HomeMy WebLinkAboutPermit Building 2003-3-7 (2)
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00071
ISSUED: 03/0712003
APPLIED: 02106/2003
EXPIRES: 09/07/2003
VALUE: $ 138,103.00
SITE ADDRESS: 3342 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702193407000
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees 1 Handicapped:
Paved Drive Rqd: Y Ulres 'f..9p1pact:
. !jut1 ia\ili'l~q Uti\iW
% of Lot Cor~r:age:.J,,~.c./IG";d b' 21:m~i oregon W
A I 0;.;.\". adopte '1 re set for .
to\ioW ru\e:.. _I.~+r-,\' "ThOse ru\e~ ~n ot=..?-oOi"
IPUBLIC IMPR0Yi~~j{~ii-0010thrOpui~\~~ith~ ru\eS b'i
\I' V' .. u """a'1 obts~idn cOI)' ,- "" +e\ephOne
0090 'fo \\1 I ewa N'J[Ytpe,: . n '
Fully Improved '. the center. \\\\~'~\~ilit" NotificatlO CurbSide 5'
Yes ca\\lng ~ the cJlQ.\Y<nspoutslD,r,aire To Storm Sewer
number lor . ~..8"'OO-332-2:;4 ,.
Center IS. ,
Owner: SCOTI JORDAN
Address: 28235 CLEAR LAKE RD EUGENE OR 97402
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Owner
Contractor
SCOTT JORDAN
DEANS ELECTRIC
COMFORT FLOW
SCOTT JORDAN
License
78589
99579
460
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
BUILDING INFORMATION.
. '~I()~~
1 # of StorIes: \r ,\\'t. 'i" ~\Q\ 2
R-3 Heigl~'t. \\~\, \~ \' 23.00
fi~~" :\ ~~ &'f~ ~\) rQ\\ Gas
l\v t.~~\ \)E~ DQ~ Gas
,\\ ()~\1.t.\) ~ e: Gas
~\)~ ~t.~c,t.\) ~~ath: Path 1
c,()~ a.~ \)~
~,'{ '\ 0
~ I DEVELOPMENT INFORMATION I
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
15.00
59.00
28.00
Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 4
Phone Number: 541-688-3998
Phone Number: 541-688-3998
Expiration Date
01/0112005
06/20/2004
06/2712003
Phone
541-688-3998
541-935-5303
541-726-0100
541-688-3998
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
6,380
850
898
393
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00071
ISSUED: 03/07/2003
APPLIED: 02/06/2003
EXPIRES: 09/0712003
VALUE: $ 138,103.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Description
Dwelline:s
Garae:e
Type of Construction
V Wood Frame
Garae:e
$ Per Sq Ft
$74.60
$19.60
Square Foota2e
1,748.00
393.00
Value
$130,400.80
$7,702.80
$138,103.60
Date Calculated
02/06/2003
02/0612003
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $450.06 2/6/03 1200200000000000661
-Mechanical Issuance Fee- $10.00 3/6/03 1200200000000000790
+ 10% Administrative Fee $122.94 3/6/03 1200200000000000790
+ 7% State Surcharge $86.06 3/6/03 1200200000000000790
2 Baths One or Two Family $254.00 3/6/03 1200200000000000790
Addressing Assignment $8.00 3/6/03 1200200000000000790
Annexed 1997 $-18.73 3/6/03 1200200000000000790
Building Permit $692.40 3/6/03 1200200000000000790
Curbcut Permit $75.00 3/6/03 1200200000000000790
Dryer Vent $6.00 3/6/03 1200200000000000790
Exhaust Hoods $9.00 3/6/03 1200200000000000790
Furnace - up to 100,000 btu $12.00 3/6/03 1200200000000000790
Gas Fireplace $9.00 3/6/03 1200200000000000790
Gas Outlets 1-4 $4.00 3/6/03 1200200000000000790
Heat Pump $12.00 3/6/03 1200200000000000790
Plan Review - Planning $59.00 3/6/03 1200200000000000790
PW Mult Disc - 2nd Permit $-30.00 3/6/03 1200200000000000790
Residence Wiring 1000 Sq Ft $106.00 3/6/03 1200200000000000790
Residence Wiring Ea Addtl 500 $57.00 3/6/03 1200200000000000790
Sanitary Sewer - Improvement $335.80 3/6/03 1200200000000000790
Sanitary Sewer - Reimbursement $441.80 3/6/03 1200200000000000790
SDC MWMC Administration $10.00 3/6/03 1200200000000000790
SDC MWMC Improvement $34.83 3/6/03 1200200000000000790
SDC MWMC Reimbursement $332.86 3/6/03 1200200000000000790
