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Home My WebLink AboutPermit Building 2008-9-17 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection U'ne ;," CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/1712008 . APPLIED: 08/18/2008 EXPIRES: 03/18/2009 VALUE: $ 152,040.00 Status Issued SITE ADDRESS: 4659 BLUEBELLE WAY ASSESSOR'S PARCEL NO.: 1702324305702 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Owner: RAKOCZY ENTERPRISES Address: 3496 AMBLESIDE DR SPRINGFIELD OR 97477 Phone Nnmber: 513-2228 I. CONTRACT?R INFORMATION I Contractor Type Electrical . Mechanical Plnmbing . Contractor EVERYDAY ELECTRICAL'SERVICE . . DEAN M SCHULTZ RS PLUMBING CONTRACTING License 136371 183169 103816 Expiration Date 08/1212009 07/1512010 01/0412010 Phone 541-607-6908 541-767-0626 .541-461-4714 BUILDING INFORMATION I # of Units: I # of Stori~s: 1 Lot Size: 7,107 Primary Occnpancy Group: R-3 Height of,Structnre 18.00 Sq Ft 1st Floor: 1,336 Secondary Occnpancy Gronp: U Type of Heal: Electric Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 420 # of Bedrooms: 3 Energy Path: Sq Ft Other: Sprinkled Bnilding: nla Occnpant Load: I DEVELOPMENT INFORMATION 1 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . 37.00 8.00 13.00 18.00 0.00 I " Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: >' Yes . 24.50 . laW lequires youta f~.,..rnnN. orego: U. ,:.~ ,,_~::nn litll1ty . I PUBLIC IMPROVEMENTS Ifollow rules aClOtPU'Th;se rules are settooort1n . t-lotili~a\lOn Cen et. u hOAR 952- - Street Improvements: In OA'i'~<!rJtaIJ()TfI)\,10 th:~ i~S 01 the rules by uM.n.T. .1M: , . . . vn~~a.Y. obtain P '" dPI"~hOlhe._ Storm Se...qVl~'lI\!!t'le: . Oq90~ow o&\ft'~f.ai~~ote: I:o~n v fJat1O'i\'vide SpeciallnSjl/'/lgtip~RMIT g'j1jm mfR'I!~l"fh'I~W!mKoqn water on drivewlijlIH~~l optfjljllJl~-e.n Uti\lty ~~ amage Plan AUTHORIZED UNDER THIS PERMIT IS NOT nurn Center is 1_600-332-2 . Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, '. .. Page 1 of 4 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description . Type of Constrnction Dwellings Garage V Wood Frame .Garage Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Bnilding Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fnrnace - up to 100,000 btn Heat Pnmp Plan Review Major - Plann.ing Sanitary Sewer -. Improvement Sanitary Sewer: Reimbnrsement Sanitary Sewer Each AddU 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Improvement SDC Transpo Reimbnrsemenl SDC Transportation Admin Storm DI'a~nage Impervious Area Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan Water Line - Each AddtllOO' Willamalane Single Family Total Amount Paid CITY OF SPRI1~\.JI11ELD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/17/2008 .APPLIED: 08/18/2008 EXPIRES: 03/18/2009 Y,ALUE: $ 152,040.00 I v aluation Descr~ntion I -, $ Per Sq Ft or mnltiplier $ I 05.00 $28.00 Square Footage or Bid Amonnt 1,336.00 420.00 08/1812008 08/1812008 Valne Date Calcnlated Total Valne of Project $140,280.00 $11,760.00 $152,040.00 I<~p";. P:\ilU .Amonnt Paid Date Paid ReceiplNnmber $545.76 $42.00 $139.24 $156.56 $75.78 $289.00 $37.00 $839.63 $8.00 . $22.00 . $87.80 $15.00 $15.00 $211.00 $462.80 $608,63 $17.00 $10.00 $1,009;17 $97.90 $134.76 $888.98 $201.54 $74.39 $904.00 $17.00 $57.00 $8.00 $17.00 $2,513.00 , . 8/18/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08. 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 . 9/17/08, 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 ' 1200800000000000879 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975. 1200800000000000975 1200800000000000975 1200800000000000975. 