HomeMy WebLinkAboutPermit Building 2005-5-3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-37691nspection Line
SITE ADDRESS: 1449 DELROSE AVE
ASSESSOR'S PARCEL NO.: 1703243304800
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00427
ISSUED: 05/03/2005
APPLIED: 04/14/2005
EXPIRES: 11/03/2005
VALUE: $ 18,240.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
f~:JY!G~:
THIS Pl:RMIT SHALL EXPIRE IF THE WORK
AIITHnRI7Fn IINnFR 1 HIS PtKlVIl1 IS NU I
I CONTRACTOR.INFORMNFlON'ls ABANDONED FOR
ANY 180 D.A.Y PERIOD . .
Contractor License Expiration Date
DAVID ZARZYCKI GENERAL CONTRACTIlI05626 04/26/2009
Owner:
Address:
JANOUSHEK EUGENE
1449 DELROSE AVE
SPRINGFIELD OR 97477
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
44.00
30.00
38.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone
541-688-0243
BUILDING INFORMATION I
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Path 1
n/a
1
16.00
Electric
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
190
I DEVELOPMENT INF(')~ilciN'uOregon law requires you to
.. '''U'''' 1::' t db
_"v., I "", auOp e y the (REQW'BlP.ltfARKING
, Notificatio.n Cent"r.. Those rules:. ,,-,Ii' set forth
Overlay Dlst:. OAR Urban 'Fr\lll!e -IOta"
# St t T '[}nd' 95,,-uu I-OUllTthrough nAP."'''''' .""1-
ree rees t1fl 0 \fI " ltan...../:'..PI'-lO.
Paved Drive Rqli( '. au may obtain copies lct'mp'iii!t:s by
% of Lot Covera~g:lllng the center. (Note: the telephone
rlumber for the Oregon Utility Notification
rl=lntpr ic 1_Qnn'J')t') 1")"/1 11\
I PUBLIC IMPROVEMENTS l
Sidewalk Type:
DownspoutslDrains:
FullV Improved
Yes
Setback 5'
Curb and Gutter
Notes: Storm drainage into existing piped to curb face. No SDC's existing covered patio 4/18/2005 CAS
Description
Tvpe of Construction
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of3
J .
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.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00427
ISSUED: 05/03/2005
APPLIED: 04/14/2005
EXPIRES: 11/03/2005
VALUE: $ 18,240.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Dwellines
V Wood Frame
$96.00
190.00
$18,240.00
$18,240.00
04/14/2005
Total Value of Project
Fpp< PiiILI
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Plan Review Minor - Planning
Amount Paid
Date Paid
$1l5.44
$22.26
$15,58
$177.60
$14,00
$31.00
$59.00
4/14/05
5/3/05
513/05
5/3/05
5/3/05
5/3/05
5/3/05
Receipt Number
1200500000000000446
1200500000000000564
1200500000000000564
1200500000000000564
1200500000000000564
1200500000000000564
1200500000000000564
Total Amount Paid
$434.88
I Plan Reviews I
Initial Review
Plan nine Review
Public Works Review
04/15/2005
04/1512005
04/15/2005
04/15/2005
04/28/2005
04/18/2005
APP LLH
APP TAJ
APP CAS
No SDC existing covered
patio-storm piped to curb face
4?18/2005 CAS
Received truss drawings 4/28/05 dim
Structural Review
04/15/2005
05/02/2005
OK RJB
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.
I?P'Wirptlln<nections.
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 heen approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required Inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to Insulation or decking.
Paee 2 of3
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00427
ISSUED: 05/03/2005
APPLIED: 04/14/2005
EXPIRES: 11/03/2005
VALUE: $ 18,240.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
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, and the approved set of plans will remain on the site at all
times during construction,
.5/~"p.s
Owner or Contractors~a
Date
Pa\le 3 of3
CITY OFalNGFIELD SYSTEMS DEVELOPMEevORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
Com2005-00427
Eu~ene Janoushek
1449 Delrose
1703243304800
SINGLE F AMIL Y RESIDENCE
o BUILDING SIZE (SF:
190
LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 0.00 I $0.310 I = I $0.00 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I $0.310 I I 50% I = I
ITEM I TOTAL - STORM DRAINAGE SDC $0.00
DISCOUNT
$0.00
o
$0.00
rn
tlJ
Cl
o
U
~
~!::
rn
II G
~
1070
2 SANITARY SEWER - CITY
I
A REIMBURSEMENT COST:
I NUMBERO OF DFU's I x
B. IMPROVEMENT COST:
I NUMBEROOF DFU's I x
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$24.04
=1 $0.00
--
x I COST PER TRIP x INEW TRIP F ACTORI
$18.30 i 1.00 I
x I COST PER TRIP x INEW TRIP FACTORI
I 580.72 I 1.00 I
= 1 $0.00
.J TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRJP RATE I x
9.57
B. IMPROVEMENT COST:
I ADT TRJP RATE I x I NUMBER OF UNITS I
I 9.57 I 0 I
ITEM 3 TOTAL - TRANSPORT A nON SDC
I NUMBER OF UNITS I
I 0 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 0
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I 5865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
ICOST PER FEU
I 582.03
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS I, 2,3, & 4) = ,
5 AOMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~
I 50.00 I 5% ,
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$0.00
$0.00
CHARGE
50.00
$0.00
$0.00
$0.00
$0.00
=
$0.00
1091
I t092
I
1093
11094
I
1054
1055
1054
$0.00 I 1056
J
I
$0.00
Cheryl Slaymaker
TOTAL SDC CHARGES
1079
11078
I
4/ J 8/2005
PREPARED BY
DATIl
=
so.oo
so.oo
#DIV/O!
#DIV/O!
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXllJRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY 11ffi NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
~BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TIJB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EAt 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAuRESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL. STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRN A TE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
"'EDU (Equivalent Dwelling Unit) is a disc~ equivalent to a single family dwelling unit (20 DFlJs) set at 167 ~]~~J~.r.c!aY
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I
I
I
I
I
I
~
I
I
I
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATEJ$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 fnrNo)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
SO.OO x 55.29 ~ ,
SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
SO.OO
2.2~ 'Fifth Street. .
Springfield, Oregon 97477
541-726-3759 Phone
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Wi;,'"
Job/Journal Number
COM2005-00427
COM2005-00427
COM2005-00427
COM2005-00427
COM2005-00427
COM2005-00427
Payments:
Type of Payment
CreditCard
5/3/2005
,a:ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
RECEIPT #:
1200500000000000564
Date: 05/03/2005
Description
Plan Review Minor - Planning
Building Permit
Fixture
Minimum! Adjustment Plumbing
+ 7% State Surchargc
+ 10% Administrative Fce
Paid By
DAVID ZARZYCKI
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
ddk 142134 In Person
Payment Total:
Page 1 ofl
12:55:43PM
Amount Due
59.00
177.60
14.00
31.00
15.58
22.26
$319.44
Amount Paid
$319.44
$319,44