HomeMy WebLinkAboutPermit Building 2002-04-05Job# 02-00322-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
SPRINGFIELD
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 305 00036th St Spr
AssessorsMap#: 17023142
Lot: Btock: Addition:
Job N umbe r= 02-00322-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 03600
Subdivision:
crTY oF SPRTNGFIELD, OREGOI'
Owner: John Egli
Address: 305 36th Street
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
Addition
NOTICE:
541-741-6615
Springfield, OR 97478
Value: $1,600
Contractor Type
GeneralContr
Veranda porch with gable
Contractor
John Egli
305 36th Street, Springfield, OR 97478
Re g i StJIdioff zE E*pitrE trH8P E R M lTBRUT
COMMENCEDOR ISABANDON
ANY lSODAYPERIOD.
Esp$ffi1-6615
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
3RNC
(VN)Wood Frame
Office Use
-
Land Use: Sing
Zoning Code: LDR
Bedrooms:
Range:
le Fa m i ly"tlvtrb,llin$ t; r ..g-6f Bdi lfflir urrss you to
follow rules
Notification
in OAR oAB 952-001-
rules
To request an inspection call the 24 hour recording at 726-3769. All i
a.m. will be made the same working day, inspections requested after
working day.
Final Building
Required lnspections
-When,ll,"q,i,"#.tio*1.,,*b""nupprovedandthebuildingiscomplete.
Street !mprovement:
Curb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
tmprovement Agr.?!
00/00/0000 00:00 AM
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
tr
00/00/0000 00:00 AM
Job# 02-00322-01
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? !
Journal numbers
1z
Gomments:
2:
Planner: Sam Gollah
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Glenwood Area? [
3:
Additiona! Requ irements
Required Attachments:
Source Locn:
Material:
FIood Plain FEMA:1161 o12975
Construction Types(VN ) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Area (Sq
Main:Accessory:Tota!:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
0312212002 8373 1,600 $29.25
$29.2s
Buildin
Building Permit
State Surcharge For Building Permit
B% Building Administrative Fee
Total Building
04t05t2002
0410512002
0410512002
8528
8528
8528
006 $45.00
$3.15
$3.60
$s1.75
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
04t05t2002
0410512002
8528
B52B
$69.62
$3.48
$73.10
255
Job# 02-00322-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Planning
0410512002 B52B 1Planning Plan Review
Total Planning
$55.00
$55.00
Grand Total
Plan Check Type Checked By Date Completed Gomment
lnitialReview-Res Lisa Hopper 0312512002
Engineering-Res Bob Kettwig 0410112002
Planning-Res Sam Gollah 0312812002
Structural-Res Tom Marx 0410412002
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify 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 each
address is readable from the street, that the permit card is located at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
Signature Date
$209.10
?-5--e-a-2,;2y',,
J
CITY OF SPRINGFIELD SYSTEMS DBVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NI-IMBER: 02-00322-0l
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:
JOHN EGLI
305 36rh
17-02-31-42 TL: 3600
SINGLE FAMILY RESIDENCE
O BUILDING SIZE: O SF LOT SIZ: O SF
(t)r!ooU
&
E]F
C,)
oH&
1070
1091
t092
1093
r094
1055
1056
1073
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F
255.00
x COST PER S.F
$0.273 $69.62
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F COST PER S.F DISCOUNT RATE
x
0.00 507o
ITEM 1 TOTAL. STORM DRAINAGE SDC $69.62
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NLIMBER OF DFU's
0
x
COST PER DFU
$21.37 $0.00
B.IMPROVEMENT COST:
OF x
$16.24 $0.000
ITEM 2 TOTAL . CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
x NUMBER OF UNITS
0
x COST PER TRIP
$16.21
x
NEW TRIP FACTOR
1.00 $0.00
B.IMPROYEMENT COST:
ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
x x x
9.57 0 .94 1.00
ITEM 3 TOTAL. TRANSPORTATION SDC $0.00
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
x COST PER FEU
$332.86 $0.00
B.IMPROVEMENT COST:
NUMBER OF FEU's
0
x COST PER FEU
$34.83 $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)s0.00
SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$0.00
ITEM 4 TOTAL . MWMC SANITARY SEWER SDC $0.00
suBTorAL (ADD ITEMS l,2,3, & 4)$69.62
5. ADMIMSTRATIVE FEE:
SUBTOTAL ADM. FEE RATE
x
4t1t2002
SDC COORDINATOR DATE
TOTAL SDC CHARGES =$73.1091r.,wTr4+l;4-
DRAINAGE FIXTURE UNIT CALCULATION TABLEt tu
NUMBER OF NEW FXTURES x UNtt EQUwALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODEIS, CAITULATE ONLY THE NET ADDITIONAL FD(TURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE ( *xew - #oLD ) x UNIT
EOUIVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3 0
DRINKING FOUNTAIN I 0
FLOOR DRAIN J 0
INTERCEPTORS FOR GREASE / OIL ISOLIDS IE"IC.0
INTERCEPTORS FOR SAND / AUTO WASH IETC.6 0
LALINDRY TUB 2 0
CLOTHESWASHER / MOP SINK J 0
CLOTHESWASHER. 3 OR MORE (EA)6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTOR FOR REFRIG / WATER STATION IETC.
RECEP
I 0
J 0
SHOWER, SINGLE STALL 2 0
sHowER, GANG (NITMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN J 0
SINK: COMMERCIAL BAR 2 0
SINK: DOMESTIC BAR I 0
WASH BASIN 2 0
LAVATORY I 0
URINAL, STALL/WALL 5 0
TOILET, PUBLIC INSTALLATION 6 0
TOILET, PRIVATE INSTALLATION J 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
(0 o )x 20 0
TOTAL DRAINAGE FIXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
0
$0.00
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCLILATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
I979 OR BEFORE $4.92 1990 $2.06
I 980 $4.83 t99l $1.64
198 I $4.77 1992 $ 1.45
l 982 M.64 1993 $1.31
1983 $4.4't 1994 $ 1.13
1984 $4.30 199-s $0.97
l 985 $4.09 I 996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1 998 $0.41
1988 $2.98 1999 $0.22
l 989 $2.52 2000 $0.04
TOTAL MWMC CREDIT =
0.000 x $0.00
VALUE / 1OOO CREDIT RATE
0.000 x $0.00
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
0-0
0-0
00
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
0-0
3