The URL can be used to link to this page

Home My WebLink AboutPermit Building 2009-6-29 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00769 ISSUED: 06/29/2009 APPLIED: 06/02/2009 EXPIRES: 12/29/2009 VALUE: $209,000.00 Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Springtield TYPE OF WORK: Single Family Residence SITE ADDRESS: 3242 Aster St ASSESSOR'S PARCEL NO.: 1702313109000 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence Owner: BRESKE TRUST Address: 3256 LAKE MONT DR EUGENE OR 97408 I CONTRACTOR INFORMATION I Expiration Date 06/23/20 I 0 08/12/2009 06/27/2011 01/04/2010 License 182734 136371 460 103816 Phone 541-513-2228 541-607-6908 541-726-0100 541-461-4714 Contractor Type General Electrical Mechanical Plumhing Contractor RAKOCZY ENTERPRISES LLC EVERYDA Y ELECTRICAL SERVICE COMFORT FLOW RS PLUMBING CONTRACTING BUILDING INFORMATION I # of Stories: 2 Height of Structure 24.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I~t Floor: Sq Ft 2iId Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Othe" Occupant Load: 4,792 985 590 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of !Jedrooms: I R-3 U VB 485 3 I ~EVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: . # Street Trees Rqd: 1 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage:' 31.30, es you to ' o n ,law reqUlr, ' . ATTENTION: "~~?~orl hv the Oreg9n Ut~lltL I PUBLIC IMPRqViiiyi~~i&-I~nter, Th~seur~~e~AR 952-'001- in OAR 9o~-u01-0,gI~e~~?k'm- ~lthe rules by . Fully Improved 0090, You may Ou'-'" N i ,the telephone Cnrhside 7' . Yes calling the centDbw~s~otts/Dr,aihS':,cation Curb and Gutter . h Oregod UlIIny .- Special Instruction: Storm water to curh via weeflhole number lor t e 800-332-2344). ' NOTICE" 'Center IS 1- , ~~~Hi~~\6 ~~~~~ ~~~~~~~~{I~~~~ . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Front yard Sethack: Side I Setback: Side 2 Sethack: Reai-yard Setback: Solar Sethacks: 18.00 5.00 5.00 36.00 24.50 2 Street Improvements: Storm Sewer Available: Notes: Paee 1 of 4 - - C1"'^L.." L_c..J CITY OF SPRINGFIELD Building/C~mbination Permit - - - Dli'DI\iIIT I\ln. {"nI\il111110 110'/;0 CITY OF SPRINlil<lELD Building/Combination Permit PERMIT NO: C'OM2009-00769 ISSUED: 06/29/2009 APPLIED: 06/02/2009 EXPIRES: 12/29/2009 VALUE: $209,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 06/03/2009 06/03/2009 APP LLH Puhlic Works Review 06/03/2009 06/10/2009 APP LKW Structural Review 06/03/2009 06/10/2009 WE CJC Plallnin2 Review 06/03/2009 06/11/2009 APP DDK Plan Review Comments 06/22/2009 REC CJC 06/22/2009 Structural Review JO KLK 06/23/2009 06/23/2009 Structural Review APP CJC 06/25/2009 06/25/2009 Storm water to curb via weep hole Need engineering for' lateral bracing- ,contacted Rakoczy 6/10/09 Customer provided with minimum " sethack letter. See attached document. TRUSS DETAILS AND LAYOUT RECIEVED 6/22/09 1. Paul delivered engineering (Keating) for'lateral and gravity loads. As noted:on plans and in conditions letter 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. ~irprlln~,nections