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Home My WebLink AboutPermit Building 2003-4-24 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2003-00177 ISSUED: 04/24/2003 APPLIED: 03/17/2003 EXPIRES: 10/2412003 VALUE: $ 138,103.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3376 Ambleside Drive ASSESSOR'S PARCEL NO.: 1702193406800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR - same as 3342 Ambleside COM2003-00071 New Residential Owner: SCOTT JORDAN Address: 28235 CLEAR LAKE RD EUGENE OR 97402 Phone Number: 541-688-3998 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone General JORDAN CONSTRUCTION .... Electrical DEANS ELECTRIC 99579 06/20/2004 541-935-5303 Mechanical COMFORT FLOW 460 06/27/2003 541-726-0100 Owner SCOTT JORDAN 541-688-3998 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN VN 4 BUILDING INFORMATION I # of Stories:. 2 IfSWE \NOR~ Height oWlt.nCt~I\\l t\jl.~i.~P\ &AH f&MQ1 Type of~\6 Pt\Ftjtce ~lt\\S . cfWAor: Wat.. TyIl.'\'li\1QI'IIE-O ~ ~"\ll\ .\iltement: Range TYAA:oW\W\t~Ct.\) O~t:JAf\. Sq Ft Garage/Carport Energy Pam. :i ~ 80 O~'{ ? t'h't1I1T Sq Ft Other: J\N Impervious Surface Area: 850 898 393 SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 13.00 REQUIRED PARKING Total: 2 1 Handicapped: Y Compact: es % of Lot C~~~lt~n IOI\!:Ureg(JU)J9fiV reqUIres you to follow rules adopted by the Oregon Utility I PUBLIC IMP~Q~;~ ~~.;~ ~h~;u'~~~t~~9~~~~~ 0090. You may osta~~~jh..li>1 the rules b~ ., Fullv Improved callin the cen~r. 'Note: ~e t~~sphone CurbSide 5 Yes 9 . ownspo,u,ts rams,~~. i' _To Storm Sewer numberforthe regon Uti ny 1\lU1l1ICa IOrr Center is 1-800-332-2344). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 49.00 65.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00177 ISSUED: 04/24/2003 APPLIED: 03/17/2003 EXPIRES: 10/24/2003 VALUE: $ 138,103.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft $74.60 $19.60 Square Footal!e 1,748.00 393.00 Value $130,400.80 $7,702.80 $138,103.60 Date Calculated 03/17/2003 03/17/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Same As $100.00 3/17/03 1200200000000000838 -Mechanical Issuance Fee- $10.00 4/24/03 2200200000000000773 2 Baths One or Two Family $254.00 4/24/03 2200200000000000773 Addressing Assignment $8.00 4/24/03 2200200000000000773 Annexed 1997 $-18.94 4/24/03 2200200000000000773 Appliance Vent $6.00 4/24/03 2200200000000000773 Building Permit $692.40 4/24/03 2200200000000000773 Copies - Ea Addtl @ 50 Cnts Ea $12.50 4/24/03 2200200000000000773 Copy 1st @ 75 cents $0.75 4/24/03 2200200000000000773 Curb cut Permit $75.00 4/24/03 2200200000000000773 Dryer Vent $6.00 4/24/03 2200200000000000773 Exhaust Hoods $9.00 4/24/03 2200200000000000773 Furnace - up to 100,000 btu $12.00 4/24/03 2200200000000000773 Gas Fireplace $15.00 4/24/03 2200200000000000773 Gas Outlets 1-4 $4.00 4/24/03 2200200000000000773 Plan Review - Planning $59.00 4/24/03 2200200000000000773 PW Mult Disc - 2nd Permit $-30.00 4/24/03 2200200000000000773 Residence Wiring 1000 Sq Ft $106.00 4/24/03 2200200000000000773 Residence Wiring Ea Addtl 500 $57.00 4/24/03 2200200000000000773 Sanitary Sewer - Improvement $335.80 4/24/03 2200200000000000773 Sanitary Sewer - Reimbursement $441.80 4/24/03 2200200000000000773 SDC MWMC Administration $10.00 4/24/03 2200200000000000773 SDC MWMC Improvement $34.83 4/24/03 2200200000000000773 SDC MWMC Reimbursement $332.86 4/24/03 2200200000000000773 SDC Sanitary/Storm Admin $75.71 4/24/03 2200200000000000773 SDC Transpo Admin $50.73 4/24/03 2200200000000000773 SDC Transpo Improvement $709.81 4/24/03 2200200000000000773 SDC Transpo Reimbursement $160.87 4/24/03 2200200000000000773 Sidewalk Permit $75.00 4/24/03 2200200000000000773 Storm Drainage Impervious Area $521.70 4/24/03 2200200000000000773 Temp Power 200 amps or less $50.00 4/24/03 2200200000000000773 Vent Fan $18.00 4/24/03 2200200000000000773 Willamalane Single Family $1,000.00 4/24/03 2200200000000000773 Total Amount Paid $5,194.82 Pal!e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00177 ISSUED: 04/24/2003 APPLIED: 03/17/2003 EXPIRES: 10/24/2003 VALUE: $ 138,103.