HomeMy WebLinkAboutPermit Building 2003-01-21LD
Status: Issued
225 Fifth Street Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-Y 69 Inspection Line
Buildin g/C ombin ation Permit
PERMIT NO: COM2003-00005ISSUED: 0112112003APPLED: 01/0312003
E)GIRESz 0712112003VALUE: $ 147,724.00
SITE ADDRESS: 3422 Falcon Drive
ASSESSOR'S PARCEL NO. : 17 02194304200
PROJECTDESCRIPTION: SF.R
Owner: RAKOCZyWELI(ERENTERpRISESINC
Address: PO BOX395 CRESWELL OR 97426
Springfield TYPE OF
TYPEOF USE:
Single Family Residence
New Residential
Phone Number: 541-513-2228
PhoneNumber: 541-513-2228
Contractor Type
General
Electrical
Mechanical
Owner
# of Buildings:
Primary
Secondary
Primary
Secondary
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Availabh:
Special Instruction:
Contractor
RAKOCZY WELKER ENTERPRISES INC
EVERYDAY SERVICE
DEAN M
RAKOCZY INC
R&S
of
of Heat:
Water Type:
Range Type:
Energy Path:
)
27.00
'orced Air Electric
Electric
Electric
Path 1
Expiration Date
0512212004
08n212005
0212312003
0u04t2004
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Phone
541-89s-8606
541-607-6908
541-767-0626
541-513-2228
541-461-4714
Curbside 5'
Curb and Gutter
License
s6636
136371
133733
56636
1038r6
gro 6,137
8s8
994
488,$e
$0
REQUIRED PARJCNG
Total: 2
Handicapped:
Compact:
18.00
7.00
5.00
\80
Overlay
# Street
Paved Drive
"/o of Lot Coverage:44.00
62.00
Yes
22.00
Sidewalk Type:
Downspouts/Drains
Fully Improved
yes
CONTRACT OR INF ORMATI ON
PUBLIC IMPROVEMENTS
Notes:
l of 4
\
Area:
Building/C ombination Permit
Status: Issued
225Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fa;x
541:7 26-37 69 Inspection Line
PERMI'T NO: COM2003-00005ISSUED: 0112112003APPLIED: 01/0312003E)0IRESz 0712112003VALUE: $ 147,724.00
Descrbtion
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7%o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Annexed 1997
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Type of Construction
V Wood Frame
Garage
$Per SqFt Square Footaqe
$74.60 1,852.00
$19.60 488.00
Total Value of Project
Value
$138,159.20
$9,564.80
s147,724.00
Date Calculated
0u03t2003
01/03/2003
Amount Paid
$469.07
$r0.00
$r32.07
$92.45
$306.00
$8.00
$8.00
$-18.94
$6.00
$721.65
$7s.00
$6.00
$9.00
$12.00
$30.00
$4.00
$12.00
$59.00
$-30.00
$106.00
$38.00
$470.12
$618.s2
$10.00
$34.83
$332.86
$96.90
$49.61
$709.81
$160.87
$7s.00
$612.22
$50.00
$12.00
$1,000.00
Date
y3t03
u2u03
u2u03
u2y03
u2u03
u2u03
u21t03
u2u03
uzu03
u2U03
U2U03
u2u03
u2u03
uzu03
u2U03
u2u03
u2U03
u2u03
y2u03
u2u03
u2u03
u2y03
u2u03
u2U03
u2U03
u2u03
u2u03
u2u03
u2u03
u2u03
u2u03
U2y03
u2u03
u2U03
u2u03
Receipt Number
1200200000000000490
120020000000000057s
1200200000000000575
r200200000000000s7s
1200200000000000s75
1200200000000000s7s
r200200000000000575
1200200000000000s7s
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
r200200000000000s75
1200200000000000575
1200200000000000575
r200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
1200200000000000575
120020000000000057s
1200200000000000575
1200200000000000575
1200200000000000s75
1200200000000000575
1200200000000000575
l 200200000000000575
1200200000000000575
1200200000000000575
1200200000000000s75
Total Amount $6,288.04
2of4
Valuation Description I
Fees rato I
Status: Issued
225Ffrth Streef SpringfieH, OR
541:726-3753 Phone
541-726-K76Fax
541:7 26-37 69 Inspection Line
Buildin g/C ombination Per mit
PERMIT NO: COM2003-00005ISSUED: 0112112003APPLIED: 01/0312003E)PIRESz 0712112003VALIIE: $ 147,724.00
Plan Reviews
Initial Review
Planning Review
Public Worls Review
Structural Review
0u06t2003
01/06/2003
oil06t2003
0u06t2003
0u06t2003
0ur012003
0u13t2003
0u17t2003
LLH
EMM
DPE
TCM
APP
APP
APP
APP
To Request an inspection call the24 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
2
3
4
5
6
7
8
9
10
11
t2
13
t4
15
16
t7
18
19
20
2t
22
23
24
25
26
27
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer 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 WaIl 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover 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.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Reouirec
28
29
30
31
3 of 4
Status: Issued
225 Fifth Streef SpringfieH, OR
541:126-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00005ISSUED: 0112112003APPLED: 0l/0312003E)PIRES: 07121.12003VALIIE: $ 147,724.00
By signature, I state and agree, that I harrc carefully exarnined 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 OCCUPAI\ICY wilt be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ that only contractors and employees who are in compliance with ORS 701.005 wilt be
used on this project.
I further to ensure that all required inspections are requested at the proper time, that each address is readable from
the street,is bcated at the front of the property, and the approved set of plans will remain on the site
at all
rhr
Owner or Contractors Date
4of4
't
t/21/2003
9:46:l3AM
City of Springlield
Development Services Department
Public Works Department
Official Receipt
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000575
Date: 0112112003
Line ltems:
Job/Journal Number Description Amount Paid
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-0000s
coM2003-00005
coM2003-00005
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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
8.00
1,000.00
106.00
38.00
50.00
59.00
75.00
75.00
(30.00)
612.22
618.52
470.12
160.87
709.81
332.86
Page I of3 cReceipt.rpt
U2t/2003
9:46:l3AM
City of Springfield
Development Services Department
PubHc Works Department
Oflicial Receipt
225 Fifth Street
Springfietd, Oregon 97 477
541:726-3759 Phone
Receipt #: 1200200000000000575
Date: 0112112003
coM2003-00005
coM2003-00005
coM2003-0000s
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-0000s
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
coM2003-00005
SDC MWMC Improvement
Annexed 1997
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets l-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
34.83
(18.e4)
10.00
96.90
49.6r
721.65
306.00
12.00
8.00
12.00
9.00
6.00
6.00
4.00
30.00
t2.00
10.00
Page2 of 3 cReceipt.rpt
*Fl**il*pFr*t-]r
t/2U2003
9:46:l3AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #: 1200200000000000575
Date: 0112112003
coM2003-00005
coM2003-00005
+ 7Yo State Surcharge
+ lUYo Adminishative Fee
Payments:
92.45
132.07
Line Item Total:$5,818.97
Tlpe of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid
Check RAKOCZY WELKER ENT djb In Person 5,818.97
Total:18.97
Page 3 of3 cReceipt.rpt