HomeMy WebLinkAboutPermit Building 2002-7-3 (2)
CITY OF SPRING111ELD .
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: 02-00680-01
ISSUED: 07/03/2002
APPLIED: 06110/2002
EXPIRES: 07/23/2003
VALUE: $ 136,130.00
SITE ADDRESS: 3496 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194307200
Spr
TYPE OF
Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 129, Subdivision: Ambleside Meadows, Addition: 1st, Land Use: Single Family
Dwelling, Zoning: LDR, SFR
2 Lot Size:
27.00 Sq~lst Floor:
Forced Air Gas S nd Floor:
Gas &.-.~~ asement:
Ga~.,\~ !tFh.Garage/Carport:
Pa~ "f ~)l~Uther:
.s.~ ~<V<<:~~pervious Surface Area:
<':T' .f''\ . J'
I DEVELOPMENT INFO~~~
~<J". # '\J~ ~ ~.
overla~~si~<v~ ~<v ~ ~~<t'\:S
# Stre~.:..Tr~~ ~~....,\.;<() ~ ~
Paved ~~'(i~"" <v~
~~~ ~~
% of Lot COW~~
~
Owner:
Address:
Rakoczy Welker Enterprises Inc ,0
PO Box 395 Creswell OR 97426 0'> .~~ ~
c.. ~ ,~ "f'~ I .
"~' ~0'\. ~\)' N
ICONT~ . ~~rIONI
\.1> ~0 ~0~ ~ 0 ~ ~~"'. ~
Contractor ~~ ':O~~ 0"'~ ~O ~~ 0~I~se
Rakoczy Welker Ent~~k\~~(;j ~0\)~\.0t'o 0 0......q;. $V
Everyday Electrj~t6'll~n~~ cPq 0~'~~~~'
Dean Heatin~~l~~ cJ3~ ~~ .i~~ ~~ \)~ i~.
Rakoczy ~~~~p~ ~ ,~./~ O~ ~<bf).;
Rs Plumbi~~~~~ ~~j0:"r...0:Q.~~
~~O~~D'1lNtV~ORMATION .
.~ RJIJ ~ !. ' f;-"
~<::s '1Y '^-0 c f?J .
1 v ~'# oNStones:
R-3 ~~ Height of
U-l Type of Heat:
VN Water Type:
Range Type:
Energy Path:
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
4
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
43.00
!pUBLIC IMPROVEl\'llil~l~.
S tree t
Phone Number: (541) 895-8606
Expiration Date
Phone
(541) 895-8606
(541) 607-6908
(541) 767-0626
(541) 895-8606
(541) 461-4714
6,055
1,705
456
REQUIRED PARKING
2
Total:
Handicapped:
Compact:
Yes
36.00
Fully Improved
Sidewalk Type:
Downspouts/Drains
Curbside 5'
Curb and Gutter
Storm Sewer Available:
Special Instruction:
Notes:
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00680-01
ISSUED: 07/03/2002
APPLIED: 06/1 0/2002
EXPIRES: 07/23/2003
VALUE: $ 136,130.00
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Foota2e
Value
Date Calculated
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Residential Plan Check $445.84 6/10/02 9447
8% Admin Fee - Electrical $17.04 7/3/02 9840
8% Administrative Fee - Mechan $4.40 7/3/02 9840
8% Administrative Fee - Plumbi $24.48 7/3/02 9840
8% Building Administrative Fee $54.87 7/3/02 9840
Address Assignment $8.00 7/3/02 9840
Building Permit $685.90 7/3/02 9840
Dryer Vent $6.00 7/3/02 9840
Hood and Exhaust $9.00 7/3/02 9840
Less than 100,000 BTU $12.00 7/3/02 9840
Mechanical Issuance $10.00 7/3/02 9840
Multiple Permit Discount - 2nd $-30.00 7/3/02 9840
MWMC Administrative Fee $10.00 7/3/02 9840
New Curbcut $75.00 7/3/02 9840
New Sidewalk $75.00 7/3/02 9840
One to Four Outlets $4.00 7/3/02 9840
Planning Plan Review $55.00 7/3/02 9840
Residential- Improvement $659.76 7/3/02 9840
Residential - Reimbursement $155.13 7/3/02 9840
Residential - Single Family - $747.75 7/3/02 9840
Residential Improvement MWMC $34.83 7/3/02 9840
Residential Sanitary MWMC $332.86 7/3/02 9840
S.F. Residence - Willamalane $1,000.00 7/3/02 9840
Sanitary Sewer SDC Improvement $389.76 7/3/02 9840
Sanitary Sewer SDC Reimburseme $512.88 7/3/02 9840
SDC Administrative Fee $142.15 7/3/02 9840
State Surcharge - Electrical $14.91 7/3/02 9840
State Surcharge - Mechanical $3.85 7/3/02 9840
State Surcharge - Plumbing $21.42 7/3/02 9840
State Surcharge For Building P $48.01 7/3/02 9840
Temporary: 200 Amps or Less $50.00 7/3/02 9840
Three Bathrooms $306.00 7/3/02 9840
Vent Fan to One Duct $24.00 7/3/02 9840
Wiring Footage 1,000 Sq Ft or $106.00 7/3/02 9840
Wiring Footage Each Add'l 500 $57.00 7/3/02 9840
Temporary Occupancy $100.00 1/27/03 1200200000000000607
Total Amount $6,172.84
2 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: 02-00680-01
ISSUED: 07/03/2002
APPLIED: 06/10/2002
EXPIRES: 07/23/2003
VALUE: $ 136,130.00
Enl!ineerinl!-Res
Initial Review-Res
Planninl!-Res
I Plan Reviews I
06/1812002 Appr DW
06/11/2002 Appr LH
06/17/2002 Appr LM
Needs to pick up LDAP. Currently
processing.
Structural-Res
06/19/2002
Appr BB
To Request an inspection call the 24 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.
l Reouired InsDect~
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 furt~ree to ensure that all required inspections are requested at the proper time, that each address is readable from
the st eet, hat th;J;;r. mit card is located at the front of the property, and the approved set of plans will remain on the site
a~~~b~'huC~ //n/R
Owne~ or contractors=:?"ature Date I ---
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
02-00680-01
Payments:
Type of Payment
Cash
Paid By
Description
Temporary Occupancy
RAKOCZY WELKER
Receipt #: 1200200000000000607
Date: 01127/2003
Received By
Check Number Confirm No
djb
Page I of I
1/27/2003
11:03:32AM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
100.00
Line Item Total:
$100.00
How Received
Amount Paid
In Person
100,00
$100.00
Payment Total:
I
..
cReceipt.rpt