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Home My WebLink AboutPermit Building 2003-3-7 ) . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00071 ISSUED: 03/07/2003 APPLIED: 02/06/2003 EXPIRES: 12/24/2003 VALUE: $ 138,103.00 -,,_~I'3i_~~~,g,fj,I~g!, " . ",...-~,,-,,,, ,\ I' 'r " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ' 541-726-3769 Inspection Line SITE ADDRESS: 3342 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702193407000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence Owner: SCOTT JORDAN Address: 28235 CLEAR LAKE RD EUGENE OR 97402 Residential Phone Number: 541-688-3998 1>.\\0 2 S 'ISOt Size: 23:00\,\e ,..Sq\.$1';i$~Floor: ~ ,,<r' ~v- -,,:\'ll~ J\. Type of Heat: 'f\ \'If'. [las.a. ~..q:~t{lJt~~or: Water Type: O'{e<>P 'C~ \X'GaS0? ~SqWf"Basement: Range Typ.e:o~' A'O~\eO ",o'=,r~~~ Ot>=S\\Ett'~'S~";@e/carport "'-- :\ \ -o.u Il" "\ \ - . \Q) f, :\._ .,... 1.\" of\, Ene~gx~~ath~eC; ~e'{' ~ath Je,=, OS&\tt\(i)t e:~\' ~\ \O'-?-l '{~ ~ Ge~ J:J:J'o. co'9~. ,<<,(Imp~finus Surface Area: ",,,,,\, ..~\o ",(\ \ ,,,0.\(\ _ _~0. _... \"lI . I DEVELOR~lJI;:NilliFOiM)\ 'TJ.0N' "~'{\ ~\\;?,?Jb.P." \{\.....' ~.~v- \"(\ev- eO\V a.,(:~F)'?J~ REQUIRED PARKING f\Q9 ~$\~ :\ \~ . ,\,0 Overlay DiJ.f~ e'{ \0 ~e'{ \<5 Total: 2 # Street Trf,eii~d:Ge(\ 1 Handicapped: Paved Drive Rqd: Com. pact: Yes 22.00 I CONTRACTOR INFORMATION I Contractor Type General Electrical Landscape Mechanical Owner Plumbing Contractor SCOTT JORDAN DEANS ELECTRIC GREGORY HAFFNER LAWN SERVICE COMFORT FLOW SCOTT JORDAN FRANK ROMERO License 78589 99579 7192 460 Expiration Date 01/01/2005 06/20/2004 06/30/2004 06/27/2003 40892 BUILDING INFORMATION I 12/20/2003 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 V-I VN VN 4 # of Stories: Height of Structure SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 15.00 59.00 28.00 % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: , 1\\~1l. I PUBLIC IMPROV~MENTS' t1f}~t ~i ~ ~Q1 Fully Improved \\Q,,\t~. ~\1 S~\..~\\ ~~n\\t\llfQt\ Yes \~\~ ~t.~\tt.O \\\\U~<O Ra~~utS/Dr~i.~s: ~$'~~~\\Ct.~ ~~\t}\'). .;'. . C~ '\~\) \)~ . Notes: Pae:e 1 of 4 Phone 541-688-3998 541-935-5303 541-935-5361 541-726-0100 541-688-3998 541-935-3263 6,380 850 898' 393 Curbside 5' To Storm Sewer :'-~,~~!'!lglii"@ml' 'i ' ~~ l\. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garae:e Dwellinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Annexed 1997 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 Addtl500 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 Temp Power 200 amps or less Vent Fan WilIamalane Single F:amily + 10% Administrative Fee + 7% State Surcharge Backflow Device I V aluation D~scriDtion I $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 1,748.00 393.00 Total Value of Project ~ . Amount Paid Date Paid $450.06 $10.00 $122.94 $86.06 $254.00 $8.00 $-18.73 $692.40 $75.00 $6.00 $9.00 $12.00 $9.00 $4.00 $12.00 $59.00 $-30.00 $106.00 $57.00 $335.80 $441.80 $10.00 $34.83 $332.86 . $69.22 $51.16 $709.81 $160.87 $75.00 $400.44 $50.00 $18.00 $1,000.00 $4.50 $3.15 $14.00 2/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/0~ 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 3/6/03 6/24/03 6/24/03 6/24/03 Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00071 ISSUED: 03/07/2003 APPLIED: 02/06/2003 EXPIRES: . 12/24/2003 VALUE: $ 138,103.00 Value Date Calculated $130,400.80 $7,702.80 $138,103.60 02/06/2003 02/06/2003 Receipt Number 1200200000000000661 1200200000000000790 1200200000000000790 '1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200Z00000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000000790 1200200000000001616 1200200000000001616 1200200000000001616 _&P... .8,,.GF'. m..D.......fAI............ .... .:....... ~~ ! ! . ....-. iii i '.~ r, ',.' ., '._" -. >'- . Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2003-00071 ISSUED: 03/07/2003 APPLIED: 02106/2003 EXPIRES: 12/24/2003 VALUE: $ 138,103.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line MinimumlAdjustment Plumbing $31.00 6/24/03 1200200000000001616 Total Amount Paid $5,666.17 I Plan Reviews I Initial Review 02/06/2003 02/06/2003 APP RJB Plannin2 Review 02/06/2003 02/11/2003 APP AID Public Works Review 02/06/2003 02/19/2003 APP DJW Structural Review 02/0612003 09/03/2003 OK 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 Site Inspection: To be made after excavation but prior to setting forms. 4 ErosionlGrading Inspection: After all erosion measures are in place. 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 6 Footing: After trenches are excavated. 7 Foundation: After forms are erected but prior to concrete placement. 8 Post and Beam: Prior to floor insulation or decking. 9 Floor Insulation: Prior to decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Wall Insulation: Prior to cover. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 16 Final Building: After all required inspections have been requested and approved and the building is complete. 17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insulation or decking. 19 Underfloor Drain: Prior to cover or placement of concrete. 20 Rough Plumbing: Prior to cover and including required testing. 21 Shower Pan. Prior to covering and including required testing. 22 Water Line: Prior to filling trench and including required testing. 23 Sanitary Sewer Line: Prior to filling trench and including required testing. 24 Storm Sewer Line: Prior to filling trench. 25 Final Plumbing: When all plumbing work is complete. 26 Underfloor Mechanical. Prior to insulation or decking and including required testing. 27 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 28 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. 29 Rough Mechanical: Prior to Cover 30 Final Mechanical: When all mechanical work is complete. Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00071 ISSUED: 03/07/2003 APPLIED: 02/06/2003 EXPIRES: 12/24/2003 VALUE: $ 138,103.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 31 Temporary Electric: Approval required prior to Utility Company energizing pole. 32 Rough Electric: Prior to Cover 33 Electric Service: Approval required prior to utility company energizing service. 34 Final Electric: When all electrical work is complete. 35 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. ~~ ........- / Owner or Contractors Signature r:;.- l. V.-oJ Date Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00071 COM2003-00071 COM2003-00071 COM2003-00071 Payments: Type of Payment Check Receipt #: 1200200000000001616 Description + 7% State Surcharge + 10% Administrative Fee Backflow Device Minimum! Adjustment Plumbing Paid By GREG HAFFNER Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department' Public Works Department Date: 06/24/2003 ... Item Total: 10:31:45AM Amount Paid 3.15 4.50 14.00 31.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65