HomeMy WebLinkAboutPermit Building 2001-01-26e Page I of2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2589 00035th Pl
AssessorsMaP#: 17021942
Lot: Block:
Owner: Pauland Lisa Bedortha
Address: 2589 35th Place
Scope Of Work: FamilY Room
FamilY Room
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building SafetY
spr
Addition:
Job Number: 01-00043-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04900
Subdivision:
Phone Number: 541-741-2810
Gity/State/Zip: Springfield, OR97477
Addition value: $15'750
Ai ir_
OREdOnV
Contractor TYPe
GeneralContr
ElectricalContr
Quad Area:
# Of Units:
Gonstr. TYPe:
Water Heater:
SRNW
1
(VN) Wood Frame
Contractor egistration #
Pauland Lisa Bedortha
25Bg 35th Place, Springfield, OR97477
Pauland Lisa Bedortha
2589 35th Place, Springfield, OR97477
Expiration Date Phone
541-741-2810
541-741-2810
# Of Buildings: I
OccupancYGrouP: Dwelling
Heat Source: Baseboard Electric
Sq. Footage: 225
Office Use
-
Land Use: Single FamilY Dwelling
Zoning Code: LDR
Bed
Ran
0rooms:
l
To request an inspection call the 24 hour
a.m. will be made the same working day,
working daY.
Zoning: LDR
FtoodPlain? [ Wetlands? [ # of Street Trees:
3
Additional Requirements:
Glenwood Area? [ Required Attachments:
Source Locn:
Material:
before 7:00
be mad e the following
Land Use: Single
Pave Driveway?
Family Dwelling
Journal numbers
1:
Comments:
Planner: Liz Miller
Urban Growth Boundary?[
QuantitY Of Fill:
Supplier:
Drainage:
2
Ftoodway FEMA: Zone X Light GraY Flood Plain FEMA: Panel 1153 of 2975
,:1
Overlay District:
Arvyt&q0d,v
a.m. will
Gonstruction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 0
Handicap Access? [
(sq.F
Main: 225 Accessory:
Job# 01-00043-01
# Of Stories: 1 Height (feet): 15
Current Units:1 Proposed Units:1
Census Code: Does not apply
Total225
Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Gheck
Residential Plan Check
Total Plan Check
0111712001 4260 15,750 $75.73
$75.73
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Tota! Building
Building
0112612001
01t26t2001
0112612001
4317
4317
4317
15,750 $1 16.50
$8.16
$3.50
$128.16
Electrical
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
01t26t2001
0112612001
01t26t2001
4317
4317
4317
3 $39.00
$2.73
$1.17
$42.90
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
System Development
0112612001
0112612001
4317
4317
225 $60.98
$3.05
$64.03
Grand Total
PIan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Wendy Stanley
Steve Templin
Liz Miller
Wendy Stanley
Date Completed
01t1912001
01124t2001
0112512001
0112512001
Comment
$310.82
lttfr-'&'lDtW otlzttlot
Signa-ture Date
lrll u
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE TJNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OFFXTURES DRAINAGE
FXTURE
UNITSFXTURE TYPE (#NEW - #OLD )x UNIT
EQTJIVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 0
DRINKING FOUNTAIN I 0
FLOORDRAIN 3 0
INTERCEPTORS FOR GREASE I ON- / SOLIDS IETC.J 0
INTERCEPTORS FOR SAND / AI-TIO WASH / ETC 6 0
LALINDRYTUB )0
CLOTTIESWAS}IER / MOP SINK J 0
CLOTMSWASMR-3ORMORE 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTORFORREFRIG / WATER STATION/ ETC.
RECEPTOR FOR COM. SINK / DISTIWASI{ER / ETC.
I 0
J 0
SHOWE& SINGLE STALL 2 0
SHOWER, GANG OUMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCMN 3 0
SINK: COMMERCIALBAR 2 0
SINK:DOMESTIC BAR I 0
WASHBASIN 2 0
LAVATORY I 0
URINAL, STALL/WALL 5 0
TOILET PUBLIC INSTALLATION 6 0
TOILET PRTVATE INSTALLANON 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S*(- )*A
TOTAL DRAINAGE FIXTT]RE UI\ITS
0
|EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU'S) set at 167 gallons per day
DRAINAGE FIXTURE IINIT CALCTJLATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FORLAND GT APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATIOI\I)
YEAR
ANNE)(ED
CREDITRATE PER$I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSEDVALUE
I979 OR BEFORE $4.74 I 990 $ 1.96
l 980 $4.65 l99l $ l.ss
l98l $4.59 t992 $ 1.36
l 982 $4.46 I 993 $ 1.23
I 983 $4.30 1994 $ 1.05
I 984 $4.r4 I 995 $0.90
l98s s3.93 s0.75
l 986 $3.63 1997 $0.s7
I 987 s3.26 I 998 $0.3s
1988 $2.8s 1999 $0.1 5
I 989 s2.40
$0.00
TOTAL I}IWMC CREDIT
x
0.000 x $4.74
CREDITRATE
$4.74
VALUE / IOOO
0.000
IM
1996
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORIGHEET
NAME ORCOMPANY:
LOCATION:
TAX LOT NUMBER:
ANNEXATION YEAR
DEVELOPMENT TYPE:
DWELLINGUNITS:
LANE COTINTY ASSESSED VALUE (LAND)
SINGLE FAMILY RESIDENCE
2589 NORTH 35TH PLACE
t7-02-t9-42-04900
BUILDING SZE:
BEDORTHA
SFSF LOT SZE:
JOURNAL OR JOB NLIMBER: 0l-00043-01
IMPERVIOUS S.F.COST PER S.F.
