HomeMy WebLinkAboutPermit Plumbing 2008-6-26
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00930
ISSUED 06/26/2008
APPLIED 06/26/2008
EXPIRES 12/26/2008
VALUE
225 Fifth Street, Sprlngl1eld, OR
54 I -726-3753 Phone
541-726-3676 Fax
54]-726-3769 InspectIOn Line
SITE ADDRESS 4000 E 22ND AVE
ASSESSOR'S PARCEL NO 180303120370]
Eugene
TYPE OF WORK Plumbing Only
TYPE OF USE New
Commercial
PROJECT DESCRIPTION Add 3bdY sink
Owne, MIRANDA ALBERTO G
Address 4000 E 22ND AVE
EUGENE OR 97403
Phone Numbe. 541-484-1005
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
OWNER
License
ExpiratIOn Date Phone
BUILDING INFORMATION I
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Con.truchon Type
# of Bedrooms
# of Stones
B Height of Struf&~nequlres you to
ATTEN~pt, .9rfl\l~[ by the Oregon Utility
follow ruWllitf ~hose rules are set forth
Notlflcatlm _ ~ through OAR 952-001-
In OAR 9\i:4.- 1 ~ !\.l{oples of the rules by
OO:~II,:!~e cJ~Ye .u~~~L~~~ !~!~,~~:n
I ~~~1Y~~"'b.>..~JII I
Lot S.ze
Sq Ft ]st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Front yard Setback
SIde 1 Setback
S.de 2 Setback
Rearyard Setback
Sold' Setbacks
OverldY DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
Notes
I PUBLIC IMPROVEMENTS I .o'O\'$
. . ~~~~.
"01\C~~ ~\i S~r>.\.t~~~~p~I1 \S t>101
1\-1IS pE'" lED Ut>lOeFo~~~~I.\'"
p..\l1\-10"'1 ED OR IS r>.'O~
CO~~Et>I~p..'l PERIOD.
p..t>I'l ~80 u
Street Improvements
Storm Sewer Available
SpecIal InstrllctlOn
I Valuation DescrIDtIon ,
DeSCrIptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or B.d Amount
Value
Date Calculated
Paee I ot 2
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaId I
Fee DeSCllPtlOn
+ 10% Admmlstratlve Fee
+ 12% State Surchdrge
+ 5% Technology Fee
Fixture
MInimum/Adjustment Plumbmg
Sanitary Sewer - Improvement
Sanltarv Sewer - ReImbursement
SDC Sanitary/Storm Admm
Amount PaId
Date PaId
$500
$600
$250
$1600
$34 00
$6121
$80 50
$709
6/26/08
6/26/08
6/26/08
6/26/08
6/26/08
6/26/08
6/26/08
6/26/08
Total Amount PaId
$212 30
I Plan RevIews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00930
ISSUED. 06/26/2008
APPLIED' 06/26/2008
EXPIRES' 12/26/2008
VALUE:
ReceIpt Number
2200800000000000977
2200800000000000977
2200800000000000977
2200800000000000977
2200800000000000977
2200800000000000977
2200800000000000977
2200800000000000977
To Request an mspechon call the 24 hour recording at 726-3769 Allmspections requested before 7 00
a.m. WIll be made the same workmg day, mspectlOns requested after 7:00 a.m. will be made the followmg
work day
By SIgnature, I state and agree, that I have laretully cxammed the completed apphcatlOn and do hereby certIfy that all
mfOl matlon hereon IS true and correct, and I turther celtlfy that dny and all work performed shall be done III accordance WIth
the Ordlllances of the CIty of Spnngtield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISSIOn of the Community ServIces DIVISIOn, BUlldmg Safety
I further certify that only LOntrdctOls and employees who are 10 comphance WIth ORS 701 005 WIll be used on thIS project
I turthel dgree to ensure thdt all reqUIred mspectlOns are requested at the proper time, that each address IS readdble from the
street, that the permIt card IS located at the tront of the property, and the approved set of plans WIll remam on the sIte at all
times dunng constructIOn 7
~~~.--:;;;,
~ .-'l~
~ -
ownp~~re
I ~eoulre~ 'n~rl~vtflP,~ i
Rough Plumbmg PnOl to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Paee 2 of 2
b-Z&-~
Date
CITY OF SPRIN&H~LD SYSl EMS D~V~LOI'MENT CHARGE WORKSH~ET
JOIJRNAL OR JOB NIJ~IBI R COM2008-00930
N-\ME OR COJ\1I'ANY Caleta Coffee Company
LOCA I ION 4000 f:. 22nd Ave
MAl' & TA" LOT NIJMBm 18030312 03701
DEVFLOPMI!.N r 1 yrE 3 ba} sm~
NEW DEVELOPLD AREA (S F) -
EXISTING DEVELOPED AREA (S F )
TOTAL IMPER VIOUS WRF ACE (S F )
I S I ORM IlRAIN<\GF
IMPERVIOUS SQ FT
MWMC
MWMC
ITE
ITE
LOT SIZE (S f)
>>
88 ?--
E & ~ €
O='L...UJ
x
$ 0346 PERSI
TOTALSroRM DRAINAGESDC ,
2 ~ANI I AI{\' "l1<.WFR-CITY (~et reverse side)
A REIMBURSEMENT COST
NUMBER OF DFU s
B IMPROVEMLN I COST
NUMBER OF DFU's
3
, $ 26 833 PER DfU
x $ 20404 PER DFU
$ 47 24
10lAL LOe<\L WAST~WATER SDe, $
14171 I
3
3 TRANSPORl A nON
BLDG AREA TGSF x TRIP RAIE x COST PER ADT x NLW TRIP FACTOR
NEW
A !U:IMBURSEMFNT COST
000 . 0
B IMPROVCMENT COST
000 x
EXISTING
A REIMBURSEMEN r COST
000 x 0
B IMPROVEMENl COS I
000 .
