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Home My WebLink AboutPermit Building 2001-5-17 I' Job# 01-00280-01 Page 1 of 4 225 North Fifth Street Springfield, OR 97477 THANS# ~ 01-'0005!tll DA TE ~ i1AY 17 2001 AMT RECD~2 $ 5019~22 CU;'\~ 1fT < ! iMi\~lJL ;; CASHIE~:: 061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00280-01 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 3516 Ambleside Dr Spr Assessors Map#: 17021943 lot: 128 Block: Addition: 1 st Owner: Address: Tax lot #: 07100 Subdivision: Ambleside Dukes & Dukes Construction Co Po Box 71095 Phone Number: 541-461-5477 City/State/Zip: Eugene, OR 97401 New Value: $143,631 Scope Of Work: Single Family Residence Don Lewis Plumbing 33076 500 Greenfield Street, Eugene, OR 97404 . , c: \NU\,\l' Office Use \ :T\C€': E~?\~E \r \,\-\1;;. ~ it land Use: sinb\PF'~tY.~~eln,*\.. #~S~J~t"ig~ ? Zoning Code: LD~\1\S flED U~OE~CScc~e\\~G~p: Dwelling Bedrooms: 3 ~U\'\10R EO O~ \S ~~~ource: Forced Air Gas Range: Elect~~~E~C ...[')\O~g. Footage: 2403 F,~'( Or-.t'\ N ~ 8U v" I ' To request an inspection call the 24 hour recording at 726-3769~~AII inspections 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 working day. Contractor Type Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Verify Ground Rod Footing Foundation Slab Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Quick Start Permit issued under Permit Sequence -02 Contractor Registration # Eastside Electric Inc 117770 38253 Boscage Ln, Springfield, OR 97478 Harvey & Son Heating & Air Conditioning I 55682 4680 Main St, Springfield, OR 97478-6054 Expiration Date 10/4/2001 Phone 541-741-1499 4/4/2003 541-746-7677 6/10/2001 ' 541-688-1931 3RSC 1 (VN) Wood Frame Gas Required Inspections I Buildin9l.:lrTENTION:Oregon law requires you to -Install ground rod at footing, and call for i.~~R.e.s::\i9f1.3i!lc9.9~,i.ll!gtio..Llj~itb {.0.0JJE1@1aLig1~9 foundation i -After trenches are excavated, Notification Center. Those rules are set forth - After forms are erected but prior to con!1r,~~,p!~,<te...IU~~t..001 0 through OAR 952-001- - To be made after all inslab building seryjg~~.q~lP...f11~!l~j g~1ll9J\:I.it:wp.i0~,(.~I1~@~tu.~.!h~(jJ:'iipment iter -Prior to decking. calling the center. (Note: the telephone - Prior to cover, number for the Oregon Utility Notification (- Before covering sheathing with finish materials. Center is 1-800-332-2344). - Prior to cover. - Prior to Cover - Prior to taping. I Final Building Temporary Power Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underground Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Rough Mechanical Wood Stove Final Mechanical SW-Curbside CC-Standard I Job# 01-00280-01 Page 2 of 4 :Required Inspections I Building I - When all required inspections have been approved and the building is complete, , I, Electrical I -Approval required 'prior to SUB energizing pole. -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i - Prior to cover. -Must be approved to obtain permanent power. - When all electrical, work is complete. , I Plumbing -Prior to filling the trench. -Prior to cover or placement of concrete, - Prior to cover. - Prior to filling trench, -Prior to filling trench, - Prior to filling trench, -After gravel and filter cloth is installed, but prior to backfill. - When all plumbing work is complete. Mechanical - Prior to cover. -After installation, - When all mechanical work is complete. I Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Street Improvement: Fully Improved Curb Cut?0 I~provement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: San Sewer Tee (in): 00/00/0000 00:00 AM Bond End DateTime: RAIN & FOOTING DRAINS TO PRIVATE STORM SEWER Curbside - 5' D 8 To Storm Sewer 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. ( i I I Job# 01-00280-01 Page 3 of 4 land Use: Single Family Dwelling Pave Driveway? 