~:NOT
. Special Instruction:.. COMMENCED OR IS ABANDONED FOR
Notes: Overwidth curbcut to Bob Wilson for approvai l1~~cJ&(t.Ql~Y PERIOD. _
Curbside 5'
Curb and Gutter
Pae:e 1 of 4
Status
Issued
~ : .'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01445
.I.SSUEI): 12/17/2004.
APPLIED: ' 11/2412004
EXPIRES: 06/17/2005
VALUE: $ 257,528.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V ai~ation Description I
DwelJin{!:s
Gara{!:e
Tvpe of Construction
V Wood Frame
Gara{!:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,537.00
951.00
Value
Date Calculated
Description
Total Value of Project
$234,418.80
$23,109.30
$257,528.10
11/24/2004
11/24/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential. $701.45 11/24/04 1200400000000001655
. -Mechariical Issuance Fee- $10.00 12/17/04 2200400000000001528-
+ 10% Administrative Fee $151.72 12/17/04 2200400000000001528
+ 7% State Surcharge $106.20 12/17/04 2200400000000001528
3 Baths One & Two Family $306.00 12/17/04 2200400000000001528
Addressing Assignment $31.00 12/17/04 2200400000000001528
Bl;lilding Permit $1,079:15 12/17/04 2200400000000001528
Curbcut - Overwidth Appl $35.00 12/17/04 2200400000000001528
Curbcut Permit $75.00 12/17/04 2200400000000001528
Dryer Vent . $6.00 12/17/04 2200400000000001528
Exhaust Hoods $9.00 12/17/04 2200400000000001528
Furnace - up to 100,000 btu $12.00 12/17/04 .2200400000000001528
Gas Fireplace $15.00 12/17/04 2200400000000001528
Gas Outlets 1-4 $4.00 12/17/04 2200400000000001528
Heat Pump $12.00 12/17/04 2200400000000001528
Plan Review Major - Planning $103.00 12/17/04 2200400000000001528
PW MUlt Disc - 2nd Permit $-30.00 12/17/04 2200400000000001528
Sanitary Sewer - Improvement $548.40 12/17/04 2200400000000001528
Sanitary Sewer:.. Reimbursement $721.20 12/17/04 2200400000000001528
SDC MWMC Administration $10.00 12/17/04 2200400000000001528
SDC MWMC Improvement $865.31 12/17/04 2200400000000001528
SDC MWMC Reimbursement $82.03 12/1'7/04 2200400000000001528
SDC Sanitary/Storm Admin $132.96 12/17/04 2200400000000001528
SDC Transpo Admin $62.72 12/17/04 2200400000000001528
SDC Transpo' Improvement $7'72.49 12/17/04 2200400000000001528
SDC Transpo Reimbursement $175.13 12/1'7/04 2200400000000001528
'Sidewalk Permit $75.00 12/1'7/04 2200400000000001528
Storm Drainage Impervious Area $739.04 12/11104 2200400000000001528
Temp Power 200 amps or less $50.00 12/17/04 ' 2200400000000001528
Vent Fan $24.00 12/17/04 2200400000000001528
Willa'malane Single Family $1,000.00 12/17/04 2200400000000001528
· Total Amount Paid $7,884.80
-j
Pa{!:e 2 of 4 '
- -
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01445
ISSUED: 12/17/2004
APPLIED: 11/2412004
EXPIRES: 06/17/2005
VALUE: $ 257,528.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
11/29/2004
Plan Reviews I
11/2912004 APP
LLH
Plannin2 Review
11/29/2004
12/0812004 APP
EMM
Public Works Review
11/3012004
10
VRJ
Public Works Re"iew
11/29/2004
11/30/2004 APP
CAS
Structural Review
11/29/2004
12/14/2004 APP
DLM
We do not have any signed electrical
forms in for G&E Electric so the
electrical permit cannot be included
in the permit.
