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Home My WebLink AboutPermit Building 2004-7-8 7 Status Issued ell ~ OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 01108/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:, 3533 Ambleside Dr Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PAAI:~IDN: ~\9~Q890~quires you to foU.?w rules adopted by the Oregon Utility TYPE OF USE: New Residential PROJECT DE~.l\Jiil~ :C~.Ief~~~~t~9~~lai'~~~ forth in OAR 952-001-0010 throuah OAR Q!'\?-n{)1_ Owner: ~U;tU. YOuBl..~R~ttnC}911h'TUfIiSwipS by Phone Number: 541-302-5852 Address: 3045 ~~~~R(fJ~WGmEemJlh~5 number for the Oreaon Utilitv I\lntifif'::ltif'\n Center Is 1-800-3::t'-'~4\ I CO~TRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing , Contractor License Expiration Date LARRY KENT COOPER NOTICE: 91099780 11//06/2005 ~~1~S:~~~~~~ THIS PERM\I3~~LL EXPIRE qphm~OWlORK DENNIS SCOTT EGGERS ~~,;~"?~,I:E~~~~~~R ;~~~;.~~OT BUILDING ' , RIOD. Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: 2 Height of Structure 29.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,504 1,976 1 R-3 U-l VN 697 667 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 9.00 10.00 37.00 24.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 26.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS. Fully Improved Sidewalk Type: Curbside 5' Yes DownspoutsfDrains: To Storm Sewer All roof storm drainage shall be directed to the storm sewer stub provided on the property. - MAS Notes: Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 01/08/2005 VALUE: $ 263,193.00 225 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 Tvpe of Construction V Wood Frame Garal!:e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,673.00 667.00 Value Date Calculated Description Total Value of Project $246,985.20 $16,208.10 $263,193.30 OS/28/2004 OS/28/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $714.12 5/28/04 1200400000000000822 -Mechanical Issuance Fee- $10.00 7/8/04 1200400000000001059 3 Baths One & Two Family $306.00 7/8/04 1200400000000001059 Addressing Assignment $31.00 7/8/04 1200400000000001059 Annexed 1997 $-22.32 7/8/04 1200400000000001059 Appliance Vent $6.00 7/8/04 1200400000000001059 Building Permit $1,098.65 7/8/04 1200400000000001059 Curbcut Permit $75.00 7/8/04 1200400000000001059 Dryer Vent $6.00 7/8/04 1200400000000001059 Exhaust Hoods $9.00 7/8/04 1200400000000001059 Furnace - up to 100,000 btu $12.00 7/8/04 1200400000000001059 Gas Fireplace $15.00 7/8/04 1200400000000001059 Gas Outlets 1-4 $4.00 7/8/04 1200400000000001059 Plan Review - Planning $71.00 7/8/04 1200400000000001059 PW Mult Disc - 2nd Permit $-30.00 7/8/04 1200400000000001059 Residence Wiring 1000 Sq Ft $106.00 7/8/04 1200400000000001059 Residence Wiring Ea Addtl 500 $95.00 7/8/04 1200400000000001059 Sanitary Sewer - Improvement $567.93 7/8/04 1200400000000001059 Sanitary Sewer - Reimbursement $747.12 7/8/04 1200400000000001059 SDC MWMC Administration $10.00 7/8/04 1200400000000001059 SDC MWMC Improvement $214.23 7/8/04 1200400000000001059 SDC MWMC Reimbursement $314.63 7/8/04 1200400000000001059 SDC Sanitary/Storm Admin $125.14 7/8/04 1200400000000001059 SDC Transpo Admin $52.22 7/8/04 1200400000000001059 SDC Transpo Improvement $727.42 7/8/04 1200400000000001059 SDC Transpo Reimbursement $164.89 7/8/04 1200400000000001059 Sidewalk Permit $75.00 7/8/04 1200400000000001059 Storm Drainage Impervious Area $823.31 7/8/04 1200400000000001059 Vent Fan $18.00 7/8/04 1200400000000001059 Willamalane Single Family $1,000.00 7/8/04 1200400000000001059 Total Amount Paid $7,346.34 Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 01108/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 06/01/2004 06/02/2004 APP LLH Plan nine Reyiew 06/02/2004 WE EMM not s,eeing any LDAP submittal under this parcel or address. Called applicant on 6/21/04. PlannineReview 07/01/2004 07/01/2004 APP EMM LDAP still in review Public Works Review 06/02/2004 06/0712004 APP MS 6/712004 : Storm drainage shall be directed to the onsite stub provided to the subject property. - MAS Structural Review 06/02/2004 07/07/2004 APP DLM See documents for plan reviwe 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 d~y, 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. , 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 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. 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. 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. Vnderfloor Dnlin: 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. Vnderfloor Mechanical. Prior to inslllation or decking and including required testing. Vnderfloor Gas: After line is installed and required testing and capped if riot 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. Rough Mechanical: Prior to Cover " Final Gas: When all gas work is complete. Final Mechanical: When all mechanical;work is complete. Paee 3 of 4 ... .; .. SF!RING~Ie:L!n" . -' "':,~'!"~-~~r' ..'""""'~~~-"\;-~,,;~ ,4.1 '1'...,..,....t:' I' ,,' Status Issued, CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: ,07/08/2004 APPLIED: OS/28/2004 EXPIRES: 01108/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. F:inal Electric: When all ~Iectrical work is complete. , I 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 wil~ 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. . ~~, Owner or Contractors Signature ~ ~/: 200'" Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number, COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 , ,COM2004.;00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 Payments: Type of Payment Check 7/8/2004 ,~V;,y of Springfield Official Receipt "o:..,..elopment Services Department Public Works Department RECEIPT #: 1200400000000001059 . , Date: 07/08/2004 11:48:26AM Description , Building Permit 3 Baths One & Two Family , Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace ' ~Mechanical Issuance Fee~ 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 Transp9 Admin Annexed 1997 Plan Review - Planning Addressing Assignment Willamalane Single Family , Residence Wiring 1000 Sq f,t , Residence Wiring Ea Addtl 500 Amount Due 1,098,65 306,00 12,00 18,00 6.00 9.00 6.00 4,00 15.00 10,00 75.00 75,00 (30.00) 823.31 747,12 567,93 164,89 727.42 314.63 214.23 10,00 125.14 52.22 (22.32) 71.00 31.00 1,000,00 106.00 95.00 $6,632.22 Item Total: Paid By MARGOLIS F AMIL Y L TD PART Check Number Authorization Received By Batch Number Number How Received nJm 6071 In Person $6,632.22 Amount Paid Payment Total: $6,632.22 Page I of I ~\~t:>J ~o~o ",,13 .~\e \ 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-36~~~~e "" 13 ~LECTRICAIr.. PEw}!I~ AfJ:"'~TION ~,; "0'/ f 2rrJ\L. I , 'V~O\:v~~~ ~eo.~\ CIty Job Number ~Y1" ~ Date 0 U U"To~\~; 000 I , " fJ\'I. , 7>~, 1. ~;JffiOFJNSe&~. 3. . C01l1fLErE~.,.<. ~ '.m.'.. .".. '. .'." .'" ..'., ?~QJm < L\l&req~o~ AS'::~c ~=~~~~~~t~ci~~;::lmg uul~ - 0 eUOljcejel 8ljl :a.ON) ~~~9t~Lj~ 5u!l1'80 ~ ~~ DESCRIPTION . ~ 1000 sCJ,(~:s~Vft~~n 10 se!doo U!, ~1 <t)i. ePSb _. ~~ ~ Eac~ a~t~~~~~~~E5 a5?fOJ4l 0 ~OOtmo-GSqJJ)tQ U! (, C!.. portlOnllllOf les elE S91nJ 8S041 '~a-;l:i?3-00!feti(J1~8N U. Permits a e non-transferable a expire if work is Each MaAP,mfl'g~l{t Aq peldope S91nJ MOIlO~ not started within 180 days of issuance or if work is Modular ~S~ef.