HomeMy WebLinkAboutPermit Building 2003-5-14
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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: COM2003-00206
ISSUED: 05/14/2003
APPLIED: 03/25/2003
EXPIRES: 11/14/2003
VALUE: $ 188,635.00
SITE ADDRESS: 3324 Ambleside Drive
ASSESSOR'S PARCEL NO.: 1702193407100
PROJ,ECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: TIM WELLS
Address: 1123 N ST SPRINGFIELD OR 97477
Phone Number: 541-746-0272
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
TIMMY RAY WELLS
KIDD ELECTRIC
MARSHALLS INC
TIM WELLS
A&P PLUMBING
Phone
541-746-0272
541-942-1352
541-747-7445
541-746-0272
541-463-8007
# 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:
21.00
5.00
5.00
17.00
30.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1
R-3
U-l
VN
~~~~e Expiration Date
s 'f~8..~8 ~ 04/17/2004
~,~0 d-'5'4o~O ~lI,.' 01127/2005
~\ ~e~O:\e('$~s:t~~~ s '()~ 12/2312003
,q;:.... f'>. ,,-I(): ~ q) ~;0
~' ~v ~e-.;J ~. r> ~-S ~0
,(0~~ c\. '()~ ,,-0 ~~;,X' G~6l!2(Q~O ~~o~ 08/1 0/2003
I BUIri>X:N~INio~&!Q~'~o\.Z\'v-
(,,~' er::,;. ~,,,, ~-<....... ~ c; t\.0- - .~ bt~'
. <:-- v ~-S# of..s\rJ~' t\.qy ~o 'S~;z,~ 2
'?'o~O~ n.\H~ig~ Qf,.st~.u,~'\i~o~,",!?>'O~ 32.00
~ . r:r 0..'0' "r.:..f1>' "",..... ",,,,.!J'!> ;\.1
O~" <,:Ifyp.e,o.f He}lt: "Il' or.uce:a Air Elect
_'I ~ IO'V' 0 0 '\,v
,~ 0 ctYate~ li(\y~~~ \? Electric
~ ,",<:)<?)R,a{t~e-,1\Y\Je:^\.0~ Electric
v ~()- '^'t.! r:0"
Eoefgy Patli: Path 1
~v
520
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Gar~e/Carport
Sq Ft O~r.t-..
Impe~lI~urface Area:
,~ ,~U
l. " ~ 5::>'
~~<<
~~ ~<S=-~QUIRED PARKING
Overlay Dist: <S-.$ #Total: 2
# Street Trees Rqd: i7 9J. 9::>~ Handicapped:
Paved Drive Rqd: ~ ~ .$ ~~. Compact:
% of Lot Coverage: ~.# ~ ~s;o~~
k~~_~~C'~.$ ~ ~ ,
I PUBLIC IMPROVEME'WT.s.~~~~ -J
F II I d <:.3 '~ewalk Type:
u y mprove ~u
Yes Downspouts/Drains:
933
1,459
4
I DEVELOPMENT INFORMATION I
Curbside 5'
To Storm Sewer
Pa2e 1 of4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00206
ISSUED: 05/14/2003
APPLIED: 03/25/2003
EXPIRES: 11114/2003
VALUE: $ 188,635.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Dwellin2s
Garae:e
Tvpe of Construction
V Wood Frame
Garae:e
$ Per Sq Ft
$74.60
$19.60
Square Footae:e
2,392.00
520.00
Value
$178,443.20
$10,192.00
$188,635.20
Date Calculated
03/25/2003
03/25/2003
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $555.68 3/25/03 1200200000000000885
-Mechanical Issuance Fee- $10.00 5/14/03 1200200000000001184
+ 10% Administrative Fee $128.89 5/14/03 1200200000000001184
+ 7% State Surcharge $90.22 5/14/03 1200200000000001184
3 Baths One & Two Family $306.00 5/14/03 1200200000000001184
Addressing Assignment $8.00 5/14/03 1200200000000001184
Air Handling Unit Up to 10,000 $8.00 5/14/03 1200200000000001184
Annexed 1997 $-18.73 5/14/03 1200200000000001184
Appliance Vent $6.00 5/14/03 1200200000000001184
Building Permit $854.90 5/14/03 1200200000000001184
Curbcut Permit $75.00 5/14/03 1200200000000001184
Dryer Vent $6.00 5/14/03 1200200000000001184
Exhaust Hoods $9.00 5/14/03 1200200000000001184
Furnace - up to 100,000 btu $12.00 5/14/03 1200200000000001184
Gas Fireplace $15.00 5/14/03 1200200000000001184
Gas Outlets 1-4 $4.00 5/14/03 1200200000000001184
Plan Review - Planning $59.00 5/14/03 1200200000000001184
