HomeMy WebLinkAboutPermit Building 2003-11-12
.: CITY OF ~rKll~uJ:<lELD -
,
Building/Combination Permit
PERMIT NO: COM2003-01061
ISSUED: 11112/2003
APPLIED: 10/17/2003
EXPIRES: 08/05/2004
VALUE: $ 194,004.60
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3391 Falcon Dr
ASSESSOR'S PARCEL NO.: 1702193406400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR
Ownc,': RIVER VALLEY BUILDERS INC
Address: PO BOX 2041 CORVALLIS OR 97339
I CONTRACTOR INFORMATION I
Contractor Type
Gencral
Eleclrieal
Mechanical
Plumbing
Contractor
RIVER VALLEY BUILDERS INC
G & E ELECTRIC INC
MIDWAY MECHANICAL INC
MIDWAY PLUMBING INC
License
134566
54468
154166
4687
BUILDING INFORMATION I
# of Units:
Primary Oecupancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure 28.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
1
R-3
U-l
VN
3
SETBACKS
I DEVELOPMENT INFORMATION'
Front)'ard Setback:
Side I Sctbaek:
Side 2 Selback:
Rear)'ard Setback:
Solar Setbaeks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
19.00
10.00
6.00
31.60
0.00
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I PUBLIC IMPROVEMENTS I
Streellmprovements:
Storm Sewer Available:
Special Instruction:
New
Residential
Phone Number: 541-760-7881
Expiration Date
04/1512005
09/15/2007
01130/2005
07/25/2004
Phone
541-367-1618
541-967-7045
541-928-2423
541-928-7927
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
1,071
960
420
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
26.30
Sidewalk Type:
Fullv Improved Curbside 5'
Yes DownspoutslDrains: To Storm Sewer
Storm sewer to private 12-inch line in the rear of property, see attached as-built for tap location.
Notes:
Paee 1 of4
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01061
ISSUED: 11/12/2003
APPLIED: 10/17/2003
EXPIRES: 08/05/2004
VALUE: $ 194,004,60
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Dwellin2s
Cara2e
Tvpe of Construction
V Wood Frame
Caraee
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,031.00
420.00
Value
Date Calculated
Total Value of Project
$184,008.60
$9,996.00
$194,004.60
10/17/2003
10/17/2003
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $5.00 10/17/03 1200200000000002336
+ 7% State Surcharge $3.50 10/17/03 1200200000000002336
Plan Review Residential $568.36 10/17/03 1200200000000002336
Temp Power 200 amps or less $50.00 10/17/03 1200200000000002336
-Mechanical Issuance Fee- $10.00 11/12/03 2200200000000001752
+ 10% Administrative Fee $126.24 11/12/03 2200200000000001752
+ 7% Slate Sureharge $88.37 11/12/03 2200200000000001752
3 Baths One & Two Family $306.00 11/12/03 2200200000000001752
Annexed 1997 $-19.30 11/12/03 2200200000000001752
Building Permit $874.40 11/12/03 2200200000000001752
Curbcut Permit $75.00 11/12/03 2200200000000001752
Dryer Vent $6.00 11/12/03 2200200000000001752
Exhaust Hoods $9.00 11/12/03 2200200000000001752
Furnace - up to 100,000 btu $12.00 11/12/03 2200200000000001752
Cas Fireplace $15.00 11/12/03 2200200000000001752
Cas Outlets 1-4 $4.00 11/12/03 2200200000000001752
Heat Pump $12.00 11/12/03 2200200000000001752
Plan Review - Planning $59.00 11/12/03 2200200000000001752
PW MIIIl Disc - 2nd Permit $-30.00 11/12/03 2200200000000001752
Sallitary Sewer -Improvement $464.67 11/12/03 2200200000000001752
Sanitary Sewer - Reimbursement $611.28 11/12/03 2200200000000001752
SDe l\IWMC Administration $10.00 11/12/03 2200200000000001752
SDe l\'lWMC Improvement $214.23 11/12/03 2200200000000001752
SDe l\'lWMC Reimbursement $314.63 11/12/03 2200200000000001752
SDe Sanitary/Storm Admin $103.65 11/12103 2200200000000001752
SDe Transpo Admin $53.45 11/12/03 2200200000000001752
SDe Transpo Improvement $727.42 11/12/03 2200200000000001752
SDe Transpo Reimbursement $164.89 11/12/03 2200200000000001752
Sidc\,"'alk Permit $75.00 11/12/03 2200200000000001752
Storm Drainage Impervious Area $654.24 11/12/03 2200200000000001752
Vent Fan $24.00 11/12/03 2200200000000001752
Willamalane Single Family $1,000.00 11/12/03 2200200000000001752
+ 101X, Administrative Fee $16.30 1/16/04 1200400000000000066
+ 7% State Surcharge $11.41 1/16/04 1200400000000000066
Resideoce Wiring 1000 Sq Ft $106.00 1/16/04 1200400000000000066
Paee 2 of 4
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. CITY OF Sn~,.mtJFIELD .
