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Home My WebLink AboutPermit Building 2004-9-24 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ._ CITY 01' ~rRINGFIELD . Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 03/24/2005 VALUE: $ 239,818.00 SITE ADDRESS: 3493 Falcon Dr ASSESSOR'S PARCEL NO.: 1702194304800 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 U-1 V1hr 18.00 5.00 10.00 26.00 0.00 Springfield TYPE OF WORK: Single Family Residence 3 I PUBLIC IMPROVEMENTS I New Residential TYPE OF USE: PROJECT DESCRIPTION: Single Family Reside~e Ambleside 1st lot 105 - SFR .,(\~.. ~'~\..J' Owner: RIVER VALLEY BUILDE f:l "\' Address: PO BOX 832 SWEET HO ~~~ .")~ -<-~ ',<:\ ~l" S' ~". ':X:-~\, ~ '\~ ~~'\Jr::: I CONTRACTOR INFORMATION I ~. ~S ~'\J~ ~<o Contractor 'f::,~ ~~ ~effi~'\J' License General ~ ~ '(. ~~ ~ LEY BUILDERS INC 134566 Electrical '\~ ~'\~ flI- ~ ECTRIC INC 54468 Mechanical ~ \::)~~ AY MECHANICAL INC 154166 Plumbing "'~~ IDWAYPLUMBINGINC 4687..0 , , BUILDING INFORMATIO~~~. # of Stories: ."d#~9~tSize: HeightOfStr~(!-~#'-~f~R' ~~ tistFloor: Type ofHe~ b'd'F~tl~&..d t 2nd Floor: Water . :~,q;? ",^#~<I> . q Ft Basement: Ra~~~'~<Q' ~~~ ~f:(E . .~':.~q Ft Garage/Carport ~Im ~ ~<' ~O~!QI"Sq Ft Other: ~ ~~~ ~i!llf.l~ 0\' ^o~1# Occupant Load: _\: ~ ",_ft. ....~ -:~ iD~ _ I DEVE[m~f~KeRmfrJN , . . ,!".~il ','~ \.<' ,,'ll'.l' ~<'~ ~ \0 ^,0 ()" ~~ 0 0'" Overlay 'B~~ 0 # StreetlWes Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-726-0330 Expiration Date 04/15/2005 09/15/2007 01/30/2005 07/25/2008 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 5,628 946 1,519 496 2 Yes 27.50 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: FullV Improved Yes DownspoutsIDrains: Storm drainage shall be directed to stub provided on property. - MS Notes: Paf!e 1 of4 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 Dwellines Garaee V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - 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 Willamalane Single Family Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,465.00 496.00 Total Value of Project Fpp<, p"W Amount Paid $663.42 $10.00 $145.87 $102.11 $306.00 $31.00 $-22.05 $1,020.65 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $530.12 $697.16 $10.00 $865.31 $82.03 $135.65 $62.06 $772.49 $175.13 $75.00 $844.05 $50.00 $24.00 $1,000.00 $7,786.00 Date Paid 9/2104 9124/04 9124/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 9/24/04 Paee 2 of 4 . CITY OF ~r.Kll"'jljl'lELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 03/24/2005 VALUE: $ 239,818.00 Value Date Calculated $227,766.00 $12,052.80 $239,818.80 09102/2004 09/02/2004 Receipt Number 1200400000000001305 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 1200400000000001388 . . CITt VI< SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/0212004 EXPIRES: 03/24/2005 VALUE: $ 239,818.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review Structural Review 09/03/2004 09/03/2004 09/0312004 09103/2004 I Plan Reviews , 09/03/2004 APP 09120/2004 APP 09/24/2004 APP 09/22/2004 APP LLH TAJ MS 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. L...iI;r.,irIP1rI Tnl~nection!i I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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 and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Ooor 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. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Paee 3 of 4 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 ofany 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 nsure that all required in ctions are requested at the proper time, that each address is readable from the street, that t rmit card is located at t fro t of the property, and the approved set of plans will remain on the site at all t:esdur~ ~( Owner or co&s Si~n;;;u~e / . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pal!e40f4 . Lit:r' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/0212004 EXPIRES: 03/24/2005 VALUE: $ 239,818.00 I Date . iii~ .....ty of Springfield Official Receipt "elopment Services Department Public Works Department ..225 Fifth Street Springfield, Oregon 97'477 541-726-3759 Phone Job/Journal Number COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-0 I 100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-0l100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 Payments: Type of Payment CreditCard 9/24/2004 RECEIPT #: 1200400000000001388 Date: 09/24/2004 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1997 Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By RIVER VALLEY BUILDERS Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb 266489 In Person Payment Total: Page I of I 1l:52:16AM Amount Due 31.00 1,000.00 50.00 75.00 75.00 (30.00) 844.05 697.16 530.12 175.13 772.49 82.03 865.31 10.00 135.65 62.06 (22.05) 103.00 1,020.65 306.00 12.00 24.00 9.00 6.00 4.00 15.00 12.00 10.00 102. II 145.87 $7,]22.58 Amount PaId $7,122.58 $7,122.58 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~"~ ....0 . q: ....." ELECTRICAL PERMIT APPLICATION 0 "q~ "0-:/)'0 ~ is' OS7G: City Job Number . Date 4. ~'" <" '" ":/~.. 