HomeMy WebLinkAboutPermit Building 2002-11-25
.
Status: Issued
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6721 Jacob Ln
ASSESSOR'S PARCEL NO.: 1702341114700
~
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRES: OS/25/2003
VALUE: $ 164,111.00
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: SFR
TYPE OF USE:
New
Residential
Owner: DAVE POKIVITAS
Address: 37519 WALLACE CREEK RD SPRINGFIELD OR 97477
Phone Number: 541-953-4182
Phone Number: 541-953-4182
Phone Number: 541-953-4182
Phone Number: 541-741-8072
I CONTRACfOR INFORMATION I
Contractor Type Contractor ."res'iO~~?"
General VINCE'JAMES'BURROll~HS\
r"l"\\\ lV'" ""~'~V" 'On\
Owner \O~.:D}\~nP()019VI:!~~re se: ^l\~'
Role Type ~1!I!~~\. _e ?"(.V.INg;]A.llIES;~P~Pl1GI!~,,,
\o\~~>N ~~\~~ ce~\~Q~()\NOIl~~ ~\I.I Bu'iLDING Ij'~VK1>1ATION I
~O\,\IC 95Z.r;:/;j~' :o\~i~CO? .\"e\\,l\u:\...~\iO"
. # of BUildi1!g0P.~'{O\l rn~'i 0 \er.l..~o'r:"~i''i ~O\'\#.ofStories:
Primary OeSilprnKY(\l\ir.QDp:,e~ oregR"3} 'Z_z'34")-Height of
SecondaryOcciipa'neYt\or\"e. '\.etJ~I?>~ Type of Heat:
JTrimary ConstniCfili.rlJp.e.\er IS VN Water Type:
Secondary Construction VN Range Type:
# of Bedrooms: 3 Energy Path:
License
147979
Expiration Date
06/04/2003
Phone
541-953-4182
541-953-4182
541-953-4182
I
22.50
Forced Air Gas
Gas
Electric
Path I
Lot Size: 10,818
Sq Ft 1st Floor: 1,965
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 894
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION'
NOTlcell.OO Overlay' Dist:
:.s~~ SHAll E>tPti\@'4F1I*&WORK
THIS PEIl .1'av""'RMii W!otlOT
AUTHORI UNDER Tnr.>> ~
COMME~tttl OR IS AB'ANa~ge:
ANV 18d'b'J..'V PERIOD.
!pUBLIC IMPROVEMENTS I
Front yard Setback:
Side 1 Setback:
Side 2 Setbaek:
Rearyard Setback:
Solar Setbacks:
S tree t
Storm Sewer Available:
Special Instruction:
Hillside
4
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
17.00
Sidewalk Type:
Fullv Improved Curbside 5'
Yes Downspouts/Drains Curb and Gutter
Complete and submit overwidth driveway permit. Approval is required before permit can be
issued.
Notes:
I of 4
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-0I256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRES: OS/25/2003
VALUE: $ 164,111.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
I Valuation Descrintion I
Desc ription
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
$74.60
$19.60
Square Footage
1,965.00
894.00
Value
$146,589.00
$17,522.40
$164,11 1.40
Date Calculated
10/31/2002
10/31/2002
Total Value of Project
Fees Paid I
Fee Description Amount Paid Dale Receipt Number Received By
Plan Review Residential $504.99 10/31/02 1200200000000000168 djb
PW Mult Disc - 2nd Permit $.30.00 11/25/02 1200200000000000295 djb
SDC Sanitary Reimbursemenl $-1.41 11/25/02 1200200000000000295 djb
Gas Outlets 1-4 $4.00 11/25/02 1200200000000000295 djb
Dryer Vent $6.00 11/25/02 1200200000000000295 djb
Addressing Assignment $8.00 11125/02 1200200000000000295 djb
Exhaust Hoods $9.00 11125/02 1200200000000000295 djb
-Mechanical Issuance Fee- $10.00 11125/02 1200200000000000295 djb
Furnace. up to 100,000 blu $12.00 11125/02 1200200000000000295 djb
Gas Fireplace $15.00 11125/02 1200200000000000295 djb
Vent Fan $18.00 11125/02 1200200000000000295 djb
SDC MWMC Improvement $34.83 11125/02 1200200000000000295 djb
Curbcut . Overwidth AppI $35.00 11125/02 1200200000000000295 djb
SDC Transpo Admin $48.83 11125/02 1200200000000000295 djb
Temp Power 200 amps or less $50.00 11125/02 1200200000000000295 . djb
Plan Review - Planning $55.00 11125/02 1200200000000000295 djb
Curbcul Permit $75.00 11125/02 1200200000000000295 djb
SDC Sanitary/Storm Admin $124.65 11125/02 1200200000000000295 djb
SDC Transpo Reimbursement $160.87 11125/02 1200200000000000295 djb
+ 5% San & Storm Admin Fee $173.48 11125/02 1200200000000000295 djb
2 Baths One or Two Family $254.00 11125/02 1200200000000000295 djb
