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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