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Home My WebLink AboutPermit Plumbing 2005-7-18 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00869 ISSUED: 07/18/2005 APPLIED: 07/08/2005 EXPIRES: 04/12/2006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2833 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224105700 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Storm line install and sdc's for paving for partition approval Total: Handicapped: Compact: ~\O \~\3s'lO\)\\\~ ~ ~C\\) A"o~ . \O~ I PUBLIC IMPROVEMENTS I o~ \'<>~\~\3 O\~~\3 ~~'/..\)\) ~'I . 0~~1dA 'O~~W .0\>-<0 ~\)WS 0 (\\0'''\00'''- ~~,o\)~ r:F~..\3 ~o~o(\ ,..:'i.-{.,~~ \)w"'Cor!l~wnsl\ffiitSJI>flil~\3W~\v,<>\~ r ~ \ .u (J\)\~- CO"" . \~ ~o\\\ ,0\\~~\c,<>~0~'/."\)\)\' 0'O\~(\ ~O\~\\\\\'I ",o.o.\,' ~o\\ ,,<0 g \,\,'<>'1 f'.\\3\' "o~ ~'/."?; 'f'. Or -(O\) \3 C\3 0,\3'" (J'~ ~ _"o,\)' , ." \~ ,,'(\\3 ~.'o\j '-' -\\" ~ \V. ~ \'" I VI -s:;\3 ~\\3 . Valuation Descriotion, ,\'\' C\3 Owner: RALPH CLINE Address: 1150 WHISTLERS LN ROSEBURG OR 97470 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor EMERY & SONS CONSTRUCTION INC License 312 .. I BUILDING INFORMATION I # of Units: # of Stories: ,tJ.rv~'(.. . Primary Occupancy Group: Height ~'w~\ Secondary Occupancy Group: ..ItlJ@.~ ~t.-"i w t'l Primary Construction Type .... ..4~lW,.jj" ~~ 'f\)~ Secondary Construction Ty..R~'\"~~ ~~ . # of Bedrooms: "...\o.~a\\'" ~ yPath: '\~~~t\),~~inkled Building:. nla ~~~,ifiEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa!!e I of3 Residential Phone Number: 541-464-6088 Expiration Date, Phone 11/24/2007 503-769-7751 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line : Fee Descriptinn . + 10% Administrative Fee + 7% State Surcharge Fixture SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin Total Amount Paid LDAP Review Public Works Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00869 ISSUED: 07/18/2005 APPLIED: 07/08/2005 EXPIRES: 04/12/2006 VALUE: Total Value of Project Fpp<, PiIidJ Amount Paid Date Paid Receipt Number 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 2200500000000001418 $1l.50 $8.05 $28.00 $137.42 $2,748.31 $45.00 $42.00 $4.50 $3.15 $45.00 $286.05 $376.05 $10.00 $865.31 $82.03 $80.97 7/18/05 7/18/05 7/18105 7/18/05 7/18105 7/18/05 7/18/05 10/13105 10/13/05 10113/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10113/05 $4,773.34 I Plan Reviews I 07/18/2005 07/18/2005 APP BRC Contacted the applicant (Ralph Cline) and notified him that the permit was ready. SDCs for Impervioius surface added. LDAP required. County Facility permit needed to connect to Game Farm Rd. 07/08/2005 07/08/2005 WE SB 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. L,.Reouirerunsnections I Storm Sewer Line: Prior to filling trench. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are instaUed. Sanitary Sewer Line: Prior to filling trench and including required testing. Pa2e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00869 ISSUED: 07/18/2005 APPLIED: 07/08/2005 EXPIRES: 04/12/2006 VALUE: Status Issued 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 all times during construction. /;:;i2-4// ,A (0 f?J>~ ;-- Owner or Contractors Signature \ I CJ /;3 /-;)- {J 0..5'" , Date Pa2e30f3 225 Fifth Street Springfield, Oregon 97477 541-726-.3759 Phone . 9' ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 RECEIPT #: 2200500000000001418 Date: 10/13/2005 Description + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received (NT CHGS " '. " ". 