22s.00 .271 $60.98
I. STORM DRAINAGE
x
$60.98ITEM l TOTAL - STORMDRAINAGE SDC
NUMBEROF DFU's COST PER DFU
0 $16.ls
NUMBER OF DFU's
0
COST PER DFU
$21-2s $0.00
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
$0.00ITEM 2 TOTAL - CITY SANITARY SEWER SDC
ADT TRIP RATE NUMBEROF UNITS COST PER TRIP NEWTRIP FACTOR
9.57 0 5 1.00 $0.00
ADTTRIPRATE
9.57
NUMBEROF LIMTS
0
COST PERTRIP
$16.12
NEWTRIPFACTOR
l.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$0.00ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBEROF FEU's
0
COST PER FEU
$285.91
NUMBEROF FEU's
0
COST PER FEU
$24.33 $0.00
$0.00
s0.00
B.IMPROVEMENT COST:
x
x
4. SANITARY SEWER. MWMC
A. REIMBT]RSEMENT COST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
$0.00ITEM 4 TOTAL - MWMC SA}IITARY SEWER SDC
$60.98SUBToTAL (ADD ITEMS t, 2, 3, & 4)
SUBTOTAL ADM. FEERATE
.98 s%.05
5. ADMIMSTRATIVE FEE:
x
$64.03$lrlLTu..ll;&
SDC COORDINATOR
t/24/01 TOTAL SDC CHARGES
DATE
CITY OF OREGO'U
approval
9747r
Zonins
SPFIT'\ ELO
EI,ECTRICAL PERHIT APPLICATION
ity Job Nunber,Ot
3. COHPI.,ETE FEE SCMDULE BELOIT
LD(-225 FIFTB STREET
SPRINGFIELD' OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
- 7G-o - O}oll- ol
IJP%
Autnonzoo signature KJr)
1.LOCATION OF INSTALLATTON
5
I,EGAL
Nev Residential-Single or
MuIti-FamilY Per dvelling
Service Included:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Sertice or Feeder
Services or Feeders
InstalIation, Alterations
or Refocation:
200 amps or less
20L amps to 400 amPs
-
401 amps to 600 amPs ___
601 amPs to 1000 ?mPs-over 1000 amPs/volts
--
Reconnect OnlY
-Each installation
Pump or irrigation
-
Sien/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
qoa
A
B
C
E
unit.
Cos t
$ Bs.oo
s 1s.00
$ 40.00
$ so.oo
s 60.00
$100.00
s130. 00
$300.00
s 40.00
Sum
r?O a
JOB
180 daYs
2.
EIe
Add
PTION tJ D
Permits are non-transferable and ex
ii vott is not started vithin 180 d
;; i;;;.;"" ot if vork is susPended
pire
ays
for
COMRAC:TOR INSTALTATION ONI'Y
ctrical Contractor
Ci ty
Supervis
Expiratio
Constr Cont
r
Expiration Date
Signature of SuPervising Electr
TemoorarY Services or Feeders -ir"l.ff.ii.t' Alteration or Relocation
200 amps''or less
201 amps to 400 amPs ___
Over 401 to 600 amPs .----..----_
Over 600 amPs or 1000 volts
er
lan
s 40.00
$ ss.oo
$ B0.oo
see rrBrr aSove
Address
Ovners Name b.d
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit | $ 35'oo 35
Each Additional
Circuit or vith Servicrb zJ
or Feeder Permi t '/' $ 2'00 I
Miscellaneous (Service/feeder not included)
73 9q a 5{ h P/"<&
Ci ty 3 l./Phone 711 - >8lC
OVNER INSTALI,ATION
The installation is being made on
piop"t,V I ovn vhich is not intended
ior sale, Iease or rent'
Onners Signature:
$ 40.00
s 40.00
$ 20.00
s 36.00
RECEIE *:
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
Ph
NumLice
Da te
RECEIVED bI:
5 7.OQ
The lollowing prolect as submitted has the lollowing
;;;'il,;;;-doei not require specilic land use
L C