HomeMy WebLinkAboutPermit Building 2004-7-22
Status
Issued
- CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00717
ISSUED: 07/22/2004
APPLIED: 06/17/2004
EXPIRES: 01122/2005
VALUE: $ 258,322.80
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1250 Q St 1252
ASSESSOR'S PARCEL NO.: 1703261403300
Springfield TYPE OF WORK: Duplex
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Duplex
Owner: RW HOMES
Address: BOX 395 CRESWELL OR 97426
Phone Number: 541-513-2228
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION.
contract~c~iih'I". ,at: \f \~tf~~~
RAKOCZ~ ~~1frltt ~6fJ~ NQ1
EVERYDA i1lJh~~' . U"f}QIilli\S R ~
DEAN M S t..M~QR \S ~B~NQONr}13733
RS PLUMBltiO~~ ~O. 103816
1\.l\L' ,i4 ...
"'. 1- BUiLDINGJNFORMATION I
Expiration Date
OS/22/2006
08/12/2005
02/23/2005
01104/2006
Phone
541-895-8606
541-607-6908
541-767-0626
541-461-4714
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2.-.
R-3
U-l
VN
8
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2 Lot Size:
27.00 Sq Ft 1st Floor:
Wall Heat Sq Ft 2nd Floor:
Electric Sq Ft Basement:
Electric Sq Ft Garage/Carport
Path ~d'1",S,q ,{t .other: -..'
.' ''':;nia .-~." .'Occupant Lo"lid:
1,300
1,360
518
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION. . --.tdia..TT.
~.......w- ftOtiMfIRED PARKING
OVerlay~~~bY0\9are:'_~ 4
# Street ~(lenI8L ~o.""~ped:
Paved ~1i . 2-001-0010 ottM~:
%OfLO~~=maYC)bta\n~ _~
0090. W\I center.~'" ~
....:JU"'t the t: u.vP'" It,"", ~\..
I PUBLIC IMPRO~~~ 18 t~""""'"
VV'
F II I d Sidewalk Type: Curbsl.de 5'
u y mprove _
Yes Downspouts/Drains: "." Curb and Gutter
Stormwater to be pumped to Q Street and weepholedto curb as indicated on plan set. Weepholes
shall be made available if not there already as perlelophone conversation with applicant on
6/18/2004. Encroachment permit for sanitary sewer tap will also cover weep hole construction. -
MAS
22.00
5.50
5.50
92.00
104.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00717
ISSUED: 07/22/2004
APPLIED: 06/17/2004
EXPIRES: 01122/2005
VALUE: $ 258,322.80
l~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwellinl!s V Wood Frame $92.40 2,660.00 $245,784.00 06/17/2004
Garal!e Garal!e $24.30 516.00 $12,538.80 07/21/2004
Total Value of Project $258,322.80
~
Fee Description Amount Paid Date Paid Receipt Number
'~...'
Plan Review Residential $701.45 6/16/04 220040000000000786
-Mechanical Issuance Fee- $10.00 7/22/04 2200400000000000962
+ 10% Administrative Fee $26.90 7/22/04 2200400000000000962
+ 10% Administrative Fee $179.84 7/22/04 2200400000000000962
+ 7% State Surcharge $18.83 7/22/04 2200400000000000962
+ 7% State Surcharge $125.89 7/22/04 2200400000000000962
3 Baths One & Two Family $612.00 7/22/04 2200400000000000962
Addressing Assignment $62.00 7/22/04 2200400000000000962
Annexed 1979 or Before $-75.67 7/22/04 2200400000000000962
Building Permit $1,082.40 7/22/04 2200400000000000962
Curbcut Permit $75.00 7/22/04 2200400000000000962
Dryer Vent $12.00 7/22/04 2200400000000000962
Encroachment Permit $120.00 7/22/04 2200400000000000962
Exhaust Hoods $18.00 7/22/04 2200400000000000962
Miscellaneous Copy Chgs $3.00 7/22/04 2200400000000000962
Plan Review Major - Planning $103.00 7/22/04 2200400000000000962
Plan ReviewlResidential Hourly $45.00 7/22/04 2200400000000000962
i--:; Residence Wiring 1000 Sq Ft $212.00 7/22/04 2200400000000000962
....,-:.