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 $9,504.94 Page 2 Of 4 \ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/17/2008 APPLIED: 08/18/2008 EXPIRES: 03/18/2009 VALUE: $ 152,040.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , '1- Initial Review Plannine Review 08/18/2008 08/18/2008 I Plan Re~iews I 08/1912008, APP 08/1912008' APP NJM DDK Pnblic Works Review 08/1812008 08/22/2008 APP LKW Storm water rnnoff to ditchl Storm water on driveway divert to rain garden Structural Review 08/18/2008 08125/2008 WE CJC Waiting for trnss docnments Strnctural Review 09/05/2008 09/05/2008" APP CJC Approved as noted on plans 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 aft~r 7:00 a.m. will be made the following work day. I_ReQuired \iwl.lifr~;r.:. \1 ErosionlGrading Insp~ction: Prior to gronnd distnrbance and after erosion measnres are i~stalled. Ufer Electrical Gronnd: Install gronnd rod at footing and call.for inspection in conjnnction with footing andlor foundation in~pection. Footing: After trenches are excavated.. Fonndation: After forms are erected bnt prior to concrete p.lacement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing:. Before covering sheathing with fi~ish materials. Framing Inspection: Prior to cover and after all rongb in inspections have been approved. Wall Insnlation: 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 Bnilding: After all reqnired inspections have been requested and approved and the bnilding is complete. .Perimeter Fonndation Drains: After gravel and filter cloth is installed bnt prior to backlill. Underfloor Plnmbing: Prior to insulation or decking." Rough Plnmbing: Prior to cover and inclndi~g reqnir;~d testing. Underfloor Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench a.nd including reqnired testing. Page 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 I'lrKlNGFIELD Building/Combination Permit PERMIT NO: COM2008.-01233 ISSUED: 09/17/2008 . APPLIED: 08/18/2008 EXPIRES: 03/1812009 VALUE: $ 152,040.00 Sanitary Sewer Line: Prior to filling trench andinclnding reqnired testi~g. Storm Sewer Line: Prior to filling trench. . Final Plnmbing: When all plnmbing work is complete; , UnderIloor Mechanical. Prior to insnlation or decking and inclndingreqnired testing. Rongh Mechanical: Prior to Cover . . Final Mechanical: When all mechanical work is complete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all . information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnre without permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are. in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre that all reqnired inspections are reqnested at the proper time, that each address is readable from the street, that the permit card is located at the fronfof the property, and. the approved set of plans will remain on the site at all times during construction. ./)d~ /.. // .oJ . ~ ^ // /C.... 'P". _ v Owner or Contractors Signature . Page 4 of4 ~?~R Date , 2~ Willamal.ane t~ Park'& Recreation District. Job. No. cy- /;;.:13 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 . ADDRESS: Pt,L.$.,x Pi crrr (1';::/ /I . . PHONE: So/.{ 5/"5 :::2.2.2.6 STATEQiZZIP: 9')ljl(J NAME: P /J-.h)/" 2-'1 rt1/?: ~t:C- , , , LOCATION OF PROPOSED BUILDING SITE: Street Address: t.lt~9 l?ua:~Ba~ Plat Name: Tax Lot Number: ) 7t>z 32'13 a5'?o2- 1. DEVELOPMENT TYPE (Check appr~priate dwelling(s), Dwelling type definitions are on the back.) '. A. Sinale-Familv Detached NO. OF UNITS .. I X $2,513 per unit =, $ '))'"/3- B. Sinale-FamilvAttached NO. OF UNITS X $2,726 per uriit = $ C. Multi-Familv Aoartment .NO, OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162per'unit = $ E. Accessorv Dwellina Unit . NO. OF UNITS X $1 ,257 per unit == .