SDC SanitarylStorm Admin $69.22 3/6/03 1200200000000000790
SDC Transpo Admin $51.16 3/6/03 1200200000000000790
SDC Transpo Improvement $709.81 3/6/03 1200200000000000790
SDC Transpo Reimbursement $160.87 3/6/03 1200200000000000790
Sidewalk Permit $75.00 3/6/03 1200200000000000790
Storm Drainage Impervious Area $400.44 3/6/03 1200200000000000790
Temp Power 200 amps or less $50.00 3/6/03 1200200000000000790
Vent Fan $18.00 3/6/03 1200200000000000790
Willamalane Single Family $1,000.00 3/6/03 1200200000000000790
Total Amount $5,613.52
2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00071
ISSUED: 03/07/2003
APPLIED: 02/06/2003
EXPIRES: 09/07/2003
VALUE: $ 138,103.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine: Review
Public Works Review
Structural Review
02/06/2003
02/06/2003
02/06/2003
02/0612003
I Plan Reviews ~
02/06/2003 APP
02111/2003 APP
02119/2003 APP
09/03/2003 OK
RJB
AJD
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.
I ReQuired Inspections I
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 Ooor 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 UnderOoor Plumbing: Prior to insulation or decking.
19 UnderOoor 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 UnderOoor 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.
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.
3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00071
ISSUED: 03/07/2003
APPLIED: 02/06/2003
EXPIRES: 09/07/2003
VALUE: $ 138,103.00
Status: Issued
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 tim..e..s.. during con~uction.
~/ ~ (j/' '5~-7-D'7
/
Owner or Contractors Signature Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/JournaI Number
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
3/7/2003
10:45;57 AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000790
Date: 03/0612003
.
Amount Paid
59.00
75.00
75.00
(30.00)
400.44
441.80
335.80
160.87
709.81
332.86
34.83
10.00
69.22
51.16
(18.73)
Description
Plan Review - Planning
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 SanitarylStorm Admin
SDC Transpo Admin
Annexed 1997
Page 1 of3
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
COM2003-00071
Addressing Assignment
Willamalane Single Family
Vent Fan
Gas Outlets 1-4
Furnace - up to 100,000 btu
Heat Pump
Gas Fireplace
Dryer Vent
Exhaust Hoods
2 Baths One or Two Family
Building Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
3/7/2003
10:45:57AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000790
Date: 03/06/2003
8.00 -.
1,000.00
18.00
4.00
12.00
12.00
9.00
6.00
9.00
254.00
692.40
106.00
57.00
50.00
86.06
122.94
10.00
Page 2 of3
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Payments:
Type of Payment
Check
Paid By
JORDAN CONSTRUCTION
Receipt #: 1200200000000000790
Date: 03/06/2003
Received By
Check Number Confirm No
djb
Page 3 of3
3/7/2003
10:45:57AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
$5,163.46
How Received
Amount Paid
In Person
5,163.46
$5,163.46
Payment Total:
cReceipt.rpt
. <~p' 6\\\'-
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.225 FIFTH STREET . _'.' C',::i1tc,~~'~!S\';~::;:{;,: Et RICAL PERl'vIIT APPLICATION
.' SPRlNGFIELD OREGON 9/477 ....',J;'.".. '.,;;'~:'4':'
)NSPECTIONREQ1JEST: . 72~:~6~~'.,~tC ... if}' '~':~' Jeity Joh l'{umber
. ....OFFICE:. '726.)759 ,>", ;:, <;~~t~t,,.\;';) . .::c.'~< ";. "<,(,
':.' . ., ' ,;;I~": ,./:.)l.COtv1JlLETE FEE~CHEDuiEBELOW,
1. LOCATION OFINSTALLATION.' ,:;:c' .'"'' ,',2.;,':
/ / ~ ~ " I I; ~ /' " . -, ... . ~,' . - ,...