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Structural Review 03/18/2003 03/18/2003 03/18/2003 03/18/2003 I Plan Reviews I 03/18/2003 APP 03/21/2003 APP 04/02/2003 APP 04/23/2003 APP LLH EMM DJW DLM 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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or 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 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Underfloor Plumbing: Prior to insulation or decking. 17 Underfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 Underfloor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 25 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. 26 Rough Mechanical: Prior to Cover 27 Final Gas: When all gas work is complete. 28 Final Mechanical: When all mechanical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 30 Rough Electric: Prior to Cover 31 Electric Service: Approval required prior to utility company energizing service. 32 Final Electric: When all electrical work is complete. Pal!e 3 of 4 '-~~.O'-...........i u.. ...., ~ CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00177 ISSUED: 04/24/2003 APPLIED: 03/17/2003 EXPIRES: 10/24/2003 VALUE: $ 138,103.00 225 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. f ~~ 4-ZL(-03 Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00 177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00 177 COM2003-00177 COM2003-00 177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00l77 COM2003-00 177 COM2003-00177 COM2003-00177 COM2003-00 177 4/24/2003 8:28:52AM . City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000000773 Date: 04/24/2003 Description Amount Paid Addressing Assignment 8.00 Willamalane Single Family 1,000.00 106.00 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 57.00 Temp Power 200 amps or less 50.00 Plan Review - Planning 59.00 Sidewalk Permit 75.00 Curb cut Permit 75.00 PW Mult Disc - 2nd Permit (30.00) 521.70 Storm Drainage Impervious Area Sanitary Sewer - Reimbursement 441.80 Sanitary Sewer - Improvement 335.80 160.87 SDC Transpo Reimbursement SDC Transpo Improvement 709.81 SDC MWMC Reimbursement 332.86 Page I of3 cRcceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00 177 COM2003-00 177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00177 COM2003-00 177 COM2003-00 l77 COM2003-00 177 4/24/2003 8:28:54AM , City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000000773 Date: 04/24/2003 SDC MWMC Improvement 34.83 10,00 75.71 50.73 (18.94) 0.75 12.50 692.40 254.00 12.00 . 18.00 9.00 6.00 6.00 4,00 15.00 10.00 SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1997 Copy 1st @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Page 2 of3 cRccciptrpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Payments: Type of Payment Check Paid By JORDAN CONSTRUCTION Receipt #: 2200200000000000773 Date: 04/24/2003 Received By Check Number Confirm No djb Page 3 of3 4/24/2003 8:28:52AM, City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: $5,094.82 . How Received Amount Paid In Person 5,094.82 $5,094.82 Payment Total: cRccciptrpl ~lG.~o"" ~~'u'\fJ;":- .~" ~ ~rij. ()c>~. //.;: .115 FIFTH STREET.~~".(;l'!< ./4.{ ,,/ -- .' . . :<~~:.. e,:,-:"~:.'::'>~ ..g(~'~~:' . ~?'-<-~: SPRlNGFIELD OREGON......~,iP.'fJ ()?,;f/~, ...... /-.,_. . ",'. _ ,,'"7 I :t:~/;' '\". < ",,'!lf~~_.. ~~:r:>"'.~--..~:~: INSPECTIONREQ~zf'.~~t;1~6~3762~~'i,\' ..... . ,. t ..' 'r' ~r',;'(; OFFW~:...J;2~~,~.~;~,~'1~\i' ~,"";... .;..,;)(~<.',i~:~...,...) LL9~Ar~Qt-[.,'<?.F'il'{~ALL,~'DJ)N' ,\;.. '"., 2"-' ", ,-:;: -"-'\',' ~\:" ~':.,.c'~." ,"(";.:'-I.~, ':";Y>~~,~,.~~~i':'-' ,.