$ \. t?}~) ~ '3 9D WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of if Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED ~~~~;V\!eO . ~~velopm~nt S:rvices Depar\0ent "1t)r vlty of Springfield. .. :1- $ 2)/3- ~/\1/a Date 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COm2008cOl233 NAME OR COMPANY: Rakoc.0' Enterprises . LOCA 1'101'1;___... .._ . 4659 Bluebclle Way TAX LOT NUMBER: . 1702324305702 DEVELOPMENT TYPE: Single. Family Residence. NEW DWELLING UNITS I BUILDING SIZE (SF 1771 LOT SIZE (SF): , DIRECT RUNOFF '[0 CITY STORM SYSTEM , iMPERVIOUS SF x" COST PER S.F. I. CHARGE I I 2534.00 I $0.357 1 = 1 $904.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. I x 1 COST PER S.F. I x I DISCOUNT RATE I I 1 0.00 I 1 $0.357 I I 50% ;~ I I I. STORM DRAINAGE I~.' If/) I~ 10 IU ~ P-1 f-< w 6 gz 7139 DISCOUNT $0.00 I $904.00 $904.00 ITEM I TOTAL. STORM DRAIN.AGE SDC 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBE~20F DFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 22 I COST PER DFU $27.67 j I ,I 1 1091 '1 $608.63 COST PER DFU '$21.04. $462.80 I 1092 II I ITEM 2 TOTAL .CITYSANITARY SEWER SDC = , ,1 TRANSPORTATION A REIMBUI~SEMENT COST: 1 ADT TRIP RATE 1 x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE.I x I 9.57 1 . $1,071.44 1 NuMBER OF UNITS 1 x 1 I I 1 1 1 , INEW TRIP FACTORI I 100 I COST PER TRIP 21.06 $201.54 , .1093 I,NUMBER OF UNITS 1 I 1 1 I $888.98 i 1094 _I I x 1 1 =1 COST PER TRIP $92.89 $1,090.52 x, INEW TRIP FACTOR I I 1.00 I ITEM 3 TOTAL - TRANSPORT A TIONSDC 4 SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I, I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I 'I I ICOST PER FEU I $97.90 = $97.90 1054 ICOST PER FEU I $1.009.17 MWMC CREDIT IFAPPLlCABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: [SUBTOTAL x , ADM. FEE RATE 1= 1 $4,183.03 I . 5% 1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,117.07 1 $4,183.03 I. CHARGE $209.15 = I Kaye Wilson PREPARED BY 8/22/2008 TOTALSnC CHARGES DATE DRAINAGE FIXTURE UNIT (tiFU) CALCULATION TABLE . .r ... - -NUt~.1BER-OF NEW ~IXTURES x UNIT EQUIVALENT - DRAINAGE FlXTUREUNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX11JRES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIVALENT. . [BATHTUB .1 0 3 -. I DRINKING FOUNTAIN 0 0 1 ; IFLOOR DRAIN 0 0 3 ; INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC 0 0 3 ; I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 - ILAUNDRY TUB 0 0 2 ; ICLOTHESWASHERI MOP SINK 1 0 3 ,- ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 ; IMOBILE HOME PARK TRAP (1 PER TRAILER) . I 0 0 12 ; RECEPTOR FOR REFRIG I WATER STATION I ETC I 0 0 1 ; I RECEPTOR FOR COM. SINK I DISHWASHER I ETC I 1 0 3 - . I SHOWER, SINGLE STALL I 1 0 2 - ISHOWER, GANG q-.rUMBER OF HEADSl. I 0 0 2 - I SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 1 0 3 - . I SINK: COMMERCIAL BAR I 0 0 2 - I SINK: WASH BASIN/DOUBLE LAVATORY I 0 0 2 ; ISINK: SINGLE LAVATORYiRESIDENTIAL BAR I 2 0 1 ; I URINAL, STALL I WALL i 0 0 5 ; ITOILET, PUBLIC INSTALLATION I 0 0 6 ITOILET.PRIVATE INSTALLATION I 2 0 3 - MISCELLANEOUS DI'U TYPE NUMBER 01' EDU'S , 20 ; TOTAL DRAINAGE FIXTURE UNITS *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) ::>et at 167 gallons per day DRAINAGE FIXTURE UNITS 3 o '0 O. o o 3 o o o 3 2 o 3 .0 o 2 o o 6 o 22 I , I I I I II I I I I I I I I I oj MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE jC~~gs~~~~e~o .11 -- 5,- - -~ IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I Tor Yes, 2 fo,No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR l YEAR .ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I ]983 I 1984 I 1985 'I 1986 I 1987 I 1988 I 1989 I 1990 I 1991 1992 II 1993 1994 I ]995 I 1996 I 1997 :i 1998 i 1999. I 2000 I 2001 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDlTRATE $0.00 x $5.29 . ~, CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V ALUEI 1000 CREDIT RATE $0.00 x $5.29 . TOTAL.MWMC CREDIT ; 1979 $0.00 $0.00 2 'I I 2 I I I. o SPRINGFIELD ""'" ZON ~~~ . ~'~ INITIALS. ...... r.!L DATE . \0\. oU7,) · SOURCE +VDVll~ Date 225 FIITH STREET. SPRINGFIELD. OR 97477 . PII:(54J)726-3753 . FAX: (541)726-3689 ELECTRICAL PlWM1T AP....r~ATION City Job Nnmber ~~\'rD .0 1. tC:(OCATjONioEi:NSTAUAhON!-~c'l~j~ . ..-~0C5C\--'B.\~.~-' . LEG\!1;:n:~~ os,r:f2-- JOB~N: Pennits are non-t~Dsfe ble and expire if work is no started within 180 days of issuance or if work is Sns nded for 180 days. New Alteration or Extension Per Panel One Circuit C... r Each Additional Circuit or with '( 1\')l Service or Feeder Permit $ 5.00 . ~\~ -zi-!:::~:::~o{""~i""~,"~),~:" '.".'"01 Sign/Outline Lighting . $ 57.00 Limited Ene,gy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Mini,:,nm ~~tric_~ern:it Insp~ion Fee is $52.00 + suwrh ~s 4. fkSf7B.1!J1;AL QEABOKE20';,:m- v _ CD 12% State Surcharge 0 0 10% Administrative Fee J o~L) 5% Technology Fee /.... 0 Y"Jc:.. TOTAL Slwed Drive(T:)IBuilding ForrnslElectrioal Pennit A::a~:~ ~:mtiAcroR-iNSTAiI:ATj,70N' Ni'y;~; ",..~ ..- ... ..,,: ...." .'C~ ._. ......n. .. . .. '_n"'_"._ '. .,.." 2 .."" ..-- , ,,"._. .-" .-.......... -...... .....". --- . .. '--. .-...- --~-~ .. '-~.' ... ..... . -- ...- Electrical ntractor Address City . Expiration Date Expiration ~ Phone The installation is being.made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. .litOM1.'LEf~ FEJi SCHEDui.j BEi..PW~:0l f;'~0" :1 A. rNe;ii€sid~]iai7_Singl:orl\i~iii-F;;';;i1y p~r-d'w~lIing ~nit. Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof $121.00 $ 22.00 Each Mannfact'd Home 0' Modular Dwelling Service 0' Feeder $57.00 B. t~~~~r~~_~~r"~~~~~-;~IJr~~rl~J;'Ii',:~^~!~^filt_i~~,~~';""~eloc~tI~ri: ~ J 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c. Installation, Alteration or Rel~cation \ 200 Amps or less . 201 Amps to 400 Amps 401 Amps to 600 Amps $ 57.00 $ 79.00 $114.00 ~t~ Ove, 600 Amps or 1000 Volts see "B" above. ;0. k'lj"riji~~LCir(:u_it~'~4:f;, $ 50.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 I 233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008'0 1233 COM2008-0 \233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 COM2008-0 1233 Payments: Type of Payment Check cRcceintJ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000975 Date: 09/17/2008 Description Temp Power 200 amps or less Fire SF Fee - Residential Willamalane Single Family Building Penn it 2 Baths One or Two Family Sanitary Sewer Each Addtl \ 00' Stonn Sewer Each Addtl 100' Furnace - up to 100,000 btn Vent Fan Exhaust Hoods Drye, Vent Heat Pump -Mech 1ss 2+ Appliances- Water Line - Each Addtl 100' Stonn Drainage Impervious Area Sanitary Sewer - Reimbn,sement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbnrsement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transponation Admin Plan Review Major - Planning Addressing Assignment + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By EVERGREEN LAND TITILE , Item Total: Check Number Authorization Received By Batch Number Number How Received njm 016003 In Person Payment Total: Page 1 of, I .2:30:54PM Amount Due 57.00 87.80 2,513.00 839.63 289.00 17.00 17.00 15.00 8.00 22.00 8.00 15.00 42.00 17.00 904.00 608.63 462.80 201.54 888.98 97.90 1,009.17 10.00 134.76 74.39 2\ 1.00 37.00 75.78 .156.56 139.24 $8,959.18 Amount Paid $8,959.18 $8,959.] 8 9117/2008