I Erosion/Gradinglnspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut- Standard: After forms are erected but prior to placement of concrete. ' 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 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 tocover. Drywall: Prior to taping. Pa2e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00769 ISSUED: 0,6/29/2009 APPLIED: 06/02/2009 EXPIRES: 1'2/29/2009 VALUE: $ 209,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final'Building: After all required inspections have been requested and approved and the huilding is complete. , Underground Plumhing: Prior to filling the trench and including required testing. UnderlloorPlumbing: Prior to insulation or decking. Undertloor Dniin: 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 Plumhing: When all plumhing 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 required prior to Utility Company energizing pole., Underground Electric: Prior to cover 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 he,reby certify that all information hereon is true and correct, and I further certify that allY and all work performed shalfhe 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 he 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'he 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 011 the site at all tim~C6tr{;~////_......__._./---~ Q /21/ Z (jO q , Owner or Contractors Sig~e Date Pa2e 4 of4 (\n"~l91 Job. No. \.Y1 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: ~~S'U.. ~'(ffit: PHONE:" ADDRESS:~\Q lni~ITY ~ll\€I\.Q, STATEDHIP: a.14CB LOCATION OF PROPOSED BUilDING SITE: Street Address: !HLlfL A~tr.f-. Plat Name: Tax Lot Number: \1()2.c,\'O \ lAccb 1. DEVELOPMENT TV E (Check appropriate dweliing(s). Dwelling type definitions are on the back,) A: Sinale-Familv Detached NO. OF UNITS l X $2,858 per unit = $ O~~.CV B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit =. $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ D. Sinale Room Occuoanc" NO. OF UNITS X $1 ,321 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1 ,550 per unit = $ $ _ fl8C(:A.CO (;J WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) 1\~~~ ~N\J (L..---" Development S~~ Department City of Springfield $ 6,Z7( Date :? Ef'6.CV 01 5 " ,. '" {' '';;'.. ~ ~ '. ~ . ~""", . " '. '.r.,~ ~i~~qT::Y:9f' :S:e~~0EIFLD? Q~9Q~,.:-. iON >>.(J~ INITIALS I H DATE '''tq . -t> 00-\ SOURCE M. ~n- -, . 225 FIFfH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL P~.lJ.l'U'!.APPIJCATION City Job Number . l \ J.-\ ..'1 t oq 1. r",@WTi()M'O'E'msTJi1r:r1J11!4.t7liON~~, .,'.D:lll'~.' .~.. "-i~""" L'~ff~~b:R- 200 Amps or less $ 73.00 201 Amps to 400 Amps $ 86.00 401 Amps to 600 Amps $143.00 . 601 Amps to 1000 Amps $186.00 Phone 9/ L- 29)'7 Over 1000 AmJ1MKolts $426.00 ATTEN IIUN: Uregon laRe'&'illi~ttb'iiJ~. , $ 57.00 , follow rules adopted by me uregoll dllity " Supervisor License Number 3: (,'0'~f3,a~~~~~,n~~'i b~S~~' ~~l\Y~I~".JIIli_'iiII ~. ) , 0090:' You may obtain copie~ of :~: r~le; b~ .: Expinition'Date I D I /20 16 r"lIinn the center. (NcInstallahbnpAUeilatlOn or RelocatIOn ~ 00 I I I number for the oregon2clol~~~Ht're"s~on , \ $~, lo . Constr. Contr. Number f] J,., ]11 Center is i-800;l1f?