HomeMy WebLinkAboutPermit Building 2001-1-19
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I Job# 01.00023-01 I
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Page 1 of 3
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANS#:01-00042
DATE:JAN 19 20
AMT RECD:2 $ 610.'
CHANG'
CASHIER: 0:
CITY OF SPRINGFIELD, OREGON
Job Number: 01-00023-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
I,.ocation Of Proposed Site: 895 Hayden Bridge Rd Spr
Assessors Map#: 17032612
Lot: Block: Addition:
Tax Lot #: 00900
Subdivision:
Owner:
Robert Orlando
895 Hayden Bridge Road
. Phone Number: 541,747-1578
City/State/Zip: Springfield, OR
New Value: $10,564
Address:
Scope Of Work: Garage
New Garage
Contractor Type
General Contr
Contractor
Frederick Christiansen Construction
88720 Ermi Bee Road, Springfield, OR
97478-8752
Registration # Expiration Date
Phone
541,747-1381
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1RNW
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code: LOR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Private Garage/C,
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.
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
Final Building
Required Inspections
I Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to taping.
- When all required inspections have been approved and the building is complete.
I
StormrSewer Line -Prior to filling trench.
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followrulefadoplet Jl;'hr .lr' ':'
NotiflcatioJICentJi, Tll,''':- l"~"' ,
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Plumbing
NOT\CE: XPIREIFiI-IEWORI<
lH\5 PERMIT 5Hf>,LL~THIS PERM\T IS NOl
f>,UTHORIZED UND~ f>,6f>,NDONED FOR
COMMENCED OR I
f>,NY 180 DAY PERIOD.
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Page 2 of3
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I Job# 01-00023-01 I
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Fully Improved
Improvement Agr.?D
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Street Improvement:
Curb Cut?D
San Sewer Depth (Ft):
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
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San Sewer Tee (in):
00/00/0000 00:00 AM Bond End DateTime:
NO NEW DRIVEWAY APPROACH PERMITTED
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00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:ln the UGB
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway? 0
3:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1134 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Private Garage/Carp/Stor
# Of Buildings: 1 # Of Stories: 1
# Of Bedrooms: Current Units: 1
Handicap Access? 0 Census Code: Does not apply
rArea (Sq. Feet)
I Main: Accessory576 Total:576
Height (feet): 18
Proposed Units:1
Fee
Paid On Receipt#
I Plan Check
01/08/2001 4199
Value/Quantity
I
Residential Plan Check
Total Plan Check
10,564
Garage/Carport
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
01/19/2001 4278
01/19/2001 4278
01/19/2001 4278
10,564
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
01/19/2001 4278
01/19/2001 4278
01/19/2001 4278
01/19/2001 4278
52
Fee Amount
$56.23
$56.23
$86.50
$6.06
$2.60
$95.16
$.00
$2.80
$40.00
$1.20
$44.00
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Fee
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Wendy Stanley
Steve Templin
Liz Miller
Engineering-Res
Planning-Res
Job# 01-00023.01
Paid On Receipt#
r System Development
01/19/2001 4278
01/19/2001 4278
Date Completed
Comment
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Page 3 of 3
Value/Quantity Fee Amount
)1
01/09/2001
01/12/2001
01/16/2001
1,872 $449.28
$22.46
$471.74
$667.13
NO NEW APPROACH PERMITTED
Structural-Res Wendy Stanley 01/19/2001
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, that the project address is readable from the street, that the permit card
is located at the front of the perty, and the approved set of plans will remain on the site at all times
dur~struc' ,_
Signature '-'-' Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 01-00023-01
NAME OR COMPANY: ORLANDO
LOCA nON: 895 HAYDEN BRIDGE ROAD
TAX LOT NUMBER: 17-03-26-12-00900
ANNEXATION YEAR LANE COUNTY ASSESSED VALUE (LAND)
, DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS: BUILDING SIZE: SF LOT SIZE: SF
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LS.T()RM DR "'INAGE
I IMPERVIOUS S.F. I "I COST PER S.F.
I 1872.00 $0.271
I ITEM I TOTAL - STORM DRAINAGE SDC
2 SANlTARYSFWFR-CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I" 1 COST PER DFU
I 0 1 $21.25
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
I 0 I $16.15
l.!..TEM 2 TOTAL - CITY SANITARY SEWER SDC
~NSP()RTAT~
A. REIMBURSEMENT COST:
I ADTTRIPRATE I.,INUMBEROFUNITSI.I
1 9.57 0 I
B. IMPROVEMENT COST:
1 ADT TRIP RATE I" I NUMBER OF UNITS I x I
1 9.57 0 l
lITEM 3 TOTAL - TRANSPORTATION SDC
4 SANlTARYSFWFR_MWMC
=1
=1
$507.31
$507.31
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COST PER TRIP 1..1 NEW TRIP FACTOR 1
$16.12 1.00 1=1
COST PER TRIP 1.1 NEW TRIP FACTOR 1
$68.55 1.00" 1=1
A. REIMBURSEMENT COST:
1 NUMBER OFFEU's I" I COST PER FEU
1 0 $285.91
B. IMPROVEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
o $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
liTEM 4 TOTAL - MWMC SANITARY SEWER SDC
fSUBTOTAL (ADD ITEMS 1,2,3, & 4)
I Un"~'~^-rnc
I SUBTOTAL 1,1 ADM.FEERATEJ
' $507.31 5%
S;tt.w,~ III 2/0 I
SDC COORDINA TOR DATE
=1
$0.00
1
JJ
I
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JI
I.
~I $0.00 1
=1 $0.00 1
=1 $0.00 l
=1 $0.001.1
=1 $507.31 ~I
=1 $25.37 I
TOTAL SDC CHARGES =r-;32.68 III
=1
=1
$0.00
$0.00
$0.00
=1
$0.00
$0.00
=1
$0.00
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DRAINAG~ FIXTURE UNIT (DFU) CALCULATION TABLE
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NO. OF FIXTURES DRAINAGE I
( ) UNIT FIXTURE
# NEW # OLD x EQUN ALENT = UNITS
( ) x 3 0
( ) x 1 0
( ) x 3 0
( ) x 3 0
( ) x 6 = 0
( ) x 2 = 0
( ) x 3 0
( ) x 6 0
( ) x 12 0
( ) x 1 = 0
( ) x 3 0
( ) x 2 0
( ) x 2 0
( ) x 3 0
( ) x 2 0
( ) x 1 = 0
( ) x 2 0
( ) x 1 0
( ) x 5 0
( ) x 6 0
( ) x 3 0
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTIJB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC.
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC.
LAUNDRY TUB
CLOTHESW ASHER 1 MOP SINK
CLOTHESWASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC.
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERClALIRESIDENTlAL 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.
( ) x 20
TOTAL DRAINAGE FIXTURE UNITS =1
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
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MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1 ,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
19790RBEFORE $4.74 1990 $1.96
1980 $4.65 1991 $1.55
1981 $4.59 1992 $1.36
1982 $4.46 1993 $1.23
1983 $4.30 1994 $1.05
1984 $4,14 I 1995 $0,90
1985 $3.93 1996 $0.75
1986 $3,63 I 1997 $0.57
1987 $3.26 1998 $0.35
1988 $2.85 I 1999 $0.15
1989 $2,40 I.
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
0.000 X $4.74 =1
0.000 X $4.74 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00