HomeMy WebLinkAboutPermit Plumbing 2002-9-18
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I Job# 02-01105-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
TRANS#:01-0010658
DATE:SEP 18 2002
AMT RECD:2 $ 10350.47
CHANGE:
CASHIER:003
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-01105-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1581 S A 5t Spr
Assessors Map#: 17033632
Lot: Block: Addition:
Tax Lot #: 06902
Subdivision:
Owner:
Terry Matthews
1581 SA5treet
Phone Number:
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Plumbing
Sanitary sewer connection
Contractor Type
Plumbing Contr
Contractor
Terry Matthews
15815 A Street, Springfield. OR 97477
Registration # Expiration Date
Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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
working day.
NOTICE:
Required Inspections THIS PERMIT SHALL EXPIRE IF THE WORK
I Plumbing IAUTHORIZED UNDER THIS PERMIT IS NOT
-Prior to filling trench. COMMENCED OR IS ABANDONED FOR
-After septic tank has been pumped and fille<fl~er8~ !1RVi'Pt~/()V~pector with receipt and veri
Sanitary Sewer Line
Septic Tank Pumped
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. r, , .)
I Main: Accessory:
Total:
, . ,_" v,~.uregon law reqUires you to
tolloVl rules adopted by the Oregon Utility
Height (feet):n Center. Those rules are set forth
Propose'ii UnitS':'J1-001 0 through OAR 952-001-
J090. You may obtain copies of the rules by
callina the center. (Note: the telephone
number for the Oregon Utility Notification
r'...~t,,, ic 1_Rnn_~~?_?~44\.
# Of Stories:
Current Units:
Census Code: Does not apply
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Job# 02-01105-01
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Page 2 of2
I
Paid On Receipt#
Plumbing
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
Value/Quantity
Fee Amount
Fee
Minimum Plumbing Permit Fee
Septic Tank Removal or Fill
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
1
$.00
$14.00
$6.09
$73.00
$6.96
$100.05
230
MWMC Administrative Fee
SDC Administrative Fee
Properly Annexed 1979 or Before
Retail - MWMC
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Grand Total
System Development
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
09/18/2002 10658
1
$10.00
$37.55
$-767.75
$770.03
$419.71
$319.01
$788.55
$888.60
156
7
19
19
Plan Check Type
Checked By
Date Completed
Comment
NEED PUBLIC WORKS FEES AND IN LIEU
OF ASSESSMENT
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
Engineering-C/I/P
Pam Ownby
09/18/2002
1 YM"~L"--
Signatur
9 / t"R /o?..
Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 02-01105-01
NAME OR COMPANY, TERRY MATTHEWS - BULLFROG ENTERPRISES
LOCATION, 1581 SOUTH A STREET
MAP & TAX LOT NUMBER, 17-03-36-32 06902
DEVELOPMENT TYPE, SPECIALTY RETAIL
NEW DEVELOPED AREA (SF),
EXISTING DEVELOPED BUILDING AREA (S.F.),
TOTAL IMPERVIOUS SURFACE (SF),
7.330
ITE,
ITE,
LOT SIZE (S.F.),
814
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,,"
~ 0
o=u
] STORM DRAINAGE
40076
IMPERVIOUS SQ. FT.
x $ 0.282 PER SF
TOTAL STORM DRAINAGE SOC, , $
2. SANITARY SFWER.C:ITY
A. REIMBURSEMENT COST,
NUMBER OF DFU's
B. IMPROVEMENT COST,
NUMBER OF DFU's
(SEE REVERSE SIDE)
19
x
$ 22.09 PER DFU
x
$ 16.79 PERDFU
19
1070
, $ 419.71 1091
1$ 319.01 1092
3. TRANSPORT A TION
TOTAL LOCAL W ASTEW A TER SOC, , $ 738.72
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST,
0.00 x 40.67 x $ 16.81 PER TRIP x
B. IMPROVEMENT COST,
0.00 x 40.67 x $ 74.17 PER TRIP x
0.75
NTF
0.75
NTF
TOTAL TRANSPORTATION REIMBURSEMENT SOC,
TOTAL TRANSPORT A TION IMPROVEMENT SOC,
TOTAL TRANSPORTATION SOC,
4. SANITARY SEWER _ MWMC
NEW,
A. REIMBURSEMENT COST,
NUMBER OF FEU's
B. IMPROVEMENT COST,
NUMBER OF FEU's
$95.10
PER FEU
7.33
x
$9.95
PER FEU
7.33
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE,
MWMC ADMINISTRATIVE FEE,
1$
1$
$
$
$
1093
1094
1$
1$
1$
, :
697.10
72.93
(767.75)
2.28 1055
10.00 1056
TOTAL MWMC SOC, 1$ 12.28
S. ADMINISTRATIVE FEES:
SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $ 751.00
BASE CHARGE (SUBTOTAL ABOVE)
$
x
5%
751.00
$
37.55
TOTAL TRANSPORTATION ADMINISTRATION FEE,
TOTAL SEWER ADMINISTRATION FEE,
P~I'l.I.tL~J. owV\.b el1
soc COORDINATOR
9/1 812002
DATE
TOTAL SDC CHARGES
ComBuild$DC2002.xls
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, $
37.55
1078
1079
788.SSl
JULY 2001
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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)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - ] OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/WATER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK, COMMERCIAL, RESIDENTIAL KITCHEN
SINK, COMMERCIAL BAR
SINK, WASH BASIN/DOUBLE LAVATORY
SINK, SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS,
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
2
I
2
NUMBER OF EDU'S.
TOTAL DRAINAGE FIXTURE UNITS~
.EDU (Equivalent Dwelling Unit) is a discharge equivalenllo a sin.i{le family dwelling (20 DFU) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
5
12
o
o
o
o
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CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR RATE PER $1,000 YEAR 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 $ 0.41
1988 $ 2.98 1999 $ 0.22
1989 $ 2.52 2000 5 0.04
CREDIT FOR PARCEL OR LAND ONLY IF APPLlCABi 54.92 x 156.046 =1 5767.75 J
IMPROVEMENT (IF AFTER ANNEXATION DATE) x =1 50.00
CREDIT TOTAL $767.75
ComBuildSDC2002.xls
JULY 2001
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