HomeMy WebLinkAboutPermit Building 2003-12-08Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
547-726-3753 Phone
341-726-3676Fax
S4l -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00998ISSUED: 1210812003APPLIED: 10/02/2003EXPIRES: 06/0812004VALUE: $ 109,613.00
SITE ADDRESS: 240 12th St
ASSESSOR'S PARCEL NO.: 1703351418400
TYPE OF USE: New
PROJECT DESCRIPTION: SFR Same as 1181 B Street - Permit # COM203-00996
Owner: SHOTOLA CHARLES A
Address: 520 W 25TH PL EUGENE OR 97405
Springfield TYPE OF WORK: Single Family Residence
Residential
PhoneNumber: 541-342-7425
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DAVIS BROS
EASTSIDE ELECTRIC INC
DAVIS BROS
GARY ALAN MUSTIN
License
63275
117770
63275
129990
Expiration Date
03t3U2004
10t04t2005
03t3U2004
06t24t2004
Phone
541-683-9309
541-741-1499
683-9309
s4t-463-7s68
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I
R-3
u-1
VN
I
15.50
Wall Heat
Electric
Electric
Path I
1,130
304
3
20.00
7.00
8.00
40.00
0.00
I
Yes
26.s0
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Street Improvements: Fulry Improved
Storm Sewer Available: Yes
Special Instruction:
Notes: N0TICE'
THrs PERMTT SHALL lxPlR: rl TtE )19'l|
AuTH0Riiio ur'lcrn.lHll.PLPr'irl is i'ru I
C0i'4t'lENCED 0R lS j.';'i;iuUriIi; ?:uri
nf'fV f B0 i'rl'r' iitiiUl-r
DEVELOPMENT INFORMATION
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00998ISSUED: 1210812003
APPLIEDT 1010212003EXPIRES: 06/0812004VALUE: $ 109,613.00
Description
Dwellinss
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,130.00
304.00
Value
$102,378.00
$7,235.20
$109,613.20
Date Calculated
1013u2003
10t3u2003
Fee Descrintion
Plan Review Same As
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Minimum/Adj ustment Mechanical
PIan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200200000000001611
1200200000000002s67
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002s67
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002567
1200200000000002s67
1200200000000002s67
1200200000000002567
1200200000000002s67
1200200000000002567
1200200000000002567
1200200000000002s67
r200200000000002567
1200200000000002567
1200200000000002567
r200200000000002567
1200200000000002567
1200200000000002567
$100.00
$10.00
$107.22
$7s.0s
$254.00
$8.00
$s98.1s
$7s.00
$6.00
$9.00
$18.00
$s9.00
$-30.00
$106.00
$19.00
$344.20
$4s2.80
$10.00
$214.23
$314.63
$89.04
$54.89
s727.42
$164.89
$75.00
$6s0.47
$s0.00
$12.00
$1,000.00
r0t2t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
12t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2l&t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
12t8t03
12t8t03
t2t8t03
t2tBt03
t2t8t03
t2t8t03
t2t8t03
t2t8t03
t2l8t03
tr'ees Paid
Total Amount Paid $5,573.99
Paee2 of 4
Valuation Descrintion
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00998ISSUED: 1210812003APPLIEDz 1010212003EXPIRES: 06/0812004VALUE: $ 109,613.00
Plan Reviews
Initial Review
Planning Review
Plannins Review
Public Works Review
Public Works Review
Structural Review
12t02t2003 12t0212003 APP TAJ
10t06t2003 r0fi6t2003 WE VRJ
Willamalane SDC credits for this lot
given to 1181 B Street
Shotola partition plat went to
County on lll20. It is not finaled
yet (11/25). I will hold until the plat
is recorded by the County.
County recorded the Shotola
Partition PIat on l2llz 2003-P-1728,
recording # 2003-1 f 6046.
Ste plan incomplete, called owner.
PW review complete. Waiting for
Plat and Partition to be finaled prior
to approving permits.
10/03/2003
t0t06t2003
1u25t2003
t0/06/2003
t0/06/2003
LU24t2003
ru25t2003
10t3y2003
LLH
TAJ
VRJ
DLM
APP
WE
APP
APP Using continuous sheathing method
of lateral bracing. See ttdocumentstt
for plan review comments
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
1
2
3
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer 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.
Framing Inspection: Prior to cover and after all rough in inspections have been 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.
Underfloor Drain: Prior to cover or placement of concrete.
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.
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5
6
7
8
9
10
11
t2
13
l4
15
t6
t7
18
t9
20
2t
22
Reorrired Insnections
\trL!
F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00998ISSUED: 1210812003
APPLIEDz 1010212003EXPIRES: 06/0812004VALUE: $ 109,613.00
23 Rough Electric: Prior to Cover
24 Electric Service: Approval required prior to utility company energizing service.
25 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
L 03q
Owner or Signature Date
Pase 4 of 4
225 Fifth Street '
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200200000000002567
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
coM2003-00998
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd 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
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adj ustrnent Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ ljYo Adminishative Fee
Plan Review - Planning
8.00
1,000.00
106.00
19.00
50.00
75.00
75.00
(30.00)
650.47
452.80
344.20
164.89
727.42
314.63
214.23
10.00
89.04
54.89
598. I 5
254.00
12.00
9.00
6.00
18.00
10.00
75.05
101.22
59.00
ltem Total:ss77339
Type of Payment Paid BY Received By Batch Number Authorization Number How Received Amount Paid
CreditCard CHARLES A SHATOLA dlm 000214 00887 l
$s/73J-9
In Person
Payment Total:
$5,473.99
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541\726-37 53 o F4:I:, $:4197se3
ELECTRI'2oning
City Job Number Date
submitted has the tollowing
5p{require specific land usetltr-
t.
