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Home My WebLink AboutPermit Building 2003-1-8 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line <J" " 'I' f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01268 ISSUED: 01/08/2003 APPLIED: 11/07/2002 EXPIRES: 07/08/2003 VALUE: $ 127,200.00 SITE ADDRESS: 4336 Forsythia St. ASSESSOR'S PARCEL NO.: 1802052101700 Springfield, TYPE OF PROJECT DESCRIPTION: SFR Single Family Residence TYPE OF USE: New Owner: SHAPIRO MARC Address: 84679 ARLIE LN EUGENE OR 97405 I CONTRACTOR INFORMATION. Contractor License FOREST LUKE ANDERSON 133574 GLOBE BUILDING & ELECTRIC 103fJ7 MORTIER laW requ\res you. . CAREFER1lQN:oregon theoregon~~~Ah~' SHAPIR di~'esadOp\~::se,ru\es are se2_001- HEDDIN "I ifi~~n+'1Wl\anOAf\~7.\~~ h'-' \~OAf\95 '1l/J~,~(1 ~- - 'J\."""~'-e OO~~\~\he ~o\er. '~Ut\\\ty No\\i\cat\on 2 ~berfor\t}?I:;o_332-2.344). 23,00 U-l cent.ype of Heat: Forced Air Gas VN Water Type: Gas VN Range Type: Electric 4 Energy Path: Path 1 Contractor Type General Electrical Role Type Null Mechanical Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING Overlay Dist: Hillside Total: 2 # Street Trees 1 Handicapped: IttGifMli:e Rqd: Compact: oJtd15J?mwbl~~Ll EXPIRE ltvrtiE WORK AUTHORIZED -crN'DER THIS P~rt\~T IS NOT rlO.l,"J[Hf:n~ {\q ~c ABANnONF=n FOR PUBLI I DEVELOPMENT INFORMATION I 20.00 21.00 27.00 15.00 Residential Expiration Date 02/03/2003 01/04/2004 Phone 541-302-6738 541-683-7077 541-484-9080 541-935-5832 08/30/2004 08/12/2003 541-484-9869 Lot Size: 10,019 Sq Ft 1st Floor: 800 Sq Ft 2nd Floor: 800 Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Impervious Surface Area: Fullv Improved Yes Sidewalk Type: Downspouts/Drains Curbside 5' To Storm Sewer 1 of 4 Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2002-01268 ISSUED: 01108/2003 APPLIED: 11/07/2002 EXPIRES: 07/08/2003 VALUE: $ 127,200.00 I Valuation Description I Description Dwellinl!s Garal!e Type of Construction V Wood Frame Garal!e $ Per Sq Ft $74.60 $19.60 Square Footage 1,600.00 400.00 Value $119,360.00 $7,840.00 $127,200.00 Date Calculated 11/07/2002 11/07/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt N um ber Plan Review Residential $426.82 11/7/02 1200200000000000209 + 7% State Surcharge $75.16 1/8/03 1200200000000000510 + 8% Administrative Fee $85,89 1/8/03 1200200000000000510 3 Baths One & Two Family $306.00 1/8/03 1200200000000000510 Appliance Vent $6.00 1/8/03 1200200000000000510 Building Permit $656.65 1/8/03 1200200000000000510 Curbcut Permit $75.00 1/8/03 1200200000000000510 Dryer Vent $6.00 1/8/03 1200200000000000510 Encroachment Permit $120.00 1/8/03 1200200000000000510 Exhaust Hoods $9.00 1/8/03 1200200000000000510 Furnace - up to 100,000 btu $12.00 1/8/03 1200200000000000510 Gas Outlets 1-4 $4.00 1/8/03 1200200000000000510 Plan Review - Planning $55.00 1/8/03 1200200000000000510 PW Mult Disc - 2nd Permit $-30,00 1/8/03 1200200000000000510 Sanitary Sewer - Improvement $402.96 1/8/03 1200200000000000510 Sanitary Sewer - Reimbursement $530,16 1/8/03 1200200000000000510 SDC MWMC Administration $10.00 1/8/03 1200200000000000510 SDC MWMC Improvement $34,83 1/8/03 1200200000000000510 SDC MWMC Reimbursement $332,86 1/8/03 1200200000000000510 SDC Sanitary Reimbursement $-79.88 1/8/03 1200200000000000510 SDC Sanitary/Storm Admin $89.57 1/8/03 1200200000000000510 SDC Transpo Admin $48.79 1/8/03 1200200000000000510 SDC Transpo Improvement $709,81 1/8/03 1200200000000000510 SDC Transpo Reimbursement $160,87 1/8/03 1200200000000000510 Sidewalk Permit $75,00 1/8/03 1200200000000000510 Storm Drainage Impervious Area $665,52 1/8/03 1200200000000000510 Temp Power 200 amps or less $50.00 1/8/03 1200200000000000510 Vent Fan $24.00 1/8/03 1200200000000000510 Willamalane Single Family $1,000.00 1/8/03 1200200000000000510 Total Amount $5,862.01 I Plan Reviews I Initial Review 11/13/2002 11/13/2002 APP RJB 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: cOM2002-01268 ISSUED: 01/08/2003 APPLIED: 11/07/2002 EXPIRES: 07/08/2003 VALUE: $ 127,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planning Review 11/13/2002 PEND May need tree felling permit-need to check with owner Public Works Review Structural Review 11/13/2002 11/13/2002 11/20/2002 APP WE DPE DLM No engineering calculations submitted. Called engineer 12/11/02 & requested engineering information needed to complete teh plan review. Received engineering 12/17/02 Structural Review 12/26/2002 12/26/2002 APP DLM 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 Reauired InsDec~ 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Erosion/Grading Inspection: After all erosion measures are in place. 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, 6 Footing: After trenches are excavated. 7 Foundation: After forms are erected but prior to concrete placement. 8 Post and Beam: Prior to floor insulation or decking. 9 Floor Insulation: Prior to decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Wall Insulation: Prior to cover. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 16 Final Building: After all required inspections have been requested and approved and the building is complete. 17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insulation or decking. 19 Underfloor Drain: Prior to cover or placement of concrete. 20 Rough Plumbing: Prior to cover and including required testing. 21 Water Line: Prior to filling trench and including required testing. 22 Sanitary Sewer Line: Prior to filling trench and including required testing. 23 Storm Sewer Line: Prior to filling trench. 24 Final Plumbing: When all plumbing work is complete. 25 Underfloor Mechanical. Prior to insulation or decking and including required testing, 26 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 27 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 28 Rough Mechanical: Prior to Cover 29 Final Gas: When all gas work is complete. 30 Final Mechanical: When all mechanical work is complete. 31 Temporary Electric: Approval required prior to Utility Company energizing pole. 3 of 4 Status: Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01268 ISSUED: 01/08/2003 APPLIED: 11/07/2002 EXPIRES: 07/08/2003 VALUE: $ 127,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ali) ;ut,g c~truct;oo. j / ,f) D :?, ownl4'r c~n;~:t~ature Date I ...... u 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01268 COM2002-01268 COM2002-0 1268 COM2002-01268 COM2002-0 1268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-0 1268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-01268 1/8/2003 t 11:26:09AM '~, City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000510 Date: 01108/2003 Description . Amount Paid 656,65 55,00 75,00 75,00 (30,00) 665,52 530,16 402.96 160,87 709,81 332,86 34,83 10,00 (79,88) 89,57 Building Permit Plan Review - Planning Sidewalk Permit Curb cut 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 Reimbursement SDC Sanitary/Storm Admin Page 1 of 3 cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2002-0 1268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-01268 COM2002-0 1268 COM2002-0 1268 COM2002-01268 COM2002-0 1268 COM2002-01268 COM2002-01268 COM2002-01268 SDC Transpo Admin Willamalane Single Family 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Temp Power 200 amps or less + 7% State Surcharge + 8% Administrative Fee Encroachment Permit Receipt #: 1200200000000000510 Date: 0110812003 Page 2 of 3 , 1/8/2003 . 