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Home My WebLink AboutPermit Building 2004-4-22 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00277 ISSUED: 04/22/2004 APPLIED: 03/12/2004 EXPIRES: 10/22/2004 VALUE: $ 207,447.00 . " ~;:iQ;:~.'-,'.1 u.... ~. --.'. ,,~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3561 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194308400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR, Lot 152 Ambleside 1st addition Owner: MARGOLIS FAMILY LTD PARTNERSHIP Address: 3045 WINTERCREEK DR EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor LARRY KENT COOPER DEANS ELECTRIC DEAN M SCHULTZ DENNIS SCOTT EGGERS License 109780 99579 133733 142776 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 Height of Structure 28.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: K Path 1 c. c \f "tHE 'NOR ~rrnti:.. . ~\\rL'- ~)(~~~. ...c: \C W" 1\-\\5 PERM\ \ UNOIU!!!\\1N..,~FORMATION . SETBACKS P,,\.\1\-\OR\IEOO OR \Sl\~f\'~~~ ~ .. COMMENCE 00 Front yard Setback: 80 og.e\J>~R\ . Overlay Dist: Side 1 Setback: p"N'l 1 8.00 . # Street Trees Rqd: Side 2 Setback: 7.80 Paved Drive Rqd: 1 R-3 U-l VN 3 Rearyard Setback: Solar Setbacks: 32.00 0.00 % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: TfeJ~:l9l~~~ll\aW reqUireS YO~i~i~ Storm Sewer Available: ATTEN doptelI~Y the Oregon U ~ Special Instruction: 101l0w rules a Those rules are set 10 \Iotification cente~1 0 through OAR 952-00 Notes: In OAR 952-001-0 .'0 copies of the rules \ 0090. You may obtai Note: the telepho~e calling the center. ( on Utility Notification nU\l'nber _~or ~~~:~~~2n('\..~~?-2344). New Residential Phone Number: 541-686-2525 Expiration Date 11/0612005 06/20/2004 02/2312005 05/0512004 Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 Lot Size: 7,503 Sq Ft Ist Floor: 1,215 Sq Ft 2nd Floor: 866 Sq Ft Basement: Sq Ft GaragelCarport 624 Sq Ft Other: Impervious Surface Area: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 24.50 Sidewalk Type: DownspoutslDrains: Pae:e 1 of 4 Curbside 5' Curb and Gutter Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00277 ISSUED: 04/22/2004 APPLIED: 03/12/2004 EXPIRES: 10/22/2004 VALUE: $ 207,447.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!s Garal!e V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,081.00 624.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $192,284.40 $15,163.20 $207,447.60 03/12/2004 03/12/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $595.82 3/12/04 1200400000000000306 -Mechanical Issuance Fee- $10.00 4/22/04 1200400000000000521 + 10% Administrative Fee $153.07 4/22/04 1200400000000000521 + 7% State Surcharge $107.15 4/22/04 1200400000000000521 3 Baths One & Two Family $306.00 4/22/04 1200400000000000521 Addressing Assignment $31.00 4/22/04 1200400000000000521 Appliance Vent $6.00 4/22/04 1200400000000000521 Building Permit $916.65 4/22/04 1200400000000000521 Dryer Vent $6.00 4/22/04 1200400000000000521 Exhaust Hoods $9.00 4/22/04 1200400000000000521 Furnace - up to 100,000 btu $12.00 4/22/04 1200400000000000521 Gas Fireplace $15.00 4/22/04 1200400000000000521 Gas Outlets 1-4 $4.00 4/22/04 1200400000000000521 Plan Review - Planning $71.00 4/22/04 1200400000000000521 Plan ReviewIResidential Hourly $135.00 4/22/04 1200400000000000521 Residence Wiring 1000 Sq Ft $106.00 4/22/04 1200400000000000521 Residence Wiring Ea Addtl 500 $76.00 4/22/04 1200400000000000521 Sanitary Sewer - Improvement $413.04 4/22/04 1200400000000000521 Sanitary Sewer - Reimbursement $543.36 4/22/04 1200400000000000521 SDC MWMC Administration $10.00 4/22/04 1200400000000000521 SDC MWMC Improvement $214.23 4/22/04 1200400000000000521 SDC MWMC Reimbursement $314.63 4/22/04 1200400000000000521 SDC Sanitary/Storm Admin $107.68 4/22/04 1200400000000000521 SDC Transpo Admin $53.57 4/22/04 1200400000000000521 SDC Transpo Improvement $727.42 4/22/04 1200400000000000521 SDC Transpo Reimbursement $164.89 4/22/04 1200400000000000521 Storm Drainage Impervious Area $837.38 4/22/04 1200400000000000521 Temp Power 200 amps or less $50.00 4/22/04 1200400000000000521 Vent Fan $24.00 4/22/04 1200400000000000521 