HomeMy WebLinkAboutPermit Building 2004-2-9
Status
Issued
, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00277
ISSUED: 02/09/2004
APPLIED: 04/17/2003
EXPIRES: 12/03/2004
VALUE: $ 203,028.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3604 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194306700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - temp occ issued 062404, valid till 072404.
New
;,.' Residential
Owner: STAUBER MATTHEW A
Address: 45446 GOODPASTURE RD VIDA OR 97488
I CONTRACTOR INFORMATION I
Contractor Type".
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
BILL BAILEY PLUMBING I~~ 'JO~ ~t
. License
Expiration Date
Phone
8411 0
06/24/2005
541-998-1141
TION
. ~~. ~~e ,,~O-
# of Units: ~tl(\OW. rI-~ ~1:~~~~ 6 'O~ 2
Primary Occupancy Gro~~~~~. ~O'5V_YR{~f~~ 33.50
Secondary Occupancy G~~M S,)O\O~:I~l(e.~~O ~\dWrced Air Gas
Primary Construction T~ qpi-\tIi\ O~f\ \ ~~~l()\\~\ca: Gas
Secondary Construction ~flI' '(O".~~. a~\~k~). Gas
# of Bedrooms: . ~ ~ce O~~li: Path 1
. ct1.__l~ tot~ ~'\~nkled Building: n!a
~i1.t4
. "", t DEVELOPMENT INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,990
831
1,516
784
346
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
6.00
32.00
60.00
REQUIRED PARKING
Total: 2
2 ~icapped:
Y;& "'~ 'N~~cnl\Pact:
~~~~~~\, \~~
_... f~. .... ~\.\~\.\.. "\\>.\~ ~ ~t..\~\) ~
I PUBLIC I~~~t~;~j~~~ t>-.~t>-.\\V
Fullv Improved ~~\\\<J ~~rvf:c.'V ~'C.~alk Type:
Yes C()~~CO~ ~~ Downspouts/Drains:
~~~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Curbside 5'
To Storm Sewer
Notes:
Pa2e 1 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
DecklBalconv
Dwellin2s
Gara2e
Deck
V Wood Frame
Gara2e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Annexed 1997
Appliance Vent
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 1st @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
Plan Review Residential
Plan ReviewIResidential Hourly
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
I Valuation Description I
$ Per Sq Ft
or multiplier
$15.00
$74.60
$19.60
Square Footage
or Bid Amount
346.00
2,446.00
784.00
Total Value of Project
~
Amount Paid
$574.70
$10.00
$147.87
$103.51
$254.00
$8.00
$-18.94
$6.00
$903.65
$5.50
$0.75
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$59.00
$12.67
$90.00
$-30.00
$106.00
$95.00
$419.75
$552.25
$10.00
$34.83
$332.86
$91.63
$49.86
$709.81
$160.87
$75.00
$628.30 .
Date Paid
4/17/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
5/9/03
Pa2e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00277
ISSUED: 02/09/2004
APPLIED: 04/17/2003
EXPIRES: 12/03/2004
VALUE: $ 203,028.00
Value
Date Calculated
$5,190.00
$182,471.60
$15,366.40
$203,028.00
05/08/2003
04/17/2003
04/17/2003
Receipt Number
1200200000000001018
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
1200200000000001163
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00277
ISSUED: 02/09/2004
APPLIED: 04/17/2003
EXPIRES: 12/03/2004
VALUE: $ 203,028.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Deposit
Temporary Occy 1 & 2 Family
$50.00
$18.00
$1,000.00
$250.00
$100.00
5/9/03
5/9/03
5/9/03
6/24/04
6/24/04
1200200000000001163
1200200000000001163
1200200000000001163
2200400000000000844
2200400000000000844
Total Amount Paid
$6,931.87
I Plan Reviews ,
Initial Review 04/18/2003 04/21/2003 APP LLH
Planninl! Review 04/21/2003 04/24/2003 APP EMM Meets height requirement by Article
2 of the SDC - 28' tall
Public Works Review 04/21/2003 04/24/2003 APP DJW
Structural Review 04/21/2003 05/09/2003 APP DLM See document for plan review
comments
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.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
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.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Vnderfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00277
ISSUED: 02/09/2004
APPLIED: 04/17/2003
EXPIRES: 12/03/2004
VALUE: $ 203,028.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Drain: Prior to cover or placement of concrete.
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.
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.
<'"~ ----- '
.c ~
1 _
~
0une
2L/
2fJgLj
Owner or Contractors Signature
Date
Pal!e 4 of 4
225,Fifth ~treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00277
COM2003-00277
Payments:
Type of Payment
Check
6/24/2004 '
RECEIPT #:
r:ty of Springfield Official Receipt
. ,velopment Services Department
Public Works Department
2200400000000000844
Date: 06/24/2004
Description I
Temporary Occy 1 & 2 Family
Deposit
Paid By
LEO STAUBER
\ ..'
Received By
djb
Item Total:
Check Number Authorization
Batch Number Number How Received
2485
.In Person
Payment Total:
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Page 1 of 1
11:50:57AM
Amount Due
100.00
250.00
$350.00
Amount Paid
$350.00
$350.00