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Home My WebLink AboutPermit Building 2003-3-10 (3) '<. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00016 ISSUED: 03/1012003 APPLIED: 01107/2003 EXPIRES: 09/10/2003 VALUE: $ 169,146.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3373 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702193407500 Springfield TYPE OF Single Family Residence PROJECT DESCRIPTION: SFR TYPE OF USE: New Residential )\0 I CONTRACTOR INF?~}~@N.~. "eo.v e~O e\ \0' '\' Contractor 0'(\ \'O-~ ~e 0'\ 'O-~~~ltsec.) ~'j Expiration Date OREGON EST A TES LLCO"e~ 0 'O'l ~ ,\'V\0s ~~ 9 -u\0? EASTSIDE ELECW~lN~'Q\0 i,<,ose ':V~'{\O ~~~~o'\\~ :(\ 10/04/2003 DEAN M SCH~tZ~\~e'(\\e'\~,\ () ~'(o ~\es 0~i!~~~\c,'O-\\0 02/23/2005 OREGON Es1:~IJ)~S~~,:-( R),\,<:j i,.\,\\c,0 I\.e.~ ~o\'\ HOME CO~~~\F~~~ ~'O~R~~", \)\~~#~t>.,. \ .~'\\ ~~~ ~~~~~A-rl0N . ()CJ c,~\'\.,..p',\\0 ~e'\\S 1 :v~\R'"'o~rIes: R-3 <{\ Height of U-l Type of Heat: VN Water Type: VN Range Type: 2 Energy Path: I DEVELOPMENT INFORMATION . ~ ~~ ~()\'\\)\ Overlay Dist: ~\~t. \~ ),.~~~ ~ # ~te'f.et Tre~~\..\.. t.~ \\\'2> ?t.\'\ ~'\) f~~ \\~~~~;,~~'O~~ ~'O~~\)Q~ Yes \~\\&t~~\f~~ ~ 22.00 t:>-'0\ ~t.~c,~ ?t.~\Q . : .\J:~ . ~.'J. ?~'1 IPUBLIct..~}\KUVEMENTS . Owner: OREGON ESTATES LLC Address: 3318 TALON ST EUGENE OR 97408 Contractor Type General Electrical Mechanical Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: 2 23.50 Forced Air Gas Gas Gas Path 1 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 7100 23.00 67.00 0.00 Street Phone Number: 541-338-4914 Phone Number: 541-338-4914 06/25/2003 Phone 541-338-4914 541-741-1499 541-767-0626 541-338-4914 541-345-2838 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 10,638 1,552 594 462 REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Yes Sidewalk Type: Downspouts/Drains Curbside 5' To Storm Sewer Storm Sewer Available: Special Instruction: Notes: 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwelline:s Gara2e Type of Construction V Wood Frame Garae:e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Annexed 1997 Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 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 - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Temp Power 200 amps or less Vent Fan Water Line - 1st 50 Feet I Valuation Description I $ Per Sq Ft $74.60 $19.60 Square Foota2e 2,146.00 462.00 Total Value of Project I Fees Paid I Amount Paid $515.55 $10.00 $150.42 $105.29 $254.00 $8.00 $8.00 $-21.40 $6.00 $793.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $106.00 $76.00 $45.00 $386.17 $508.07 $10.00 $34.83 $332.86 $96.05 $49.60 $709.81 $160.87 $75.00 $791.86 $45.00 $50.00 $18.00 $45.00 Date 119/03 3110/03 3/10/03 3/10103 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10103 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10103 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/10/03 3/1 0/03 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00016 ISSUED: 03/10/2003 APPLIED: 01/07/2003 EXPIRES: 09110/2003 VALUE: $ 169,146.00 Value $160,091.60 $9,055.20 $169,146.80 Date Calculated 01/07/2003 0110712003 Receipt Number 1200200000000000521 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 1200200000000000797 Status: Issued CITY OF SPRINGFIELD> Building/Combination Permit PERMIT NO: COM2003-00016 ISSUED: 03/10/2003 APPLIED: 01/07/2003 EXPIRES: 09110/2003 VALUE: $ 169,146.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family $1,000.00 3/10/03 1200200000000000797 Total Amount $6,531.13 I Plan Reviews I Initial Review 01110/2003 0111012003 APP LLH Plannine: Review 0111012003 01117/2003 APP AJD Building envelope noted on plans Public Works Review 0111012003 0112012003 APP VRJ Floor plan did not show second floor. Structural Review 01110/2003 Structural Review 01/2312003 0112312003 OK 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. I ReQuired Inspections 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 andlor 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 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 3 of 4 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: COM2003-00016 ISSUED: 03/10/2003 APPLIED: 01/07/2003 EXPIRES: 09/10/2003 VALUE: $ 169,146.00 30 Final Electric: When all electrical work is complete. 31 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 s~t ofpJans will remain on the site ~times~urin~~. on. ~ '. / /---=- r _ i (" ) Sn ~..... S' //p~? '.:::> { Owner or Contractors Signature Date 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/JournaI Number COM2003-000 16 COM2003-00016 COM2003-00016 COM2003-00016 COM2003-00016 COM2003-000 16 COM2003-00016 COM2003-000 16 COM2003-00016 COM2003-000 16 COM2003-000 16 COM2003-000 16 COM2003-000 16 COM2003-00016 COM2003-000 16 3/10/2003 . 