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Home My WebLink AboutPermit Building 2001-02-26SPBINGFIELD Job# 00-01839-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 460 00036th St Spr Assessors Map#: 17023113 Lot: BIock: Addition Job Number: 00-01 839-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02801 Subdivision: ctrY oF sPRtilGFtEL4 OREGON Owner: Kevin McMullen Address: 460 36th St Scope Of Work: Garage garage Phone Number: City/State/Zip: New 541-988-0994 Springfield, OR 97478 Value: $10,563 Contractor Type GeneralContr Contractor Kevin McMullen 460 36th St, Springfield, OR 97478 Registration # Expiration Date Phone 541 -9BB-0994 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC (VN) Wood Frame Office Use - Land Use: Zoning Gode: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Private Garage/Ci Heat Source: Sq. Footage: To request an inspection call the 24 hour 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 Public Works SW-Curbside CC-Second -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Job# 00-01839-01 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 Curbside - 5' To Curb and Gutter 00/00/00 00:00 AM Street lmprovement: Fully lmproved Curb Cut?lmprovement Agr.?! San Sewer Depth (Ft): Storm Sewer Available? f SpecialReq.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Types Of Warning Devices Reqd Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: Comments: Planner: Liz Miller Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Overlay District: # of Street Trees 3: Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1161 of2975 Land Use: Pave Driveway? 2 Construction Types(VN) Wood Frame Occupancy Groups: Private Garage/Carp/Stor # Of Buildings: 1 # Of Stories: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory576 Total:576 Current Units: Census Code: Does not apply Height (feet): Proposed Units: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Gheck Residential Plan Check Total PIan Check 0110212001 4149 10,563 $56.23 $56.23 Building Garage/Carport State Surcharge For Building Permit Building Administrative Fee Total Building 02t26t2001 02t2612001 02t26t2001 4553 4553 4553 10,563 $86.50 $6.00 $2.60 $9s.16 Plumbinq Minimum Plumbing Permit Fee State Surcharge - Plumbing Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing 0212612001 0212612001 0212612001 02t26t2001 4553 4553 4553 4553 $.00 $2.80 $40.00 $1.20 $44.00 70 Job# 00-01839-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Public Works Sidewalk Repair New Curbcut Total Public Works 02126t2001 02t26t2001 4553 4553 1 1 $10.00 $60.00 $70.00 System Development Residential- Single Family - Storm SDC Administrative Fee Tota! System Development 02t26t2001 0212612001 4553 4553 892 $241.73 $12.09 $2s3.82 Grand Total Plan Check Type Checked By Date Gompleted Comment lnitial Review-Res Wendy Stanley 0110412001 Engineering-Res Steve Templin 0111012001 Planning-Res Liz Miller 0111012001 Structural-Res Wendy Stanley 0111112001 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 front of the property, and the approved set of plans will remain on the site at all times during construction. /l/k Signature Date $519.21 Z- z6*a ( CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORIGHEET NAME OR COMPANY: LOCATION: TAXLOTNUMBER: ANNEXATION YEAR DEVELOPMENT TYPE: DWELLINGUNITS: LANE COI.INTY ASSESSED VALUE (LAND) 460 36TH STREET l7-02-3 l-13-02801 SINGLE FAMILY RESIDENCE BUILDING SZE MCMULLEN SFSF LOT STZE JOURNAL OR JOB NLIMBER: 00-01839-01 COST PER S.F.IMPERVIOUS S.F. 1.73892.00 I I. STORM DRAINAGE x $241.73ITEM I TOTAL - STORM DRAINAGE SDC NUMBEROF DFU's COST PER DFU 0 16.15 NUMBEROF DFU's 0 COST PER DFU $21.25 $0.00 B.IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: $0.