Sanitary Sewer - Improvement $402.96 11125/02 1200200000000000295 djb
Sanitary Sewer - Reimbursement $530. I 6 11125/02 1200200000000000295 djb
SDC Transpo Improvement $709.81 11125/02 1200200000000000295 djb
Building Permit $776.90 11125102 1200200000000000295 djb
WilIamalane Single Family $1,000.00 11125/02 1200200000000000295 djb
Storm Drainage Impervious Area $1,289.44 11125/02 1200200000000000295 djb
Total Amount $6,276.51
, Plan Reviews I
Initial Review
Plan nine Review
Public Works Review
11101/2002
11101/2002
11101/2002
11101/2002
11/05/2002
APP LLH
APP AJD
Complete overwidth driveway
permit before issuing permit
2 of 4
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRES: OS/25/2003
VALUE: $ 164,111.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
11/01/2002
OK
OPE
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.
I Reouired Insnections I
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunetion with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to 1100r insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underl100r Plumbing: Prior to insulation or decking.
15 Underl100r Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to eover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underl100r Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 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.
24 Rough Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
27 Rough Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete.
3 of 4
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRES: OS/25/2003
VALUE: $ 164,111.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certily 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 wiD be
used on this project.
I further agree to ensure that all required inspeetions are requested at the proper time, that each address is readable from
t~~reet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
a1;~e~u~ /M)V-:<'l\--O~
bwner or ~~ntraJuJs s~gnature Date
4 of 4
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DEVELOPMENT SERVICES DEI'MITMENT
22!5 FlrTJ18ITiEET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726,3689
November 25, 2002
David Pokivitas
37519 Wallace Creek Road
Springfield; Oregon 97478
Enclosed is the original temporary electrical permit for the single family residence being
constructed at 6721 Jacob Lane, Springfield, Oregon.
When you obtained your pern1its, we neglected to have your sign the permit. Please sign
the permit on the indicated line and return it to me in the enclosed self addressed pre
stamped envelope. I am enclosing a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
.~
~
Lisa Hopper
Building Safety Supervisor
cc: Kaye Wilson
Enc!.
" .., ELLcAL:PERlvnT APPLICATION,:'.:
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Multi.Family per dwelling unit. ~. ~
Service IncIuded:~tf,i.~
.B'~1::~;
Items Cost Sum;"
};~~.ttj
/^ 1000 sq.ft. or less $106.00 ?!&~!j
ljLJL,~ Each additional 500 ;~!:;;~~,t
sq. ft or ponion :;:~1';("
Permils are Jon.trans erab and expire . thereof $ 19.00 ;f;";.5!ld;
r:E;:::i::k'::'~P;::::;:' ~:;2:~;::;;:~ O~IAi~, '>0.00 ;!:
2 CONT~<;rOR I~ST ALLA7ION 0 y n. Sen';ecs UI' Feeders ~,<,;~~1~> ~i9~~~;,; ~,~S2'0
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. eal Co~ntractor ':- 1: Relocation: J~f.{~~~~.~t~2:~t~ ~i~'i'f
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:..., :':,'.1 ,~-:'~ ~~/...~ 5.,t,~ ~:.i . ' 20 I amps to 400 amps .:'"~\",:'~;~~"; ~~"~'1.~ ::;~ $ 75.00:-: "/. +:;
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CIIY . '., .. Phone .:, -" . ". J,:,-"., '.' 401 amps (0 600 amps' ."r::h":':;" '.-, -'$125.00" ,,'3:"', ;
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,,~' 1",,/. . ".: ~.:,,::.. ;,i':'f~'.'___' .',;;~~,,':--3r, ~l hlt'ItneLlghtmg $)0.00,- i'."
