HomeMy WebLinkAboutPermit Plumbing 2001-4-6
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I Job# 01-00308-01 I
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Page10f2
TRANS#:01-0004861
DATE:APR 06 2001
AMT RECD:2 $ 1499.62
CHANGE:
CASHIER: 004
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00308-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2203 Henderson Ave Spr
Assessors Map#: 18030313
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Address:
Skillern Investments
PO Box 714
Phone Number: 541-746-8601
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Plumbing
Abandon septic system and connect to new sewer system
Contractor Type
Plumbing Contr
Contractor
Ready Rooter
2460 N 37th, Springfield, OR 97477
Registration # Expiration Date
Phone
541-744-7991
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.
Sanitary Sewer Line
Septic Tank Pumped
Required Inspections
I Plumbinll
- Prior to filling trench.
-After septic tank has been pumped and filled. Please provide the inspector with receipt and vel
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Sanitary Sewer
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Total System Development
Grand Total
Plan Check Type
Checked By
Job# 01-00308-01
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Engineering-Res Steve Templin 04/04/2001
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 pro~ and that the project address is readable from the street.
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Signanrre- - - - e.-- '----
Paid On Receipt# Value/Quantity
Plumbing I
04/06/2001 0004861
04/06/2001 0004861
04/06/2001 0004861 50
04/06/2001 0004861
System Development
04/06/2001 0004861
04/06/2001 0004861
04/06/2001 0004861
04/06/2001 0004861
04/06/2001 0004861
04/06/2001 0004861
Date Completed
Comment
Date
Fee Amount
$.00
$1.75
$25.00
$.75
$27.50
$371.45
$490.12
$41.70
$10.00
$488.75
$70.10
$1,472.12
$1,499.62
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER; 01-00308-0 I
NAME OR COMPANY: SKILLERN INVESTMENTS
LOCA nON: 2203 HENDERSON
TAX LOT NUMBER: 18-03-03-13-00400
ANNEXA nON YEAR 2001 LANE COUNlY ASSESSED VALUE (LAND)
DEVELOPMENT TYPE: DUPLEX SEWER HOOKUP
DWELLING UNITS: 2 BUILDING SIZE: SF LOT SIZE: SF
I .1 STORM DRAINAGE
I IMPERVIOUS S.F. I" I COST PER S.F.
,I 0.00 $0.271 I
[ ITEM I TOTAL - STORM DRAINAGE SDC
2 SANITARY SFWFR _ rTTY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I" I COST PER DFU
I 23 $21.25
B. IMPROVEMENT COST;
I NUMBER OF DFU's I" I COST PER DFU
I 23 $16.15
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
1 TRANSPORTATIQN.
A. REIMBURSEMENT COST:
I ADTTRIPRATE I ,INUMBEROFUNlTS 1,1
I 9.57 0
B. IMPROVEMENT COST:
I ADTTRlPRATE l'INUMBEROFUNlTSJ'1
I 9.57 0
ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY SEWFR - MWM.C..
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
2 $245.06
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I 2 $20.85
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2, 3, & 4)
5....AOMINISTRATIVF U.E:.
SUBTOTAL . LADM. FEE RATE
$1.402.02 5%
~~ 4/4/01
1_ SDC COORDINATOR DATE
COST PER TRIP 1,1 NEW TRIP I' ACTOR I
$16.12 1.00 1=1
COST PER TRIP
$68.55
1,1 NEW TRIP FACTOR I
1.00 1=1
=1
=1
=1
$0.00 ~
$0.00 I
=1
$488.75 II
=1
=1
$371.45 I
,
$860.20=1' I
$0.00
$0.00
$0.00
I
ill
=1 $490.12 II
=1 $41.70 1
=1 $0.00 I
=1 $10.00 ,I
=1 $541.82 ~
=nl.402.02 II
=1 $70.10
TOTAL SDC CHARGES = $1,472.12
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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)
NO. OF FIXTURES DRAINAGE I
( # NEW # OLD ) UNIT FIXTURE
x EQUIVALENT UNITS
(2 ) x 3 6
( ) x I 0
( ) x 3 0
( ) x 3 0
( ) x 6 0
( ) x 2 0
( ) x 3 3
( ) x 6 0
( ) x 12 0
( ) x I 0
( ) x 3 0
( ) x 2 0
( ) x 2 0
(2 ) x 3 6
( ) x 2 0
( ) x I 0
( ) x 2 0
(2 ) x I 2
( ) x 5 0
( ) x 6 0
(2 ) x 3 6
II
FIXTURE ITPE
BA TIITUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
INTERCEPTORS FOR SAND I AUTO WASH I ETC.
LAUNDRY TUB
CLOTHESW ASHER / MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERClAURESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL I WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS DFU ITPE NUMBER OF EDU's'
I
( ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 23
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 '1 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.74 .990 $1.96
1980 $4.65 1991 $1.55
198. $4.59 1992 SI.36
1982 $4.46 1993 $1.23
1983 $4.30 1994 SI.05
1984 $4.14 1995 $0.90
1985 S3.93 1996 SO.75
1986 S3.63 1997 SO.57
1987 S3.26 1998 SO.35
1988 S2.85 1999 SO.15
1989 S2.40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/1000 CREDITRATE
0.000 x $0.00 =1
0.000 x $0.00 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00