HomeMy WebLinkAboutPermit Plumbing 2007-9-27
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01469
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 03/27/2008
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4000 E 22ND AVE
ASSESSOR'S PARCEL NO,: 1803031203701
Eugene
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Add hand washing sink
Owner: MIRANDA ALBERTO G
Address: 4000 E 22ND AVE
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
VOS PLUMBING INC 41805
l BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
A1TENTlON: 4!fm~~r~8n.S you to
follow rules a~dftijem& Oregon Utility
Notification Ce~~Nles are set forth
In OAR 952-OO1~ tI\YImgh OAR 952-001-
0090. You maY4.AQ@j~ eelfl8s of the rules by
calling the ~1i\l~*iUI8I"lephone n/a
:._er fer ", O~go'" Iltlllty Mfttlfl"Qt~"'8
I glJMllU)Rl\mH'l~A TION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
.. --# Street Trees Rqd:
Paved UriveRqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
04/04/2008
Phone
541-485-0551
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspoutsillrains:
NOTICE: 11\EW~Wcm\(
1~~<l~~~~~ ~~~~~ ~5 PER,~.:r 15 NOT
, --Ii". j!'- ,r. 'IU.I..~~li' i~t;.u ron
C tN.tu un \J nu~ -' t.
. tlOn
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
Date Paid
$5,00
$2.50
$4.00
$16,00
$34,00
$20.40
$26.83
$2.36
9127/07
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
Total Amount Paid
$111.09
I . Plan Reviews I
Public Works Review
09127/2007
APP JHJ
09/2712007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01469
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 03/27/2008
VALUE:
J.
Receipt Number
1200700000000001243
1200700000000001243
1200700000000001243
1200700000000001243
1200700000000001243
1200700000000001243
1200700000000001243
1200700000000001243
Attached SDC Worksheet, (JHJ)
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Insoections ,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing 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
s~reet, th~t the permit ~ard is located.at-the-fr~f the property, and the approved set of plans will remain on the site at all
times durmg constructlo~_--:::>-<
~=-- ------ ~
~..... ~.--~
..._---. _~/.. .. _~-_/...-.--- .------._.~ c:; _ 2 J__ /J;1L
./ ./ ~ ../} ....-----:=~-.__:____ I / . C/
: ~~ntf ~/Q~~.:f~.- Date
Pal!e 2 of 2
225 Fifth Street
Springfield~ Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -01469
COM2007 -01469
CO M2007 -01469
COM2007-0] 469
COM2007-0l469
COM2007-0l469
COM2007-01469
COM2007-0l469
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001243
Date: 09/27/2007
Description
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
+ 5% Technology Fee
+ 8% State Surcharge
+ ]0% Administrative Fee
Paid By
CAFFETTO CUSTOM
ROASTING COFFEE CO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
24904
In Person
Payment Total:
Page] of 1
10:42:04AM
Amount Due
16.00
34.00
26.83
20AO
2.36
2.50
4.00
5.00
$111.09
Amount Paid
$]11.09
$111.09
9/27/2007
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-0I469
NAME OR COMPANY: Alberto Miranda
LOCATION: 4000 E 22nd Avenue
MAP & TAX LOT NUMBER: 18 03 03 12 03701
DEVELOPMENT TYPE: Adding Hand Sink to
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
L STORM DRAINAGE
IMPERVIOUS SQ. FT.
$ 20.404 PER DFU
$ 47.24
TOTAL LOCAL W ASTEW A TER SDC:' $
3. TRANSPORTATION No New Building Square Footage
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
~OO x 0
B. IMPROVEMENT COST:
0.00 x
EXISTING:
A REIMBURSEMENT COST:
~OO x 0
B. IMPROVEMENT COST:
0.00 x
2. SANITARY SEWER-CITY (see reverse side)
A REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
o
o
MWMC:
MWMC:
ITE:
ITE:
LOT SIZE (S.F.):
x
No New Impervious Area
$ 0346 PER SF
TOTAL STORM DRAINAGE SDC:'
x
$
26.833 PER DFU
x
47.24 I
x
$ 20.43 PER TRIP
$0.00 I
$0.00 I
o
NTF
x
x
$ 90.10 PER TRIP
x
o
NTF
x
$ 20.43 PER TRIP
$0.00 I
o
NTF
x
x
$ 90.10 PER TRIP x 0 NTF $0.00 I
$ nO.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $ I
4. SANITARY SEWER - MWMC No New Building Square Footage
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B.IMPROVEMENTCOST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (~~.I:.:~~..I, 2:3'~ 4~ I $47.24 ,
$ 47.24 x 5% I $2.36
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, EIT
9/27/2007
DATE
TOTAL SDC CHARGES
$49.60
FIXTURE TYPE
BATHTUB
DR1NKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB
CLOTHESWASHE~OPSINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LA V ATORYlRESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
Adding Hand Sink to
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
.,
NUMBER OF EDU'S*
TOTAL DRAINA~E FIXTURE UNITS = I
. ; :... t " :. " . I~ . ":''','' " '. "
.\
,', I 0(, ~
" :' (. I
~ -, :
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED V ALOE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED V ALOE
$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
RATE PER $1,000
ASSESSED V ALOE
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2G04, , -
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
. r.x:..:.
x
CREDIT TOTAL
. .
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
$0.00
$0.00
$0.00