10:41: 13 AM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000797 Date: 03/1 0/2003 . Amount Paid 8.00 1,000.00 50.00 59.00 75.00 75.00 (30.00) 791.86 508.07 386.17 160.87 709.81 332.86 34.83 10.00 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Plan Review - Planning Sidewalk Permit Curbeut Permit PW Mult Dise - 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 Page 10f3 cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2003-00016 COM2003-00016 COM2003-00016 COM2003-000 16 COM2003-000 16 COM2003-000 16 COM2003-00016 COM2003-00016 COM2003-000 16 COM2003-00016 COM2003-00016 COM2003-00016 COM2003-000 16 COM2003-00016 COM2003-00016 COM2003-00016 COM2003-00016 3/1 0/2003 ' 10:41:14AM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000797 Date: 03/10/2003 96.05 . 49.60 (21.40) 793.15 254.00 12.00 8.00 18.00 9.00 6.00 6.00 4.00 15.00 12.00 10.00 45.00 45.00 SDC SanitarylStorm Admin SDC Transpo Admin Annexed 1997 Building Permit 2 Baths One or 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 Heat Pump -Mechanical Issuance Fee- Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Page 2 00 cReceipl.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2003-00016 COM2003-000 16 COM2003-00016 COM2003-000 16 COM2003-00016 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000797 Date: 03/10/2003 Storm Sewer - 1st 50 Feet Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No OREGON ESTATES djb Page 3 of3 3/1 0/2003 . 10:41:13AM ' City of Springfield Development Services Department Public Works Department Official Receipt 45.00 106.00 76.00 105.29 150.42 Line Item Total: $6,015.58 How Received Amount Paid In Person 6,015.58 $6,015.58 pa;rment Total: '" .- cReceipl.rpt 225 FIFTH STREET ,'. .. SPRINGFIELD, OREGON 974.77 . INSPECTION RE UEST: 7 - '.,' OFFICE' 6-375. LEGAL DESCRIPTION 1702- 1'7 S'-l 07500 New Residential-Sing e or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1 $106.00 job L/ $ 19,00 7b $ 50,00 ..i LJ 1000 sq. ft. or less LJ I (Le:: ct' 'Tatilr Each a~~nal 500 I _N:)>:;"o . s~e<tJobsoortlOn Permits are non-transferable and expire ~\eo "~t~a~gf if work is not started within 180 days '=' ,=,0'O~~ ,=,\lecEach Ma of issuanceorif work is suspended for \l\O\ec~~\ ,e0..0\ Mo 180 days. ~\~~ e'=' 7...- '0\\0 660 ~,.V.<k \ 0.'" OR INST ALLA ~r~$t~6~\~~ AS/SiDE (5-E JOB DJlbRJPTION (AS.C -V9/Y , OWNER INSTALLATION The installation is being made on . property I own which is not intended for sale, lease or rent. D. Branch Ch'c~lits ... ....~Ol..l New. Pdterationo~~~~~i' e .. ..... , . IGl O{ego ;.)1'1 n'l tn(3 _ '.>{8 $ , '. One ,\'\85 CA ....' . . \\OS OS8 \ ... B 95- \O\\"".~'J \ \,. " "0\39\\ oP- u\est'!?5 ,i\VJ\.\\JBac.l' li\ClfCu-lctsooH1li't~Se~ q.) ,\ ,.,:..:.1\ . n co\)\t; \8?DW...... . . 0 ~>,,\---I :-lQ1t1;<eeay ]fif'll , \\,8 \8 .'iT eo\.j'\t$ 3.00 \". \ '/OIJ \1"\@."j \" \.NO\8,.. ~\O\\~","'" . ..[\(.jlj. \ In"" E~ J' \ \\\\\\'1 ""E. "(~~\~f,tgtu neffiI~ (~.:wa1~n<;.i,~?I: ?!EJ'6,~cl u de d) ". 'i\beE~'Of11~s:t~l1ati0n{\- x-.' fI\.)1 PuWp1oV'irrigation $50.00 Sign/Outline Lighting $50,00 Limited Energy/Res $25.00 Limited Energy/Comm $45,00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee 2-:>7 /SL- 1~2~ 2-. zo 27 ( LtC{ TOTAL CITY OF SpRINGFIELD SYSTEMS DEVELOPMErf'I"'\vORKSHEET JOURNAL OR JOB NUMBER: Com2003-00016 NAME OR COMPANY: Oregon Estates LOCATION: 3373 Ambleside TAX LOT NUMBER: 17021934 tl 7500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2608 ~.,.. ~ 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 I 9.57 x I NUMBER OF UNITS x I 1 ITEM 3 TOTAL - TRANSPORTATION SDC = I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 1 I I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 1 I' $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SO< SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $2,913m I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Steve Templin 1/20/2003 PREPARED BY DATE .-h.'.. > r:/) ~ Cl 118 10:: I~ E-< r:/) a ~ LOT SIZE (SF): 10638 $791.86 1070 II $508.07 1091 $386.17 1092 $894.24 COST PER TRIP $16.81 x NEW TRIP FACTOR 1.00 $160.87 1093 COST PER TRIP $74.17 $870.68 x INEW TRIP FACTOR I 1.00 $709.81 11094 I I $332.86 1054 = $34.83 lOSS ($21.40) 1054 $10.00 11056 =1 $356.29 = I $2,913.07 I CHARGE llO79 $145.65 96.05 $49.60 11078 TOTAL SDC CHARGES $3,058.72 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 0 IFLOOR DRAIN 0 0 3 - 0 IINTERCEPTORS FOR GREASE / OIL I SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 .0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INST ALLA TION 0 0 6 = 0 'TOILET, PRIVATE INSTALLATION 2 0 3 = 6' MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equiva]ent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CR,EDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 ]984 1985 1986 1987 ]988 ]989 1990 ]991 1992 1993 ]994 ]995 1996 1997 1998 ]999 2000 CREDIT RATE/$I,OOO ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.4] $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 o 1997 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $33.97 x $0.63 $21.40 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE ... -. $0.00 x $0.63 = I o TOTAL MWMC CREDIT = $21.40 'i' I