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HomeMy WebLinkAboutPermit Building 2003-3-7 (2) V" 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\\\'- ,,)~\,\.. s'Q0 .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) ~ o o u 0::: ~ E-< r.t) ....., d .~ 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..