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Home My WebLink AboutPermit Building 2004-6-23 .1 .-~~a~~ft'~!--.BI:"".., " it Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 12/23/2004 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: PROJECT DESCRIPTION: Single Family Residence Ambleside 1st lot 123 New Residential Owner: STAUBER JOSHUA W Address: 1613 RILEY LANE EUGENE OR 97402 Phone Number: 541-968-8509 \0 . ~~ ~fi.lti ~'lCj)R INFORMA llUl~ 1 ~ 0 ~O\.\l ,.. ote~' Se\ . '\- Contractor Type Contr '0'1 ~ ~es 0.te S~J:J;~- . - License General ~ o'9~ o'rl~ ~ O(l<.~ 9 u\es '01' Electrical ~ ~ ~t.. ~~ ~tOU~'(\ 0' \'(\e ~ ~o~e Mechanical.-\1 4,tJt)\O ,.rl~\es ""e \e\e~, c?J,\\9~ w d\1'~ l\ &...\~~ . \\, ~\\\ . Plumbing ..\cW"'U .'1 O'O'fPI' ~o\e. .\.,~ ~O "V' ~;:~O\) ;-~~edPBUID>>f~G\NFORMATION , aU -\X\~ \ot~e \,,~ # of Units: ~~ ~\9. # of Stories: 2 Primary Occupancy GrouV!.' G01i-3 Height of Structure 34.00 Secondary Occupancy Group: U-l Type of Heat: Forced Air Gas Primary Construction Type VN Water Type: Gas Secondary Construction Type: Range Type: . Gas # of Bedrooms: 4 Energy Path: Path 1 Sprinkled Building: n/a 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 I DEVELOPMENT INFORMATION .1 REQUIRED pARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,-- Overlay Dist: fJ~~ # Street Trees Rqd: t:. ,~'t. \ij ~\)\ Paved Drive Rqd: \~'t. \\ ~~ % ofj.pt Cove~t~ 't.""~ ~c:, ~t.~ .~~ ~()"'\~~~~. ~\ ~\,,\'\)t.~ :~f>.~\)\)~ I pUB~re'_\>~~i. ...~:~~\~~..:~ V~ Fully Improved C\)~ \!Q~ \)~ Sidewalk Type: Curbside 5' Yes ~~i 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 617/2004 - MAS 18.00 5.00 6.00 40.00 54.60 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pae:e 1 of 4 _~.~^~U.~~I!~J "...', ~ . ~ 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 Gara2e Dwellin2s Gara2e 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 Tran,spo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family 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 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 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 12/23/2004 VALUE: $ 234,125.00 Value Date Calculated $223,700.40 $10,424.70 $234,125.10 OS/24/2004 05/24/2004 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 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 12/23/2004 VALUE: . $ 234,125.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,920.75 I Plan Reviews I Initial Review OS/25/2004 OS/26/2004 APP LLH Plan nine: Review 06/18/2004 06/18/2004 APP EMM applicant brought in revised site section showing height at 29'9" which meets height requirement Plannine: Review OS/26/2004 WE EMM Structure does n.ot meet height requirement. Measures 31 '9". Left message with applicant on 6/17104. Public Works Review OS/26/2004 06/07/2004 APP MS 6/17/2004 - Easement documentatioll 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 617/2004 - 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 following work 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 forms. Erosion/Grading Inspection: After all erosion measures are in place. Dfer 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. Pae:e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00612 ISSUED: 06/23/2004 APPLIED: OS/24/2004 EXPIRES: 12/23/2004 VALUE: $ 234,125.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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. ./::r;s!;): b/ '1 ~ 0\ o+er or Contractors Signature Date Pal1;e 4 of 4 225 Fiftb.Street Spr-ingfield, Oregon 97477 541-726-3759 Phone r;ty of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2004-00612 COM2004-006l2 COM2004-00612 COM2004-006l2 COM2004-006l2 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-00612 COM2004-00612 COM2004-00612 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-006l2 COM2004-00612 COM2004-006l2 COM2004-00612 COM2004-00612 COM2004~006l2 COM2004-00612 RECEIPT #: 1200400000000000967 Date: 06/23/2004 Description Addressing Assignment Willamalane Single Family 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 Annexed 1997 SDC Transpo Admin . 