Building height 29' based on
calculation method in Article 2.
I contacted Greg Larkin 9:50
11/30/04 and let him know that we
needed engineered signed and
stamped details for the retaining
walls, concrete shear wall, and back
drainage details for any cuts over
four feet. He thought he had
submitted them, so he is going to
check his information and get back
to me. I told him he could stop by to
look at what was submitted, so if he
does he may ask to review the
building plans in the red folder in
Don's area. VJ.
Overwidth d/w request to Bob
Wilson - Transportation reviewing
11/3012004 CAS
See documents for plan review
comments.
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.
~eouiredJnsnections I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: After all erosion measures are in place.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Pa2e 3 of 4
CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01445
ISSUED: 12/17/2004
APPLIED: 11/24/2004
EXPIRES: 06/17/2005
VALUE: $ 257,528.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
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
I street, that the peytiit card is locat e front of the property, and the approved set of plans will remain on the site at all
<-szJ~UCtio.. /~_) 7---0 f/
Owner or Contractors Signature Date /
Pal!e 4 of 4
CITY OFS~NGFIELD SYSTEMS DEVELOPME~~RKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 2384.00 $0.310 = I $739.04
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I
, I 0.00 I, $0.310 I 50% '= I
'ITEM 1 TOTAL - STORM DRAINAGE SDC '$739.04
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 30
B. IMPROVEMENT COST:
I NUMBER OF DFU's' x
I 30
C0M2004-01445
Larkin
3479 Ambleside
1702194308100
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF~ 3488
COST PER DFU
$24.04
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$18.28
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE x \ I NUMBER OF UNITS x
I 9.57 ' I 1
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
I NUMBER OF UNITS x
I 1
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER- MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I ' 1 $82_03
B. IMPROVEMENT COST:
NUMBER OF FEU's I x ICOST PER FEU
. 1 I $865.31
MWMCCREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$3,913.60 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
11/30/2004
DATE
LOT SIZE (SF):
7711
VJ
'11-1
Cl
o
U
0::::
11-1
t-<
VJ
......
o
~
DISCOUNT
$0.00
$739.04
1070
II
$721.20
109]
$548.40
1092
= ,
$1,269.60
COST PER TRIP
$18.30
x NEW TRIP F ACTORI
1.00 I' = ,
1093
$175.13
= I
COST PER TRIP
$80.72
$947.62
x NEW TRIP FACTOR
1.00
$772.49
11094
$82.03
1054
= $865.31 1055
$0.00 I ]054
$10.00 1056
$957.34
$3,913.60
CHARGE
$195.68
132.96 1079
$62_72 11078
\
TOTAL SDC CHARGES =1 $4,109.28
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET AuuJ J JONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRlV ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5_29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3_22
$2.73
$2.25
$1_80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
=
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE/I000 CREDIT RATE
$0.00 x $5.29
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
2
2
1979
$0.00
o
$0.00
225 Fifth Street
SprJngfie(d" Oregon 97477
541~726-3759 Phone
C'ity of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2004-01445
COM2004-01445
COM2004-0 1445
COM2004-0l445
COM2004-0l445
COM2004-0l445
COM2004-0 1445
COM2004-01445
COM2004-01445
COM2004-0 1445
COM2004-0 1445
COM2004-0 1445
COM2004-01445
COM2004-0 1445
COM2004-0l445
COM2004-01445
.COM2004-01445
COM2004-01445
COM2004-0l445
COM2004-01445
COM2004-0l445
COM2004-0 1445
COM2004-0l445
CO M2004-0 1445
COM2004-01445
COM2004-0 1445
COM2004-0 l445.
