HomeMy WebLinkAboutPermit Building 2003-01-03Status: Issued
225Ftfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
TY FIELD
Buildin g/C ombination Permit
PERMIT NO: COM2002-01320ISSUED: 01/03/2003APPLIED: 1112212002EICIRESt 0710312003VALUE: $ 147,237.40
SITE ADDRESS: 3584 Osprey
ASSESSOR'S PARCEL NO.: 1702194310100
Springfield TYPE OF
TYPE OF USE:
56636
136371
Single Family Residence
New Residential
Phone Number: 541-513-2228
Phone Number: 54l-513-2228
05t2212004
08n2t2005
PROJECT DESCRIPTION: Single Family Residence
Includes 306 s.f. unfinished bonus room
Owner: RAKOCZyWELKERENTERpRISESINC
Address: FO BOX395 CRESWELL OR 97426
Contractor
RAKOCZY WELKER ENTERPRISES INC
EVERYDAY ELECTRICAL SERVICE
License Expiration Date
CONTRACTOR INFORMATI ON
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
DEAN M SCHULTZ
RAKOCZY WELKER
R & S PLUMBING ate
ge\
st \Yte
I
R-3
u-1
YNSpr
\(\
Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Surface Area:
5,580
1,209
560ine\sl Gas
Gas
Path I
576
3043
30.00
30.00
20.00
r0.00
6.00
Energy
Paved
o/" of
PARKING
F'ullv Improved
yes
Yes
32.00
Sidewalk Type:
Downspouts/Drains
Total:
Handicapped:
Compact:
1
Curbside 5'
Curb and Gutter
PUBLIC IMPROVEMENTS
Notes:
l of 4
Phone
s41-895-8606
s41-607-6908
54t-767-0626
54t-513-2228
541-4614714
Status: Issued
225Flfth Streef Springfield, OR
541:726-3753 Phone
541-726-'3676 Fax
5 4l-7 26-37 69 Inspection Line
F'IELD
Buitding/C ombination Permit
PERMIT NO: COM2002-01320ISSUED: 0110312003APPLIED: 1112212002E)GIRES: 07/0312003VALIIE: $ 147,237.40
Description
Dwellinss
Estimate
Garage
Type of Construction
V Wood Frame
Estimate
Garage
Value
$131,892.80
$4,055.00
$11,289.60
$147,237.40
Date Calculated
tU22t2002
12n3t2002
tU22t2002
$ Per Sq Ft Square Footaqe
$74.60 1,768.00
$1.00 4,055.00
$19.60 576.00
Total Value of Project
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
3 Baths One & Two Family
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
Plan Review Residential
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 Credit
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
Amount Paid Date
$460.62
$10.00
$306.00
$6.00
$721.65
$7s.00
$6.00
$9.00
$12.00
$rs.00
$4.00
$ss.00
$8.4s
$-30.00
$106.00
$s7.00
$386.17
$s08.07
$10.00
$-18.73
$34.83
$332.86
$94.38
$49.73
$709.81
$160.87
$7s.00
$7s8.30
$50.00
$24.00
$1,ooo.oo
tu22t02
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u3103
U3t03
l/3t03
U3t03
u3t03
u3103
U3t03
u3t03
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u3t03
u3t03
u3t03
U3t03
u3t03
u3t03
U3103
U3103
u3t03
y3t03
u3t03
u3103
u3t03
U3103
U3t03
U3t03
u3103
U3t03
u3t03
u3t03
Receipt Number
2200200000000000221
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
r200200000000000488
r200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
I 200200000000000488
l 200200000000000488
1200200000000000488
r200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
1200200000000000488
Fees
Total Amount $5,997.01
2of4
Vatuatrsa la$nBtiaa l
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01320ISSUED: 0110312003APPLIED: 1112212002E)PIRESz 0710312003VALUE: $ 147,237.40
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
Structural Review
Structural Review
Lu25t2002
Lu25t2002
Lu2512002
1u25t2002
12n7t2002
0u02t2003
1u25t2002
12t03t2002
APP
APP
LLH
AJD
12fi7t2002 WE DLM
0u0212003 APP DLM
See attached document. House
designed for flat site. This is a
sloping lot. Faxed request to
applicant asking for information on
how the sloping lot will
accommodate the house. Included a
copy of site topography from MAP
SPRING w/ disclaimer (in permit Iile
folder).
Received revised plans for sloping
lot. Retaining wall at E. prop. line.
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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 Erosion/Grading Inspection: After all erosion measures are in place.
5 Ufer 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 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
16 Underfloor Plumbing: Prior to insulation or decking.
l7 Underfloor Drain: Prior to coYer or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
2l 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.
