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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