11:26:09AM, \... City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: 48,79 . 1,000.00 306,00 12,00 24,00 9.00 6,00 6,00 4,00 50,00 75,16 85,89 120,00 $5,435.19 cReceipl.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Payments: Type of Payment Check Receipt #: 1200200000000000510 Date: 01/08/2003 Paid By Received By Check Number Confirm No AIC djb Page 3 on 1/8/2003 ' 11 :26:09AM ' City of Springfield Development Services Department Public Works Department Official Receipt How Received Amount Paid In Person 5,435.19 $5,435.19 Payment Total: cReceipt.rpt rr-: , \ 1: ~ CITY OF SPRINGFIE~~YSTEMS DEVELOPMENT cHA E WORKSHEET JOURNAL OR JOB NUMBER: COM2002-01268 NAME OR COMPANY: Marc Shapiro LOCATION: 4336 Forsythia St TAX LOT NUMBER: 18-02-05-21-01700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 2000 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F,;.. COST PER S,F, I I 2360,00 $0,282 =, $665,52 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS :! IMPERVIOUS S,F, COST PER S,F, I DISCOUNT RATE I' 0,00 ;.. $0.282 XI 50% I, ITEM 1 TOTAL - STORM DRAINAGE SDC ~: "j., SANITARY SEWER - CITY A, REIMBURSEMENT COST: NUMBER OF DFU's COST PER DFU ;.. 24 $22,09 B, IMPROVEMENT COST: NUMBER OF DFU's . COST PER DFU x 24 $16,79 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE . NUMBER OF UNITS I 1 COST PER TRIP x x x I 9.57 1 I $16,81 B. IMPROVEMENT COST: I ADT TRIP RATE NUMBER OF UNITS 1 COST PER TRIP X x x I 9,57 1 I $74,17 I ITEM 3 TOTAL - TRANSPORTATION SDC 4, SANITARY SEWER - MWMC A, REIMBURSEMENT COST: 1 NUMBER OF FEU's COST PER FEU x I 1 $332,86 B. IMPROVEMENT COST: 1 NUMBER OF FEU's 1 COST PER FEU x , 1 I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: I SUBTOTAL ADM, FEE RATE I I $2,767.13 x 5% SF LOT SIZE: o =, $0,00 =, $665.52 =1 $530,16 =1 $402,96 =, $933.12 NEW TRIP FACTOR 1.00 =1 $160,87 NEW TRIP FACTOR 1.00 ,=1 =1 $709.81 $870.68 =1 $332,86 I I I =/ $10,00 l =1$297.8~ I =1 $2,767,13- I I =, =1 =, $34.83 ($79,88) $287.81 =1 TOTAL SANITARY ADMINISTRATION FEE: I TOTAL TRANSPORTATION ADMINISTRATION FEE: I $138,36 89,57 $48,79 5:tw.e- T~ SDC COORDINATOR 11/2012002 TOTAL SDC CHARGES = $2,905.49 DATE SF r:/J ~ Q o u ~ ~ ~ r./'1 ,....... d ~ 11070 1091 I l 1092 1093 I , I 1094 1055 1056 1079 1078 1(" i. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE ( ) UNIT FIXTURE # NEW - # OLD x EQUIVALENT = UNITS (2 O)x 3 6 (0 O)x 1 0 (0 O)x 3 0 (0 O)x 3 0 (0 O)x 6 0 (0 O)x 2 0 (1 O)x 3 3 (0 O)x 6 0 (0 0) x 12 0 (0 O)x 1 0 (0 O)x 3 0 (0 O)x 2 0 (0 O)x 2 0 (1 O)x 3 3 (0 O)x 2 0 (0 O)x 1 0 (0 O)x 2 0 (3 O)x 1 3 (0 O)x 5 0 (0 O)x 6 0 (3 O)x 3 9 FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. INTERCEPTORS FOR SAND / AUTO WASH / ETC. LAUNDRY TUB CLOTHESW ASHER / MOP SINK CLOTHESW ASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FORREFRIG / WATER STATION / ETC. RECEPTOR FOR COM, SINK / DISHWASHER / ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL/RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: DOMESTIC BAR WASH BASIN LAVATORY URINAL, STALL / WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU's* (0 0) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 24 *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 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR BEFORE $4,92 1990 $2,06 1980 $4,83 1991 $1.64 1981 $4,77 1992 $1.45 1982 $4,64 1993 $ 1.31 1983 $4.47 1994 $1.13 1984 $4.30 1995 $0,97 1985 $4,09 1996 $0,82 1986 $3,78 1997 $0.63 1987 $3.41 1998 $0.4 I 1988 $2,98 1999 $0,22 1989 $2,52 2000 $0,04 VALUE / 1000 CREDIT RATE 16,235 X $4,92 =1 0,000 X $4,92 =1 TOTAL MWMC CREDIT =1 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $79,88 $0,00 $79.88