3of4
'nsnections
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Rtx
5 4l -7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01320ISSUED: 01/03/2003APPLIEDz 1112212002E)PIRES: 0710312003VALIIE: g 147,237.40
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 Rough Electric: Prior to Cover
31 Electric Service: Approval required prior to utility company energizing service.
32 Final Electric: When all electrical work is complete.
I
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 Seruices Division,
BuiHing Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be
used on this project.
to ensure that all required inspections are requested at the proper time, that each address is readable from
the card is located at the front of the property, and the approved set of plarc will remain on the site
Owner or Contractors Date
at
4of4
t/3/2003
l0:ll:26AM
City of Springlield
Development Services Departm ent
Public Works Department
Offrcial Receipt
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #: 1200200000000000488
Date: 0110312003
Line ltems
Job/Journal Number Description Amount Paid
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-0r320
coM2002-01320
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 Credit
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
55.00
75.00
75.00
(30.00)
758.30
508.07
386.r7
160.87
709.81
332.86
34.83
(18.73)
10.00
94.38
49.73
Page I of3 cReceipt.rpt
*ffifiilm*,
U312003
l0:ll:26AM
City of Springfield
Development Services Departm ent
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000488
Date:01/03/2003
coM2002-01320
coM2002-0r320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-01320
coM2002-0r320
Building Permit
Plan Review Residential
Willamalane Single Family
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets l-4
Gas Fireplace
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
721.65
8.45
1,000.00
306.00
12.00
24.00
9.00
6.00
6.00
4.00
15.00
10.00
106.00
57.00
50.00
Page2 of 3
Line ltem Total:$5,536.39
cReceipt.rpt
rm:
r?. 1
U312003
10:11:26AM
City of Springlield
Development Services Departm ent
Public Works Department
Offrcial Receipt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Receipt #: 1200200000000000488
Date: 0110312003
Payments:
Type ofPayment Paid By Received By Check Number Conlirm No IIow Received Amount Paid
Check RAKOCZYWELKER djb In Person 5,536.39
Total:
Page 3 of 3 cReceipt.rpt
225 FTFTH STREET
SPzuNGFIELD, OREGOII 97 177
INSPECTION REQUEST : 7 26 -37 69
OFFICE: 726'3759
l. Lo OF TION
EL zuCAL PERN,AT APPLICATION
COMPLETE FEE SC}IEDULE BELOW
Rcsi d cntiirl-Single or
Multi-Famil.v per dn'elling unit.
Scn'icc Included
Items Cost Sum
LEGAL DESCRIPTION
t-7 0 Lt ?qs ljtqg €Gw-.0
sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
lvlodular Drvelling
Sen'ice or Feeder
)-$106oo DL
3 $ reoo 57
JOB DE S CRIPTION t'
s.F.
Pernrits Are llon-rans le
if rvork is not stz)rted rvithin 18 's
of issuzrnce or if l'ork is
180 da1's.
Electrical Contractor
$ so.oo _
2. CONTRACTOR INSTALLATION ONLY B. Serliccs or Feedcrs
t ./ Installittion, Altcrations orrig[ 5nrt]'re- Rctocation:
D. Brrrnch Circuits
.I. SUBTOTAL OF ABOVE
77o Stlte Surchlrrge
87o Atlnrinistrativc Fce
ru Per Panel
NlL $ 3.oo
FOR
not included)
$5o.oo _
$50.00
$2-t.00 _
S-l-r.00
Nlinimunr Elcctric Pernrit In-sJrcction Fec is SJ5.00 * Surchat'gesthe
lor the zt3t\ 1t
t-7 0v
L.;\zlq la
Gentet isl
TOTAL
Expiration
Citl'Job Nr*tr.r(O ,tt Zoo Z- Ol3ZO
201 anrps to J00 amps
-l() I lrnrps to 600 amps
6() I anrps to 1000 arups
Oi er I000 amps/r'olts
Reconnect Onlv
$ 7-5.00 _
$125.00 __ s 163.00 _
s375.00
$ 50.00 _
aoo..r, [?hB 132 (^5ti- 1 Dv;:roN l4u<nue 200 amps or less $ 63.00
cin 64tnl Phone 6C1- 69DB
Supcn isor Licerrse Number { 608 i
Constr Contr.
Expiration
Signaturc of Supcrli.sing Electriciln
Orvners
OWNER INSTALLATION
Tlie instirllation is being ruade
propert)'I olvn u'hich
for sale.