, ' ,7:f" , ~.; '",,' ";.;f ;; A. Ne">Residential-Singleor";,,:p,,
" Multi-Family per dwelling unit.
L~q..;\~ l?E~~R.fPJIO~,\/" Servicc Included:
,i) ',\ '/:, ~. -' .., Items Cost Suin.
/' l ,
!~~~D:E;S~~rION. :i ,1 :., J \)6":;' , \
(\ ' \ \ " '/\ '
Permits are nondfransferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
,.
$ 19.00
E . ... D'. ji\X:..fi'.;\"
xP1.ratlon at~'/ v v
200 amps or less
201 amps to 400 amps'
401 amps to,600 amps
601 amps t61000 amps
.Over 1000 amps/volts
Reconnect Only.
$ 50.00
,', .
:~e~t::~:a::~;:;;;ON ~!:~R\G
Address '>~'C,: 6'd'~ ~S-~~ .........
City q/(;\Q:~,~Jt';~:~ C4(~-~3o-;'~"
.-- .-i
B. Scrviccs or Feeuers
Installation, Alteration's .or
Relocation:
supervisorLice~~e-NU1riber ~~t1 <t
-,
$ 63.00
$]5.QO
'$125.00
"$1.63.00
'$375.00
$ 50_00
. ' .
'ConstrCoIitr.NuTI.;ber' ~..~
f' "' '7-D"
Co TeIi)porary Scrvicesor Feeders
Installation, Alteration or Relocation
.... 200 amps Of less
'.201 amps to 40?amps
Ov~r 401.to 600 amps
Over 600 amps orlOOO volts see
"B" above
$50.00
$69.00
$100.00
-'
D. Branch Circuits
NewAIteration or Extension Per Panel
One ~ircuit
.$43.00. .
. ..
. .
OWNER INSTALLA.TION .
The installation is being made on.
property I O\VTI 'which is not intended
for sale, lease or rent.'
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
OWIlers Signature:
E. I\Iiscellimeous (Sel,'icelfeeuer not incluu'eu)
-Each instul1atioll
Pump or irrigution .
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comffi
$50.00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspection Fee b S45.0n + Surcharges
4. SUBTOTAL OF ABOVE
7% State Surcharge
/~l% Administrativc Fce.
:. "',
/,? '\
"./"J
, ..
TOTAL
:
CITY OF ~....RINGFIELD SYSTEMS DEVELOPM~~~""WORKSHEET-
JOURNAL OR JOB NUMBER: Com2003-07000
NAME OR COMPANY: Scott Jordan
LOCATION: 3342 Ambleside Dr.
TAX LOT NUMBER: 17021943~ TL07000
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS 1 BUILDING SIZE (SF) 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.P. x COST PER S.P. CHARGE J
1420.00 $0.282, = I $400.44 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
0.00 I $0.282 I 50% = I $0.00
ITEM 1 TOTA.L - STORM DRAINAGE SDC $400.44
5663
$400.44
r.t)
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0:::
1070
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$1 ,000 r ~'
. ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.83 (Enter 1 for Yes, 2 for No)
1981 $4.77 BASE YEAR 1997
1982 $4.64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE /1000 CREDIT RATE
1985 $4.09 $29.74 x $0.63 = , $18.73
1986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 VALUE /1000 CRljDIT RATE
1989 $2.52 I $0.00 x $0.63 = 0
1990 $2.06
1991 $1.64
1992 $1.'45 TOTAL MWMC CREDIT = $18.73
1993 $1.31
1994 $1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
.2000 $0.04..