't../".;.... ,. "1''';,.. i"~......$'G-.."., 3. I COMPLETE FEE ~Ea{JIlNlELO~::;'$(Y. .S;,9. "c: .~- 'q . "Qllt.." ~~~~ \9C}~~:~~/ A.I New.Residential-Singleor~ti-~ . rdwe~~.9~ Service Included " . 1000 sq. ft. or less ~.O~ '" Each additional 500 sq. ft. or " ' portion thereof $ ~O I. I LOCATION OF INSTALLATION ~~ FnlNY\ C\rhle.. LEGAL DESCRIPTION \$)f)PA.~ ()\~ JOB DESCRIPTION \: ~ \\ ,\,,""1(0- nJ '\n\.(A(H" ($f\h.v Permits are Don-traDsfer~le and expire if work;- () not started within 180 days of issuance or if work is Suspended for 180 days. I CONTRACTOR INSTALLATION ONLY I City Expiration Date Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder SPAINQP1ELD ~~ '.h."""." ...._'i:, ,';;:,'::';,:'< "", ,',' '"..,,',' , $50.00 B. I Services or Feeders - Installation, Alterations or Relocation: Over 600 Amps or 1000 Volts see "8" above. o. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit TOTAL $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 5l){P 200 Amps or less 20 I Amps to 400 Amps '" 401 Amps to 600 Amps fDIi 1101\l, ION: 0!tlgnrN;np" ffi.l=~'PS OW JUles ado n><j au to Notlfleetlo" Cent~b~ UtHlty fn0AR952~1-o01 ~<f&Waresetfortll ~ You may Oll!a~:;2;_ts'I1Pheders - .'IQ1he center. (Note: the ,,' r"lI gy OWnber for the Ord,u"..UatioJ/,' l'nfJahG'&l6r Relocation - "'l:fCoTl UTmt~ ~alifcatl "'lliIter 18 "l!0Q)~1!'12s1u!. I on t 201 Amps to 406 Amps 401 Amps to 600 Amps Owners Name \tti.ur \\o.~ I ~ 'ttl~ Address \'>11 ~ 13 0'2... E.I Miscellaneous (Service/feeder not included) -Each Installation I City ~ Phone J.2ln.~E: Pum~orlrriJation $50.00 I ftr:> PERMIT ~~~~~I~J~ THE WORK $ 50.00 OWNER INSTALLATION AUTHORIZEDL4liJ~~J.M!?nP.;~Mla;IIS NOt $ 25.00 The Installation is being made on property I own ~~~MENCEllQ,fltJ~Ei,~~~~JJilR $ 45.00 is not inte d for sale, or rent. 18W~~f5ll!P.Rric Permit Inspection Fee is $45.00 + Surcharges ignature:/ ~ I .,. 4.1 SUBTOTALOFABOVE I rf),ciJ /" ;;;;./h-, - 7% State Surcharge ~ .S() L/ '"' ,O,r- 10% Administrative Fee ---'I V '?\'b.sJ $ 43.00 $ 3.00 Shared Drive(T:)/Building FonnsIElectrical Permit Application I-03.doc , CITY OF SPIGFIELD SYSTEMS DEVELOPMENaRKSHEET JOURNAL OR JOB NUMBER: COM2004-01100 NAME OR COMPANY: River Valley LOCATION: 3493 Falcon Drive TAX LOT NUMBER: 17021943 Tax Lot 04800 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF; 0 LOT SIZE (SF): 5628 -I l[j 10 18 I~ ~ I- m (3 ~ L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IIMPERVIOUSS.F. x I COSTPERS.F. I -, CHARGE I 2722.75 I $0.310 = I $844.05 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE] ! I 0.00 I $0.310 I 50"/0 = I ITEM I TOTAL - STORM DRAINAGE SDC $844.05 I 2. SANITARY SEWER - CITY DISCOUNT $0.00 $844.05 1070 A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I 29 B. IMPROVEMENT COST: I NUMBER OF DFU's I x 29 I $18.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $24.04 $697.16 11091 I 11092 I $530.12 = , $1,227.28 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I I I I $18.30 I 1.00 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlP FACTORI 9.57 I I I I $80.72 I 1.00 I ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947.62 $175.13 11093 I $772.49 11094 J 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I $82.03 = $82.03 11054 B. IMPROVEMENT COST: I INUMBER 7F FEU's I x ICOST PER FEU I $865.31 = $865.31 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($22.05) 11054 MWMC ADMINISTRATIVE FEE $10.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $935.29 1 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,954.24 I .5 ADMINISTRATIVE FEE: I ISUBTOTAL x I ADM. FEE RATE 1= CHARGE I $3.954.24 I 5% I $197.71 TOTAL SANITARY ADMINISTRATION FEE: 135.65 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $62.06 11078 Matt Stouder 9n12004 TOTAL SDC CHARGES = , $4,151.95 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIV ALENT ~ ORAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIJE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTIJRE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC 0 0 3 = 0 I IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I ILAUNDRY TUB 1 0 2 = 2 I, ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3 I ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I /RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC 0 0 1 = 0 I IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 ISHOWER, GANG ~BER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAlJRESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 URJNAL. STALL 1 WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 .EDU (Equivalent Dwelling Unit) is a disc , uivalent to a sin Ie fami] dwellin unit (20 DFUs) set at 167 lions per cia MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE fr- YEAR L- ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATI'J$I,OOO] ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 "1 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o 1997 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $30.63 x $0.72 - I $22.05 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $0.72 o TOTAL MWMC CREDIT = $22.05