Building/Combination Permit
PERMIT NO: COM2003-01061
ISSUED: 11/12/2003
APPLIED: 10/17/2003
EXPIRES: 08/05/2004
VALUE: $ 194,004.60
Status
Issued
225 Fift h Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring Ea AddtI 500
Curbcul- Overwidth Appl
$57.00
$35.00
1/16/04
3/8/04
1200400000000000066
200200000000000021
Total Amount Paid
$6,817.74
luilial Rcview
Plallllillt!. Review
Puhlic 'Vurks Review
10/1712003
10/2012003
10/20/2003
I Plan Reviews , .
10/20/2003 APP
10/30/2003 APP
10/22/2003 APP
LLH
TAJ
VRJ
Structural Review
10/20/2003
11/05/2003 APP
RJB
Storm drainage to private 12-ineh
line in the rear of property, see
attached as-built for tap location.
No plan review comments.
To Rcqucst an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will bc made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I ~lIn"ir..,! r~
I Cu rbcut - Standard: After forms are erected but prior to placement of concrete.
2 Sidcwalk - Curbside: After forms are erected but prior to placement of concrete.
27 Ruugh Mechanical: Prior to Cover
28 Final Gas: When all gas work is eomplete.
29 Final Mechanical: When all mechanical work is complete.
30 Tl'mporary Electric: Approval required prior to Utility Company energizing pole.
3 I Rough Electric: Prior to Cover
32 E1cctrie Service: Approval required prior to utility company energizing service.
33 Fiual Electric: When all electrical work is complete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 lHl'r Electrical Ground: Install gronnd rod at footing and call for inspection in conjunction with footing andlor
fOil 11 dation inspection.
5 Footing: After trenches are excavated,
6 Foundation: After forms are erected bnt 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 finlsh materials.
10 Fr:lIning Inspection: Prior to cover and after all rough in inspections have been approved.
II Wall Insulation: Prior to cover.
12 Cl'iling Insulation: Prior to cover.
13 )) r\'lvall: Prior to taping.
14 ) I 0 Id Downs Installed: Special Inspeetion performed prior to plaeement of concrete. Provide report to City
Building Inspeetor.
IS Fiual Building: After all required inspeetions have been requested and approved and the building is complete.
16 Perimeter Foundation Drains: After gravel and fIlter cloth is installed but prior to baekfill.
17 IJndl'rfloor Plumbing: Prior to insulation or decking.
18 Hough Plumbing: Prior to cover and including required testing.
19 Waler Line: Prior to filling treneh and including required testing.
20 Sanitary Sewer Line: Prior to filling treneh and including required testing.
21 Slorm Sewer Line: Prior to filling trench.
Pa!!e 3 of 4
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01061
ISSUED: 11/12/2003
APPLIED: 10/17/2003
EXPIRES: 08/05/2004
VALUE: $ 194,004.60
Status
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
22 Final Plumbing: When all plumbing work is complete.
23 Undcrnoor Mechanical. Prior to insulation or decking and including required testing.
24 Undcrnoor Gas: After line is installed and required testing and capped ifnot attached to an appliance.
25 Rough Gas: After line is installed and required testing and eapped if not attaehed to an appliance.
26 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
t ('51 i ng. Presure test done at this point.
By signalure, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infurmation hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with
thc Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will b made ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only e tr etors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agre to ensure at a re uired inspections are requested at tbe proper time, that each address is readable from tbe
strect.,. lhall e permit c rd is c ed at the front of the property, and the approved set of plans will remain on the site at aU
tinH~S - construe on.
J--f>cJ!/
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OWller 01' Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Joh/Journal i\umher
COM2003-01061
Payments:
Type of Payment
CreditCard
,.,~!
'._~~_~ __~ .J
Receipt #: 200200000000000021
Description
Curbeut - Overwidth Appl
Paid By
RIVER V ALLEY BUILDERS
Received By
vrj
Check Number
Batch Number Authorization Number
000317 066489
"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/08/2004
1O:22:12AM
Amount Paid'
Item Total:
35.00
$35.00 .
How Received
In Person
Payment Total:
Amount Paid
$35.00
$35.00 .
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