PW Mult Disc - 2nd Permit $-30.00 5/14/03 1200200000000001184
Sanitary Sewer - Improvement $470.12 5/14/03 1200200000000001184
Sanitary Sewer - Reimbursement $618.52 5/14/03 1200200000000001184
SDC MWMC Administration $10.00 5/14/03 1200200000000001184
SDC MWMC Improvement $34.83 5/14/03 1200200000000001184
SDC MWMC Reimbursement $332.86 5/14/03 1200200000000001184
SDC SanitarylStorm Admin $96.53 5/14/03 1200200000000001184
SDC Transpo Admin $49.63 5/14/03 1200200000000001184
SDC Transpo Improvement $709.81 5/14/03 1200200000000001184
SDC Transpo Reimbursement $160.87 5/14/03 1200200000000001184
Sidewalk Permit $75.00 5/14/03 1200200000000001184
Storm Drainage Impervious Area $604.89 5/14/03 1200200000000001184
Temp Power 200 amps or less $50.00 5/14/03 1200200000000001184
Vent Fan $18.00 5/14/03 1200200000000001184
Willamalane Single Family $1,000.00 5/14/03 1200200000000001184
Total Amount Paid $6,330.02
Pa2e 2 of4
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00206
ISSUED: 05/14/2003
APPLIED: 03/25/2003
EXPIRES: 11/14/2003
VALUE: $ 188,635.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
03/26/2003
03/27/2003
I Plan Reviews I
03/27/2003 APP
04/03/2003 APP
LLH
AJD
Building height per the planning
definition is 26 feet above finished
grade.
Public Works Review
Structural Review
03/27/2003
03/27/2003
04/07/2003
05/1312003
APP
APP
DJW
RJB
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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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 Underfloor Plumbing: Prior to insulation or decking.
15 Rough Plumbing: Prior to cover and including required testing.
16 Water Line: Prior to filling trench and including required testing.
17 Sanitary Sewer Line: Prior to filling trench and including required testing.
18 Storm Sewer Line: Prior to filling trench.
19 Final Plumbing: When all plumbing work is complete.
20 Underfloor Mechanical. Prior to insulation or decking and including required testing.
21 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.
22 Rough Mechanical: Prior to Cover
23 Final Mechanical: When all mechanical work is complete.
24 Temporary Electric: Approval required prior to Utility Company energizing pole.
Pae:e 3 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00206
ISSUED: 05/14/2003
APPLIED: 03/25/2003
EXPIRES: 11/14/2003
VALUE: $ 188,635.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
~~ ~ /L ~ &-, s;-- Ilj- 03
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
COM2003-00206
5/14/2003
8:31:52AM
City of Springfield
Development Services Department .
Public Works Department
Official Receipt.
Receipt #: 1200200000000001184
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Plan Review - Planning
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
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Date: 05/14/2003
Item Total:
Amount Paid
8.00
1,000.00
50.00
59.00
75.00
75.00
(30.00)
604.89
618.52
470.12
160.87
709.81
332.86
34.83
10.00
96.53
49.63
(18.73)
854.90
306.00
12.00
8.00
18.00
9.00
6.00
6.00
4.00
15.00
10.00
90.22
128.89
$5,774.34
Page 1 of2
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield
Development Services Department '
Public Works Department
Official Receipt.