~~i{o 400 Amps , $ 79.00 401 Amps to 600 Amps $114.00 Over 600 Amps or 1000 Volts see "B" above. D. Signature of Supervising Electrician ~X?~ I Each AdditioIlaJ Circuit or with c..."'O ~ ~.........I-- Servi~eorFeederPermit . $5.00 Owners Name {1\:~\\L.I~1 _ 9,~f8\9 - ~ ~"'T!'."I1 ,~,~. - ill;j!'l!;:'_;:''':SE'41'!iJlt'~!li'':14;'k''''''Jij_Iil''1tI~''iii Address rr'.. '" Ilrneo' eheeder.not mcluded)'~Eacti'InstallatlOn . "1:. .r. "S\1J1.\: ?~~W\ '"~'''-'''-''' .._-,.."..~~, City fl n"no....- Phone i\-llS ?r.R~.g) IjNDE\P~~~_allo'%.Cl~ $ 57.00 --. ~ Jl.1j\\'\ut\~Cr.D OR ISs~t'tnne Lighting $ 57.00 OWNER INSTALLATION COl-AM\ DP>.'1 ?r.RI~\kted Energy/Residential $ 29.00 The installation is being made on property ~ ~~ch Limited Energy/Commercial $ 52.00 is not intended for sale, lease or rent Minimum Electric Permit Inspection Fee is $52.00 + Surcharges ~ '7f). .W .~Q.~ (/) I'D .(00 TOTAL . 3lP>..g.4 Shared Drive(fr)IBuilding FormslElectrical Permit Application 7-08,doc LEGAL DESCRIPTION: \C\012...0\?J\ rAOCX/ JOB DESCRIPTION: 0 . ~ t\fW.; ffinu.~ 0 J ~ nD t~ Permits 'a~non-transferable and ~pire if work is , not started within 180 days of issuance or if work is Suspended for 180 days. b&t~i"E0f.1B~llk~~;m0.%\iiijtl~li~l'o~1\IV"*i'l!%-Nij<';~J':3tWi'i\Hiill[!IIT\E:::ii1 !~C(,)NFRJf.GE(,)Rj!INSfl':A:IJI:M'FI(,)N(,)NE'" 2 l'1""""""'A1-i;k'"";""""""-"""'"'""""""-'"ii.lr''''",r!~''''-Yr-i.i!%"i1iWT>4l'"";""~""iYL".-..... c""-, 'C'," . lll~-'-"""'"'''''' ",,".,.~ "w~''''''~""'''''_''<<%'' "e" . _,w,"'" ill " . ",""".,.,,,,,,,, $1.", . rnm Electrical Contractor EvecyTh~~ Address '1'74Cj2 ~vJ rLe. . City .J(W\d,',^" C1;t~ '"'( Expiration Date . '3/ OJ OC; Owners Signature: . .. .~~~. 726-3769 ~o,,{t. Inspection Request: Date ~d_'^'~_ ',,,., "^ _,_~'^..'^'_ ^............"'''''''''''.....,.~_.^.''~II' 3. rCOMREErE"EEE'SCHEDlJEEfBELeWi , -" ~.. j~'L to. .__"""""'""'_"""""'''''''~!'<4~cr,'.",MC''''"'~_'"'~'''''"'=''4'"'''''"''''''';0''',,, ,,'lll "CC..,' "',' ,. A. ~rR~m~n1iTi1Y@siiiJTt~_ifi1ifffi~~~d#luiirt~it~ _ ;'.. ..'.., , '"." ,"',-, ""~",,,,,^,gJ~t"'8,,,,,,,,,",,,,,,,,,~,,'A>\_".,.., ,~;,,",Y~:It,,,U!i;.,..",,,,~,g\;O,,_,,,,,:~,.:.~,u@, Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or, Modular Dwelling Service or Feeder ~ :5 ~o l'b4?O Vz.bo f1 ~ cJJ $57.00 B. New Alteration or Extension Per Pimel One Circuit $ 50.00 12% State Surcharge 10% Administrative Fee 5% Technology Fee RECEIPT #: 1200900000000000750 Date: 06/29/2009 9:38:57AM, Job/Journal Nu'ni.ber Description Amount Due COM2009-00769 SDC MWMC Administration 10.00 COM2009-00769 SDC Sanitary/Storm Admin 118.61 COM2009-00769 SDC Transportation Admin 68.88' COM2009-00769 ' Refund CY- MWMC Reimbursement (335.57) COM2009-00769 Plan Review Major - Planning 211.00 COM2009-00769 + 5% Technology Fee 112.32 COM2009-00769 + 12% State Surcharge 226.73 