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(f'\~U~~" ~~'(\,{~1.~i:;,n'f~~)'~,:~ Minimu~~t:j~f~t~:~~~~'it?~S[lection Fee is S45.0~~"0'C~,.~:'.g,CS
\)l!.{,\ LnEJ:)(\..\ Y~)2J'..>l,~.J~?L '''::': . 4. SUBTOTAL OFABOVE \1. . .
~,.. ':.' ..: .' .'::, \ljrc-'.(j'.'~",V:~,':.:,' 7%StatcSufcharge. '. ~..~-,
\. 'L,i::) 80/0 Administrative Fce 4 V'"
' . ',::.., .TOTAL ~1" ~
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',': SPRlNGFIELD, OREGON 97477 ;,,,,.:s <1:,
.~ INSPECTIOl'jREQlJEST: 72~~~fJ-~~:
:: ':'::: OFFICE'" 726~:ii59' .",;;, ;(.:, ',0";' ~'~'<'-'J
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CITY OF SPRINGFIE~SYSTEMS DEVELOPMENT CH.E WORKSHEET
JOURNAL OR JOB NUMBER: COM2002.01256
NAME OR COMPANY: Pokivitas
LOCATION: 6721 Jacob Lane
TAX LOT NUMBER: 17.02.34.11-14700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 2859 SF LOT SIZE: 10818 SF
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I ;.1 COST PER S.F. I
4572.49 $0.282
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
l IMPERVIOUS s.F'1 xl COST PER S.F. I xl DISCOUNT RATE 1
0.00 $0.282 50% 1
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I ;.1 COST PER DFU
24 $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
24 $16.79
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRlPRATE 1 xl NUMBER OF UNITS I xl COSTPERTRIP IxINEWTRlPFACTORI'
9.57 1 I $16.81 1.00 ~I $160.87
B. IMPROVEMENT COST:
I ADT~~~RATE HNUMBE\OFUNITSH COS;~El~TRlP HNEWT~~~ACTORI=I $709.81
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1.1 COST PER FEU
I 1 $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1;.1 COST PER FEU
I 1 $34.83 1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
ISUBTOTAL (ADD ITEMS 1, 2, 3~& 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL 1 I ADM. FEE RATE
I x,
$3,469.52
5%
5:lwt- T~
SDC COORDINATOR
11/6/2002
DATE
,^o.
"o-f!' no
,:.. .J'"
;
=1
$1,289.44
VJ
P-l
Ci
o
u
~
P-l
E-<
VJ
>-<
o
~
1070
"
1091
J J 1092
l
1093
I
I-I
1094
~I
=1
$0.00
$1,289.44
1
I
$366.28 1 1055
$10.00 ~ I 1056
$376.28 =u
$3,469.52 1 I
I
I
I 1079
i", 1078
TOTAL SDC CHARGES =1 $3,643.00 I,
",I
$530.16
=1
TOTAL SANITARY ADMINISTRATION FEE: I
TOTAL TRANSPORTATION ADMn::!ISTRAT~ON FEE: I
=L
=1
$402.96
$933.12
~I
$870.68
~I
$332.86
=1
=1
=1
=1
=1
=1
$34.83
($1.41)
$173.48
124.65
$48.83
......
\.
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONL V THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2 0 ) x 3 6
DRINKING FOUNTAIN ( 0 0 ) x 1 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETe. ( 0 0 ) x 6 0
LAUNDRY TUB ( 1 0 ) x 2 2
CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 3
CLOTHESW ASHER. 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REF RIG / WATER STATION / ETe. ( 0 0 ) x I 0
RECEPTOR FOR COM. SINK / DISHWASHER I ETe. ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( I 0 ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( I 0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 2 0 ) x I 2
URINAL, STALL / WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's.
( 0 0 ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
II *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y II
YEAR CREDIT RATE PER $ I ,000 YEAR I CREDIT RATE PER $ I ,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
----wr9 OR BEFORE $4.92 1990 $2.06
1980 $4.83 1991 $1.64
1981 $4.77 1992 $1.45
1982 $4.64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
VALUE I 1000 CREDIT RATE
35.365 X $0.04 =1
0.000 X $0.04 =1
TOTAL MWMC CREDIT =1
$1.41
$0.00
$1.41
I
I
I I