Willamalane Single Family $1,000.00 4/22/04 1200400000000000521 Total Amount Paid $7,019.89 Pal!e 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Structural Review 03/15/2004 03/15/2004 03/15/2004 03/1512004 Structural Review 04/12/2004 . I I Plan Reviews' 03/1512004 APP 04/02/2004 APP 03/31/2004 APP 03/31/2004 WE 04/19/2004 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00277 ISSUED: 04/22/2004 APPLIED: 03/12/2004 EXPIRES: 10/22/2004 VALUE: $ 207,447.00 LLH TAJ SB DLM Need lateral engineering at front garage wall and (ront wall ofsecond floor bedrooms #2 & # 3. Contractor was contacted by phone - left message on ans. machine. 3/30/2004 - dIm Talked to engineer, stem wall at garage to be raised to provide 2.5:1 aspect ratio at front wall brace panels. Still need engineering for upper wall over garage. 3/31/2004 APP DLM 32 &3 Received add'l engineering and revised drawings on 4/11/04 dIm ~eouiredJnsnections , Pal!e 3 of 4 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 Site Inspection: To be made after excavation but prior to setting forms. 2 Ufer ElectriCal Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work ,is complete. 32 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 33 Curbcut - Standard: After forms are erected but prior to placement of concrete. 34 Encroachment: After item(s) have been removed to inspect condition of public right of way. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2004-00277 ISSUED: 04/22/2004 APPLIED: 03/12/2004 EXPIRES: 10/22/2004 VALUE: $ 207,447.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Shear Wall Nailing: Before covering sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 Wall Insulation: Prior to cover. 10 Ceiling Insulation: Prior to cover. 11 Drywall: Prior to taping. 12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 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. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas 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 the front of the property, and the approved set of plans will remain on the site at all tim".~o~ ~ . If'1.~-olf Owner or Contractors Signature Date Pa2e 4 of 4 RECEIPT #: Date: 04/22/2004 225 Fifth Street SpringHeld, Oregon 97477 541-71'6-3759 Phone .....~ty of Springfield Official Receipt ~velopment Services Department Public Works Department .. Job/Journal Number COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 Payments: Type of Payment Check 4/22/2004 Description Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace ~Mechanical Issuance Fee:-i + 7% State Surcharge + 10% Administrative Fee 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 SanitarylStorm Admin SDC Transpo Admin Plan Review - Planning . . Plan ReviewlResidential Hourly Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Paid By MARGOLIS F AMIL Y L TD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5886 In Person Payment Total: Page 1 of I 9:34:21AM Amount Due 9.00 6.00 4.00 15.00 10.00 107.15 153.07 837.38 543.36 413.04 164.89 727.42 314.63 214.23 10.00 107.68 53.57 71.00 135.00 31.00 1,000.00 106.00 76.00 50.00 916.65 306.00 12.00 24.00 . 6.00 $6,424.07 Amount Paid $6,424.07 $6,424.07 ~\~~ \0\\0 e ~0 O~<:i ~~S \~~ oA00 \~\C ~ ~..... c 228 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3~~9-.)~.~ <:i . . ~ ~ . ELECTRIC~R1'ltIIT APPLICATION t'\~~O\: ~o" MA '"'''1',. ~\~'a 00'0 City Job Number U r-t olJU"[.. L 1 Date ~O\\O ~o 1. !,:rLocAliai\;:'oFIFJsl~i}FAfioN'T. 3. ~fCOMj:iETE.-j;f~~iIJif)'iJL'"','EL '.. ..' . Gi:Lii':'*~.J;;li$k;C'1\!=~~';\iiiiiiii;'~:L::'~0~i:'i\'I,'J"P""'.;t, &h,L';",".L.g;O';;i...,..;....A!i;,;,,,,.~~S;;yL."'.;;...;....kS;;R;;"':";0;';~\;:Jf.;0""",,,.,.,.:;.,;'.'L.iii.. ....,.c...~.....P_,.__,.._.;},;..c.c ~~\o \ ~\~tlr C;\~~ - - "";':F"-";'~'~ ..... ...-..-...,....... LEGAL DESCRIPTION A. ,fa~hil~;peJ;;{f~~.elling unit.'~R . ;<.,^~J.-.>~::c-,;':,:,-<;c_""";";:..r;':;~:,}l!'~::~.,,.~: ;\"'::. _ _ ~.._:v_,:':,::_, \'(Yl..\C\4:~ D?1\ro Service Included (.. \ ~ Installation, Alteration or Relocation ,f\""i""iiENT~~~~f)ie~~W requU9S YOU~i~~'i' $ 50.00 F\\ I ,~~,;!.""1rI thlfillpregon :ollow n.A'eg~15ll.