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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 nn Tf ' ABtrt .]ri .]f i/_r1Un I L. nl l\ i-Et LUUi tli? Frrnn - { .+ ?,'n Aftnlll |1.L!.JU'I {, JU\.'.UU [HAFlGt: $ ]-7 .17nLnuTtrn.,-lrlUnLJI lJ.Ll\. UUI 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