COM2004-01445
COM2004-0 1445
COM2004-0l445
Payments:
Type of Payment
Check
12/17/2004
RECEIPT #:
2200400000000001528
-Date: 12/17/2004
Description
Addressing As~ignment
Temp Power 200 amps or less
WiJlamalane Single Family
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Curbcut - Overwidth Appl
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo. Improvement
SDC ~WMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
. SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
3 Baths One & Two Family
, Furnace - up to 100,000 btu
Vent Fan (
.Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
RIVER V ALL~Y BUILDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
11118
DJB
In Person
Payment Total:
.' 'J r to'. :
Page 1 of 1
10:25:07AM
Amount Due
31.00
50.00
l,OOO.OO
75.00
75.00
(30.00)
35,00
739.04
721.20
548.40
175.13
772.49
82,03
865.31
10.00
132.96
62,72
1,079.15
306.00
12.00
24.00
9.00
6.00
4.00
15.00
l2.00
10,00
106.20
151.72
103.00
$7,183.35
Amount Paid
$7,183.35
$7,183.35
\t$~o~~ '~
225 FIFm STREET. SPR.INGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)72.-3689. U,\
ELECTRICAL PERMIT APPLICATION eo'<'t:r;: ;
City Job Number [OW'l UO~ - () / L{ I.{ -.;- Date /1- 24-0 4- ~'O~~ 'b<<e<\
f j , 'b 'b -;So....
3. 9l!R~~fi/!i:~~~~~~~r<tf:~~E
~c$' 00
~o ....,0
x&,1t!>
[~)~'~u
(:; 8JDO
tBfD__~E, SCRIPTIlx)O,N lltr (Q{\' 1000 sq. ft. or less
~ ~ Each additional 500 sq. ft. or
portion thereof
Pennlts are on_~ansferable and expi.. u wo Eaoh Manufao!' d Home m
not started within 180 days of issuance or if wor is Modular Dwelling Service or
Suspended for 180 days. ATTENT'ON:~~~on law
rules a
tion ci'n
In R 952-001-~'n1O thr ,:
o 0 You may 2 at ~m"ps 9r'less
o ~n CODIA'
calling the ceh9~r. gro,-q~;O_Amps
number for thefe7rGc IlPS t~'~()(f :\IDps
gan OtiN,x.i'
Center @l_Z!3i_'2'3~~mps
Over 1000 AmpslVMts
Reconnect Only
. ;'- ",."", ~-:~ ~ New Alteration or Extension Per Panel
. : .~-; I;'" r, ---{ f 11! (' j ,
, , _,. . I ., " Onel~(r~utt./ p, .., ~ ,
'. , " _ . [JE~Cl(1'dditi~~i~~iifui!tf6f Wi.tlii H K
/""' I _ l<-\~"f"/',[:S~rnic~.f~r~e~'aer'PMlrtitrIS!,,'" $3.00
Owners Name c...?~ ~ ~ ;,,;;\ 16u u/\/ r'" 10..fl'UAilJ~j,~iI~~4~'~R..I,:.~,I...y.\}.}..........}ii...... ....,
Address 1> cD, R o~ g-~ Z-- E. llIl~()l1s(~ep;is~lf~e~~rIlot iIlcll1~ed)T"E:llch Installation
Ci6iAll~1- ~e... Phone 1 to 0 --7 gg-/
l. (~9217~i:il:;P'\f!:~'!Ib
347q V'-'1bl~ '> ,rcOe
LEGAL DESCRIPTION
I 7 0.2- J c:, Lf 3
Address
City
\
Supervisor License N~be
Expiration Date
~
~
~
re of Supervising Electrician
OWNER INSTALLA nON
The installation is being made on prope
is not intended fi r sale, lease or rent
726-3769
A.
Service Included
C.
:;\0
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation \
200 Amps or less
201 Amps to 400 Amps
40 1 Amps to 600 Amps
Over 600
D.
~.oO
$ 50.00
$ 69.00
$100.00
r: .
$ 43.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~.ro
3Cfj')
:S !1n
tC 0 .S'")
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Dlive(T:)/Building Fonns/Electrical Pennit Application I-03.doc