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Home My WebLink AboutPermit Building 2004-7-16 _S....PRJ..N......Gi .,F.'.aD.... iij...................... ... '........ ~.;. .. ..... Status Issued 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 CITY OF SPRINGFIELD -1. Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/2312004 APPLIED: OS/2412004 EXPIRES: 01/12/2005 VALUE: $ 234,125.00 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 I DEVELOPMENT INFORMATION I . ~~T \i "\~~ \~uIRED PARKING Overlay Dist: ~~fc, ~~ ~al: 2 # Street Trees Rqd: ~\. fc,~~'i~ ~~ ~jfandicapped: Paved Drive R~. (\ <:>~~ ft.~ "'\ ~~ Compact: % of Lot ~6..~~~ ~~\j ~ 'fj. }lr ~~\~ ~f'~1..~~~ \J~~\\\<;'). 11'utlLIC IMPRO~~~~ t... Fully Improved ~ ~\\"\ Sidewalk Type: Curbside 5' Yes Downspouts/Drains: 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 owner/Contractor to provide documentation of easement extension as per telephone conversation on 6/7/2004 - MAS Owner: Address: Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 6.00 40.00 54.60 Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 R-3 U-l VN # of Stories: 2 Height of Structure 34.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla 4 Paee 1 of 4 Phone Number: 541-968-8509 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . 'Occupant Load: 6,199 1,118 1,144 429 159 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 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 Addtl 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 WilIamalane Single Family + 10% Administrative Fee I Valuation Descriotion I $ 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 6/23104 6/23/04 6/23/04 6/23104 6/23/04 6/23/04 6/23104 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: 01112/2005 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 _~8.N~~'mP ! 1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 01/12/2005 VALUE: $ 234,125.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Fixture Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin $3.92 $56.00 $137.68 $181.12 $15.94 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 1200400000000001095 1200400000000001095 1200400000000001095 1200400000000001095 1200400000000001095 Total Amount Paid $7,321.01 Initial Review Planninl! Review I Plan Reviews I OS/25/2004 OS/26/2004 APP LLH OS/26/2004 WE EMM Structure does not meet height requirement. Measures 31 '9". Left message with applicant on 6/17/04. 06/18/2004 06/18/2004 APP EMM applicant brought in revised site section showing height at 29'9" which meets height requirement OS/26/2004 06/07/2004 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 OS/26/2004 06/08/2004 OK RJB Planninl! Review Public Works Review Structural Review 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. 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 forms. Erosion/Grading Inspection: After all erosion measures are in place. Pal!e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 01/12/2005 VALUE: $ 234,125.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. 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 u 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 per "t card is located at the front of the property, and the approved set of plans will remain on the site at all times during co 7//.?-i V I / Date Pal!e 4 of 4 225 Fifth Street 1 . . Springfield, Oregon 97477 541-726-3759 Phone r:ty of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2004-00612 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-00612 Payments: Type of Payment Check 7/16/2004 RECEIPT #: 1200400000000001095 Date: 07/16/2004 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture + 7% State Surcharge + 10% Administrative Fee Paid By LEO STAUBER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2495 In Person Payment Total: Page 1 of 1 1:27:09PM Amount Due 181.12 137.68 15.94 56.00 3.92 5.60 $400.26 Amount Paid $400.26 $400.26