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 Plan Review - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 10% Administrative Fee + 7% State Surcharge Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Check 6/2312004 LEO STAUBER djb 2484 In Person . Payment Total: Page 1 of 1 3:06:17PM Amount Due 31.00 1,000.00 75.00 75.00 (30.00) 635.39 566.00 430.25 164.89 727.42 314.63 214.23 10.00 98.32 (21.06) 53.77 1,004.40 306.00 12.00 24.00 9.00 6.00 4.00 15.00 12.00 10.00 97.47 139.24 71.00 106.00 76.00 18.20 12.74 $6,267.89 Amount Paid $6,267.89 $6,267.89 1. i LfJCr1{(,!O~;,O]j}~STAL~!!ON ~'(;>". 3. . ..4:m TO- ,~ l~". .,.' ., '"" -.. "".. ~." " "." .. 225 FIFTH STREET. SPRINGFU. , OR 97477 . PH:(541)726-3753 . FAX: (: ELECTRICAL PERMIT APPLICATION City Job Number COM2004-00612 3656 Ambleside Dr LEGAL DESCRIPTION 17021943 06600 JOB DESCRIPTION SFR 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 106 4 $ 19.00 76 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 . CONTRACTOR INSTALLATION ONLY 2. .H" ,_: . Electrical Contractor Address City Phone Expiration Date Sign? of Sup,,,,,sing Eleen-iotan Owners Name Joshua Stauber Address 1613 Riley Ln City Eugene B. Services or:Eeeders - Installation, Alterations, or Relocation: . .-:z, .4."".. ~....,..., ~.~- '^-., ~._., . ~~-... . .,-' .-.. .. -~ - 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps / 60 I Amps to 1000 Amps Over 1000 AmpsNolts AHemON: Oregcfll~~~~@9bu to . follow lUtes adopted by thepre~2n Utility,: .+0;'<; ~tlffcatint\..C1!nt~r, Th5se ifjewataJoo$cfDYt~s or..Feeders in OAR 952.001..0010 through O~A 952-001.- . ~O. VOO may obtain <coJn~~teJe,r{\U!a'~n or RelocatIon oaHlngthe center. (No~t8lep~e ItUmller for the Oregon 1@tl1~~tifi~OO!Nmps Center ls1..sQOo3a2~}o 600 Amps / $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 Over 600 Amp~()~lo.gQ. Y()lts see "B" above. D. i nranchCircuits New Alteration or Extension Per Panel One Circuit $..~.OO Each Additional Circuit or with ~t\ (\~\. ~~~~ Service or Feeder Permit . ~\\~<\ ~ ~ ~ E. · M1~e.I~..tr' ~~~~~~;JnstallatlOn ~. (\~~ ~). ~,~\. ~",\"\~c:, \.\~ .~~\\.a Pump or ~tW~:lO "'8k~ ~, .-:r)ti.OO Signl~~~"~i~\~O' . $ 50.00 Limit~ti>gYlResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Phone 541-968-8509 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. x ,~ to. Inspection Request: 726-3769 4. SUIJTOTAL QF A80l-lW 182.00 12.74 18.20 212.94 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN(ktORKSHEET JOURNAL OR JOB NUMBER: C0M2004-006]2 I NAME OR COMPANY: Joshua Stauber I LOCATION: 3656 Ambleside Drive I TAX LOT NUMBER: 1702] 9463 Tax Lot 06600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF' -1600 . LOT SIZE (SF): I L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE '2]91:00 $0.290 = $635.39 RUNOFF ROUTED TO DRYWELL DESIGNED AND.CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I DISCOUNT 0.00 I $0.290 I 50% = , $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC i $635.39 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: . NUMBER OF DFU's I x . 25 , B. IMPROVEMENT COST: NUMBER OF DFU's x 25 I COST PER DFU I $22.64 I COST PER DFU $] 7.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3. TRANSPORTATION: $996.25 A. REIMBURSEMENT COST: ADT ~ RATE I. x NUMBER OF UNITS . x I 9.57 ] j B. IMPROVEMENT COST: . ADT ~ RATE x I NUMBER OF UNITS I x I . 9.57 I ] I i = , , COST PER ~. $] 7.23 x INEW~FACTOR I 1.00 = , COST PER ~ $76.0] $892.31 xNEW~FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $3 ]4.63 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I ] . I $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< I = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE.FEE~ I SUBTOTAL x I ADM. FEE RATE ~ $3,041.75 I 5% TOTAL SANITARY ADMINISTRATION FEE: I TOTAL TRANSPORTAT]ONADMINISTRATION FEE: Matt Stouder 6/7/2004 PREPARED BY . DATE 6099 $635.39 =, $566.00 =, $430.25 $164.89 $727.42 = $314.63 ifJ ~ c:l o u ~ ~ ,t-< ifJ >-< o ~ 11070 I I ]09] 1092 1093 ]094 ]054