10/1312005 611-62252-850025 MLK PRl djb !NT CHGS In Person Payment Total: Page I of I 8:51:20AM Amount Due 3.15 4.50 45.00 376.05 286.05 82.03 865.31 10.00 80.97 $1,753.06 Amount Paid $1,753.06 $1,753.06 CITY OF SaG FIELD SYSTEMS DEVELOPMEN&RKSHEET COM2005-00869 Bud Cline 2833 Game Farm Rd 1703224105700 SINGLE F AMIL Y RESIDENCE o BUILDING SIZE (SF' .'OURNAL OR JOB NUMBER: :>lAME OR COM? ANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS o LOT SIZE (SF): o <Il ~ CI 18 I~ ,~ ,E-< <Il G ~ I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM , IMPERVIOUS S.F. x, COST PER S.F. CHARGE I I 0.00 I $0.323 , = , $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS , IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I '0.00 '$0.323 I I 50% = I !TEM I TOTAL - STORM DRAINAGE SDC $0.00 ~ DISCOUNT $0.00 $0,00 1070 :', SANITARY SEWER - CITY A. REIMBURSEMENT COST: ',",' NUMBER OF DFU's I x ; I 15 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x I 15 $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $25.07 $376,05 11091 I $286.05 11092 = I $662,10 ---.J , 3, TRANSPORTATIOI'1 A. REIMBURSEMENT COST: I ADT TRIP RATE I x , NUMBER OF UNITS I x, COST PER TRIP x ,NEWTRlPFACTORI 11 9.57 I 0 I I $19.D9 I 1.00 I $0.00 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x , NUMBER OF UNITS I x , COST PER TRIP x INEW TRIP F ACTORI .. I 9.57 I 0 I , $84.19 ' 1.00 $0,00 11094 ;TEM 3 TOTAL - TRANSPORTATION SDC =1 $0,00 it, SANITARY SEWER. MWMC ~~. REIMBURSEMENT COST: , 'NUMBER OF FEU's I x ICOST PER FEU I I I $82.03 = $82.03 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I I I $865.31 = $865.31 !11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $10.00 1056 'iTEM 4 TOTAL - MWMC SANITARY SEWER SDC - 1 $957,34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $1,619.44 ~ ) AOMINISTRATIVE FEE: I } ISUBTOTAL , ADM. FEE RATE 1= CHARGE x . I $1.619.44 I 5% $80.97 . ,','OTAL SANITARY ADMINISTRATION FEE: 80.97 1079 I 'COT AL TRANSPORTATION ADMINISTRATION FEE: $0.00 J 1078 Cheryl Slaymaker 10113/2005 TOTAL SDC CHARGES $1,700.41 PREPARED BV DATE . . ; . .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE . - NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONL V THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE fIXTURE TYPE NEW OLD EOUN ALENT UNITS r3ATIITUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 I~'LOOR DRAIN 0 0 3 = 0 I!NTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 ~ INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP P PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I:;INK: COMMERCiALiRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 IH'OJLET, PUBLIC INSTALLATION 0 0 6 = 0 I;rOILET, PRIVATE INSTALLATION 1 0 3 = 3 1rtISCELLANEOUS DFU TYPE NUMBER OF EDU'S '" 20 = 0 ',' TOTAL DRAINAGE FIXTURE UNITS IS .EDU (Equivalent DwellinR; Unit) is 8 discharge equivalent to a siOldc family dwellinR unit (20 DFU's) set at 167 RBl10ns pcrday MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I.OOO ANNEXED ASSESSED VALUE BEFORE 1979 $5.29 1979 $5.29 1980 $5.19 1981 $5.12 1982 $4.98 1983 $4.80 1984 $4.63 ;r 198.5 $4.40 ~ 1986 $4.07 1987 $3.67 ;t 1988 $3.22 'r 1989 $2.73 I' 1990 $2.25 " 1991 $1.80 1 1992 $1.59 1 1993 $1.45 1 1994 $1.25 1 1995 $1.09 1 1996 $0.92 1 1997 $0.72 I; 1998 $0.48 1999 $0.28 I' 2000 $0.09 1 2001 $0.05 J ~j i IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 (Enter I for Yes, 2 for No) BASE YEAR t979 CREDIT FOR LAND (IF APPLICABLE) V AWE 11000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE 11000 CREDIT RATE $QOO x $~29 0 TOTAL MWMC CREDIT = $0.00