HomeMy WebLinkAboutPermit Building 2003-6-3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3408 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702193406600
PROJECT DESCRIPTION: SFR
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00360
ISSUED: 06/03/2003
APPLIED: 05/12/2003
EXPIRES: 12/03/2003
VALUE: $ 145,739.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: JEFF TYNDALL
Address: 1357 33RD STREET SPRINGFIELD OR 97477
Phone Number: 541-912-1373
Phone Number: 541-736-5560
\.
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General TYNDALL HOMES 94572 10/1 0/2004 541-912-1373
Electrical BILLS ELECTRIC 21351 04/28/2004 541-501-5650
Mechanical COMFORT FLOW 460 06/27/2003 541-726-0100
Owner JEFF TYNDALL 541-736-5560
Plumbing SURRETTS PLUMBING INC 121687 01/14/2004 541-741-3553
Fully Improved
Storm Sewer A vailable: Yes
Special Instr)l.qtipaNIIUI'l:0regon laW reqwre8 you 10
follow rule6 adopted by the Oregon Utility
Notes: Notificati,on Center. Those rules are set forth
in OAR 952-OO1.()()1 0 through OAR 952~001 ~
0090. You may obtaln copies'of the rules by
call1ngthe center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800.13??344).
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
VN
4
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Se~back:
Solar Setbacks:
23.00
14.00
5.00
35.00
47.00
Street Improvements:
BUILDING INFORMATION I
# of Stories: 2
Height of Structure 26.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
'Energy Path: Path 1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,609
1,036
802
440
I DEVELOPMENT IN~UKMATION I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
, % of Lot Coverage:
2
Yes
26.00
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
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
DweIlinl!:s
Garal!:e
Tvpe of Construction'
V Wood Frame
Garal!:e
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Plan Review Residential
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1997
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
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
Vent Fan
Willamalane Single Family
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
1$74.60
$19.60
SQuare Footal!:e
1,838.00
440.00
Total Value of Project
~
Amount Paid
Date Paid
$5.00
$3.50
$464.85
$50.00
$10.00
$125.42
$87.79
$306.00
$8.00
$-18.73
$6.00
$715.15
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$59.00
$-30.00
$106.00
$57.00
$45~.33
$596.43
$10.00
$34.83
$332.86
$92.94
$49.79
$709.81
$160.87
$75.00
$575.28
$18.00
, $1,00,0.00
5/12/03
5/12/03
5/12/03
5/12/03
6/3/03
6/3/03
6/3/03
6/3/03
(j/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
6/3/03
$6,185.12
Pal!:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00360
ISSUED: 06/03/2003
APPLIED: 05/12/2003
EXPIRES: 12/03/2003
VALUE: $ 145,739.00
Value
$137,114.80
$8,624.00
$145,738.80
Date Calculated
05/12/2003
05/1212003
Receipt Number
1200200000000001164
1200200000000001164
1200200000000001164
1200200000000001164
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
120020000Q000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
1200200000000001408
._~.e6H\l1!~1~B: .'I'I,*lll'li~
1 .
I
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00360
ISSUED: , 06/03/2003
APPLIED: 05/1212003
EXPIRES: 12/03/2003
VALUE: $ 145,739.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
Public Works Review
Structural Review
05/13/2003
05/13/2003
05/13/2003
05/13/2003
I Plan Reviews I
05/13/2003 APP
OS/22/2003 APP
OS/27/2003 APP
OS/29/2003 APP
LLH
EMM
DJW
DLM
Continuously sheathed lateral
bracing design w/ upgraded
modifications. See documents 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 Temporary Electric: Approval required prior to Utility Company energizing pole.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Curbcut - Standard: After forms are erected but prior to placement of concrete.