' C. Tenrylorary' Scn'ices or leeders
Instirllirtion, Alteration or Relocation
2()0 urrrps or lcss
2()l:rnrps to 400 anrps
t1 Itl
Js5o.oo <o
$69.00
-
IHIS slii'il EXP,RE
180 0Ay
Over 401 to 600 anips
Over 600 anlps or 1000 r,olts see
"8" abore
$ 100.00
$43.00
-Each instaliation
Purnp or irrigation
Sign/Outline Liglrting
Li urited Euergl,',rftes
Limited Energt'/Courrn
Ot rte rs
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:I BUILDING SIZE: 2344 SF LOT SIZE: 5580 SF
Rakolzy/Welker
3584 Osprey St
SINGLE FAMILY RESIDENCE
1 7-02- I 9-43- 1 01 00
JOURNAL OR JOB NUMBER: COM2002-01320
IMPERVIOUS S.F COST PER S.F DISCOTINT RATE
0.00 50%00
IMPERVIOUS S.F
2689.00
COST PER S.F
$0.282 $7s8.30
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
xx
1. STORM DRAINAGE
DIRECT RI.]NOFF TO CITY STORM SYSTEM
$758.30ITEM 1 TOTAL - STORM DRAINAGE SDC
NUMBER OF
$386. I 723s 16.79
NUMBER OF DFU's
23
COST PERDFU
$22.09 $508.07
B. IMPROVEMENT COST
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
$894.24ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER TRIP NEW TRIP FACTORADT TRIP RATE NUMBER OF UNITS
1.00 $709.819.57 1 t7
ADT TRIP RATE
9.57
NUMBER OF LINITS
1
COST PER TRIP
$ r6.81
NEW TRIP FACTOR
1.00 $ 160.87
B. IMPROVEMENT COST:
x x x
x xx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$870.68ITEM 3 TOTAL - TRANSPORTATION SDC
$ 10.00
NUMBER OF FEU's
1
COST PER FEU
$332.86 $332.86
NUMBER OF FEU's
I
COST PER FEU
$34.83
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$348.96
$34.83
($ 18.73)
B. IMPROVEMENT COST:
x
x
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$3s8.96ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
$2 82.1 8SUBTOTAL (ADD ITEMS 1,2,3, & 4)
73
SUBTOTAL
$2,882. I 8
ADM. FEE RATE
5%$144.1I
94.38TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5. ADMINISTRATIVE FEE:
x
$3,026.29t21412002tlr^n,Trr4l;4-
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
CITY OF SPRINGFIE^ SYSTEMS DEVELOPMENT CHz ;E WORI(SHEET
E]ooUil
IJ]
t-{a
Or!&
J
1055
1056
1079
1078
070
091
092
093
094
I
NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE LiNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
FIXTURE TYPE ()#NEW - #OLD x LTNIT
EOUIVALENT
DRAINAGE
FIXTURE
UNITS
BATHTUB (
DRINKING FOLINTAIN (
l"l*::l+Y* ron cnres ,;.o.,rr,rr. I
TNTERCEPTORS FOR SAND / AUTO WASH IETC. (
LALINDRY TUB (
qioiunswes+rER / MoP srNK (
CLOTHESWASHER - 3 OR MORE{qA) (
MOBILE HOME PARK TRAP (I PFR TRAILER) (
RECEPTOR FOR REFRIG / WATER STATION IETC. (
RECEPTOR FOR COM. SrNK / DTSHWASHER / EiC. (
SHOWER, SINGLE STALL (
sHowER, G4ryG NUMBER OF HEADS) (
SINK: COMMERCIAL/RESIDENTIAL KITCHEN (
SINK: COMMERCIAL BAR (
SINK: DOMESTIC BAR (
LAVATORY (
U TNAL, STALL / WALL (
TOILET, PUBLIC INSTALLATION (
TOILET, PRIVATE INSTALLATION (
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S*
01 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3
0 0 1 0
0 0 3 0
0 0 3 0
0 0
0
6 0
0
1
2 0
0
0
J J
0 6 0
00 12 0
00
00
I 0
0 0
0
J 0
I
I
2 2
2
3
2
I
2
1
5
6
( 0 - 0 )x 20
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
0
0 3
00 0
00 0
00
03
00
0
0
3
0
0 0
3 0 J 9
0
DRAINAGE FIXTURE UNIT (D CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$18.73
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$18.73
$0.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
1990 .. _
1 991
t992
I ee3
1994
I 995
1996
1997 _
1998
ry2e
2000
CREDIT RATE PER $I,OOO
ASSESSED VALUE
$2:oq
$1.64
$1.45
$1.31
$1 l3
so.qz
$0.82
$0.63
$031
$0.22
$034
TOTAL MWMC CREDIT =
x
0.000 x $0.63
VALUE / lOOO
29.738
CREDIT RATE
$0.63
3
1981-r
982-
1986
-1t87
I 983
1 984
1 985
1 988
I 989
I 980
$3.78
$3.41
$2.98- sz52
$4.64
$4.09
s4.83
s+it
s4.47
sa.lo