COM2009-00769 Addressing Assignment 38.00 COM2009-00769 Willamalane Single Family 2,858.00 COM2009-00769 Residence Wiring 1000 Sq Ft 134.00 COM2009-00769 ' Residence Wiring Ea Addti 500 75.00 COM2009-00769 Temp Power 200 amps or less 63,00 COM2009-00769 Fire SF Fee - Residential .103.00 COM2009-00769 Curbcut Permit 88.00 COM2009-00769 Sidewalk Permit 88.00 COM2009-00769 PW Disc - 2nd Permit (30.00) COM2009-00769 Building Permit 1,152,38 COM2009-00769 2 Baths One or Two Family 337.00 COM2009-00769 I st Appliance 79.00 COM2009-00769 Vent Fat; 27.00 COM2009-00769 Exhaust Hoods 13,00 COM2009-00769 Dryer Vent 9.00 COM2009-00769 Storm Drainage Impervious Area 757.73 COM2009-00769 Sanitary Sewer - Reimbursement 636.30 COM2009-00769 Sanitary Sewer - Improvement 483.84 COM2009-00769 SDC Tran Reimburs-Residential 201.54 COM2009-00769 SDC Trans Improvement-Resident 888.98 COM2009-00769 SDC MWMC Reimbursement 97.90 COM2009-00769 SDC MWMC Improvement 1,009.17 Item Total: $9,521.8] Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard PAUL RAKOCZY djb 04522p In Person $9,500.00 Cash PAUL RAKOCZY djb In Person $22,00 Change PAUL RAKOCZY djb In Person ($0.19) Payment Total: $9,521.8] cReceintl Page 2 00 6/29/2009 Structural Permit Applicatio DEPARTMENT-USE ONLY -4 � `r r �r z px +Ii3!ays ti1".inr5a '.�i" o f a"'i m.f'" �i4 SPRNGFI Al - CITY OF SPRINGFIELD,OREGONE;n4PW # rt a -� 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753♦FAX(541)726-3689 t'"1 tt 4' _ V Date: 4/2/Q 7 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENTS,APP ROVAL? rt „F:a- t2 This project has final land-use approval. - - n ••••;'.1‘: Signature: Date: --y FEE SCHEDULE This project has DEQ approval. 1 ;Yaluatwitiiformatioe` .Ngk i F;,I�_ ?%ii:1 sq Signature: Date: (a)lob description: Zoning approval verified: - Yes ❑No Occupancy Property is within flood plain: ❑ Yes o Construction e � s - .,• v: � 1; :K_�.i type: 5/n'lc /a- /y ,�+5' illy.; v-=, : , CATEGORY[OF lAsTRUCTRAV ,,,.,pN ,y, Square feet: fr5-0 zi 'Residential ❑Government ❑Commercial Cost per square foot: , JOBi'SITEi INFORMATION}ANDtLOCATION, !ate 's 3242 k r •� Other information: 4> Job site address: i Type of Heat: /2I2 ig City: S}%, State: ZIP: Energy Path: Subdivision: k t ct f wJtC Lot no.: r f new ❑ alteration ❑ addition Reference: _Ve'th,5` Taxlot; Q^\Ca) PROPERTY OWNER (b)Foundation-only permit? ❑ Yes Aftiro - - (� ! Total valuation , CO ) $ Name: 8Fes[4 craiSY- /t Cnild �.. erSikG - _ x 2.jBudding fees • ; , _ .*_;z.< at,.!r . „ ;; Address: • (a)Permit fee(use valuation table): $ City: State:Eu44,,ye ZIP: J' (b)Investigative fee(equal,to[2a]): $ Phone: - - Fax: - - (c)Reinspection($ per hour): E-mail: (number of hours x fee per hour) . . $ This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. (e) Subtotal of fees above(2a through 2d): S '3 Planaevt w fes 1 '� , ; e- is aua, Sign here: CONTRACTOR IN$TALLATION:�,.