0 .Zoning: LOR 'FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments:LDAP Jo No 2001-03-0057 Overl.ay District: Hillside Development # of Street Trees: 2 3: ../ Planner: Liz Miller Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood ~rea? 0 I I Additional Requirements: LDAP Required Required Attachments: Source locn: Material: Flood Plain FEMA: Zone X gray Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 -Area (Sq. Feet) Main: 2403 Accessory~58 Accessory Structure # Of Stories: 3 Height (feet): 31 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2861 Fee Paid On Receipt# Plan Check 03/22/2001 4743 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 143,631 $345.80 $345.80 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 143,631 $532.00 $37,24 $15.96 $585.20 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 1 4 1 $85.00 $60,00 $40,00 $12.95 $5.55 $203.50 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Total Plumiling Plumbing 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 1 $.00 $192.50 $14.18 $10,00 $6,08 $222.76 '1 Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Wood stove Mechanical 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 05/17/2001 5411 1 5 1,600 $4,50 $,00 $1,31 $6,00 $15.00 $15.00 Fee Job# 01-00280-01 Page 4 of 4 I Paid On Receipt# Value/Quantity Fee Amount I Ii Mechanical I 05/17/2001 5411 1 $3,00 , 05/17/2001 5411 $10,00 I 05/17/2001 5411 $3.05 $57.86 Public Works 05/17/2001 5411 65 $65,00 05/17/2001 5411 1 $65.00 05/17/2001 5411 1 $-30,00 $100.00 System Development 05/17/2001 5411 2,120 $574.45 05/17/200,1 5411 27 $436,05 05/17/2001 5411 1 $656.02 05/17/2001 5411 1 $285.91 05/17/2001 5411 1 $24.33 05/17/2001 5411 1 $10.00 05/17/2001 5411 27 $573,75 05/17/2001 5411 $135.71 05/17/2001 5411 1 $-,59 05/17/2001 5411 1 $154.27 $2,849.90 Willamalane SDC 05/17/2001 5411 $1,000.00 $1,000.00 $5,365.02 Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1997 Transportation SDC Reimbursement Total System Development S.F. Residence - Willamalane Total Willamalane SDC Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper 03/23/2001 need information from planning on measurement for solar setback. Initial review to be completed by Don Moore 3/26/01 I Initial Review-Res Don Moore 04/09/2001 04/09/2001 04/10/2001 Building Height and solar setback approved by Don Moore, Changes shown on plans. Engineering-Res Planning-Res Steve Templin Liz Miller Structural-Res Don Moore 05/07/2001 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 701.055 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 appro~~PI;':'S ~ t~" times during construction. //~~ ~fgnature - Date \ , , .f\.-1\ L..,. ~'~Willamalane ~'..l Park & Recreation District Job. No. ('8!' SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~',' \(.Q..D .... W n " ADDRESS: \Jr) ~ '\\m~ \ 0\ . ()rY2.g0'Ol PHONE: \-'\ \ ,~\ ~ STATE: ~ ZIP: {\1.t\CJ1 LOCATION OF PROPOSED BUILDING SITE: Street Address: ~~\\o lAN\b\DnlaO. \J.)(\\").J2 . , Plat Name~~id..o \~_ Tax Lot Number: \",\~\q4~ ('{nco I - 1. 'DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculalions and dwelling t ype definitions are on the back.) ~ A. SinQle-Family Detached \ Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ \ tYXJ ~ B. Sinole-Familv AttactmQ NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unIt = $ l? Manufactur~d Horue Park NO. OF UNITS X $699 per unit c $ $ \ oeD ,CO WILLAMALANE SDC 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of IJ( Willamalane Credit approval. See SDC Credit Worksheet. $ '{..J " !,'j: .', " ~ " ~; ~ ,- 3. TOTAL WILLAMALANE NET SDC ASSESSED \ . ,,:r ~o~ redU~CJ ~enl ~c~rtment Date City of Springfield $ rrro.lO ! I 225 FIFTH STREET SPRINGFIELD, OREGON 1. \ '\()~ \qSX~IONOf\ \cD ~ . JOB DESap:i,r;Oti _' f\ f'\ ,0 8~8 ~\J:\~ Q, ~ ~D\rlOl\~ Permits are non-transferab~ and expire , if. work is not started wit~in 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERKIT APPLICATION City Job Number' n\. C)o'L~ .Dl, 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Mul ti-Family per dwelling uni t. -' Service Included: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C: Items Cost Sum 1000 sq.ft. or less 1 Each additional 500 sq. ft or portion A thereof ,. Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 s~ LvO $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor EA5TSI{)C (l.EC or' Relocation: , Address 355),53 goSCA Got Ltl/06' City Spo;;;.L-QPhone 7Y/~ ('191 .~ "-. "_. .f. _ . .-." ,. ".-- Supervisor License Number Y 7), 7 S Expiration Date )0' 01 ~ of Constr Contr. Number } 17770 Expiration Date )O,O<{-Of Signature of Supervising Electrician ~9--1 /~ ,., I f\..v..._ Owners Name \'\\l}( O_t-. t \ ~ ~J Address \)0 ~ ~\LAS Ci ty h..