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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