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Home My WebLink AboutPermit Plumbing 2007-12-10 -iii.TjiIi Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 345 T ST ASSESSOR'S PARCEL NO.: 1703262403700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01769 ISSUED: 12/10/2007 APPLIED: 12/05/2007 EXPIRES: 06/10/2008 VALUE: Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Sewer Hook-up Owner: COPLIN JAMES A & GEORGIA A Address: 1084 LIBERTY ST SE SALEM OR 97302 TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Contractor BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Croup: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB License Expiration Date Phone n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: I PUBLIC IMPROVEMENTS' Street Imp~~'ff9'~IffMIT SHAll EXPIRE IF THE WORK Storm SeweVJ{{.MlliUilfD UNDER THIS PERMIT IS NOT Special I nst1W!';1;i1lli!NC ED OR IS ABANDONED fOR Notes: ANY 180 DAY PERIOD. I Valuation Descriotion ~ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee I of 3 REQUIRED PARKING Total: Handicapped: Compact: .'\~':7:6;f. 3'''11'''' ;a.. ''''lUIIW you to follow rules adopted by the Oregon UtIlity NO!i!N:Wiltrw) C~n.ter. Those rules are set forth In d)\j1 'lXlr:0010 through OAR 952-001. OOllllmVBlIcIlIlI1Jf,;:.i;"j. ' copies of the rules br calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Value Date Calculated -~afIi Status Issued 225 Fiftb Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge Encroachment Permit In Lieu of Assessment Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC Sanitary/Storm Admin Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01769 ISSUED: 12/1012007 APPLIED: 12/05/2007 EXPIRES: 06/10/2008 VALUE: Total Value of Project Fpp<, Pqiti , Amount Paid Receipt Number Date Paid $11.60 $5.80 $6.75 $9.28 $135.00 $7,296.00 $50.00 $50.00 $408.08 $536.67 $16.00 $47.24 12110/07 12/10/07 12/10/07 12/1 0/07 12/10/07 12/10/07 12/10/07 12/10/07 12/10/07 12/10/07 12/10/07 12/10/07 3200700000000000795 ,3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 3200700000000000795 $8,572.42 I Plan Reviews , 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. ~irprl Jnli'.oP'l"tinniJ Sanitary Sewer Line: Prior to filling trench and including required testing. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. . Page 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01769 ISSUED: 12/10/2007 APPLIED: 12/05/2007 EXPIRES: 06/10/2008 VALUE: 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 fnrther certify that nnly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at the proper time, tbat each address is readable from the stree that the permi:t~:~ :'ped at the front of the property, and the approved set of plans will remain on the site at all times ring constru"l ~ --., _ ______ \Z-tO-7~-:T Owne;:'orCo.nt~ctors Sign~ .J Date Paee 3 of 3 , \ , . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0m2007-01769 NAME OR COMPANY: James & Geor~ia Copeland LOCATION: 345 T Street TAX LOT NUMBER: 0 DEVELOPMENT TYPE: Sin~le Familv Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I STORM DRAINAGE o I I.g:] 10 10 I~ I~ 'I f-< ,<Zl ~ " gj DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I CHARGE I 0,00 I $0,346 = I $0.00 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I 0,00 'I I $0.346 50% 1 ~ I ITEM I TOTAL - STORM DRAINAGE SDC , $0.00 . 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 20 I DISCOUNT $0,00 $0,00 11070 ,-, COST PER DFU $26,83 $536.67 11091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 20 I I COST PER DFU I $20.40 $408.08 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , $944.75 3, TRANSPORTATION A. REIMBURSEMENT 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 I 0 I I 20.43 1.00 $0.00 1093 B. IMPROVEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I x INEW TRIP FACTOR I I 9.57 I I 0 I I $90,]0 I 1.00 I $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC ~I $0,00 I 4, SANITARV SEWER - MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $95,35 = $0.00 1054 B, IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $990.39 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054 MWMC ADMINISTRATIVE FEE $0.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $0,00 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~I $944.75 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $944,75 I 5% 1 $47.24 TOTAL SANITARY ADMINISTRATION FEE: 47,24 11079 TOTAL TRANSPORTATION ADMINISTRAT]ON FEE: $0:00 11078 Kaye Wilson ] 2/J 0/2007 TOTAL SDC CHARGES =, $991.99 I PREPARED BY DATE II DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EOUIV ALENT !BATlITUB 0 0 3 ; I DRINKING FOUNTAIN 0 0 1 ; FLOOR DRAIN 0 0 3 ; !INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 ; INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 ; ILAUNDRY TUB 0 0 2 ; ICLOTI IESW ASHER / MOP SINK 1 0 3 ; ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 ; IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 ; IRECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 ; I RECEPTOR FOR COM. SINK / DISIIW ASHER / ETe. 0 0 3 ; ISHOWER. SINGLE STALL 1 0 2 ; I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 ; I SINK: COMMERCiAL/RESIDENTIAL KITCHEN 1 0 3 ; I SINK: COMMERCIAL BAR 0 0 2 ; ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 ; ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 ; IURlNAL. STALL / WALL 0 0 5 ; ITOILET. PUBLIC INSTALLATION 0 0 6 ; ITOILET. PRIVATE INSTALLATION 3 0 3 ; MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 ; TOTAL DRAINAGE FIXTURE UNITS "EOU (Equivalent DwclJin~ Unit) is a discharw: eauivalent to a single family dwelling unit (20 DFU's) sel at 167 .l!allons per day I DRAINAGE J FIXTURE UNITS I ~I o I o I o o 3 o o o o 2 o 3 o o 3 o o 9 o 20 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATFJ$I,OOO l ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Entcr I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 19&0 $5.19 (Enter I for Yes, 2 for No) I I \981 $5.12 BASE YEAR ]979 Ii 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE / 1000 CREDIT RATE I ]985 $4.40 $0.00 x $5.29 ~ , $0.00 I I 1986 $4.07 I I 1987 $3.67 CREDIT FOR ]MPROVEMENT (IF AHER ANNEXATION) I 1988 $3.22 VALUE / 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I I 1990 $2.25 I I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT ; $0.00 I I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996 $0.92 I 1997 $0.72 I 1998 $0.48 I 1999 $0.28 I 2000 $0.09 I 2001 $0.05 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01769 COM2007-0] 769 COM2007-01769 COM2007-0] 769 COM2007~0] 769 COM2007-0 1769 COM2007~01769 COM2007-01769 COM2007-0 1769 COM2007-0 1769 COM2007-0 1769 COM2007-0 1769 Payments: Type of Payment Check cReceintl RECEIPT #:. 3200700000000000795 Date: 12/10/2007 Description Encroachment Permit + 5% Technology Fee ]n Lieu of Assessment Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl ] 00' Sanitary or Storm Sewer Cap + 8% State Surcharge + 5% Technology Fee + ] 0% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By PRO FRAMING Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 5469 In Person Payment Total: Page ] of] 8:49:22AM Amount [)ue 135,00 6,75 7,296,00 50,00 16,00 50,00 9.28 5,80 11.60 536,67 408,08 47,24 $8,572.42- Amount Paid $8,572.42- $8,572.42- 12/1 0/2007