~ Phone \'\l ')..\W OVNER ~STALLATION \. The installation is being' made 'on property I own which is .not intended for sale, lease or rent. Owners Signature: --------------------------------~------ DATE: RECEIPT tj:: RECEIVED BY: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps, or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 , One Circui t Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL \ $ 40.00 4D $ 55~00 $ 80.00 volts see "B" above $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \9fu~O { ~ .C\ 5 . 1::\. S 5... eO DJ'~ . SlY BACKFLO~ PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 FIFTH STREET OFFICE: 726-3759 SPRINGFIELD OR 97477' INSPECTION LINE: 726-3769 ---------~--------------------------7---------------~--------------------------- '~~ JOB LOCATION: 4rt~5/~ ~. _ Lor /z-~ ~~5,'~ c ASSESSORS MAP tt: OTJNER: dh c:; e ~<:: v-- ,- - - ADDRESS: ./1 C), &x 7/t::'? > CITY:~p__l_ ~.,~;.-~I STATE:~~ -;' ~~'~I!' ' BACKFLO~ PERMIT IS $15.00 + 1.05 (STATE SURCHARGE) + $.45 (ADMIN. TAX LOT #: ~~~~ ~# PHONE #: 7~7- ~/ ~_a ~ .. - ZIP:?:>":-,_r;,,p 97~e:J/ FEE) = $16.50 CONTRACTOR: ADDRESS: PHONE #: CITY: STATE: ZIP: CONSTRUCTION CONTRACTORS REGISTRATION #: , EXPIRES: , BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE BACKFLO~ PREVENTION DEVICE HAS, BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS CORRECT. ' 3- 20'-~f DATE FOR OFFICE USE DATE OF APPLICATION: RECEIPT #: JOB #: ISSUED BY: TOTAL AMOUNT COLLECTED: '" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I JOURNAL OR JOB NUMBER: 01-00280-01 NAME OR COMPANY: DUKES & DUKES CONSTRUCTION LOCATION: 3516 AMBLESIDE DRIEVE TAX LOT NUMBER: 17-02-19-43-07100 ANNEXATION YEAR 1997 LANE COUNTY ASSESSED VALUE (LAND) $1,037 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: 1 BUILDING SIZE: 2888 SF LOT SIZE: 6157 SF J. STORM DRAINAGE IMPERVIOUS S.F. x COST PER S.F, , 'I 2119,75 . $0,271 I ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - (:TTY =1 $574.45 I =f $574.45 , A. REIMBURSEMENT COST: NUMBER OF DFU's COST PER DFU x =1 27 $21.25 $573.75 B. IMPROVEMENT COST: . NUMBER OF DFU's' I COST PER DFU , 27 Xl $16.15 =1 $436.05 I I ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,009.80 II 3. TRANSPORTATION .1 A. REIMBURSEMENT COST: ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR X X X =1 II 9.57 1 $16.12 1.00 $154.27 B. IMPROVEMENT COST: ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR X X =1 I 9.57 1 $68.55 1.00 $656.02 I ITEM 3 TOTAL - TRANSPORTATION SDC =1 $810.29 II, UANIT~RYSEWFR - MWMC A. REIMBURSEMENT COST: , NUMBER OF FEU's COST PER FEU II X =/ 1 $285.91 $285,91 B. IMPROVEMENT COST: I' NUMBER OF FEU's COST PER FEU X =1 I 1 $24.33 $24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) =1 ($0.59) l MWMC ADMINISTRATIVE FEE =1 $10.00 I I ITEM 4 TOTAL - MWMC SANITARY SEWE"i~ SDC =/ $319.65 II I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $2,714.19 II .5.....ADMTNTSTRA TTVE FEE: SUBTOTAL ADM, FEE RATE X =1 $2;714,19 5% $135,71 ~T~ 4/9/01 TOTAL SDC CHARGES = $2,849.90 SDC COORDINATOR DATE I . .... '. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( # NEW # OLD ) UNIT, FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( 2 ) x 3 6 DRINKING FOUNTAIN ( ) x 1 0 FLOOR DRAIN ( ) x 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( ) x 6 0 LAUNDRY TUB ( )x 2 0 CLOTHESW ASHER / MOP SINK ( ) x 3 3 CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( ) x 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( ) x 3 0 SHOWER, SINGLE STALL ' ( ) x 2 2 SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( ) x 3 3 SINK: COMMERCIAL BAR ( ) x 2 0 SINK: DOMESTIC BAR ( ) x 1 0 WASH BASIN ( ) x 2 0 LAVATORY ( 4 ) x 1 4 URINAL, STALL/WALL ( ) x 5 0 TOILET, PUBLIC INSTALLATION ( ) x 6 0 TOILET, PRIVATE INSTALLATION ( 3 ) x 3 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE ' 1979 OR BEFORE $4.74 1990 $1.96 1980 $4,65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 $0.75 1986 $3.63 1997 $0.57 1987 $3.26 1998 $0.35 1988 $2.85 1999 $0.15 1989 $2.40 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE 1.037 x $0.57 =1 0.000 x $0.57 -=1 TOTAL MWMC CREDIT =1 $0.59 $0.00 $0.59