HomeMy WebLinkAboutPermit Building 2008-8-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01085
ISSUED: 08/28/2008.
APPLIED: 07/17/2008
EXPIRES: 02/28/2009
VALUE: . $ 165,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4657 BLUE BELLE WAY
ASSESSOR'S PARCEL NO.: 1702324305703
SPRINGFIETYPE OF WORK:Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Single Family Dwelling
Owner: RAKOCZY ENTERPRISES
Address: 3496 AMBLESIDE DR
SPRINGFIELD OR 97477
Phone Number: 513-2228
',CONTRACTOR INFORMATION ~.
Contractor Type Contractor License Expiration Date Phone
General RAKOCZY ENTERPRISES LLC 182734 06123/2010 541-513-2228
Designer MONTY LUKE DESIGNS 541-746_7757
Electrical EVERYDAY ELECTRICAL SERVICE 136371 0811212009 541-607-6908
Mechanical SUNSET HEATING & AIR INC 171706 08118/2010 541-988-3181
Plumbing RS,PLUMBING CONTRACTING 103816 01/04/2010 541-461-4714
BUILDING INFORMATION I
4
# of Stories:
Height ofStrueture 19.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: No
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,157
1,407
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Pril11liry Construction Type
Secondary C'onstrnction Type:
# of Bedrooms:
I
R-3
U'
VB
400
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.00
8.40
]5.00
26.40
7.50
Overlay Dist:
# Street Trees Rqd: 0
Paved Drive Rqd:
% of Lot Coverage: 25.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Storm water runoff to ditch/ Storm water on driveway divert to rain garden.
To Culvert - Provide
Drainage Plan
Notes:
Paeelof4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01085
ISSUED: 08/28/2008
APPLIED: 07/17/2008
EXPIRES: 02/28/2009
VALUE: $ 165,907.00
225 Fifth Street, Springfield, OR
54t-726-3753 Phone .
541-726"3676 Fax
541-726-3769 Inspection Line
I Valu~tion De~cri'Pti~n I
A.C. - Residen
Dwellines
Garae:e
AC - Residential
V Wood Frame
Garaee
'$ Per Sq Ft
. or mnltiplier'
$5.00
$105.00
$28.00
Square Footage
or Bid Amouut
1,407.00
1,407.00
400.00
. Value
Date Calculated
Descriution
Tvpe of Construction
Total Value of Project
$7,035.00
$147,735.00
$11,200.00
$165,970,00
07/22/2008
07/17/2008
07/17/2008
l.Fw P~i~ J
Fee DescriJition Amount Paid Date Paid Receipt Nnmber
Plan Review Residential $542.14 7117108 1200800000000000790
+ 10% Administrative Fee $ 136.65 8/28108 2200800000000001300
+ 12% State Surcharge $153.13 8128108 2200800000000001300
+ 5% Technology.Fee $74.36 8/28108 2200800000000001300
2 Baths.One or Two Family $280.00 8/28108 2200800000000001300
Addressing Assignment $35.00 8/28108 2200800000000001300
BoilerlComp Up To tOO,OOO btu $14.00 8/28108 2200800000000001300
Building Permit $859.12 8/28108 220080000000000t300
Copies'- Ea Addtl @ 50 Cnts Ea $5.00 8/28108 220080000000000t300
Copy 6th @ 75 cents $0.75 8/28108 2200800000000001300
Dryer Vent $7.00 8128/08 2200800000000001300
Exhaust Hoods $10.00 8/28108 2200800000000001300
Fire SF Fee - Residential $90.35 8128/08 2200800000000001300
Furnace - up to 100,000 btu $14.00 8/28/08 2200800000000001300
Plan Review Major - Planning $211.00 8128/08 2200800000000001300
Plan Review Residential $16.29 8/28/08 220080000000000]300
Sanitary Sewer - Improvement $462.80 8/28/08 220080000000000]300
Sanitary Sewer - Reimburse.men~ $608.63 8/28/08 2200800000000001300
SDC MWMC Administration $10,00 8/28108 . 2200800000000001300
SDC MWMC Improvement $1,009.17 8/28108 2200800000000001300
SDC MWMC Reimbursement $97.90 8128108 220080000000000]300
SDC Sanitary/Storm Admin $102.39 8/28108 220080000000000]300
SDC Transpo Improvement $888.98 8/28108 2200800000000001300
SDC Transpo Reimbursement $201.54 8128/08 2200800000000001300
BDC Transportation Admin $78.82 8/28/08 2200800000000001300
Storm Drainage Impervious Area $345.15 8/28/08 2200800000000001300.