__; (a) Plan review(65%x permit fee [2a]): $ IVI i 'I �� (b)Fire and life safety(40%x permit fee [2a]): $ Business name: '3/HC • ryXl emu✓ IlaI ve- (c) Subtotal of fees above(3a and 3b): $ Address: 3994 4.4/I5C'c ,Or ... , ;- � , k4sMiscellaneousfees a . u. , City: SPnK Qe/Ci State: OK ZIP: /7v27 (a) Seismic fee, 1%(.01 x permit fee [2a]) $ Phone:cc-Ili- .3- <24 Vs Fax: - - E-mail: 4.c?/ /c{�e//kei�/ TOTAL fees and surcharges(2e+3c+4a): S CCB license no.: . • Print name: ,„I 7. k,,,_y-/ _� �- Signature: 4: 6 tiD/!/liti— '/�' �� ,wHt=F�i ;;;SIIB-CONTRACT"OJR INEORMATICNSp4'"s"m -�tlniT{�' Li �� ..t Name CCB License Number Phone Number / ' `S Electrical 5, Ja/ trn/tq, (,A�,l r� Plumbing 0 4/Upl,inYw1 66' Ac(�✓1 Mechanical Cis�.4rrl r/v�✓ v ✓✓� a _SPRINGFIELD. I' • • CITY OF SPRINGFIELD fBuilding/Combination Permit 1' Status Issued PERMIT NO: COM2009-00769 225 Fifth Street, Springfield,OR ISSUED: 06/29/2009 541-726-3753 Phone APPLIED: 06/02/2009 541-726-3676 Fax EXPIRES: 12/29/2009 541-726-3769 Inspection Line VALUE: $ 209,000.00 SITE ADDRESS: 3242 Aster St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1702313109000 TYPE OF USE: New Residential . PROJECT DESCRIPTION: Single Family Residence Owner: BRUST SCANNED Address: 3256 56 LAKEMONT DR EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor License Expiration Date Phone General RAKOCZY ENTERPRISES LLC 182734 06/23/2010 541-513-2228 Electrical EVERYDAY ELECTRICAL SERVICE 136371 08/12/2009 541-607-6908 Mechanical COMFORT FLOW 460 06/27/2011 541-726-0100 Plumbing RS PLUMBING CONTRACTING 103816 01/04/2010 541-461-4714 L BUILDING INFORMATION #of Units: 1 #of Stories: 2 Lot Size: 4,792 Primary Occupancy Group: R-3 Height of Structure 24.00 Sq Ft 1st Floor: 985 Secondary Occupancy Group: U Type of Heat: orced Air Electric Sq Ft 2nd Floor: 590 Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 485 #of Bedrooms: 3 Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: DEVELOPMENT INFORMATION REQUIRED PARKING Frontyard Setback: 18.00 Overlay Dist: Total: 2 Side 1 Setback: 5.00 #Street Trees Rqd: I Handicapped: Side 2 Setback: 5.00 Paved Drive Rqd: Yes Compact: Rearyard Setback: 36.00 % of Lot Coverage: 31.30 requires you to Solar Setbacks: 24.50 ATTENTION: Oregon r aWhe Oregon Utility PUBLIC IMPROVEMENTS enter. Those lutes R Street Improvements: In OAR 982.-u01- .0id throng Ikffy the��e�bY Fully Improved 0090. You may ,Sidewalk) INo1e: the telephone Curbside 7' Storm Sewer Available: Yes palling the centDownsspoiu[s/Drainsicatiorl Curb and Gutter Special Instruction: Storm water to curb via weephole number for the Oreg NOTICE: Center is 1-800 332 2344 . Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 150 DAY PERIOD. Page 1 of 4 SPRINGFIELD, 0 • CITY OF SPRINGFIELD Iva Building/Combination Permit Status Issued PERMIT NO: COM2009-00769 225 Fifth Street,Springfield,OR ISSUED: 06/29/2009 541-726-3753 Phone APPLIED: 06/02/2009 541-726-3676 Fax EXPIRES: 12/29/2009 541-726-3769 Inspection Line VALUE: $ 209,000.00 Valuation Description I Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated or multiplier or Bid Amount Bid Amount Use Bid Amount $1.00 209,000.00 $209,000.00 06/03/2009 