} Mel uo68JO :NOI1~~ Suspended for 180 days. Feeder . 2. CONTRACTORINSTALLATION ONLY Electrical contractorm\t;~:~\l~mm{ ~ ~~\i , .J Address f. ~. ~O'if-.?- ~ g S; f ~~~D~ _ City l..-Cj eVV e., Phone q') ~ - S?,O~ Supervisor License Number S'i\'1 S Expiration Date 10 ' 0 j - '20011 ~~'S'l~ AD - r;..001.-) Constr. Contr, Number Expiration Date c~ SigUa~p;mg :1o"'iCi,," Owners N am Address ~- Ci~~L OWNER INST ALLA nON . ~. I ~~ Ph:e jfjJ:3iSL The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 B. Services Or' Feeders - Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163,00 Overhlaa(fh.~No1ts $375,00 . . R~7~~~~~g ~HA~L,.EXPlRf IOH $ 50.00 c. Tfl@R?!1~tfv~*i!hMl'JQEi~"fA'4& PERMll WORK A;'N 1E1C n~'u ~_~lS ABANDONED IS NOT Installation, A'tVbfafi~;6V~elocation FOR 200 Amps or~ess $ 50.00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100.00 Over 600 Amps or lOgO Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 E. JVIiscellane(lus (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OJi'ABOVE. ~ {) .00 ~ {4. DJ ~~:l~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Orive(T:)!Building Fonns/Electrical Pennit Application I-03.doc CITY OF SPRINGFIEUO SYSTEMS OEVELOPMENT'w:~~YRKSHEET JOURNAL OR JOB NUMBER: COM2004-00635 ! NAME OR COMPANY: Margolis Family I. LOCATION: 3533 Ambleside Drive I. TAX LOT NUMBER: 1702] 943 Tax Lot 08300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF: 3340 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 2839.00 $0.290 = I $823.31 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT 0.00 I $0.290 I 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$823.31 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 33 $22.64 B. IMPROVEMENT COST: NUMBER OF DFU's x 33 7504 ifJ ~ c:l o u ~ ~ t-< ifJ >-< o ~ $823.31 1070 $747.12 1091 COST PER DFU $] 7.2 ] . $567.93 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC . = I .3. TRANSPORTATION A. RE]MBURSEMENT COST: I ADTT~PRATE x /NUMBEROFUN]TS x I 9.57 I ] B. ]MPROVEMENT COST: ADT TRIP RATE x NUMBER OF UN]TS x 9.57 ] ITEM 3 TOTAL - TRANSPORTATION SDC = I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ICOST PER FEU I I $3]4.63 B. IMPROVEMENT COST: INUMBER OF FEU's I ] $1,315.05 I COST PER TRIP x INEW TRIP FACTOR $ ] 7.23 I 1.00 $164.89 11093 I COST PER TRIP x INEWT~PFACTOR $76.0] I 1.00 $727.42 1094 $892.31 = $314.63 1054 x I COST PER FEU I $2]4.23 Matt Stouder 6/7/2004 = $214.23 lOSS ($22.32) 11054 $10.00 1056 = , $516.54 = I $3,547.21 CHARGE $]77.36 ]25.]4 1079 $52.22 1078 i TOTAL SDC CHARGES =1 $3,724.57 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIN]STRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< SUBT~TAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I $3,547.2] 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIN]STRATION FEE: PREPARED BY DATE MWMC CREDIT CALCULATION TABLE: BA,SED ON COUNTY ASSESSED VALUE . ~ YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$] ,000 ASSESSED VALUE $5.04 $5.04 $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3.88. $3.50 $3.07 $2.60 $214 $1.71 $1.52 $138 $1.19 $1.03 $0.87 $0.68 $0.46 $0.27 $0.09 $0.04 = ]S LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter ] for Yes, 2 for No) ]S IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter ] for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $32.83 x $0.68 = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXAT]ON) . VALUE /1000 CREDIT RATE $0.00 x $0.68 TOTAL MWMC CREDIT o ]997 $22.32 o $22.32