Storm Sewer Each AddtllOO' $16.00 8/28/08 220080000000000i300
Temp Power 200 amps or less $55.00 8/28/08 2200800000000001300
Vent Fan $21.00 8/28/08 2200800000000001300
WilIamalane Single Family $2,513.00 8/28108 2200800000000001300
Total Amount Paid $8,859.17
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01085
ISSUED: 08/28/2008
APPLIED: 07/17/2008
EXPIRES: 02/28/2009
VALUE: $ 165,907.00
225 Fifth Street, Springfield, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
07/2 tl2008
Pnblic Works Review
07/22/2008
07/3012008
Storm water runoff to ditchl Storm
-water on driveway divert to rain
garden
Structnral Review
07/22/2008
07/3 tl2008
WE CJC
Waiting for energy path option
StructuralReview
08/05/2008
08/07/2008
APP DLM
.Truss drawings submitted. Also,
additoional energy efficiency
mea suer to be Item #2a,
Performance tested ductwork (per
owner) 8/5/08dlm
See documents for Plan review
comments.
Plannine: Review
07/22/2008
0812012008
APP T AJ
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
'~llif,p~ Irjf~lpdirW
Er~sion/Grading In~pection: Prior to ground disturbance and after erosion measures are installed.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction w~th footing and/or
foundation inspection.
Footing: ~fter 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.
Pa2e 3 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01085
ISSUED: 08/28/2008
APPLIED: 07/17/2008
EXPIRES: 02/28/2009
VALUE: $ 165,907.00
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underlloor Plnmbing: Prior to insnlation or decking.
Underll,;or Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
. Water Line: Prior to tilling trench arid including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: .Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval reqnired 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.
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 ce-rtify 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 CO,/J;ti3 R/;. . --. 9 k'8Jrf6
Owner-or Contractors'Sig~'ature
Date
Paie40f4
. ZON ~Q,
INITIALS W
DATE~'t;Z..~
SOURCE V- ~ -
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT.'f:.N'!:.LICATION
City Job Number ~.. \, ~
I. I1JjoeAfJ!iONrOFriNST,Ajji!A'ifiONi'-~dcl
-""~""'~-~'iS~'D~~
~\. .
LE\~~~~
(jO\t)O
:~~!!::~~.,,'"
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Address.
City
Supervisor Licens.e7u e
Expiration Date
cO:Slr. Conlr .Lmber
re of Supervising Electrician
Date
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Miulllfact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B.
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
,
60 I Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
Installation, Alteration or Relocation
$55.00 ~r:;o
$ 76,00
$110.00
\
D.
New Alteration or Extension Per Panel
One Circuit $ 48.00
C~. Each Additional Circuit or with . .
't' _ . Sf3~,=~:,:rFeederpenn~_~, $ 4.00 . .
, ....JI .0 r*:S::;'!02i"'bF~0d.1kit0j.j)'*15t:':-::-:::;;;hs<'ili1!b'i1i;r:'~"'~"I1WWi'i1~;SE8qm,ffij%f'i1!-~d''!&~~
\ ( 1. ~ E. iI-~~~~I!J!il~~~fJ!~~!i~L~~!~)~"~J!~~I!i!i'i~;
\~.?128
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergyIResidential $ 28.00
Limited EnergylCommercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. r\~tQ)
12% State Surcharge ~
10% Administrative Fee-
5% Technology Fee 2. .: .~
TOTAL \.LJ a~
Shared Drive(T)/Building FonnslElectrical Pennit ~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
. TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
COM2008-0 I 085
Rakoczy Ehte.rprises
4657 Bluebell
1702324305703 .
Single Family Residence
I BUILDING SIZE (SF" 1807
LOT SIZE (SF):
0.16
[/)
"-l
,r:1
10
U
I~
l"-l
,I l-
[/)
6
g;j
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 967.50 $0.357 I ; I $345.15
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x I COST PER S.F. 1 x I DISCOUNT RATE I I
I 0.00 I 1 $0.357 1 50% 1 ~ 1
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I' x
. 22 I
B. IMPROVEMENT COST: .
.1 NUMBER OF DFU's I .x
1 22 I
COST PER DFU
$27.67 .
COST PER DFU
$21.04
3. TRANSPORTATION
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I
A. REIMBURSEMENT COST:
1 ADT TRIP RATE 1 x
1 9.57' I
I NUMBE\OF UNITS: x I
B. IMPROVEMENT COST:
1 ADT TRIP RATE I x I NUMBER OF UNITS I x I
1 . 9.57 I 1 I 1
ITEM 3 TOTAL-TRANSPORTATlONSDC ~ I
DISCOUNT
$0.00
$345.15
I
$1,071.44
. ~
COST PER TRIP
21.06
x INEW 'fRJP FACTORI
1 1.00 1
COST PER TRIP
$92.89
$1,090.52
x 1 NEW TRJP F ACTORI
I, 1.00 1
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I. x
1 I 1
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
1 I 1
ICOST PER FEU
I $97.90 '
ICOST PER FEU
$1,009.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ; ,
SUBTOTAL(ADD ITEMS 1,2,3, & 4) ~ ,
5. ADMINISTRATIVE FEE:
ISUBTOTAL x I ADM. FEE RATE I~
I $3,624.18 I 5% 1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Kaye Wilson
PREPARED BY
$1,117.07
$3,624.18
CHARGE
$181.21
7/30/2008
TOTAL SDC CHARGES
DATE
$345.15
. $608.63
$462.80
$201.54
$888.98
;
$97.90
; $1,009.17 1055
$0.00 1054
II
$10.00 1056
I
, 102.39 , r079
I $7&.82 1078
= I $3,805.39
- .-
11070
11091
I
11092
I
1093
1094
11054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NU~BER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIV ALEJ::!:f
BATHTUB 1 0 3 =
DRINKING FOUNTAIN 0 0 1 =
FLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC. 0 ,0 3 =
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 - .