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC NEWTRIP FACTORADT TRIP RATE NUMBEROF UNITS COST PER TRIP L009.57 0 68.55 ADTTRIPRATE 9.57 NUMBEROFUNITS 0 COST PER TRIP $ 16.12 NEWTRIPFACTOR 1.00 $0.00 B.IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENTCOST: $0.00ITEM 3 TOTAL - TRANSPORTATION SDC $0.00 NUMBEROF FEU's 0 COSTPERFEU $285.91 $0.00 NUMBEROF FEU's 0 COST PER FEU $24.33 $0.00 B.IMPROVEMENT COST: x x 4. SANITARY SEWER- MWMC A. REIMBI-IRSEMENT COST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE $0.00ITEM 4 TOTAL - MWMC SANITARY SEWER SDC t.73SUBTOTAL (ADD ITEMS 1, 2, 3, &. 4) SUBTOTAL ADM. FEE RATE $ 12.09$241.73 5% 5. ADMINISTRATIVE FEE: x $253.82 Ut0lolSt,wTb+l;"r- SDC COORDINATOR TOTAL SDC CHARGES DATE s0.00 DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE lrt( u NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINACE FIXTURE IJNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FXTURES DRAINAGE FIXTURE UNITSFIXTURE TYPE ( *xrw - #oLD ) x LINIT EQUTVALENT 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 FOLINTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FORGREASE IOIL ISOLIDS /ETC J 0 INTERCEPTORS FOR SAND / AI-]TO WASH / ETC.6 0 LAUNDRYTUB 2 0 CLOT}IESWASTMR / MOP SINK 3 0 cLoTlrESwASmR- 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 RECEPToR FoR RpFzuG / wArER_sI4Iqry4q RECEPTOR FOR COM. SINK / DISHWASIIER / ETC. I 0 J 0 SHOWER, SINGLE STALL 2 0 SHOWE& GANG OTUMBER OF IIEADS)2 0 SINK: COMMERCIAL/RESIDENTLA,L KITCHEN 3 0 SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR I 0 V/ASH BASIN 2 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* (---) *20 0 TOTAL DRAINAGE FIXTURE UIIITS = *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, 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 VALI]E YEAR ANNE)(ED CREDIT RATE PER $I,OOO ASSESSED VALI-'E I979 OR BEFORE $4.74 l 990 $1.96 I 980 $4.65 l99l $1.s5 198 I $4.59 1992 s1.36 1982 s4.46 I 993 $r.23 I 983 $4.30 1994 $ l.0s I 984 $4. l4 I 995 $0.90 I 98s $3.93 t996 $0.7s I 986 $3.63 1997 $0.s7 I 987 $3.26 I 998 $0.35 l 988 s2.85 I 999 $0.1 s I 989 $2.40 TOTAL MWMC CREDIT : x 0.000 x $4.74 VALUE / IOOO 0.000 CREDIT RATE s4.74 0 225 FIFTB SPRINGFTELD, 0RE@16 INS PECTI 0N REOI E S^T,9,.,,,1ffiiflt7drge. OFFICE: 726-3759'"'- 1. LOCATION OF INSTALLATTON sPRtr-.--EtELt) ELECTRICAL PERHTT APPLICATION city Job Number DO'Ol83f -o 1 COHPLETE FEE SCEEDTILE BELOV Nev Residential-Single orMulti-Family per dvelling unit. Service fncluded: I tems Cos t 3 At-tL 0 3r- lt^ I.^EGAL DESCRIPTION JOB DESCRTPTION€ cft{LAc.€-Ct rl-s Permits are non-transf rable and expireif vork is not.started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Phone (l 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 B Services or Feeders Ins tallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps --601 amps to 1000 amps- Over 1000 amps/voIts -Reconnect 0nIy c Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps''or less $ 40.00 20L amps to 400 amps - S 55.00 Over 40L to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see rrB'r a56it D. Branch Circuits Nev, Alteration or Extension Per Panel IOneCircuit I S35.00 Each AdditionalCircuit or vith Serviceor Feeder Permia __+_ $ 2.00 35 E. Miscellaneous (Service/feeder not included) Sum Ci ty Supervi-sor Lice Expiration Date nse Numb s s0.00 s 60.00 $100.00 s130.00 $300.00s 40.00 r Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address ,f6o B6*a Ci ty Phone ?89 'O2r{ OVNER INSTALLATION The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent. 0uners Signature: DArE: /* ze - o -Each installation Pump or irrigation $ Sign/Out1ine Lighting- $ Limi ted Energy/Res - S Limi ted Energy/Comm S Z 40.00 40.00 20.00 36.00 (3 l> ",5 SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAI -t] (f :x:t ts IFJ (3tr.(} Cf,r.J LN(3 (3 C) Cl''l-* r..lH RECEIVED BY: