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Home My WebLink AboutPermit Building 2003-5-9 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00277 ISSUED: 05/09/2003 APPLIED: 04/17/2003 EXPIRES: 11/09/2003 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: New Residential PROJECT DESCRIPTION: SFR Owner: STAUBER MATTHEW A Address: 45446 GOODPASTURE RD VIDA OR 97488 I CONTRACTOR INFORMATION I ,0 Contractor ~o\) .~~ 0, License STAUBER CONSTRUCTIO~...c~~ ~,O~r-.~ 26976 OWNER .;Y' 0' 0 5::)v '" 0~ 0($ 0 Cj ~ '0 ' OWNER ~ ~ O~ 1f. ~~ ~0f:o T.":;"'lf. .Vl\.0 0f:o ~ ...\5 ~0 STAUBERMATT~~~ ...~ O~ ~0 ~o ~o<:- OWNER (\...0~o~'O_C\f:00 _,,\~ r 0':o':.0~.",\vfl:; ~,O~~~p~ ~~ -: B:lJiimNG-.J.NF\0RM-A TION . <v~ ~0f:o 00~ ):)\) qy~,~O,-- \>i$-'-ftJ. # of Buildings: ~ *...~ 0<:1 5::)~ ~ &"'\! if:. Of S~6}i~~1; 2 Lot Size: Primary Occupancy Group\~O. v~;1: ~1:J.~ 0"~ReJg1itci'f'Structure 33.50 Sq~t 1st loor: Secondary Occupancy Group: O~" ~~:10\) ~0 C; ~efy.g'e.~f Heat: Forced Air Gas Sq Ft I.oor: . Primary Construction Type ~ ~ 0 ~N. ~O;~ ,O"'~ 1I.~ater Type: Gas I ~ent: Secondary Construction Type: " ~~q) v~" ~0'" v0~Range Type: Gas ~. t~&ge/Carport # of Bedrooms: ~~ Energy Path: PatR~~ p~.er: ~ \, ~~~S ~ vious Surface Area: . l' \. ~ '('. f' IDEVELOPMENT~~~~~~ ~~ S~ ~~ \)~ ~\J~. Overlay ~~~x-.~~~~,,~ ~ ~~ # Street rr~ 9.~~ ~ \)~ 2 Paved Drive :"1,<0 ~, Yes % of Lot Cover~ge: 30.00 Contractor Type General Electrical Mechanical Owner Plumbing SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Expiration Date 06/27/2003 Phone 541-896-0228 5,990 .831 1,516 784 346 18.00 6.00 6.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 32.00 60.00 I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Downs po u ts/Drains: Curbside 5' To Storm Sewer \ \ Pae:e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Deck/Balconv Dwellines Garaee Tvpe of Construction Deck V Wood Frame Garaee 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 ReviewlResidential 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 SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less i' I Valuation Descriotion I $ Per Sq Ft $15.00 $74.60 $19.60 SQuare Footaee 346.00 2,446.00 784.00 Total Value of Project ~ Amount Paid Date Pai . $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 $50.00 4/17/03 5/9/03 5/9/03 5/9/03 5/9/03 519/03 5/9/03 5/9/03 5/9/03 5/9/03 5/9/03 519/03 5/9/03 5/9/03 5/9/03 5/9/03 519/03 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 Paee 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00277 ISSUED: 05/09/2003 APPLIED: 04/17/2003 EXPIRES: 11/09/2003 VALUE: $ 203,028.00 Value $5,190.00 $182,471.60 $15,366.40 $203,028.00 Date Calculated 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 1200200000000001163 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2003-00277 ISSUED: 05/09/2003 APPLIED: 04/17/2003 EXPIRES: 11/09/2003 VALUE: $ 203,028.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Willamalane Single Family $18.00 $1,000.00 5/9/03 5/9/03 1200200000000001163 1200200000000001163 Total Amount Paid $6,581.87 I Plan Reviews I Initial Review 04/18/2003 04/21/2003 APP LLH Plannine 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. 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 17 Underfloor Plumbing: Prior to insulation or decking. 18 Underfloor Drain: Prior to cover or placement of concrete. 19 Rough Plumbing: Prior to cover and including required testing. 20 Water Line: Prior to filling trench and including required testing. 21 Sanitary Sewer Line: Prior to filling trench and including required testing. 22 Storm Sewer Line: Prior to filling trench. 23 Final Plumbing: When all plumbing work is complete. 24 Underfloor Mechanical. Prior to insulation or decking and including required testing. 25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 26 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. 27 Rough Mechanical: Prior to Cover Paee 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00277 ISSUED: 05/09/2003 APPLIED: 04/1712003 EXPIRES: 11/09/2003 VALUE: $ 203,028.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 28 Final Gas: When all gas work is complete. 29 Final Mechanical: When all mechanical work is complete. 30 Temporary Electric: Approval required prior to Utility Company energizing pole. 31 Rough Electric: Prior to Cover 32 Electric Service: Approval required prior to utility company energizing service. 33 Final Electric: When all electrical work is complete. 