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Home My WebLink AboutPermit Building 2004-12-20 , , I. . CITY OF SPRINGFIELD' _..4' Status Issued Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 06/16/2005 VALUE: $ 234,125.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3656 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194306600 Springfield TYPE OF WORK: Single Family Residence , TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence Ambleside 1st lot 123. Add bath plus 1 fixture, 4 fixtures total 071604.db Temp occupancy issued 122005 for 30 days. Owner: STAUBER JOSHUA W Address: 1613 RILEY LANE EUGENE OR 97402 Phone Number: 541-968-8509 Contractor Type General Electrical Mechanical Plumbing I CQ~lUC;rOR INFORMATION I II \i '" a II ""... I Contractor THIS PERMIT SHALLfY~RieIF Tijt:x'6i~~ion Date OWNER AUTHORIZED UNDER THIS PERMIT IS NOT OWNER COMMENCED OR IS ABANDONED FOR MARSHALLS INC ANY 180 DAY PERI0[2S790 12/23/2005 BILL BAILEY PLUMBING INC 84110 06/24/2005 I BUILDING INFORMATION. . Phone 541-747-7445 541-998-1141 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: 2 . Height of Structure 34.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas 4 Energy P,l:lJh: Path 1 . SQri,okleslBlIJkling: n/a ^TT~"lTInf\l' nrAnon law requIres YUU\UI follow rules adoptetlM~~P1'tiE~ORMA TION I . Notification Center. ~lIU~g 1\;lI!o'''' -. ..' ~ . in OAR 952-oa1~01? thro~gh OAR 9~2-001. 0090. You mCW:3lPta1n cOP,~9mrm~ Rif!ls b~d: calling the i'pnter. (Note. )t11~f\~e . '6~0': Ut~1 i fiH'&tJl..wl. number for4~800regon 1190.' Qt COVerage: . . Ce~t;' 1.s00-33 -~ t- . 1 R-3 U-l VN Lot Size: 6,199 Sq Ft 1st Floor: 1,118 SqFt 2nd Floor: 1,144 Sq Ft Basement: Sq Ft Garage/Carport 429 Sq Ft Other: 159 Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: 1 Yes 28.00 REQUIREDP ARKING Total: 2 Handicapped: Compact: . I PUBLIC IMPROVEMENTS I. Street Improvements: Storm Sewer Available: Special)nstruction: Sidewalk Type: Fully Improved , Curbside 5' Yes DownspoutslDrains: To Storm Sewer Storm Sewer to private drainage easement located on NW corner of property. Private drainage easement will be extended from lot 124 to lot 123. Home Qwner/Contractor to provide documentation of easement extension as per telephone, conversation on 6/7/2004 - MAS Notes: ,Pal!e 1 of 4 Status Issued 225 Fifth Str.eet,Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garal!:e Dwellinl!s Garal!e Fee Description . Plan Review Residential ~Mechanical Issuance Fee~ + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% 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 - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 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 Vent Fan Willamalane Single Family + 10% Administrative Fee I Valuation Descriotion , $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,421.00 429.00 Total Value of Project ~ Amount Paid , $652.86 $10.00 $18.20 $139.24 $12.74 $97.47 $306.00 $31.00 $-21.06 $1,004.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $76.00 $430.25 $566.00 $10.00 $214.23 $314.63 $98.32 $53.77 $727.42 $164.89 $75.00 $635.39 $24.00 $1,000.00 $5.60 Date Paid 5/24/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 7/16/04 Pal!e 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 06/16/2005 VALUE:" $ 234,125.00 Value Date Calculated $223,700.40 $10,424.70 $234,125.10 OS/24/2004 OS/24/2004 Receipt Number -1200400000000000793 1200400000000000967 1200400000000000967 . 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000000967 1200400000000001095 Status Issued, CITY OF SPRINGFIELD' - Building/Combination Permit PERMIT NO: cOM2004-00612 ISSUED: 06/23/2004. APPLIED: OS/24/2004 EXPIRES: ,06/16/2005 ..VALUE: : $-234,125.00 225 Fifth Street, Sp'ringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ',1 + 7% State Surcharge Fixture . Sanitary Sewer - Improvement - Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Temporary Occy 1 & 2 Family $3.92 $56.00 $137.68 $181.12 $15.94' $100.00 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 12/20/04 1200400000000001095 1200400000000001095 1200400000000001095 1200400000000001095 1200400000000001095 1200400000000001766 Total Amount Paid $7,421.01 I Plan Reviews I Initial Review . OS/25/2004 OS/26/2004 APP LLH Planninl! Review 06/18/2004 06/18/2004 APP EMM applicant brought in' revised site section showing height at 29'9" which meets height requirement Planninl! Review OS/26/2004 WE EMM Structure does not meet height requirement. Measures 31 '9". Left message with applicant on 6/17/04. Public Works Review OS/26/2004 06/0712004 APP MS 6/17/2004 - Easement documentation received, permit is good for PW. -MAS Application on hold until easement documentation is submitted to City. - Storm Sewer to private drainage easement located on NW corner of property. Private drainage easement will be extended from lot 124 to lot 123. Home owner/Contractor to provide , documentation of easement extension as per telephone conversation on 6/7/2004 - MAS Structural Review OS/26/2004 06/08/2004 OK 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 followingwork day. l...ReouiredJnsnections 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. 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. Final Electric: When all electrical work is complete. Site Inspection: To be made after excavation but prior to setting fo.rms. Pal!e 3 of 4 -~~-I~ ~, ", r <.~",==~.':l"(~"~~ . "'. ' , . ...) CITY OF SPRINGFIELD' 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: cOM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 06/16/20Q5 VALUE: $ 234,125.00 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 floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspecti~n: 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. Underfloor Plumbing: Prior to insulation or decking. . Rough Plumbing: Prior to cover and including required testing. Water Lin~: 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor 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 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. 1triJ f .'\,-- Ower or Contractors Signature \ /2 -<),0 -uhf Date Pal!e 4 of 4 . 225 Fifth Street SpringfieJd, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200400000000001766 Date: 12/20/2004 1:06:41PM Job/Journal Number Description COM2004-006l2 Temporary Occy I & 2 Family Payments: Type of Payment -' Paid By Check JOSHUA STAUBER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1066 In Person Payment Total: Amount Due 100.00 $100.00 Amount Paid $100.00 $100.00 12/20/2004 Page 1 of 1