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Home My WebLink AboutPermit Building 2003-7-22 ~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00484 ISSUED: 07/22/2003 APPLIED: 06/11/2003 EXPIRES: 01/22/2004 VALUE: $ 175,361.00 :~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3315 AMBLESIDE DR ASSESSOR'S PARCEL NO.: 1702193407200 TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: SFR Owner: SCOTT JORDAN Address: 28235 CLEAR LAKE RD EUGENE OR 97402 Residential Phone Number: 541-688-3998 Contractor License Expiration Date SCOTT JORDAN 78589 01/01/2005 EVERYDAY ELECTRICAL SERVICE 136371 08/12/2005 COMFORT FLOW 460 06/27/2005 FRANK ROMERO 40892 12!~O/~03 s::>~UILDING INFORMATION I ~~O~~O<~ ~ ~ . ~0 O~ e:,0 rf ~'V # of Buildings: ~ ~ # of Stories: 2 0~ ~~ .sst~" S-0 {::o0 .~ Primary Occupancy Group: ~-# <<.~ Height of Structure 25.~4.: 0q,~~J i1i~ ~O Secondary Occupancy Group: ~JRf ~ Type of Heat: Forced Air..#a~ ~ Rif'iw~~'b= Primary Construction Type ~ 'S:':''V~~ Water Type: ~CG~ ~0 tJh~~"f. Secondary Construction Tyg,; ~~ ~ Range Type: .O,fli #'~O~CJ...Jf~~~~ort # of Bedrooms: 4'~S'J<$' ~ 3 Energy Path: O~. ~hlb'1~. ~iJ'"F#5~'*:~ L." . ~ '::J~ l"i.. ~ r-..~' _~ ro qj 0~ ~ ~~1~r~0~rsurface Area: ,." ~ ~ ""~ __,-v 1-';;;- .~f6 (', Jf~ .;.0 -..... # n' o ~- Q..<q~& ~ ~"V.. I DEVELOPMENT IN~~.ro~ .~~ ~~-O'" ...:'b~~ SJ!,~~~K~_~ ~~ ..0 .~ ^,-VJ ~ ~0 ~0.~ REQUIRED PARKING ~:~"<':~. S) .... ~ ~- ~o ~ ~ Vi- Front yard SetballJ{;<:::>~4. ,Cij 27.00 Overlay Dist: ~O O~ s;:). -&.~~ ~.....O 0~ Total: 2 Side 1 Setback: <:3 ~ 5.00 # Street Trees Rqd: .~ (;:}(;:}OJ lj} # q Handicapped:' Side 2 Setback: 12.00 Paved Drive Rqd: ~.;s Yes Compact: Rearyard Setback: 35.00 % of Lot Coverage: 16.90 Solar Setbacks: 0.00 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: FullV Improved Yes Sidewalk Type: Downspouts/Drains: Notes: Pa2;e 1 of 4 Phone 541-688-3998 541-607-6908 541-726-0100 541-935-3263 6,476 815 1,047 280 Curbside 5' To Storm Sewer : _SPRIN".'''...UP. ~.. ...' , '..... ~", . -."-............-.--.-..-...,.,,..-.- .- Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00484 ISSUED: 07/22/2003 APPLIED: 06/11/2003 EXPIRES: 01/22/2004 VALUE: $ 175,361.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellilll!S Gara2e Tvpe of Construction V Wood Frame Garal.!:e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,862.00 280.00 Value Date Calculated Description Total Value of Project $168,697.20 $6,664.00 $175,361.20 06/11/2003 06/11/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $528.22 6/11/03 1200200000000001495 -Mechanical Issuance Fee- $10.00 7/22/03 2200200000000001287 + 10% Administrative Fee $142.26 7/22/03 2200200000000001287 + 7% State Surcharge $99.59 7/22/03 2200200000000001287 3 Baths One & Two Family $306.00 7/22/03 2200200000000001287 Addressing Assignment $8.00 7/22/03 2200200000000001287 Annexed 1997 $-19.44 7/22/03 2200200000000001287 Building Permit $812.65 7/22/03 2200200000000001287 Curbcut Permit $75.00 7/22/03 2200200000000001287 Dryer Vent $6.00 7/22/03 2200200000000001287 Exhaust Hoods $18.00 7/22/03 2200200000000001287 Furnace - up to 100,000 btu $12.00 7/22/03 2200200000000001287 Gas Fireplace $15.00 7/22/03 2200200000000001287 Gas Outlets 1-4 $4.00 7/22/03 2200200000000001287 Heat Pump $12.00 7/22/03 2200200000000001287 Plan Review - Planning $59.00 7/22/03 2200200000000001287 PW Mult Disc - 2nd Permit $-30.00 7/22/03 2200200000000001287 Residence Wiring 1000 Sq Ft $106.00 7/22/03 2200200000000001287 Residence Wiring Ea Addtl 500 $57.00 7/22/03 2200200000000001287 Sanitary Sewer - Improvement $419.75 7/22/03 2200200000000001287 Sanitary Sewer - Reimbursement $552.25 7/22/03 2200200000000001287 SDC MWMC Administration $10.00 7/22/03 2200200000000001287 SDC MWMC Improvement $34.83 7/22/03 2200200000000001287 SDC MWMC Reimbursement $332.86 7/22/03 2200200000000001287 SDC Sanitary/Storm Admin $83.29 7/22/03 2200200000000001287 SDC Transpo Admin $50.28 7/22/03 2200200000000001287 SDC Transpo Improvement $709.81 7/22/03 2200200000000001287 SDC Transpo Reimbursement $160.87 7/22/03 2200200000000001287 Sidewalk Permit $75.00 7/22/03 2200200000000001287 Storm Drainage Impervious Area $470.38 7/22/03 2200200000000001287 Temp Power 200 amps or less $50.00 7/22/03 2200200000000001287 Vent Fan $24.00 