~\lI xmp @)s are \Se~rf $ 69.00 \!otiiica1iorl(i]J~S.tcr~0tl>$tb~! OAR 9524Y" $100.00 "'OAA95~bf~J.lt~~lii '~S~~~.:__. OO~~il~~\he ~~~re~:~~~~~ flJntif~~t~h . :~,_..- -~. number fiWt~tell~WilaN}x're~~l'm Per"Panel One.Circui1.P('$'\-~~?-L344). $ 43.00 Each Additional Circuit or with Service or Feeder Permit , Ownern N,,"e~Dlin ~ 'J Address $0 ~ ~ City fJ. "Llo (\~ Phone to~to. flSZS - -~~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Ol\CE: Limited Ene~B1R~~tftI\E WORK $ 25.00 ' !he in.stallation is being made on property I own Wh~~\5 PE.RM\~1~~'eRwt~1 \5 NOT $ 45.00 "not rntonded fo, solo, lea" 0' ,ont /I.\l~~~E.O Qj~l~~~c~~~F~~ ~~.$~5.00~: ~urcharges Owners Signature: CO "0i'S' " E'ABOv7~t :} . n 1l.'L, .00 AN'{' ~-' .", & .. "". +'- m ----/,.Lv 7% State Surcharge \lD..'l.,~ 10% Administrative Fee '2.. '?> . w !2!1 (~~ JOB DESCRIPTION tlQS ~:1' CL ~~~ T T..2Il\.O - - \ Permit re non-transferable d expire if work is not started within 180 days of issuance or if work is Smpended for 180 days. ' ~V",";~r'~- ~ " ~___<-~~~ "~"07"":^. ",~<'{>Q:;wn~:',Y~'" , .;;:t;ONTl{ACTp'~.. 'l'IC)lf!<O,. . 2. tss:.._ __'.SL.;::::, "._;"2,)~~.. ,"'~;;.C';L::t;_tl:"'.:" Electrical Contractor D .e(\.\J\1 ( L e tJ\K \e , .J Addres's f. ~. \j O"';A f), ~ g ~ ~ a,~L.\t;)- City l.-C; Cvv (, Phone l':\):;-' S'30-:j Supervisor License Number S q\ ~ S Expiration Date I () , D l - 2 DOLi ~~ S.I ~ AD - ?-001--) Constr. Contr. Number Expiration Date c- Sig);:~i'~~ :l"~dan Inspection Request: 726-3769 1 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof lOto ~ 1 \0 .cO $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. . ......."... ) 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN o Its . Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c.. CCOt;V $ 3.00 E. Installa ti~n . . "'~~~~~:'~C- ~ .~. .~. .., '::.~..~ ." Pump or irrigation $ 50.00 TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 1-03.doc . ' CITY OF SPRINGFI~LD SYSTEMS DEVELOPMEN"'^jI'ttORKSHEET JOURNAL OR JOB NUMBER: COM2004-00277 NAME OR COMPANY: MARGOLIS FAMILY LOCATION: 356] AMBLESIDE TAX LOT NUMBER: ] 7 02 ] 9 43 08400 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF: 2705 LOT SIZE (SF): ]. STORM DRAINAGE DIRECT RUNOFF TO C]TY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2887.50 I $0.290 i = I $837.38 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO C]TY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I DISCOUNT I 0.00 I $0.290 I 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 24 $22.64 B. IMPROVEMENT COST: NUMBER OF DFU's 24 $837.38 x I COST PER DFU I $]7.2] ITEM 2 TOTAL - CITY SANITARY SEWER SDC ",' 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x NUMBER OF UN]TS x 9.57 ] B. IMPROVEMENT COST: I ADT TRIP RATE I 9.57 $956.40 COST PER TRIP $] 7.23 x NEW~FACTOR 1.00 x I NUMBER OF UNITS'. I ] x I... Co.ST PER T~P I $76.0] = , $892.31 x INEW TRIP FACTOR i 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SAN]TARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU ., .] $3]4.63 B. IMPROVEMENT COST: INUMBER OF FEU's I ] x ICOST PER FEU I $2]4.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIN]STRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FE~ SUBTOTAL x . ADM. FEE RATE .,= $3,224.95 5%1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $538.86 7503 ifJ ~ c:l o u ~ ~ t-< ifJ >-< o gz ...~ $837.38 1070 $543.36 1091 $413.04 1092 $164.89 1093 $727.42 !! '11094 .'1 = $314.63 1054 = $214.23 $0.00 $10.00 1056 1055 1054 $3,224.95 I ii 107.68 11079 $53.57 1078 =, $3,386.20 j 'Lf-13! f;-r to ~ I '0 oC} CHARGE $]61.25 Steve Beaudry Barnes 3/31/2004 TOTAL SDCCHARGES PREPARED BY DATE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988, 1989 1990 .1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$],OOO ASSESSED VALUE $5.04 $5.04 $4.95 $488 $4.75 $458 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $068 $0.46 $0.27 $0.09 $0.04 = IS LAND ELGIBLEFOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter ] for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE moo x ~.M .=' CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.04 = , TOTAL MWMC CREDIT ]979 $0.00 o $0.00