HomeMy WebLinkAboutPermit Building 2001-04-24Job# 01-00321-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
SPRINGFIELD TEln }.e+, = n'i -^nnEnZa! !\nlltJtt. u_L uuLrLrrJLrLr
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 7655 Thurston Rd Spr
AssessorsMap#: 17023511
Lot: Block: Addition:
Job Number: 01-00321-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00900
Subdivision:
ctTY oF sPR rvGFrELD, OREoON
Owner: Roy Carmack
Address: 7655 Thurston Road
Scope Of Work: Garage
Adding garage to existing shop
Phone Number:
City/State/Zip:
New
541-741-1731
Springfield, OR 97478
Value: $17,166
Contractor Type
GeneralContr
Electrical Contr
Contractor
Roy Carmack
7655 Thurston Road, Springfield, OR
97478
Roy Carmack
7655 Thurston Road, Springfield, OR
97478
Registration # Expiration Date Phone
541-741-1731
541-741-1731
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RNE
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
Structu
To request an inspection callthe 24hour recording at726-3769. 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.
Required lnspections
Footing
Foundation
Shear Wall Nailing
Framing
FinalBuilding
Rough Electrical
Final Electrical
Build
-After trenches are excavated
- Prior to cover.
-When all electrical work is complete.
the building is complete.
AUTHORIZED
#of
FOR
Job# 01-00321-01 Page2 of 3
Street Improvement: Sidewalk Type:
Curb Cut?[ tmprovement Agr.?[ Additiona! Row? tr
San Sewer Depth (Ft): - Size Of Line (in):
Storm Sewer Available? f] Downspouts/Drains:
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in):
Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
Special lnstructions: ROOF DRAINS TO DRYWELL- SEE STD DWG 4-19 & 4-20
Other Utilities: Types Of Warning Devices Reqd.
Project Supervisor:
Zoning: LDR
FloodPlain?Wetlands? [
Land Use:
Pave Driveway?
Panel 1167 of2975
Journal numbers
1:
Comments:
2:3
Planner: Additional Requirements:
Urban Growth Boundary?! Gtenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: Zone X White Flood Plain FEMA:
Gonstruction Types(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main Accessory936
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: Does not apply
Total:936
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t24t2001 5033 17,166 $83.53
$83.53
Buildins
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
04t2412001
04t2412001
04t2412001
5033
5033
5033
17,166 $128.50
$9.00
$3.86
$141.36
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
04t24t2001
04t24t2001
5033
5033
$112.32
$5.62
$117.94
Grand Total
468
$342.83
Overlay District:
# of Street Trees:
Job# 01-00321-01 Page 3 of 3
Plan Check Type Checked By Date Completed Comment
lnitial Review-Res Bob Barnhart 0410412001
Engineering-Res Steve Templin 0410912001
Planning-Res Liz Miller 0412012001
Structural-Res Tom Max 0411212001
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 the property, and the approved set of plans will remain on the site at all times
during
/-a46 /
sig Date
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
ANNEXATION YEAR
DEVELOPMENT TYPE:
DWELLINGUNITS
7655 THI]RSTON ROAD
t7 -02-3s-r l -00900
BUILDING SZE:
CARMACK
SFSF LOT SIZE:
JOURNAL OR JOB NUMBER: 0l-0032 l-01
GARAGE ADDITION
LANE COLTNTY ASSESSED VALUE (LAND)
IMPERVIOUS S.F COST PER S.F
.66936.00 $0.271
I. STORM DRATNAGE
x
$2S#6-ITEM I TOTAL - STORM DRAINAGE SDC
NUMBEROF DFU's COST PER DFU
$0.00016.15
NUMBER OF DFU's
0
COST PER DFU
$21.25 $0.00
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER- CITY
A. REIMBIJRSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER TzuP NEWTRIP FACTORADT TRIP RATE NUMBEROF UNITS
$68.ss 1.009.57 0
ADT TRIP RATE
9.57
NUMBER OF LINITS
0
COST PERTRIP
$ 16. l2
NEW TRIP FACTOR
1.00 $0.00
B.IMPRO\'EMENT COST:
x xx
xxx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBEROFFEU's
n
COST PER FEU
$285.91 $0.00
NUMBER OF FEU's
0
COST PERFEU
924.33
$0.00
B.IMPROVEMENT COST:
x
x
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
$253.66SUBTOTAL (ADD ITEMS l, 2, 3, & 4)
ADM. FEE RATESUBTOTAL
12.685%$2s3.66
5. ADMINISTRATIVE FEE:
x
$266.344t9t0lSlr,w,kd.tl;u-
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
5O7t Qe{ntcTlotr
(e-{Z >Te/€
Ti€a?tu{
b
$0.00
$0.00
$0.00
DRAINAGE FIXTURE UNIT CALCULATION TABLE
II,IWMC CREDIT CALCTILATION TABLE: BASED ON COUNTY ASSESSED VALTJE
Dll'U
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINACE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFXTURETYPE(#NEW - #OLD )x UNIT
EQUWALENT
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 OIL / SOLIDS / ETC.0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 6 0
LATINDRYTUB 2 0
CLOTIIESWASIIER / MOP SINK 3 0
cLoTmswASHER- 3 ORMORE (EA)6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)t2
RECEPTOR FOR REFRTG / WATEB!_!4lqryl rlq-
RECEPTOR FOR COM. SINK / DIS}IWASHER / ETC.
t 0
J 0
SHOWE& SINGLE STALL 2 0
SHOWER, GANG (NUMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCIIEN 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 INSTALLATION J 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
)x 20 0
TOTAL DRAINAGE FIXTT]RE TITIITS
*EDU (Equivalent Dwefling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
$0.00
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
YEAR
ANNE)(ED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE s4.74 I 990 $1.96
l 980 $4.6s l99l $1.s5
l98l s4.59 t992
I 993
$ 1.36
t982 $4.46 $1.23
1983 $4.30 1994 $1.05
1984 $4. l4 I 995 s0.90
$0.7s
$0.s7
I 985 s3.93 I 996
I 986 s3.63 1997
1987 $3.26 I 998 $0.35
I 988 $2.8s 1999 s0.1 5
I 989 $2.40
TOTAL MWMC CREDIT :
0.000 x $4.74
VALUE/ IOOO CREDITRATE
0.000 x $4.74
0