HomeMy WebLinkAboutPermit Building 2003-4-24 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.!, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00177
ISSUED: 04/24/2003
APPLIED: 03/17/2003
EXPIRES: 02/1412004
VALUE: $ 138,103.00
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
Owner: SCOTT JORDAN
Address: 28235 CLEAR LAKE RD EUGENE OR 97402
I CONTRACTORINFORMAT~~~~I
~\'C;I!- ~\~-., ,
Contractor . \~~ '\e~~~~sga\ ~~XPiration Date
JORDAN CONSTRUCTION u\e~O"(\'6'i \'(\9 ~aS 0-,\6 9~'l.; \.
DEANS ELECTRIC :\\O'\~,", o'Q\eO ose '\u ~f9~ e t~\"0~ e 0612012004
GREGORY HAF~N.i~~~~~Vi~~'\o~~~lU\ \:6Q"O~. 0,\\06/30/2004
COMFORT FLO~o~ '\ 'o~ Ce \J:JJ'\~ cO'Q\~,~0~ r\\\\t/a.\'\ 06/27/2005
FRANK ROME~~~\~\~~;~~~~~;:J o~::~~,~~~~~~!t\~~ ^-\. 12/20/2003
W ~BC?H!DI~G.n~fl).w\lf.A"4'j081'
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c "# RfEStbri~'\ '\ 2
~~eighfo~ Structure 23.00
Type of Heat: Forceq Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Contractor Type
General
Electrical
Landscape
Mechanical
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
18.00
6.00
13.00
49.00
65.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
$'1-
I DEVELOPMENT INFORMATION I t".. \~t ~ ~~\
S>'~~ '\~~\\ ,S ~REQUlRED PARKING
I Overlay Di~g. 'O~~\..\.. t~,,\'O ~~~~\) ~(S Total: ' 2
# St~l(t\1:f~~~~ \ \~\)'t.~ ~~~~'1 Handicapped:
pave'\\~<S'i?~~~t.'t.\) \) \:)~ ,'0 ~ Yes Compact:
% of LI~t.j1~~~'t.~'t ~t~'\:)\)' 20.00 .
CJ\:)~ \'O~ \)~
,tH" ~
I PUBLIC IMPRe>VEMENTS I
1
R-3
U-l
VN
4
New
Residential
Phone Number: 541-688-3998
Phone
541-935-5303
541-935-5361
541-726-0100
541-935-3263
850
898
393
Fully Improved
Yes
Sidewalk Type:
Downspoutsillrains:
Curbside 5'
To Storm Sewer
Pal!e 1 of 4
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CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00177
ISSUED: 04/24/2003
APPLIED: 03/1712003
EXPIRES: 02/14/2004
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
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
1,748.00
393.00
Value
Date Calculated
Description
Total Value of Project
$130,400.80
$7,702.80
$138,103.60
03/17/2003
03/17/2003
~
Fee Description Amount Paid Date Paid 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
Curbcut 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 2200200nOOOOOOO0773
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
WiIlamalane Sing!e Family $1,000.00 4/24/03 2200200000000000773
+ 10% Administrative Fee $122.94 6/13/03 1200200000000001530
+ 7% State Surcharge $86.08 6/13/03 1200200000000001530
Pa2e 2 of 4
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00177
ISSUED: 04/24/2003
APPLIED: 03/17/2003
EXPIRES: 02/14/2004
VALUE: $ 138,103,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone ""
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10oio Administrative Fee
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
+ 7% State Surcharge
Backflow Device
Backflow Device
Low Voltage - Residential
Minimum/Adjustment Electrical
Minimum/Adjustment Plumbing
Minimum/Adjustment Plumbing
$4.50
$4.50
$4.50
$3.15
$3.15
$3.15
$14.00
$14.00
$25.00
$20.00
$31.00
$31.00
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
8/14/03
1200200000000001961
1200200000000001961
1200200000000001963
1200200000000001961
1200200000000001961
1200200000000001963
1200200000000001961
1200200000000001963
1200200000000001961
1200200000000001961
1200200000000001961
1200200000000001963
Total Amount Paid
$5,561. 79
I Plan Reviews I
Initial Review 03/18/2003 03/18/2003 APP LLH
Plannin2: Review 03/18/2003 03/21/2003 APP EMM
Public Works Review 03/18/2003 04/02/2003 APP DJW
Structural Review 03/18/2003 04/23/2003 APP 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 Vfer 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 VnderOoor Plumbing: Prior to insulation or decking~
17 VnderOoor 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.
Pa2:e 3 of 4
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Status
Issued
CITY OF SPIUNGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00177
ISSUED: 04/24/2003
APPLIED: 03/17/2003
EXPIRES: 02/14/2004
VALUE: $ 138,103.00
125 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 me<;hanical 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.
33 Low Voltage: Prior to cover.
34 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.
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Owner or Contractors Signature
Date
Paee 4 of 4
225 FIITH STREET. SPRINGFIELD, OR 97477 . PI-!:(541)7Z6-3753 . FAX: (541)726-3689
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BACKFLO'" PERMIT IS $52.65 i ludeus r~~i'i\~~ <SIats<Slf~a!@fi)ge & Administrative Fee)
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Contractor Information
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Construction Contractors Registration #
Expires
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By signing this pennit/application, I agree to call.f.or an inspe~~~~.!~~t~1WJ>1v prevention
devise has been installed and is visible fO~i)'V&\1~~{f~f3.V.~,\"\lS1\Sb~~,~t all infonnation on
this pennit/application is con-ect. 1\"\\S?t: ItO \i~Ot I\Bt>-~OOWC:
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Signature ~~~ ~t\\j.,\~1J
Date of Application
Checked for De1inquenci~<:
Datf'
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For Office Use
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Checked for Historical Status
,------
Shared Drive (T:)/Building Fomls/Backflow Preventionl.03_doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00177
COM2003-00177
COM2003-00 177
COM2003-00 177
Payments:
Type of Payment
Check
Receipt #: 1200200000000001963
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 Recei~t .
Development Services Department.
Public Works Department
Date: 08/14/2003
10:57:33AM
Amount Paid
3.15
4.50
14.00
31.00
$52.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65