HomeMy WebLinkAboutPermit Building 2003-3-25
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
d
CITY OF SPRINGFI~LD
BuildinglC ombination Permit
PERMIT NO: COM2003-00132
ISSUED: 03/25/2003
APPLIED: 03/04/2003
EXPIRES: 09/25/2003
VALUE: $ 165,083.28
SITE ADDRESS: 3394 AMBLESIDE DR
ASSESSOR'S PARCEL NO.: 1702193406700
PROJECT DESCRIPTION: SFR
TYPE OF
Single Family Residence
TYPE OF VSE:
New
Residential
Owner: JEFF TYNDALL
Address: 1357 33RD STREET SPRINGFIELD OR 97477
I CONTRAL.lUK mJ.<uK1vlATlON M
~t;J~~
Contractor Licens~ \~E~~tion Date
TYNDALL HOMES t;x- ~~,\ ~/10/2004
BILLS ELECTRIC . ~\..\.. ~~ ~\) ~\)04/28/2004
HOME COMFORT HE1\1'tINQ:~\ ~~~\)'t.'i4 ~4y...~\)t;J~ 06/25/2003
JEFF TYNDALL "V~CO ~~o.\1.'t.\) \) ~ 'CO ~
HOME COMFORT HEAi\~~~Jfu'x.'\) ~(.@~4 06/25/2003
I BUIL~tit~~~ATlON I
b..~'\ '
# of Stories: 2 Lot Size:
Height of 28.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2ndJ1l(}or:
W t T G S :Vt(iB~O -...,
a er ype: as Q\'.lx' asement:
~\:. . \)\,W - It'
Range Type: Gas,\!,! ~es().F.tI.~1rage!6:~rport
~(\ ,.... f.J"i.... '" ~ Ct,~. fV\ #
Energy Path: .O~ei6ath L \~e~q F.t-J!>fher:~,Ov
O~, eO t>~ Ii'&>.':) .., nT::ls' ,t".....,. A
N\~ #\0'Q~ se ~ mp'e~,lOus F~ace rea:
,~~\ _,. ~\Jo . -(\,\0 ,,,,n U ._ 0 tU '0
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
V-I
VNSpr
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.00
5.00
12.00
31.00
43.00
\
Phone Number: 541-736-5560
Phone Number: 541-736-5560
Phone Number: 541-912-1373
Phone Number: 541-736-5560
Phone Number: 541-736-5560
Phone Number: 541-912-1373
Phone Number: 541-912-1373
Phone Number: 541-912-1373
Phone
541-912-1373
541-501-5650
541-345-2838
541-736-5560
541-345-2838
6,068
948
910
3'
480
286
I DEVELOPMENiiAW'U~Fi9N(I\ 0 \X\"~~;eS 0' ~~\e9~0~~~0~
~O\\\\v<Jo-9'ffl.:IJV' O'O\a\\\ ~o\e" ~'<.'~ \~QfuRED PARKING
Overlay D\~tOp..~ ,<OU "\:~e\\\et ~O\\ U\\~l'f,~t~r: 2
# Street TresSj9\) .~\\~ \\\ \~e Qt 'Ob\Y~'3 Handicapped:
Paved Drive R<{d?;\, ......e~ \O~ ~Ie~ \S '\ # Compact:
'{\uf(\\J Ce(\\: Yes
% of Lot Coverage: 24.00
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00132
ISSUED: 03/25/2003
APPLIED: 03/0412003
EXPIRES: 09/25/2003
VALUE: $ 165,083.28
IPUBLIC IMPROVEMENTS,
Street
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains
Curbside 5'
To Storm Sewer
Notes:
I Valuation Description I
Description
Dwelline:s
Dwelline:s
Garae:e
Type of Construction
V Wood Frame
V Wood Bonus Rm
Garae:e
$ Per Sq Ft
$74.60
$59.68
$19.60
Square Footage
1,858.00
286.00
480.00
Value
$138,606.80
$17,068.48
$9,408.00
$165,083.28
Date Calculated
03/04/2003
03/05/2003
03/04/2003
Total Value of Proj ect
L Fees PaidjJ
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $515.55 3/4/03 2200200000000000557
-Mechanical Issuance Fee- $10.00 3/25/03 1200200000000000878
+ 10% Administrative Fee $138.82 3/25/03 1200200000000000878
+ 7% State Surcharge $97.17 3/25/03 1200200000000000878
3 Baths One & Two Family $306.00 3/25/03 1200200000000000878
Addressing Assignment $8.00 3/25/03 1200200000000000878
Annexed 1997 $-18.94 3/25/03 1200200000000000878
Appliance Vent $6.00 3/25/03 1200200000000000878
Building Permit $780.15 3/25/03 1200200000000000878
Curbcut Permit $75.00 3/25/03 1200200000000000878
Dryer Vent $6.00 3/25/03 1200200000000000878
Exhaust Hoods $9.00 3/25/03 1200200000000000878
Furnace - up to 100,000 btu $12.00 3/25/03 1200200000000000878
Gas Fireplace $15.00 3/25/03 1200200000000000878
Gas Outlets 1-4 $4.00 3/25/03 1200200000000000878
Plan Review - Planning $59.00 3/25/03 1200200000000000878
Plan Review/Residential Hourly $135.00 3/25/03 1200200000000000878
PW MuIt Disc - 2nd Permit $-30.00 3/25/03 1200200000000000878
Residence Wiring 1000 Sq Ft $106.00 3/25/03 1200200000000000878
Residence Wiring Ea Addtl 500 $76.00 3/25/03 1200200000000000878
Sanitary Sewer - Improvement $436.54 3/25/03 1200200000000000878
Sanitary Sewer - Reimbursement $574.34 3/25/03 1200200000000000878
SDC MWMC Administration $10.00 3/25/03 1200200000000000878
SDC MWMC Improvement $34.83 3/25/03 1200200000000000878
SDC MWMC Reimbursement $332.86 3/25/03 1200200000000000878
SDC Sanitary/Storm Admin $88.99 3/25/03 1200200000000000878
SDC Transpo Admin $49.98 3/25/03 1200200000000000878
2 of 4
~
