HomeMy WebLinkAboutPermit Building 2004-2-10
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. CITY OF ~rK11'\il>t<1J'.LU I
Building/Combination Permit
PERMIT NO: cOM2004-00086
ISSUED: 02/10/2004
APPLIED: 01/21/2004
EXPIRES: 08/10/2004
VALUE: $ 23,206.00
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,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5764 Ridge Ct
ASSESSOR'S PARCEL NO.: 1802041107900
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
PROJECT DESCRIPTION: Garage and art studio for MH (MH permit COM2004-00022)
Residential
Owner: VINCENT ZA WODNY
Address: 138 MAIN ST SPRINGFIELD OR 97477
Phone Number: 541-746-5726
I. CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
RAKOCZY WELKER ENTERPRISES INC
RAKOCZY WELKER ENTERPRISES INC
License
56636
56636
Expiration Date
OS/22/2004
0512212004
Phone
541-895-8606
541-895-8606
BUILDING INFORMATION'
# of Stories: Lot Size:
"eight of Structure 14.00 Sq Ft 1st Floor:
Type of "eat: Sq Ft 2nd Floor:
Water Type: ~Ft Basement:
Range Type: :\o-S~Siarage/Carport
~*- Energy Path: 0"" ~sq ~'Ot!1er:
~'S S)" <:! ~ Im~;~~ous'Surface Area:
<. ~ .0. _oC0 .(0 r-<;jLl:o.?
~ "~'~~'OEVELOPMENT INFORMATI(:)~"I71 "~0"" ~~~0 <"':~o~~o~
SETBACKS ~ f:f ~ ~. '0"1 0 <:. ~ 0....-.: ~0~7;!UlRED PARKING
~ ~ ~ ;.,'0 0 0<:> ooS '" ,'0 *
Frontyard Setback: <.:,; -!::-~ ),0;0"0 Overlay Dist: .0 ~,'O ",,<;:, oS' il. '$'0 ~ T~al: 2
Side 1 Setback: ."y> ~'" ~~OO # Street Trees ~1iffi'1>Oo .",,0<"- ,,().~ c,o 0,0' #:\I)"Uandicapped:
Side 2 Setback: ~ q. '~<:j<(; S ~ Paved Drive#li'10'" 00'" r:P "'~ ~ ,,'5 ",I): Compact:
,,<l.. ~ " ~" ~<:j' A'V ,oS R:l" & ;.,. 6~ ?,-.-
Rearyard ~etbac~:. 0> 'S <f % of Lo~".?~r~ef r.r;CS;':\ ~0 2J'.l>~~('
SolarSet6li~im'<,;#~<S>.8 5.00 ....~.~vqf ,,:><.j.,~ 0c,0 00~.
~~~.~-~ ~~.~~~~
.,. ',.::""v ..; .~ -~ . .,,,
~ ~~""Q;j~ IPUBLICIMPR6v~Nts1";.,""0 /.
,.'S,.\., " 1.~0(
Street Improve~entS: F II I d ';}- c,. ~~ Sidewalk Type:
'(' u v mprove '"
Storm Sewer Available: Yes DownspoutslDrains:
Special Instruction:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U-l
VN
720
Curbside 5'
Curb and Gutter
Notes:
Pa~e 1 00
i
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Gara!!e
Gara!!e
Tvpe of Construction
Gara!!e
Gara!!e
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet .
Total Amount Paid
Initial Review
Plannin!! Review
Public Works Review
Structural Review
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. Ll1 t' OF ~rtuI'\il>t<lJ'.LD
Building/Combination Permit
PERMIT NO: cOM2004-00086
ISSUED: 02/10/2004
APPLIED: 01/21/2004
EXPIRES: 08/1012004
VALUE: $ 23,206.00
I Va,hIIM:inn Descriotino I
111111111
$ Per Sq Ft
or multiplier
$24.30
$24.30
Square Footage
or Bid Amount
720.00
235.00
Value
Date Calculated
Total Value of Project
$17,496.00
$5,710.50
$23,206.50
01/21/2004
01/2112004
Fee.. PIiILI
Amount Paid
Date Paid
Receipt Number
$26.16
$18.31
$216.60
$59.00
$140.79
$14.64
$292.76
$45.00
2/10/04
2/10/04
2/1 0/04
2/1 0/04
2/1 0/04
2/10/04
2/10/04
2/10/04
1200400000000000182
1200400000000000182
1200400000000000182
1200400000000000182
1200400000000000182
1200400000000000182
1200400000000000182
1200400000000000182
$813.26
I Plao Reviews I
01/22/2004 01/2212004 APP LLH
01/22/2004 01/3012004 APP TAJ
01/22/2004 01/30/2004 APP VRJ Storm not shown on garage plan,
but was shown on MH plans. Storm
drainage required to outfall to the
street.