Receipt #: 1200200000000001184
Date: 05/14/2003
Payments:
Type of Payment
Check
Paid By
TIM WELLS
Received By
djb
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
5,774.34
$5,774.34
5/14/2003
8:31:52AM
Page 2 of2
cReceipt.rpt
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 the following
.tt d has \I
ELECTRICAL1tm"~T APP~J lONe following proiect aSeSqU~:~ :pecifiC land use
{)'1.. \ he d does not r
City Job Number V . _ ate zonIng an
- - appruval
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over ~O~? ~~@ltsjou.t.~ '
..... U \i.;,JJ\,6f!i;}Rhi&t^t)n~r{'qon Ut,I\L'j'
~\\\ \ . i'''. \ \ 1_ ,iO'." ed bY tr,8 v., .,.0\ tort
, , \ee. au e' 'J
to\\D\NIU ~.. G
.:~n ce,A
I'\,IOT\'lllJD-"U - "1.'" J n '
\'1 L. _,,' Yf\-ll',. '.-. ,thO n ite .
'in Of-,R ;:l..~)..'---l :\[ IM~aiIafi~lNl~~~B~~1lrcR'6Qcation
," \'olJ qk'j L .~ Ii'\[ te' tile, -. ".\ . . f' \
\.lOHIJ.. tWc: c~0'()3Artlps'lorJ~ffi\l Not\w~at\O
,-.>;,\\\nQ. (j)nennn ,,1\. "
";;;llr,or 10\ 111~1, ~f~nt~~?P-t;rp'p~).
II . centeto:p Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit $ 43.00
N O.."iilfJa.Additiona1 Circuit. or with
V ~1\ t\ I - - La l. \~lIc- I~~te or Feeder Permit . $ 3.00
Owners Name .lY.J \-\- ~ ~ THIS MIT SHALL EXPIRE IF THt WUKJ\
Address "1..'3 l.\ SLYl~ 1" AUi!
~t\ ' l~~ C COM
City _cl- Phone \.c\~D'L 1 '- ANy~[9Ai(r~i!fl~~D.
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
LEGAL DESCRIPTION
\'1Dt~~4- m\CYJ
JOB DESCRIPTION
~r?o~~~a~~tk~
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
/
City
Expiration Date
~
~
~
re of Supervising Electrician
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
W_L~ IL C-,_ ~ // ~ ~_.
Inspection Request: 726-3769
3.
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.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
!1)}X>
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~}D
~:::D
t:\ .00
t;;'b .~
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T: )lBuilding FormslElectrical Permit Application 1-03.doc
CITY OF b....AINGFIELD SYSTEMS DEVELOPME'M~ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00206
NAME OR COMPANY: Tim&Rhonda Wells
LOCATION: 3324 AmblesideDr.
TAX LOT NUMBER: 17021934TL07100
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF)
o
LOT SIZE (SF):
5663
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1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. xl COST PER S.F. CHARGE I
, 2145.00 . , $0.282 = I $604.89
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x COST PER S.F. x DISCOUNT RATE DISCOUNT
'0.00 $0.282 50% $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $604.89
$604.89
1070
J
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST: I
I NUMBER OF DFU's x I COST PER DFU
I 28 I $22.09 $618.52 11091
8. IMPROVEMENT COST: 11092
I NUMBER OF DFU's l x COST PER DFU
I 28 $16.79 $470.12
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,088.64
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER 10F UNITS I x COST PER TRIP x . NEW TRIP FACTOR'
I 9.57 $16.81 1.00 $160.87 1093
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS' x COST PER TRIP x NEW TRIP FACTOR
9.57 I 1 $74.17 '1.00 $709.81 1094
ITEM 3 TOTAL. TRANSPORTATION SDC ' = I $870.68 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $332.86 = , $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PEB. FEU
I 1 I $34.83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($18.73) 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $358.96 I
SUB TOT AL (ADD ITEMS 1, 2, 3, & 4) = I $2,923.17 I .
5. ADMINISTRATIVE FEE:
I SUBTOTAL I 'x ADM. FEE RATE CHARGE
I $2,923.17 5% $146.16
TOTAL SANITARY ADMINISTRATION FEE: 96.53 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $49.63 1078
. -. I
D. Wright. 4/7/2003 TOTAL SDC CHARGES = $3,069.33
PREPARED BY DATE t
-.-, .-.. .. - ....... ..
M~MC CREDIT CALCULATION TABLE: BASED QN 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 ELGIBLE FOR ANNEXATION CREDIT?
. (Enter 1 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 / 1000 CREDIT RATE
$29.74 x $0.63
~ ,
CREDIT FOR IMPROVEMENT (IF At'lbK ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x. $0:63
TOTAL MWMCCREDIT
, ~
o
1997
$18.73
o
$18.73