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2003-00132
ISSUED: 03/25/2003
APPLIED: 03/04/2003
EXPIRES: 09/25/2003
VALUE: $ 165,083.28
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
$709.81
$160.87
$75.00
$539.18
$50.00
$18.00
$1,000.00
3/25/03
3/25/03
3/25/03
3/25/03
3/25/03
3/25/03
3/25/03
1200200000000000878
1200200000000000878
1200200000000000878
1200200000000000878
1200200000000000878
1200200000000000878
1200200000000000878
Total Amount
$6,390.15
Initial Review
Plan nine Review
Public Works Review
Structural Review
I Plan Reviews I
03/05/2003 03/05/2003 APP LLH
03/05/2003 03/14/2003 APP EMM
03/05/2003 03/18/2003 APP DJW
03/05/2003 03/14/2003 WE DLM Engineering not valid for this
structure (expired stamp, and for
wrong address). Designer contacted
to provide updated engineering for
this perject. 3/14/03
03/21/2003 03/21/2003 APP DLM
Structural Review
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
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
~
I ReQuired Insoections I
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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.
3 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00132
ISSUED: 03/25/2003
APPLIED: 03/0412003
EXPIRES: 09/25/2003
VALUE: $ 165,083.28
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Underfloor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
25 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.
26 Rough Mechanical: Prior to Cover
27 Final Gas: When all gas work is complete.
28 Final Mechanical: When all mechanical work is complete.
29 Temporary Electric: Approval required prior to Utility Company energizing pole.
30 Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
31 Rough Electric: Prior to Cover
32 Electric Service: Approval required prior to utility company energizing service.
33 Final Electric: When all electrical work is complete.
34 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
35 Curbcut - Standard: After forms are erected but prior to placement of concrete.
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 .X9!i1;m~. ~_ ) 5--0 ~
o::JJ. U: ~:ntra!tors Signature Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00132
COM2003-00 132
COM2003-00132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
Description
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
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
3/25/2003
10:22:19AM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000878
Date: 03/25/2003
Amount Paid
8.00
1,000.00
106.00
76.00
50.00
780.15
306.00
12.00
18.00
9.00
6.00
6,00
4.00
15.00
10.00
Page 1 of3
cReceipl.rpl
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
COM2003-00 132
3/25/2003
10:22:19AM,
City of Springfield
Development Services Depa. iment
Public Works Department
Official Receipt
Receipt #: 1200200000000000878
Date: 03/25/2003
+ 7% State Surcharge
97.17
+ 10% Administrative Fee
138.82
Plan Review - Planning
59.00
75.00
75.00
Sidewalk Permit
Curb cut Permit
PW Mult Disc - 2nd Permit
(30.00)
539.18
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
574.34
Sanitary Sewer - Improvement
436.54
160.87
SDC Transpo Reimbursement
SDC Transpo Improvement
709.81
SDC MWMC Reimbursement
332.86
34,83
10.00
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
88.99
SDC Transpo Admin
49,98
Annexed 1997
(18.94)
Page 2 on
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2003-00 132
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000878
Date: 03/25/2003
Plan Review/Residential Hourly
Received By
Check Number Confirm No
TYNDALL HOMES
djb
Page 3 00
3/25/2003 .
1O:22:19AM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
135.00
.
Line Item Total:
$5,874.60
How Received
Amount Paid
In Person
5,874.60
$5,874.60
Payment Total:
cReceipl.rpt
,.J.~~
,,~:.o 9:>0
225 FIFTH STREET, ;,&S~~'l>~o:S ELELJCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ", "1~e\\V~~ , ' ^~r'\ ffuV'v1 'Do "-" fJ () ,
INSPECTION REQUEST: ,726-3769 ",."''?'''-\,.~~..'. ....0 ity) N.pmbcr \ .A,~l ~njl it)' t A 0 ~
OFFICE: 726-37j9 ~",' ... 0~' ,/ /'
~6\eP,,,o'\. ~ 'y . C L~ FEESCHEDULE BELOW ' "
1. LOCATION ~~~:rALLA.~'" \ "/ ' .
~~~\i ~'\r\'0+-~~~ A. JJ~ Residential-Single or '
- - ,,-"'- :.,\\''i~~.s- "I.~~'" /" Multi-Familv per dwelling unit.