Residence Wiring Ea Addtl 500 $57.00 7/22/04 2200400000000000962
Sanitary Sewer - Improvement $585.14 7/22/04 2200400000000000962
Sanitary Sewer - Reimbursement $769.76 7/22/04 2200400000000000962
SDC MWMC Administration $10.00 7/22/04 2200400000000000962
SDC MWMC Improvement $428.46 7/22/04 2200400000000000962
SDC MWMC Reimbursement $629.26 7/22/04 2200400000000000962
SDC Sanitary/Storm Admin $133.09 7/22/04 2200400000000000962
SDC Transpo Admin $111.88 7/22/04 2200400000000000962
SDC Transpo Improvement $1,454.83 7/22/04 2200400000000000962
SDC Transpo Reimbursement $329.78 7./22/04 2200400000000000962
Storm Drainage Impervious Area $767.92 7/22/04 2200400000000000962
Temp Power 200 amps or less $50.00 7/22/04 2200400000000000962
Vent Fan $24.00 7/22/04 2200400000000000962
Willamalane Attached (duplex) $1,848.00 7/22/04 2200400000000000962
Total Amount Paid $10,530.76
~J~
"I'
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00717
ISSUED: 07/22/2004
APPLIED: 06/17/2004
EXPIRES: 01122/2005
VALUE: $ 258,322.80
~~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
I Plan Reviews I
06/17/2004 APP
. WI
LLH
EMM
06/17/2004
06/17/2004
'/J;,
Plannin2 Review
07/15/2004
07/15/2003 APP
EMM
Public Works Review
06/17/2004
06/18/2004 APP
MS
";.{
Structural Review
WE RJB
06/17/2004
07/13/2004
Structural Review
07/14/2004
07/21/2004
APP DLM
Waiting for answer regarding
maximum density and access.
MDR, Minimum 2 - Maximum 5.
See also enclosed survey letter
Owner required to sign enclosed
statement.
6/18/2004 - Stormwater to be
pumped to Q Street and weepholed
to curb as indicated on plan set.
Weepholes shall be made available if
not there already as per telophone
conversation with applicant on
6/18/2004. - MAS
6/18/2004 - Encroachment permit
required for tapping sanitary sewer
and constructing weepholes in the
curb in Q Street. One permit shall
suffice for both items. - MAS
'engineering has expired. Need
updated documents w/ valid stamp
& signature.
Received updated engineering
calculations 7/14 dim. Still need
valid engineer's stamp on shearwall
drawing (Sh.l0 of 10) 7/21 dIm.
See documents for plan review
comments.
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: After all erosion measures are in place.
" Vfer 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.
Pa2e 3 of 4
~~l:~F,U~!':!~~"!'&.:D.~',,,_",
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i';; "t
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00717
ISSUED: 07/22/2004
APPLIED: 06/17/2004
EXPIRES: 01/22/2005
VALUE: $ 258,322.80
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~/:
.\>~
:v,.
'(
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Site Inspection: To be made after excavation but prior to setting forms.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
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, th~t e permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times durh g onstruction. ~
f1Jt~ 7-27 0'-(
Owner or Contractors Signature Date
~~
.
Pa2e 4 of 4
~.~
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00717
~\}COM2004-00717
. COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
\(.COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
COM2004-00717
LDP2004-00030
Payments:
; Type of Payment
t~
Check
~J
7/22/2004
RECEIPT #:
r:t:y of Springfield Official Receipt
velopment Services Department
Public Works Department
2200400000000000962
Date: 07/22/2004
Description
Curbcut Permit
Encroachment Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1979 or Before
Addressing Assignment
Willama1ane Attached (duplex)
Temp Power 200 amps or less
Plan Review Major - Planning
Plan ReviewlResidential Hourly
Building Permit
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Miscellaneous Copy Chgs
LDAP Short Form
tt.
Paid By
RAKOCZYIWELKER
ENTERPRISES
Received BY:
vij' ....- \
'Cl J''''
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number
1985
'.... ...
." ': 't ~ ',,;. .
iJ r'.''i:I1\~:''
'1.. '...
1 ~ ~ .
How Received
In Person"
Payment Total:
11:58:25AM
Amount Due
75.00
120.00
767.92
769.76
585.14
329.78
1,454.83
629.26
428.46
10.00
133.09
111.88
(75.67)
62.00
1,848.00
50.00
103.00
45.00
1,082.40
612.00
24.00
18.00
12.00
10.00
125.89
179.84
18.83
26.90
212.00
57.00
3.00
300.00
$10,129.31
Amount Paid
$10,129.31
$10,129.31
.'