7/22/03 2200200000000001287 Willamalane Single Family $1,000.00 7/22/03 2200200000000001287 Total Amount Paid $6,194.60 Pa2e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00484 ISSUED: 07/2212003 APPLIED: 06/1112003 EXPIRES: 01122/2004 VALUE: $ 175,361.00 225 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 06/13/2003 06/13/2003 06/13/2003 07/15/2003 I Plan Reviews I 06/13/2003 APP 06/30/2003 APP 06/17/2003 APP 07/15/2003 APP LLH TAJ DJW RJB Plan's were accepted without elevation's drawing's. Thier were no attempt's to contact owner to provide set. Will contact Scott at site and request elevation's for site, and will do elevation inspection first person. 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 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Vnderfloor Plumbing: Prior to insulation or decking. 15 Underfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover Pal!e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00484 ISSUED: 07/22/2003 APPLIED: 06/11/2003 EXPIRES: 01122/2004 VALUE: $ 175,361.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 29 Electric Service: Approval required prior to utility company energizing service. 30 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. ~.-/ -~ '- ~- Z-Z -c> 3 Owner or Contractors Signature Date Pal!e 4 of 4 ~ .D3 EL; :JCAL PERlvrrT APPLICATION \9 .\'U City Job NumberJrmQ,l1.E:JID4'l1, ~ 3. CO:MPLETE FEE SCHEDULE BELOW 1. ~O~ATION CW~T LA\~N . ;"Jl) \ ~ t 1\ 0 f'), . t)r . - - LEGAL DESCRIPTION \ f) 0 'L \ 0.. ~~ CJt"'\!2~Dn - 11 \4"1- ~J\~. RIPT ON' o:~-r U 0 I \ r . , ~JlA} +- LJ1t1l;j \ Permits a . non-tr,.' s rable and . ire if work is not started within 180 days of issuance or if work is suspended for 180 d:1Ys. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 A. Nc,,, Rcsidential-Single or Multi-Family per dwclling unit. SCI'vicc Includcd: 1000 sqJI. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feedcrs L~ ; . Installation, Alterations or ~(,.c.e Relocation: 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor [\) erlJj'b,t/ [(.Q<...Tr ;C.u\ I I AddressRM.E 1;2 (')5W-l 'Dv;510f\) fJ'N.nve City EUCjKNL Phone b01- (,90g Supervisor License Number 4 bO~ ~) Expiration Date I C) f 0 I r 1..0oL.i . , Constr ContL Number /36'311 Expiration Date ~/12/o~ Signature of SUJlenising Electrician ~- ;-.../7 .l1 /~ 1-. . ..~-- ) r:?:,."., ~ /t:;~. /i.r' / Owne:'s N ame '"~tt.J.....M.a.l\..J Address 2. 9J~ ~ S 01 0 OJJI} '(Sl~ City tinmQ.. Phone~R. ~0{3J OWNER INS~ALLATION The installation is being made on . property I own which is not intended for sale, lease or rent. OWllcrs Signature: 200 amps or less 201 amps to 400 amps 40 I amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. Temporary Scrviccsor Fcedcrs Installation, Altcration or Rclocation 200 amps or less \ 201 amps to 400 amps Over 401 to 600 amps Ovcr 600 amps or 1000 volts see "B" abm'e D. Branch Circuits Ncw Alteration or Extension Per Panel One Circuit Each Additional Circuit or \vith Service or Fceder Permit E. Miscellancous (Senice/fccdcr not included) -Each instollation Pump or irrigation Sign/Outline Lighting Limited Enerb'Y./Res Limited Energy/ColllIll Items Cost Sum \0'- fD $106.00 \.V 1J $ 19.00 50/XJ csO pt..J Minimum Electric Permit Inspcction Fce is S~5.()() + Surcharges ~. SUBTOTAL OF ABOVE 7% Statc Surchargc \D t% Administrativc Fce TOTAL $ 50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $50.00 $69.00 $100.00 $43.00 $ 3.00 $50.00 $50.00 $25.00 $.J.S.OO ?J~\p0 \ 4..C-\ \ '! . \ 3/) ~AC"\ .1-\ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'Job/Journal Number COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 COM2003-00484 Payments: Type of Payment Check Reccipt#:2200200000000001287 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Received By Jmp Check Number Batch Number Authorization Number Paid By JORDON CONSTRUCTION 2288 City of Springfield Official Receipt Development Services DepartmentL Public Works Department. Date: 07/22/2003 11:17:27AM ' Amount Paid Item Total: 8.00 1,000.00 106.00 57.00 50.00 75.00 75.00 (30.00) 470.38 552.25 419.75 160.87 709.81 332.86 34.83 10.00 83.29 50.28 (19.44) 59.00 812.65 306.00 12.00 24.00 18.00 6.00 4.00 15.00 12.00 10.00 99.59 142.26 $5,666.38 How Received In Person Payment Total: Amount Paid $5,666.38 $5,666.38