~'~" v ft, .
LEGAL DF;~RIPTION i~~ ~ -"J/ (',(,i;:-..)\ Service Included:
\1 D'2. \U\ ?)~ (Jw~~.,~ ~,\. . Items Cost Sum
}" ,B DESCRIPTIO)\' ~ ~ ' f:\" ,oii.1Ji?A'~ .' ' '. ~~~~ ~d'~~i~~;~s~oo \ $106,00 ~()[..~.'..' pD
"\N'\~,OJ~J f\lvqX1m.(1 .." AA
\J \ sq. ft or portion .A- UU
Permits are non-tran able and eXPir:- thereof \ $ 19.00 '1Lo.
if work is not started within 180 days Each Manui'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 50.00
2, CONTRACTOR INSTALLATION ONLY B.
., ...../2. 1,1 /07-T'-
Electrical' Contractor7~, CJ&/~L/
Address ...J/7t/Zt.J II 't:f at,!./:;
city8./~IJt..fJ_ Phone .3t/ / ~!)"t5t .'
(J'
Supervisor License Number )?<:1't?-S
Services or Feeders
Installation, Alterations or
Relocation:
, ,... ,///
ExpirationDate/O -bl--&'7"
Constr Cqntr. Number ,dl./.5..'31
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
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
//) - () 1- {)/I'
200 amps or less
201 amps to 400amps
Ov-er 401 to 600 amps
Over 600 amps or 1000voIts see
"B'" above
\
$50.00 cf)p0
$69.00
$100.00
",'>_ .~.Sig!')ture of SUJ,lCniSiug E ctrician ,n,"
"'~ ~.U!:... . J ~-
OwneJ:s Na,.:' r-~1' tit~~~J L
Address,':->~. ;j'LJ!\-rl \,,_':s..~,_OOT Une Circuit ,~c7 $43.00
CHy ~\\ 1 M,i CtOfthone '1?M J! .~ Eac~ N6,., \\<'l5~~~. ~,.~..~~~~S~M" .
-F . \ \ ' , 0"AJ~j;1e~~~})'#tm\,,<~"'S\);J'''' $ -'.00
On1NERUNSTALLATION __"'~'\\ ".....>~'.," ..,'\.'0\~/,"
TI:: ~nstallation is being m:de on '\It\~'; ~:~~~~A~.?~:&~J~:~~~:ce/feeder not included)
PropertY I own which is not intended >:-~S\\"~\\~,,,\~J~,lE..".(.l~. h-'i"n'stbtlation
.. \,,\ ,;\\~,'- ','\; ", ,}~.>
for sale, lease or rent. t~~~:\ '''>Z~~nlp or irrigation
~~'\, Sign/Outline Lighting
" Limited EnergyfRes
Limited Energy/Comm
D. Branch Circuits
New Alteration or Extension Per Panel
Owners Signature:
$50.00
$50,00
$25,00
$-1-5.00
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
~~~
~fl' .Ar4
4. SUBTOTAL OF ABOVE
7% State Surcharge
'C/o Administrative Fee
TOTAL
CITY OF St'AINGFIELD SYSTEMS DEVELOPMEk NORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00l32
NAME OR COMPANY: Jeff Tyndall
LOCATION: 3394 Ambleside Dr.
TAX LOT NUMBER: 1702 I 934TL06700
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF): 8277
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE l
I 1912.00 I $0.282 = $539.18
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE DISCOUNT
0.00 I $0.282 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $539.18
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x I COST PER DFU
26 I $22.09
B. IMPROVEMENT COST:
NUMBER OF DFU's x COST PER DFU
26 ' $16.79
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I $1,010.88
"....-
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x
9.57 I I
B. IMPROVEMENT COST:
. ADTTRIP RATE I x . NUMBER OF UNITS' x I
9,57 I I
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4. SANIT AR Y SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I ] I $332,86
B. IMPROVEMENT COST:
NUMBER OF FEU's x ' COST PER FEU
I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$2,779.49 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CI)
~
o
o
I~
, CI)
......
t:l
~
~
, 0' $539.18
1070
$574.34 1091
$436.54 1092
COST PER TRIP
$16,81
x NEW TRIP FACTOR
1.00
$160.87
11093
COST PER TRIP
$74.17
$870.68
x NEW TRIP FACTOR'
1.00
$709.81
1094
=
$332.86
1054
$358.75
$2,779.49
CHARGE
$138.97
3/18/2003
TOTALSDCCHARGES'
PREPARED BY
DATE
DRAINAGE FIXTURE U~iT(I)FU) CALCULATION TABLE
. "
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$l,OOO
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
$1.31
$t,13
$0.97
$0.82
$0.63
$0.41
$0,22
$0.04
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$30.07 x $0.63
= ,
o
1997
$18.94
o
$18.94
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $0.63
TOTAL MWMC CREDIT
=