LEGAL
Permits if work is
not started within days of issuance or if work ls
Suspended for 180 days.
7
e 6Le
A. Nen'Residintial - Single or Nlulti-Famill' per dwclling unit.
.
0 Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconuect Only
Installation, Alteration or
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
Over 600 or 1000 Volts see "B" above.
i_sro6ooU44-
$ re00 lq,oo
City SPq L
$ 63.00
s 7s.00
$125.00
$ 163.00
$37s.00
s s0.00
s s0.00
s 69.00
$100.00
s 43.00
$ 3.00
s50.00
50.00
50.00
25.00
45.00
B.
Electrical Contractor
Address 38)Sl BoScAc e Lp,
C
Phone ?Y /^ /Y I q
Supervisor License Number 9lt7 s c.
Expiration Date /o- o I ^ oV |o &
a
Constr. Contr. Number tt)7'70
Expiration Date ro- o 1- otl
Signature of Supervising Electrician
Owners
Address
D.
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
3_
City frnnAo Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Siguature
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Resideutial
Limited EnergyiCommercial
Minimum Electric Permit Inspectio n Fee is $45.00 * Surcharges
$
s
s
s
d)
7Yo State Surchalge
l0% Administrative Fee
TOTAI,Inspection Request: 726-37 69
4.
Shared Drive(T:)/Building Forms/Electrical Permit Application l-03'doc
J.
I
a
CITY OF SPRIN GFIELD SYSTEMS
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLING LINITS
LOT SrZE (SFI 0
JOB
Charles Shotola
240 2th Sheet
70335 4 tl 8400
FSINGLEAMIL Y
SIZEBUILDING
$650.47
COST PER S.F
s0.290
CHARGE
$65077-
IMPERVIOLIS S.F"
0.00
COST PER SJ..
$0.290
DISCOI.INT RATE
50%
DISCOUNT
$0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC
x x
STANDARDSAND CONSTRUCTED TO CITY
NTA4BER OF DFU's
20
COST PER DFU
s22.64
NUMBER OF DFU's
20
COST PER DFU
st7.2t
$797.00
ADT TRIP RATE
9.57
NUMBER OF UNITS
1
COST PER TRIP
st7.23
NEWTRIP FACTOR
1.00
ADT TRIP RATE
9.57
NUMBER OF UNITS
1
COST PER TRIP
s76.01
$892.31
1.00
B. IMPROVEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A. REIMBURSEMENT COST:
B. IMPROVEMENT COST:
7.42
ITEM 3 TOTAL - TRANSPORTATION SDC
x
x x
$164.89
x x x
A. REIMBURSEMENT COST:
NUMBER OF FEU's
1
NUMBER OF FEU's
1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$s38.86
COST PER FEU
$314.63
COST PER FEU
$214.23
B. IMPROVEMENT COST:
x
x
= I $314.63
= I $214.23
: I $1o.oo
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
SUBTOTAL (ADD ITEMS I,2,3,&4)878.64
SUBTOTAL
$2,878.64
ADM. FEE RATE
5%
CHARGE
s 143.93
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
5. ADMINISTRATIVE FEE:
x
I 8e.04
I ss+.ss
TOTAL SDC CHARGESVirginia Jurasevich t011412003
PREPARED BY DATE
1070
1092
1093
1094
1055
1056
1079
1078
aE]ooO
E]
F-a
o
EId
1091
-rtHXrrI
IT
I
DIRECT
x
x
FIXTURE TYPE
UNIT
OLDNEW
UNITSDRAINAGEFXTTIREA]-ENTUNITxFD(TURES EQUTV,NEWOFNUMBER
CALCULATE ONLY T1IE NET ADDITIONAL
NO. OT FIXTURES
FOR DRAINAGE
FIXTURE
UNITS
0
0100FOUNTAIN03DRAIN
00ETC.SOLIDSOILGREASEFOR
0 60ASHwETCAUTOSANDFOR
20TUB 331/MOP SINK
000CLOTHESWASHER3MOREOR
01200PARKPER1TRAILERTRAPHOMEMOBILE
100ATIONWATERETC.STREFRIGFORRECEPTOR 0300DISHWASHERETC.SINKCOM.FORRECEPTOR 000SINGLE STALL
0200OFGANG
331KITCHENSINK:
00SINK: COMMERCIALBAR
2 000SINK:WASH BASIN/DOUBLE LAVATORY
2120SINK: SINGLE LAVA TORY/RESIDENTIAL BAR
0050STALL / WALL
000PUBLIC INSTALLATION
3 62TOILET.PRIVATE INSTALLATION
20
set at I 67toa
0
unit
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
+EDU lsa
DRAINAGE FIXTURE UNIT CALCULA TION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE 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
0
0
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / lOOO
s0.00
CREDITRATE
$4.92x I so.oo
CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION)
VALUE / lOOO CREDIT RATE
$0.00 x $4.92
TOTAL MWMC CREDIT I so.oo
BEFORE 1979 $4.92
1979 $4.92
1980 $4.83
t98l $4.77
1982 $4.64
1983 s4.47
1984 $4.30
1985 $4.09
1986 $3.78
1987 $3.41
1988 $2.98
1989 $2.52
1990 $2.06
1991 s1.64
1992 $r.4s
1993 $1.31
1994 $ 1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 s0.41
1999 s0.22
2000 s0.04
20
:t 0