01/22/2004 01/28/2004 APP RJB
To Request an iospection 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.
, Rponirp"Jnsnections_
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Drywall: Prior to taping.
Pa!!e 2 of3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00086
ISSUED: 02/10/2004
APPLIED: 01/21/2004
EXPIRES: 08/10/2004
VALUE: $ 23,206.00
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
8 Firewall: Located and constructed according to plans.
9 Final Building: After all required inspections have been requested and approved and the building is complete.
10 Storm Sewer Line: Prior to filling trench.
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 1 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 tbe site at all
times during construction.
rljL'1~
Owner I iflractors Signature
a
/ VI ::?-O c7 ~
Date
Paee3of3
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2004.00086
NAME OR COMPANY: Vincent Zawodnv
LOCATION: 5764 Ridge Court
TAX LOT NUMBER: 18020411 tI 7900
DEVELOPMENT TYPE: SFD Garage and Shop
NEW DWELLING UNITS 0
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BUILDING SIZE (SF'
O'
LOT SIZE (SF):
o
en
~
o
o
u
..:
~
en
G
~
.-
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 1009.50 I 50.290 I = I $292.76
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTEu IV \.,11' STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I 50.290 I I 50% I = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC 5292.76
S292.76
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 0 I 522.64 SO.OO i 1091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
I 0 517.21 SO.OO 11092
J ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , SO.OO I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x : NUMBER OOF UNITS I x' I COST PER TRIP x INEW TRIP FACTORI
, I
I 9.57 I S17.23 1.00 I SO.OO I 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I 0 I 576.01 I 1.00 I 50.00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , 50.00
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I 5314.63 = SO.OO 1054
B. IMPROVEMENT-COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I 5214.23 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE SO.OO i 1056
ITEM 4 TOTAL. MWMC SAN IT ARY SEWER SD< =1 SO.OO I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , S292.76 I
5. ADMINISTRATIVE FEE:.
ISUBTOTAL I x I ADM. FEE RATE I~ CHARGE
I 5292.76 I 5% I S14.64
TOTAL SANITARY ADMINISTRATION FEE: 14.64 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO _ p078
-,
Virginia Jurasevich 1/3012004 TOTAL SDC CHARGES = $307.40
PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT'" DRAINAGE FIXTURE UNITS II
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT . FIXTURE
FIXTURE TYPE NEW OLD- EQUIVALENT UNITS.
BATHTUB 0 -6 3 = 0
DRlNKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IiNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
. IiNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER.3 OR MORE (EAt 0 0 6 = 0
IMOBILE HOME PARK.TRAP (I PER TRAILER) 0 0 12 = 0
!RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
I"HOWER. GANG ~BER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LA V A TORYIRESIDENTIAL BAR 0 0 1 = 0
URINAL. STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 0 "
= 1.
,
TOTAL DRAINAGE FIXTURE UNITS 0 I
.EDU (Eauivalent Dwellin~ Unit) is a discharge eQuivalent to a single family dwelling unit (20 DRJ's) set at 167 J!;allons per day I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/Sl ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 S5.04 (Enter 1 for Yes, 2 for No)
1979 S5.04 I IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 S4.95 I (Enter I for Yes, 2 for No)
1981 54.88 I BASE YEAR 1979
1982 $4.75 I
1981 54.58 I CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 I VALUE/IOOO CREDIT RATE
1985 $4.20 I SO. 00 x S5.04 - , SO.OO
1986 Sl.88
1987 Sl.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 Sl.07 VALUE/IOOO CREDIT RATE
I 1989 52.60 $0.00 x $5.04 0
1990 S2.14
I 1991 SI.7I
I 1992 SLS2 TOTAL MWMC CREDIT = SO.OO
I 1991 SLl8
I 1994 $1.I9
I 1995 SI.Ol
I 1996 SO.87
I' 1997 SO.68
I 1998 SO.46
I 1999 50.27
L 2000 SO.09
2001 $0.04
..--
. 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00086
COM2004-00086
COM2004-00086
COM2004-00086
COM2004-00086
COM2004-00086
COM2004-00086
COM2004-00086
Payments:
Type of Payment
Check
.'
_~..j~~!'~D '~~"~'..l...
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City of Springfield Official-Receipt
Development Services Department
Public Works Department
Date: 02110/2004 8:05:23AM
Amount Paid
Receipt #: 1200400000000000182
Description
Plan Review Residential
Building Permit
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Storm Sewer. 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
jmp
Check Number
Batch Number
Paid By
VINCENT J ZA WODNY
4743
Item Total:
140.79
216.60
292.76
14.64
59.00
45.00
18.31
26.16
$1113.26
.
Authorization Number How Received
In Person
Payment Total:
Amount Paid
$813.26
$813.26
.