10890
tZl
~
Ci
o
u
~
~
IE-<
tZl
6
62
$767.92
1070
!I
$769.76
1091
x I COST PER DFU
I $17.21
$585.14
11092
I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$1,354.90
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x I
, I 9.57 I 2 I
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
x I NUMBER OF UNITS . x
I 2
COST PER TRIP x I NEW TRIP FACTOR
$17.23 I 1.00 $329.78 1093
COST PER TRIP x NEW TRIP F ACTORI 11094
$76.01 1.00 $1,454.83
r
$1,784.61 II
I
,I
= $629.26 1054
ITEM 3 TOTAL - TRANSPORTATION SDC = 1
. 4. SANITARY SEWER - MWMC
. A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 2 $314.63
B. IMPROVEMENT COST:
INUMBER OF FEU's
I 2
x I COST PER FEU
I $214.23
Matt Stouder
. 6/18/2004
= $428.46 1055
($75.67) 1054
$] 0.00 1056
= 1 $992.05
= , $4,899.48
CHARGE
$244.97
133.09 1079
$1 I 1.88 11078
I
TOTAL SDC CHARGES =, $5,144.45
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD(
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $4,899.48 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 2 0 3 = 6
CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0, 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 4 0 1 = 4
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INST ALLA TION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 ': 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EOD'S'
20 = 0
. - "
TOTAL DRAINAGE FIXTURE UNITS 34
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON 'COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE ] 979
1979
1980
1981
1982
1983
]984
]985
1986
]987
1988
]989
1990
]991
]992
]993
]994
]995
]996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.04
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3.50
$307
$2.60
$2.14
$1.7]
$1.52
, $1.38
$1.19
$1.03
$0.87
$0.68
$0.46
$0.27
$0.09
$0,04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$15.01 x $5.04
= ,
$75,67
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.04 = ,
o
=
$75.67
TOTAL MWMC CREDIT
r .
\ j -( ,
. / , I
" .n' ' CITY- OF SPRINGFIELD,.O.R~GQN ' '. ~.,,~/'".. .' ,"
I. " .'. " .. ..
. . .
2.
Electrical ContractorEVeN.....T"1:w ~ ~c::t 1~200 Amps or less
I I J 2()l Amps to 400 Amps
Add,." PMG l:n (; 5W-1 T)/lJI SloJJ live 401 A.mps~o 600 A .,
601~"~ . ~,~
City E~N? 9.J'Ic4 Phone, 607-b10~ltO~~~~"t~%\,t..
"~~~~(l~\\~ .
Supervisor License Number '-/ bO <g <$~1idl\\Qt\~C'.
LQjJj ""~ 916'1:1'1 Ol)\~~ ~e'. \\i ~'K~
Expiration Date 0 /, lrYfl \n _~OU """'dt~a~~~{~lib\~r Relocation
\)W ca\\\C\Q \"~t ~Q~~~.~~ . ' /
Constr. Contr. Number / 3b 3'7 ) ,i,;.~~et~'..~\a~~o 400 Amps
<:'/11 /") / I') ^'" r- ~40l Amps to 600 Amps
Expiration Date ('\ I .if c/uu ::> or 1000 Volts see "B" above.
Signature of Supervising Electrician
12<-)0 Q
LEGAL DESCRIPTION
{703zbfL(
JOB DESCRIPTION
03300
I retMf
~LA PLE-x
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~/~
/ '
\2 fA! 4--u'vV\.~s.
39'f
Owners Name
Address . (50 r:-
City0e;-5 //"c,-( (
Phone 5( J ~zzzF
OWNER INSTALLATION
0'""-
1/
",-0
1-10.
~
,ct
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A.
z.
::>
$106.00 2. I Z
$19.00 . 57
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
sO
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00 '
$ 3.00
E. t: Misceil~~eous (Seryic;tfee~~r iu{tCinc!~d.edj';E~l}~~ I~stall~ti?rij
I~.___~_._.,-- _~~__.__ ~~~~.,..~...........,._-~
Pump or irrigation &. \~ \\\~~~Q)1\
Sign/Outli~.Lighting ~\.\. t"''?\~ \'S~~\ \ ~OO
Li~0'!\Sf~~sfe~tt~ \\\\~~~Q~~\) '1roo
Li~~~~~~~,,<<~ ~'ON $ 45.00
M;.~m;~A\rJ!t!lb\hee;, $45.00 + ~"""a,g,,
4. ['~~,~ .~~"/;" ,~~8~"0. 31 <]
7% State Surcharge Z Z-- 33.
10% Administrative Fee "3/ ~o
TOTAL 373~
Shared Drive(T:)/Building FonnsIElectrical Penn it Application I-03.doc