4 Site Inspection: To be made after excavation but prior to setting forms.
5 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
6 Footing: After trenches are excavated.
7 Foundation: After forms are erected but prior to concrete placement.
8 Post and Beam: Prior to floor insulation or decking.
9 Floor Insulation: Prior to decking.
10 Shear Wall Nailing: Before covering sheathing with finish materials.
11 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
12 Wall Insulation: Prior to cover.
13 Ceiling Insulation: Prior to cover.
14 Drywall: Prior to taping. .
15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector. '
16 Final Building: After all required inspections have been requested and approved and the building is complete.
17 U nderfloor Plumbing: Prior to insulatio!l 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
I
28 Final Gas: When all gas work is complete.
29 Final Mechanical: When all mechanicaI.work is complete.
30 Rough Electric: Prior to Cover
Pa2e 3 of 4
~~.~~tN&~I;gMeJ,"
4,
I'
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00360
ISSUED: 06/03/2003
APPLIED: 05/1212003
EXPIRES: 12/03/2003
VALUE: $ 145,739.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
31 Electric Service: Approval required prior to utility company energizing service.
32 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 the front of the property, and the approved set of plans will remain on the site at all
times during construction.
--A~o't~
Owner o~~~tr~ctors Signature
~~~)
Date
Pa2e 4 of 4
-'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'-
Job/Journal Number
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
COM2003-00360
6/3/2003
9:38:03AM
City of Springfield
Development Services Department,
Public Works Department"
Official Receipt
Receipt #: 1200200000000001408
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
3 Baths One & 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-
+ 7% State Surcharge
+ 10% Administrative Fee
Date: 06/0312003
Amount Paid
Item Total:
8.00
1,000.00
106.00
57.00
59.00
75.00
75.00
(30.00)
575.28
596.43
453.33
160:87
709.81
332.86
34.83
10.00
92.94
49.79
(18.73)
715.15
306.00
12.00
18.00
9.00
6.00
6.00
4.00
15.00
10.00
87.79
125.42
$5,661.77 .
Page 1 of2
cRcceipt.rpt
! 225 Fifth Street
p Springfield, Oregon 97477
· 541-726-3759 Phone
City of Springfield
Development Services Department.
Public Works Department"
Official Receipt
Receipt #: 1200200000000001408
Date: 06/03/2003
Payments:
Type of Payment
Check
Paid By
TYNDALL HOMES
Received By
dim
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
2624
5,661.77
$5,661.77
6/3/2003
9:38:03AM
Page 2 of2
cRcccipt.rpt
C, Temporary Services or Feeders
Installation, Alteration or Relocation
EAl'ication Dato 1 b~OI ~OL~:, ~~~ ::~: ~~~~; ~.~ ~~~~~
Signature of Supervising Electricia~u I ,PEr/ii:? -,. ',. Over 401 to 600 amps $100.00
. / ) 0, '~" ',.~ :. ',&" C." " OR/?, /, Sif4 Over 600. amps or 1000 volts see
(~~ .,," :'. " u/~/V[rv E[; Utv !.!. ~pabove
"" ) I. _.,' , 11!Y I" . CED " DER r. IRE IF
;/' Lth' :-~-- Y ~fD/S~"lli46qJJ!N:trlf[ l1;.
Owners Nam~" '. ;, '\.Ai , ~Pt:/i/OD !}41'iJlJdAlf1Mf1p9~rrll1l:(ision Per Panel
" V~..:lCLl ~"'~""~. /!I!DF, NO.,.
Address ~~f) ..~iT.r.. ~ 'if~\. - One Circuit OR
City~~)'~.~~ (';1Ohon7\Sio .g,ld)
\~~.
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
, for sale, lease or rent.
2. CONTRACTOR INST ALLA nON ONLY B.
Electrical' ContractoMio fU~
"":J,/' '"7 .' ,,' I //;..('
Address~' ./0 lv. /f - Cl~
CityZ L/CU!/nV.:' , .'''' Phone~.t'/, -~,' ''"6..50
c/: ',> ",
SupervisorLicerlseNi.llnber f3():;
ExpirationDate /0..01- tJ9
ConstrContr. Number ":)- i3 5 '/
,f' jr'ir C C' '"',
. ' "'" ''''"';t\.l II ~{>>V\1.n'>ffi>_
Owners Slgfmm~'5:f?" . t.~,\;;c~(6)1?