Total Value of Project $209,000.00 linninfil Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $749.05 6/2/09 2200900000000000596 + 12% State Surcharge $226.73 6/29/09 1200900000000000750 +5% Technology Fee $112.32 6/29/09 1200900000000000750 1st Appliance $79.00 6/29/09 1200900000000000750 2 Baths One or Two Family $337.00 6/29/09 1200900000000000750 Addressing Assignment $38.00 6/29/09 1200900000000000750 Building Permit $1,152.38 6/29/09 1200900000000000750 Curbcut Permit $88.00 6/29/09 1200900000000000750 Dryer Vent $9.00 6/29/09 1200900000000000750 Exhaust Hoods $13.00 6/29/09 1200900000000000750 Fire SF Fee- Residential $103.00 6/29/09 1200900000000000750 Plan Review Major- Planning $211.00 6/29/09 1200900000000000750 PW Disc- 2nd Permit 5-30.00 6/29/09 1200900000000000750 Refund CY- MWMC Reimburseme $-335.57 6/29/09 1200900000000000750 Residence Wiring 1000 Sq Ft $134.00 6/29/09 1200900000000000750 Residence Wiring Ea Addtl 500 $75.00 6/29/09 1200900000000000750 Sanitary Sewer- Improvement $483.84 6/29/09 1200900000000000750 Sanitary Sewer- Reimbursement $636.30 6/29/09 1200900000000000750 SDC MWMC Administration $10.00 6/29/09 1200900000000000750 SDC MWMC Improvement $1,009.17 6/29/09 1200900000000000750 SDC MWMC Reimbursement $97.90 6/29/09 1200900000000000750 SDC Sanitary/Storm Admin $118.61 6/29/09 1200900000000000750 SDC Tran Reimburs-Residential $201.54 6/29/09 1200900000000000750 SDC Trans Improvement-Resident $888.98 6/29/09 1200900000000000750 SDC Transportation Admin $68.88 6/29/09 1200900000000000750 Sidewalk Permit $88.00 6/29/09 1200900000000000750 Storm Drainage Impervious Area $757.73 6/29/09 1200900000000000750 Temp Power 200 amps or less $63.00 6/29/09 1200900000000000750 Vent Fan $27.00 6/29/09 1200900000000000750 Willamalane Single Family $2,858.00 6/29/09 1200900000000000750 Total Amount Paid $10,270.86 Page 2 of 4 SPRINGFIELD,; • CITY OF SPRINGFIELD zr 1 r Building/Combination Permit Status Issued PERMIT NO: COM2009-00769 225 Fifth Street,Springfield, OR ISSUED: 06/29/2009 541-726-3753 Phone APPLIED: 06/02/2009 541-726-3676 Fax EXPIRES: 12/29/2009 541-726-3769 Inspection Line VALUE: $ 209,000.00 Plan Reviews Initial Review 06/03/2009 06/03/2009 APP LLH Public Works Review 06/03/2009 06/10/2009 APP LKW Storm water to curb via weephole Structural Review 06/03/2009 06/10/2009 WE CJC Need engineering for lateral bracing-contacted Rakoczy 6/10/09 Planning Review 06/03/2009 06/11/2009 APP DDK Customer provided with minimum setback letter. See attached document. Plan Review Comments 06/22/2009 06/22/2009 REC CJC TRUSS DETAILS AND LAYOUT RECIEVED 6/22/09 Structural Review 06/23/2009 06/23/2009 10 KLK Paul delivered engineering(Keating) for lateral and gravity loads. Structural Review 06/25/2009 06/25/2009 APP CJC As noted on plans and in conditions letter 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. Required Inspections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk-Curbside: After forms are erected but prior to placement of concrete. Curbcut-Standard: After forms are erected but prior to placement of concrete. 