HomeMy WebLinkAboutPermit Building 2004-4-26
CITY OF ~rK11'\j\.Tt<lELD
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: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 03/02/2005
VALUE: $ 247,962.00
SITE ADDRESS: 3325 Falcon Dr
ASSESSOR'S PARCEL NO.: 1702193406100
Springfield TYPE OF WORK: Single Family Residence
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1\
I DEVELOPMENT INFORMATION' ~~~'\
~~ RED PARKING
Overlay Dist: ~'{(-\~~~~a~~ 2
# Street Trees Rqd: 'Y-"" ~~s S,)<;)~andicapped:
Paved Driye Rqd: ('~. ~ sY:' ~~~"'s~~~ Compact:
% of Lot CoYe~g,e.':~ ~~~ ~ '0~ 4~!!.r ,
~\o\\s ~,(\~t~,,~ ~~~~~.
I PVBLIC IMPROVEl\ol-l'>I~~~"r"\;~~ .
\J- ,,\~ .
F II I d "'~ Sidewalk Type:
u V mprove f"
Yes Downspoutsffirains:
See attached as-built plans for Sanitary and Storm Sewer connections.
TYPE OF VSE:
PROJECT DESCRIPTION: SFR - ambleside lot 95
Owner:
Address:
RIVER V ALLEY BUILDERS INC '\o\) ~;~
PO BOX 2041 CORVALLIS OR 9733~0-..s.~0"'O<;:OO \:)~ 'O~'<;:oo
.<0 _...ell 0.0' "r.'"
c.~ ,'t>. "~0::J ,,'~-:' ,,'0'" <,'-0.,
O~1l!$ 'I! 6@N1iINGfu~ ll1~\JAl.tATlON I
,,~. A0'.tV\.U, ~QJ {" ('\\/! 'O~~
'" .J>OV- ,,- ~O e,O ~0Y,~~ .
Co ~~~. a'Sl ~\'lJ ~0"1 o.;,S.~ License
1:l J!l!.$EX~ ~~~~ ~ ,,~. 134566
G\O ,~<&~~::'~. ~:.JI. rI;'/-'Y' 54468
M ~AeU~~~~ 154166
MI _ ileli.Nnhll(.gl~tI;~\)V 4687
v' ~~e\ d-~ILDlNG INFORMATION I
1 # of Stories: 2
R-3 Height of Structure 29.00
V-I Type of Heat: Forced Air Gas
VN Water Type: Gas
Range Type: Gas
Energy Path: Patb 1
Sprinkled Building: n/a
Contractor Type
General
Electrical
Mechanical
Plumbing
# ofVnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
15.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of 4
New
Residential
Expiration Date
04/15/2005
09/15/2007
01130/2005
07/25/2004
Phone
541-367-1618
541-967-7045
541-928-2423
541-928-7927
1,740
780
622
Curbside 5'
To Storm Sewer
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Curhcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiUamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
.
.
CITY OF ~rKll"jut<IELD
Building/Combination Permit
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 03/02/2005
VALUE: $ 247,962.00
I Valuation Descriotion I
, "
$ Per Sq Ft
or multiplier
$92.40
$24,30
Square Footage
or Bid Amount
2,520.00
622.00
Value
Date Calculated
$232,848.00
$15,114.60
$247,962.60
03/31/2004
03/31/2004
Total Value of Project
I? PPli", tiid.I
Amount Paid
$680.32
$10.00
$148.47
$103.93
$306.00
$31.00
$-20.52
$1,046.65
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
5-30.00
$447.46
$588.64
$10.00
$214.23
$314.63
$120.37
$52.49
$727.42
$164.89
$75.00
$1,010.36
$50.00
$24.00
$1,000.00
$18.20
$12.74
$106.00
$76.00
Date Paid
Receipt Number
3/31/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
6/28/04
6/28/04
6/28/04
6/28/04
2200400000000000304
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
1200400000000000988
1200400000000000988
1200400000000000988
1200400000000000988
Paee 2 of 4
.
.
CITY OF SPKll~\,yt<l~LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 03/02/2005
VALUE: $ 247,962.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 7% State Surcharge
Backfiow Device
Minimum/Adjustment Plumbing
$4.50
$3.15
$14.00
$31.00
9/2104
9/2104
9/2104
9/2104
1200400000000001304
1200400000000001304
1200400000000001304
1200400000000001304
Total Amount Paid
$7,544.93
I Plan Reviews I
Initial Review 04/01/2004 04/01/2004 APP LLH
Plannin!! Review 04/01/2004 04/1712004 APP TAJ Miuimum side setbacks require
survey.
Public Works Review 04/01/2004 04/09/2004 APP VRJ
Structural Review 04/01/2004 04/13/2004 APP 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,Rrr~
Curbcut - Standard: After forms are erected but prior to placement of concrete,
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechauical work is complete.
Tempurary Electric: Approval required prior to Utility Compauy energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Backfiow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Erosion/Grading Inspection: After,all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection. '
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
UnderOoor Plumbing: Prior to insulation or decking.
UnderOoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Pa!!e 3 of 4
.
.
ul:f OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 03/02/2005
VALUE: $ 247,962.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: Wheu all plumbing work is complete.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Underl100r Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
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 Ordinauces 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 contr s a employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to e ure that I require inspections are requested at the proper time, that each address is readable from the
street, that th it card i located the f nt of the property, and the approved set of plans will remain on the site at all
..... ,,,' ,~"'.". - 7' - ? - c:J d
Owner or Contractors Signature Date.7
Pa~e4 of4
.
.~~~~~~'!!,9, ,.,'.- I
11:" >.~-.. "
. ."",,
'; ,.-'
--,-,_.. . - ~ ~
, 225 Fifth Street
~pringfield, Oregon 97477
.541-726-3759 Phone
Job/Journal Number
COM2004-00355
COM2004-00355
COM2004-00355
COM2004-00355
:.... Payments:
Type of Payment
CreditCard
:...'>
9/2/2004
RECEIPT #:
1200400000000001304
Descrlptiou
+ 7% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum! Adjustment Plumbing
Paid By
RIVER VALLEY BUILDERS
Check Number
Batch Number
Received By
djb
Page I of I
Atv of Springfield Official Receipt
""'e~elopment Services Department
Public Works Department
Date: 09/02/2004
Item Totai:
Authorization
Number How Received
264469 In Person
Payment Total:
2:35:36PM
Amount Due
3,15
4,50
14,00
31.00
$52.65
Amount Paid
$52,65
$52.65