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 t e f 0 t of the property, and the approved set of plans will remain on the site at all time.s during con~. ~.. L.~ 5-1-03 Owner or Contra r~fnature Date :" \. ... ~ Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 COM2003-00277 5/9/2003 2:55:54PM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001163 Description Addressing Assignment Willamalane Single Family Plan Review - Planning 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 Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Plan Review Residential Plan Review/Residential Hourly Copy 1 st @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 7% State Surcharge Date: 05/09/2003 Amount Paid 8.00 1,000.00 59.00 75.00 75.00 (30.00) 628.30 552.25 419.75 160.87 709.81 332.86 34.83 10.00 91.63 49.86 (18.94) 903.65 254.00 12.00 18.00 9.00 6.00 6.00 4.00 15.00 10.00 12.67 90.00 0.75 5.50 106.00 95.00 50.00 103.51 Page I of2 cRcccipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001163 Date: 05/0912003 COM2003-00277 + 10% Administrative Fee Item Total: 147.87 $6,007.17 Payments: Type of Payment Check Paid By STAUBER CONSTR Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 6,007.17 $6,007.17 5/9/2003 2:55:54PM Page 2 of2 cRcccipt.rpt 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 sthetoll0'<'lil'l9 itted ha d use ELECTRICAL PERMIT APPLICATION . nroiect as subrre speci\iC lal'l 7.77 L: a ......., .~. \0110'<'111'19" l'Iot reqU City Job Number C.Ot-/Il'Z<:)oS --00 Date J'" -/ - (..../ ~~.\~r;; and does ~(2- : plQva\ 3. COMPLETEPJ.EE S/JJ1Iif19. ILE Bb"L . \\?te ~. . . '.. ,>.rt Signature ... .. A. New Reslde1,tlal,';1l'IS'fngle or MultI-Fanuly per dwelhng U1Ut. 1. . LOCAI10N OF INSTALLATION 3boy r4n~/C'~;--JL LEGAl. DFSr.RTPTTON - ~ 7()Z- I ~'13 o 67{)C JOB DESCRIPTION ::5?Rrf.It:iREt.A~ ( IV E u..J HtT;<J.. E. OR.. Service Included 1000 sq. ft. or less Each additional 500 sq. f1. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ( S $ 19.00 $106.00 /06 75 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 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~ Installation, Alterations or Relocation: Electrical Contractor 200 All..1Jils or less :\J.9'\<f(~~s"lt01\400 Amps Address "e~'V'\ 4~~ru{)~Q~~00 Amps ~ \ O,\e'J ~~ (\C) 0'(\\'0- \",0 g~ep.:~?:f6 ~W.o Amps City Phone ~0'\e~ .eft 'O~ 0 ,\~e ~~~I &Q,QJ.,*n~slV olts (\\0"'- . oO'Q~ ,\,<,0'5 O\).Q)'<'Rbo.ortlie~~o'(\ ~'\~~ ~e~'?).e'(\\e'\' :\C)~'\ 0~\0~~e\e\e~~$j'lJ. __ Supervisor License Number ~~ \. ~ C\VC)C)_>trj>>'(\ G o~.:t.~<6&-ary Services or Feeders y ~~;' t'-.,7:u - ,-I 0'C - ~ Y)~\'\ n'?>bt , ~ - ~\~ 9)".) ~'O-'j '.\.0'\' 0'(\ n.Q:"". . . Expiration Date ~_'o'V . D (je(\ O'%.0~ R)l'OstallatlOn, Alteration or Relocation !~ - R)" \.\'\- ra ~CS I Vi C)C)q)' ':\\\(\~ \,O'%. ~ :\\~ V 200 Amps or less Constr. Contr. Number $ 0'0- ,;r-'Oe'\ Cp'(\\e 201 Amps to 400 Amps I '(\'V'i" - 101 Amps to 600 Amps Expiration Date Over 600 Amps or 1000 Volts'see "B" above. Signature of Supervising Electrician D. Branch Circuits New Alteration or Exten~er Panel One Circuit, . ~~ ~ ~~'\ $ 43.00 Each Addi~iO ~~. ~~ith Service~ ~\i~ $ 3.00 Owners Name --JER..~'1 u.J, 57AV&l?e: .~\..\.~I~\~ ... ~~ .. Address 3Wl/ A/tABLE 5/.1:>1:= _t('\.t~. ~~.CO~~A~~erYiCe/feeder not included) -Each Installation ~'\). ~~~ ~~ \~~ . City SPRft1Ci.FIEi}J Phone 59f~(o~~~~~1..~~~~tion $ 50.00 ~~\ ~~~,\~~lrtline Lighting $ 50.00 OWNER INSTALLATION C~~ \CO~r:imited EnergylResidential . $ 25.00 The installation is being made on property I own which ~~ Limited EnergylCommercial $ 45.00 . is not intended for sale, lease or re Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ 63.00 $ 75.00 $125.00 . $163.00 $375.00 $ 50.00 50 $ 50.00 $ 69.00 $100.00 7% State Surcharge 10% Administrative Fee ZS-I 175'7 '2:. STD 2---"7367 4. SUBTOTAL OF ABOVE 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc 'i' .. ' ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFR]G / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 SINK: SINGLE LA V A TOR Y /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 M]SCELLANEOUS DPU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS ,I 25 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$] ,000 I. ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 . $2.06 $1.64 $].45 $].3] $1.13 $0.97 $0.82 $0.63 $0.4] $0.22 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter] for Yes, 2 for No) BASE YEAR o ]997 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $30.07 x $0.63 = I $] 8.94 CREDIT FOR IMPROVEMENT (IF kIcK ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $0.63 o TOTAL MWMC CREDIT = $]8.94