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 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. Page 3 of 4 SPW INGPICLDi ; _ /Rik ip • CITY OF SPRINGFIELD p. . Building/Combination Permit Status Issued PERMIT NO: COM2009-00769 225 Fifth Street,Springfield,OR ISSUED: 06/29/2009 541-726-3753 Phone APPLIED: 06/02/2009 541-726-3676 Fax EXPIRES: 12/29/2009 541-726-3769 Inspection Line VALUE: $ 209,000.00 Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Underground Electric: Prior to cover 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 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 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, the approved set of plans will remain on the site at all time s • construction. /2(th(72 _... ...-- ...--- ...---.— .-- 609 Owner or Contractors Sig Date g Page 4 of 4 • • e Willamalane tbPark & Recreation District �J'"►� Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: bt `sktl •_�CV.S�j PHONE: ADDRESS: ITY c Arkett STAT EUp ZIP: (Q1 4C LOCATION OF PROPOSED BUILDING SITE: Street Address: i I 2 -. 1V 1—(/� 1 Plat Name: S � .�Q�Tax Lot Number 1 G4o16 1. DEVELOPMENT TY E (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Single-Family Detached NO. OF UNITS X $2,858 per unit = $ SCX) B. Single-Family Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. Single Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory Dwelling Unit NO. OF UNITS X $1,550 per unit = $ WILLAMALANE SDC $_lam 2. SDC CREDIT(If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED n r o (if SDC reduced for Credit) $% T` i Development ervic Department Date City of Springfield 5 ZON Q(LT--f • CITY OF SPRIN; -;IELD, OREGON �' INITIALS • '`-, ,, DATE • rakI 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 4k s'S•.,- SOURCE I 1 L. ELECTRICAL PE 'VIITAPPLICATION _ City Job Number fJ -•1 I Q 1 Date `r /1 19/O - 1. O ONOFI�NS T A<TT,ON 3i' 3 ,CO� EE a SCHU .BaEOWas� � � � IVG•� (-. Ast r 91 un,,,o-r$ qa ',V jai.rag• o D u �r +;ilypq. .a! t-ta g Vn 1 e LEGAL DESCRIPTION: A New,Resfdenhalq Smglp or .,Tp-rapHYRerdwellmg unfit €,"- tflO2313\ Cc\Otei0 Service Included �', IA- JOB DESCRIPTION: 1000 sq.ft. or less I yez✓i.u0 1 ZT 1 --- el Each additional 500 sq.ft.or ' I d fl ' _ 1) lb 1r portion thereof 6 $ o r cP Permits a .non-transferable and pire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $57.00 Suspended for 180 days. Feeder c. i.S.ra,- trsw r,w-sz+-s . ...a i.--ce..n=:: 'flare- y„u S 4 a. vga �- 8”" , ¢ 4� rONTRACTOR.INSTALi ATIONONLY B. or Feeders Installation,Alterations or Relocation -wt 2. a _, n5F_ s 3 ' -. xfl. rt..rf i5-rs� s. -rte x%w.r;is fs-u. , . ,wv A.J,.e 42, o- ..r '.ft, Electrical Contractor e it. 