HomeMy WebLinkAboutPermit Building 2002-12-23
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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A- CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: 02-00992-01
ISSUED: 10/24/2002
APPLIED: 09/05/2002
EXPIRES: 06/23/2003
VALUE: $ 266,911.00
SITE ADDRESS: 3688 Osprey Dr
ASSESSOR'S PARCEL NO.: 1702194309700
Spr
TYPE OF
Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 165, Subdivision: Ambleside, Addition: 1st, Land Use: Single Family Dwelling,
Zoning: LDR,
Owner: River Valley Builders Inc
Address: PO Box 2041 Corvallis OR 97339
Contractor
River Valley Builders Inc
G & E Electric, Inc
Midway Plumbing Inc
River Valley Builders Inc \0
Midway Plumbing Inc _"O~...\:,,\.'-\ ._
BUILDING INFORM:A~n)N~I\O'~\..
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I BE\tl<iI:;Q~.NWlNFORMA TION I
~\)' - RE~~D PARKING
Overlay Dist: Hillside "\~to1.\~\
# Street Trees ~~ \l ~p~ capped:
Paved Drive Rqd: \ \~ c.. ~~~ ct:
. ~~" ~~ ~~
% of Lot Co{),,~. ~~ ~~~\)~jq. ~~~\)~
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IPUBLIC IMPROV~~'<-~ 't<.y..(,.
(]\ ~ \) .
F II I d ...\" '\ Sidewalk Type:
u y mprove ~\~'
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: (541) 726-0330
I CONTRACTOR INFORMATION I
License
Expiration Date
Phone
(541) 726-0330
(541) 967-8627
(541) 928-7927
(541) 726-0330
(541) 928-7927
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
10,038
3,461
936
35.00
Downs pou ts/Drains
Curbside 5'
Curb and Gutter
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
Residential Plan Check
+ 5% San & Storm Admin Fee
+ 5% Transportation Admin Fee
Annexed 1979 or Before
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
2nd Driveway/Overwidth Appl Fe
8% Admin Fee - Electrical
8% Administrative Fee - Mechan
8% Administrative Fee - Plumbi
8% Building Administrative Fee
Address Assignment
Building Permit
Dryer Vent
Gas Fireplace
Hood and Exhaust
Less than 100,000 BTU
Mechanical Issuance
Multiple Permit Discount - 2nd
New Curbcut
New Sidewalk
One to Four Outlets
Planning Plan Review
S.F. Residence - Willamalane
State Surcharge - Electrical
State Surcharge - Mechanical
State Surcharge - Plumbing
State Surcharge For Building P
Temporary: 200 Amps or Less
Two Bathrooms
Vent Fan to One Duct
+ 7% State Surcharge
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00992-01
ISSUED: 10/24/2002
APPLIED: 09/0512002
EXPIRES: 06/23/2003
VALUE: $ 266,911.00
I Valuation Descrivtion I
$ Per Sq Ft
Square Foota2e
Value
Date Calculated
Total Value of Project
I Fees Paid I
Amount Paid
Date
Receipt Number
$720.46
$117.30
$46.63
$-160.20
$352.59
$463.89
$10.00
$34.83
$332.86
$709.81
$160.87
$1,373.90
$35.00
$4.00
$4.64
$20.32
$88.67
$8.00
$1,108.40
$6.00
$9.00
$9.00
$12.00
$10.00
$-30.00
$75.00
$75.00
$4.00
$55.00
$1,000.00
$3.50
$4.06
$17.78
$77.59
$50.00
$254.00
$18.00
$15.40
9/5/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/15/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
9/17/02
10/24/02
2 of 3
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10642
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10642
10642
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1200200000000000129
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
+ 8% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% San & Storm Admin Fee
+ 7% State Surcharge
+ 8% Administrative Fee
Fixture
Minimum! Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Total Amount
Enl!:ineerinl!:-Res
Initial Review-Res
Planninl!:-Res
Structural-Res
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00992-01
ISSUED: 10/24/2002
APPLIED: 09/05/2002
EXPIRES: 06/23/2003
VALUE: $ 266,911.00
$17.60
$106.00
$114.00
$11.66
$3.15
$3.60
$42.00
$3.00
$100.74
$132.54
10/24/02
10/24/02
10/24/02
12/23/02
12/23/02
12/23/02
12/23/02
12/23/02
12/23/02
12/23/02
1200200000000000129
1200200000000000129
1200200000000000129
1200200000000000451
1200200000000000451
1200200000000000451
1200200000000000451
1200200000000000451
1200200000000000451
1200200000000000451
$7,631.59
I Plan Reviews I
09/12/2002 Appr VJ Overwidth approved for 30 ft
throat.
09/06/2002 Appr LH
09110/2002 Appr AD Called applicant 9/10/02 to request
revised site plan w/ house positioned
correctly on lot.
09/16/2002 Appr DM
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.
L Reouired Insoections .
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
4 Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
5 Rough Plumbing: Prior to cover and including required testing.
6 Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefuUy 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 wiD be
used on this project.
I further agree t ensure that all re red in pections are requested at the proper time, that each address is readable from
the street h he permit card is cated front of the property, and the approved set of plans will remain on the site
at . . rm cons r~ r C -;;z? ~O~
owner~ont~ Signature Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
02-00992-01
02-00992-01
02-00992-01
02-00992-01
02-00992-01
02-00992-01
02-00992-01
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000451
Date: 12/23/2002
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
+ 5% San & Storm Admin Fee
Fixture
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ 8% Administrative Fee
Received By
Check Number Confirm No
GREG LARKIN
djb
Page I of 1
12/23/200+
2:22:47PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Line Item Total:
Amount Paid
132.54
100.74
11.66
42.00
3,00
3.15
3.60
$296.69
\
How Received
Amount Paid
In Person
296.69
$296.69
Payment Total:
cReceipt.rpt