o
NTf
$000 ~
x
$ 2043 PER TRIP
x
o
NTF
$000 ~
o
$ 90 10 PER TRIP
,
x
x
NTF I
$ 90 10 PER 1 RIP. 0 NTF I $000 I
$ 110,3 TOTAL TRANSPOR1ATlON RFIMBIJRSEMCN I SDC I
TOlAL TRANSPORTATION IMPROVEMENT SDC
10TAI TRANSPORIAIION SDC I $ I
o
$000 I
$ 2043 pCR TRIP
.
o
x
4 ,lo,ANIIARY SEWER. MWMC
NEW
A REIMBUR~EMLNT COS I
NUMBCR OF feu's 000
B IMPROVEMENT COST
NUMBER m FCU s 0 00
#N/A
PER, EU
$000 ,
$000 I
x
#N/A
PER FEU
.
EXI~ liNG
A RLlMBURSEMENT CO;, T
NUMBER m ,EU's 000
B IMPROVEMENT COST
NUMBER OF FEU's 000
MWMC CREDlr IF APPLICABLE (SOl RLVERSE)
#N/A
PER FEU
$OOO~
.
SUBTOTAL (ADD ITEMS I
$000 I
I
TOl AL MWMC REIMBURSEMENT fEE I
roTAL MWMC IMPROVEMENT FEE I
MWMC ADMINIS I RA IIVC fEC I
TOTAL MWMC SDe I $ I
2,3 &4) $141711
#N/A
PCR reu
x
5 ADMINIS rRA liVE FEES
BA;,E GIARGE (SUBTOTAl ABOVE)
$
14171
Jesse Jones, P E
CNII Engineer
6/26/2008
DATE
5% ~ I $7091
TOTAL SEWER ADMINISTRATION FEE
TOTAL TRAN;,PORTA nON ADMINIHRATlON 'Eel $
fOTAL SDC CHARGES
,
$8050 1183
$6121 1184
$14171
$709 1175
1190
$14880
"
v ,
- ~
~ v
","0
v,o
""U
$000
$000
1178
$000
$000
$000'
1173
1094
$000
$000
$000
$000
$000
1054
1186
1187
)189
DRAINAGE FIXTURE UNIT (Oft)) CALCULATION TABLE
NUMBER or NEW FIXTURES x UNIT eQUIVALENT ~ DRAINAGE FIXTURJ: UNI rs
(NOTe fOR REMODELS, CALCULA1,E_ONL Y THE NET ADDITIONAL FIXTURES)
4000 E 22nd Ave
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC
INTERCEPTORS fOR SAND/AUTO WASH/CTC
LAUNDRY lUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHeR - 3 OR MORE (EA)
MOBILe HOME PARK TRAP (I PER TRAILeR)
RECEPTOR FOR REF RIG ERA TORIW A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC
SHOWER, SINGLE STALL
SHOWER GANG (NUMBER OF HEADS)
SINk COMMERCIAL, RESIDENTIAL KITCHEN
SINK COMMERCIAL BAR
SINK WASH BASIN/DOUBLE LAVATORV
SINK SINGLE LAVATORY/RESIDENTIAL BAR
URINAL ST ALL/WALL
TOILET, PUBLIC INST ALLA TION
IOILE1, PRIVATE INSTALLATION
MISCELLANEOUS
FIXTURes
NEW OLD
NUMBER OF EDU'S'
UNIT
eQUIVALENT
J
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNIlS
o
o
o
o
o
o
o
o
o
o
o
o
o
3
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS ~, 3
*EDU {Equivalent Dwelling UntO IS a discharge equivalent to a slOgle family dwelhn~ (20 DFU) set al167 gallons_per day
CREDIT CALCULA TlON TABLE BASED ON ASSESSeD VALUE
IF IMPROVEMeNTS OCCURRJ:D AI TeR ANNEXATION DATE IN TABLE CALCULATE CREDITS SEPARA TEL Y
YEAR RATE PER $1000 YEAR RATE PER $1000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
--
1979 or before $529 1992
19&0 $519 1993 $145
1981 $512 1994 $125
1982 $498 1995 $109
1983 $480 1996 $092
1984 $463 1997 $072
1985 $440 1998 $048
1986 $407 1999 $028
1987 $367 2000 $009
1988 $322 2001 $005
1989 $273 2002 $000
1990 $225 2003 $000
1991 $180 2004 $000
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x $000
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $000
CREDIT TOTAL $000
225 FIfth Street
SprmgfielB, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield Official Receipt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-00930
COM2008-00930
COM200S-00930
COM2008-00930
COM200S-00930
COM200S-00930
COM200S-00930
COM200S-00930
Payments
1 ype of Payment
Check
cRecclOtl
RECEIPT #.
2200800000000000977
Date' 06/26/2008
DescriptIOn
Flxture
MInimum/AdJustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Sanitary Sewer - Reimbursement
SanItary Sewer - Improvement
SDc Sanitary/Storm Admm
Paid By
cAFETO
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb
26017
]n Person
Payment Total
Page 1 of I
10 22 44AM
Amount Due
1600
3400
250
600
500
8050
6121
709
$21230
Amount Paid
$2 I 2 30
$21230
6/26/2008