'E' 1 L 200 Amps or less $73.00 27492 n 201 Amps to 400 Amps $ 86.00 Address ' Qc...ar Q P (Q 401 Amps to 600 Amps $143.00 n 601 Amps to 1000 Amps $186.00 City 37jr\ lo" Ct1t1 Phone 91 2—a 95 / Over�r1000eAmps{Xolts $426.00 ATTENI ION: uregon IaReconnecfOnl $57.00 follow rules adopted by the uregou &.,tlidy Supervisor License Number 4 cm fSat„io,n nCn ei nt0e0r.1 0 T htC.so rl em. rr2Senfx�e, r�Fe�e,, 0, .3 L, ts Y e40 0 0090. You may obtain copies of the rules by Expiration Date /0� I/ZO I b callinn the center. (NcInsfallationnAlt&ation or Relocation I —� /�� ? number for the Oregon2001'Ainps of Y ss100 L $524 1. Constr.Contr.Number J I Center is 1-800-23.2-:_ ps M0 400 Amps $79.00 tut Expiration Date gf I10^ 401 Amps to 600 Amps $114.00 Over 600 Amps or 1000 Volts see`B"above. Signature of Supervising Electrician D ...--..h Circu ti:' s I i qo y :tfS;r „ s,t lt r 1Y7+-n et New Alteration or Extension Per Panel One Circuit $ 50.00 Each Additional Circuit or with �� 1 Service or Feeder Permit $5.00 Owners Name `v {�{� mm fl rS." �Y 6864Efel fi 6: d�I orydF : n3-. , Address 3 c &(QJ11(EXCrC:1SPERMIT SNPE�- IS P City �� Phone UNDE�7��,,,�,�Lighting� $57.00 OWNER INSTALLATION ' COMMENDED OR i�}niited Energ /R dential $29.00 �,�,1�// i�(RRQDAYPER gy The installation is being made on property IW24h�4 tich Limited Energy/Commercial $52.00 is not intended for sale,lease or rent Minimum Electric Permit Inspection Fee is$52.00+Surcharges�y� •Owners Signature: 4 SUBTOTALOFABOVEf' p " t9QOa 12%State Surcharge • 714 . .4 10%Administrative Fee or Y C 5%Technology Fee 1E6 :COO � n )I n 4 Inspection Request: 726-3769 �•\ Shared Drive(T:)Building Forms/Electrical Permit Application 7-08.doc RECEIPT S 1200900000000000750 •ate: 06/29/2009 9:38:57AM Job/Journal Number Description Amount Due COM2009-00769 SDC MWMC Administration 10.00 COM2009-00769 SDC Sanitary/Storm Admin 118.61 COM2009-00769 SDC Transportation Admin 68.88 COM2009-00769 Refund CY- MWMC Reimbursement (335.57) COM2009-00769 Plan Review Major- Planning 211.00 COM2009-00769 +5%Technology Fee 112.32 COM2009-00769 + 12% State Surcharge 226.73 COM2009-00769 Addressing Assignment 38.00 COM2009-00769 Willamalane Single Family 2,858.00 COM2009-00769 Residence Wiring 1000 Sq Ft 134.00 COM2009-00769 Residence Wiring Ea Addtl 500 75.00 COM2009-00769 Temp Power 200 amps or less 63.00 COM2009-00769 Fire SF Fee- Residential 103.00 COM2009-00769 Curbcut Permit 88.00 COM2009-00769 Sidewalk Permit 88.00 COM2009-00769 PW Disc-2nd Permit (30.00) COM2009-00769 Building Permit 1,152.38 COM2009-00769 2 Baths One or Two Family 337.00 COM2009-00769 1st Appliance 79.00 COM2009-00769 Vent Fan 27.00 COM2009-00769 Exhaust Hoods 13.00 COM2009-00769 Dryer Vent 9.00 COM2009-00769 Storm Drainage Impervious Area 757.73 COM2009-00769 Sanitary Sewer- Reimbursement 636.30 • COM2009-00769 Sanitary Sewer- Improvement 483.84 COM2009-00769 SDC Tran Reimburs-Residential 201.54 COM2009-00769 SDC Trans Improvement-Resident 888.98 COM2009-00769 SDC MWMC Reimbursement 97.90 COM2009-00769 SDC MWMC Improvement 1,009.17 Item Total: $9,521.81 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard PAUL RAKOCZY djb 04522p In Person $9,500.00 Cash PAUL RAKOCZY djb In Person $22.00 Change PAUL RAKOCZY djb In Person ($0.19) Payment Total: $9,521.81 cReceintl Page 2 of 3 6/29/2009