ILAUNDRY TUB 0 0 2 =
ICLOTHESW ASHER /.MOP SINK 1 0 3 =
ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 =
IMOBILE HOME PARK TRAP (I PER TRAILERt 0 0 12 =
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 =
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 =
ISHOWER, SINGLE STALL 1 0 2 =
I SHOWER, GANG ~ER OF HEADS\. 0 0 2 =
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 =
ISINK: COMMERCIAL BAR 0 0 2 =
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 =
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 1
IURJNAL, STALL/WALL 0 0 5 =
ITOILET, PUBLIC INSTALLATION 0 .0 6 =
ITOILET, PRIVATE INSTALLATION 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
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 A'lllons per day
~-
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
o
3
o
o
o
3
2
o
3
o
o
2
o
o
6
o
22 I
._J
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
'I YEAR "
ANNEXED IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2. I
. .
BEFORE 1979 (Enter 1 for Yes, 2 for No) I
1979 IS IMPROVEMENT ELG)BLE FOR ANNEX:CREDIT? 2
1980 (Enter I for Y cs, 2 for No) I
1981 BASE YEAR 1979
1982 I
1983 CREDIT FOR LAND (IF APPLICABLE)
1984 VALUE / 1000 CREDIT RATE
1985 $0.00 X $5.29 ~ , $0.00 I
1986 I
1987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 VALUE / 1000 CREDIT RATE
]989 $0.00 x $5.29 ~ I 0
1990
1991
1992 TOTAL MWMC CREDIT = $0.00
1993
1994
1995
1996
1997
\998
1999
2000
2001
Job. No.
~}.. \tf:0.
,
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: ffi\ln~ f"A-. PHONE: '6\t1z;,- ~
ADDRESS. ' ITY ~ U (L STATEuQ.zIP: Q:l4,]6
LOCATION OF PROPOSED BUILDING ~
St....Add~' 4\rf.'\\ Y\\IlJl~ o. . \l)'II~ .
. Plat Name: l\ \A TaxLotNumber~~4-~O~10::'
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions' are on the
back.)
A. Sinole-Familv Detached t2.~\~po
NO. OF UNITS \ X $2,513 per unit = $
B. Sinole-Familv Attached
NO. OF UNITS X $2,726 per uriit= $
C. Multi-Familv Aoartment
NO. OF UNITS X$2,323 per unit = $
D. Sino Ie Room Occuoancv
. NO. OF UNITS X $1 ,162 per unit = .$
E. Accessorv Dwellino Unit
NO. OF UNITS X $1 ,257 per unit = $
WILLAMAlANE SDC $ Q.5t~?O
2. SDC CREDIT (If applicable) SDC payer must furnish proof of f;Y , '
Willamalane Credit approvaL) $
3. TOTAL WILLAMALANE NET SDC ASSESSED
lt~ (IT s;c r~~ for crndi~
Develo~ent service~rnent
City of Springfield. .
$~
B,re JOB
Date.
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone.
City of Springfield Official Receipt
. Development Services -Department
Public Works Department
Job/Journal Number
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008,O I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 1085
COM2008-01085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
COM2008-0 I 085
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
2200800000000001300
Date: 08/28/2008
Description
Plan Review Residential
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Fire SF Fee - Residential
. Stonn Drainage Impervious Area
Sanitary Sewer - R~imbursement
Sanitary Sewer - Improvement.
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC S,mitarylStonn Admin
SDC Transportation Admin
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Building Penn it
2 Baths One or Two Family
Stonn Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Plan Review Major - Planning
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
EVERGREEN LAND TITLE
Item Total:
<":heck Number Authorization
Receiv~d By Batch Number Number' How Received
njm 0158016 In Person
Payment Total:
Page I of I
8:37:5IAM
Amount Due
16.29
35.00
2,513.00
55.00
90.35
345.15
608.63
462.80 .
. 201.54
888.98
97.90
1,009.17
10.00
102.39
78.82
0.75
S.OO
859.12
280.00
16.00
14.00
14.00
21.00
10.00
7.00
211.00
74.36
153.13
136.65
$8,317,03
Amount Paid
$8,317.03
$8,317.03
8/2912008