1I.."yv, (j ~!7~0~5 -ti/5\~}'rG:',0,1\<"~
\;;;..>I;:-'./J:;;:.";\/'<Ji
ELEL...JCAL PERMIT APPLICATION
City Job Num~)cr~{\~11)3. ro~~)
A. New RcsidentiaJ-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost . Sum
1000 sq.ft. orless
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
~ $106.00
:\oto.oO
.~ $ I 9.005fJ.cf)
$ 50.00
Services or Feedcrs
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163,00
$375.00
$ 50.00
~
$43,00
Each Additional Circuit or with Service
or Feeder Permit '
$ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pllmpor irrigation
Sign/Outline Lighting
Limited EnergyIRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
~@
:~ r~;grQ('?
\-JJv-"'-'JIJ]j
Z~:N)J~>>!Wm Eledric Permit Inspection Fee is S45.00 + Surchargcs
(0"''''' r;,,,, ~ ~3 00 ~
.....'" cc;jt:::,:q;:/,',-;;ij n)~li " , . .' "",.'
. ) '.:.:..y"v/" (:> " .-,...-1:(,
0,-' ~:A~~B~ TOTAL OF ABOVE \.~ \. , "::
{;)i<:it.!:::;:~~7fState Surcharge U A ao ~~
~~~'~::';:~~2(~::~i.~/o Administrativc Fce ~.~_y, (Y=~" - ~,
~ 9D." I ~~~~!J;:
TOTAL
CITY OF ''-INGFIELD SYSTEMS DEVELOPMErfrl\tORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00360
NAME OR COMPANY: JeffTyndal
LOCATION: 3408 Ambleside
TAX LOT NUMBER: 17021943TL06600
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF):
5663
C/l
~
Cl
o
I~
~
E-<
C/l
......
o
~
~
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
. "..I.. ,lMPER.\':IOUS.S.F.,. ,x. COST PER S,F, CHARGE
,I ,2040,00 $0,282 = I $575.28
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.P. x" COST PER S.F. x DISCOUNT RATE DISCOUNT
0.00 I $0.282 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
27
COST PER DFU
$22,09
B. IMPROVEMENT COST:
NUMBER OF DFU's I x COST PER DFU
27 $16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = J
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x
9.57.
NUMBER IOF UNITS I x
B, IMPROVEMENT COST:
I ADT TRIP RATE
9.57
x
NUMBER OF UNITS x 1
I j
= I
ITEM 3 TOTAL. TRANSPORTATION SDC
$575.28
$1,049.76
$575.28
=. I
$596.43
COST PER TRIP
$16.81
x NEW TRIP FACTOR
1.00
$453.33
=
$160.87
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's
1
x ICOST PER FEU
, $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE-FEE:
I SUBTOTAL x ADM. FEE RATE
, $2,854.68 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
D. Wright
, PREPARED BY
5/27/2003
DATE
I
COST PER TRIP
$74.17
$870.68
x NEW TRIP FACTOR
1.00
$358.96
. _...
"- ,.--
$709.81
=
$332.86
$2,854.68
=
$34.83
($18.73)
$10.00
CHARGE
$142.73
TOTAL SDC CHARGES
92,94
$49.79
=
$2,997.41 _I
1070
1091
1092
1093
1094
1054
1055
1054
1056
1079
1078
, ".
i. .. I .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES 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 0 0 2 = 0
CLOTHESW ASHER IMOP 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 REFRIG / WATER STATION / ETC. 0' 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
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 LA V A TOR Y 1 0 2 = 2
SINK:, SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIV ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS ,27
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DAJ's) set at 167 gallons per day
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
CREDIT RA TF}$1 ,000
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
$1.45
$I.3I
$1.13
$0.97
$0.82
$0.63
$0.41
$0,22
$0,04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
1997
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 ' CREDIT RATE
$29,74 x $0,63
= I
$18,73
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $0.63
o
TOTAL MWMC CREDIT
$18.73