~: EL 3, COMPLETE FEESCHEDuiE '~ELO\V: ,.,: :'."",:;~:':',:-, N e,,5~~~iden tial~~'i~~t~ (JIF:,'); Multi-Family per dwelling unit. Service Included: A~ ~" ~-i'd LEGAL DESCRIPTION , ,,~~ ,:/ /" -\",i/~' i:'~' '~'':: ',~ Items Cost ,,-.,/) . \lOB DESCRJPTION ' ~\ ' 1000 sq.ft. orless Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 " '/ \:;- J.... . \\ '..,. .",' Permits are Iion~transferable and expire if work is not' started within 180 days of issuance if \York is suspended for 180 days. $ 19,00 $ 50.00 2, CONT~9TOR ~STALLA!ION O~ Y Electrical" 26~iiacto;.'-J Po., \N S eLl e~ R \ G Address '~,6:,' Bb~ ~ ~ ~~ City L{;?x~:e.~"~'~\:r~~~ 11.~~- SupervisorLi~e~se'Nui~ber "S:l\~' B. Services or Feeders Installation, Relocation: 200 amps or less 201 amps to 400 amps>' 401 amps to.600 amps, amps to. 1000 anlps 1000 $ 63.00 $75.00 $125.00 " $163.00 $375,00 $ 50.00 $50.00 $69.00 $100,00 ).. i / D. Branch Circuits NewAlteration or Extension Per Panel One Circuit $43.00 Eac1i Additional Circuit or with Service, ., or Feeder Permit $ 3.00 ~, " OWNER INSTALLATION The installation is being made on, property Io\vn which is not intended for sale, lease or rent. E.l\Iisce1bmeou.s (Service/feeder not inclu(J:etl) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm $50.00 $50.00 $25.00 $-1-5.00 , , Owners Signature: Minimum Electric Permit Inspection Fec is S-1-5.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge S% Administrative Fee TOTAL ~" <~o r_0 CITY OF S...AINGFIELD SYSTEMS DEVELOPME~. WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00 177 NAME OR COMPANY: Scott Jordan LOCATION: 3376 Ambleside Dr. TAX LOT NUMBER: 17021934TL06800 DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 1850:00 j $0.282 = $521.70 RUNOFF ROUTED TODRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE DISCOUNT 0.00 . I $0.282 50% = $0.00 6099 C/l ~ Cl o u. ~ ~ E-< I~ o ~ ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 20 $521.70 $521.70 1070 II COST PER DFU $22.09 $441.80 1091 B. IMPROVEMENT COST: NUMBER OF DFU's l x COST PER DFU 20 $16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $335.80 1092 $777.60 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I NUMBER OF UNITS COST PER TRIP NEW TRIP FACTORI x x x 9.57 I $16.81 . 1.00 $160.87 1093 B. IMPROVEMENT COST: ADTTRIP RATE x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR 9.57 1 I $74.17 j 1.00 $709.81 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ICOST PER FEU 1 I $332.86 = $332.86 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $34.83 = I $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) l ($18.94) 1054 MWMC ADMINISTRATIVE FEE , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $358.75 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $2,528.73 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE CHARGE r0?9 $2,528.73 5% $126.44 TOTAL SANITARY ADMINISTRATION FEE: 75.71 TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.73 1078 D, Wright 4/3/2003 TOTAL SDC CHARGES. = $2,655.17 PREPARED BY DATE -. ~~ .., DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIVALENT = DRAINAGE RXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 .0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 .ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATlON / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0 ISHOWER, SlNGLE STALL 0 0 '2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISlNK: WASH BASIN/DOUBLE LA V ATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO r ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 1. 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) . ]981 $4.77 BASE YEAR 1997 1982 $4.64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 VALUE/IOOO CREDIT RATE 1985 $4.09 $30.07 x $0.63 = , $18.94 1986 $3.78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) 1988 $2.98 VALUE /1000 CREDIT RATE 1989 $2.52 $0.00 x $0;63 0 , ]990 $2.06 199] $1.64 .1992 $1.45 TOTAL MWMC CREDIT = $18.94 1993 $1.31 1994 $1.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 ]999 $0.22 2000 $0.04