HomeMy WebLinkAboutPermit Building 2008-4-24 (2)
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225 FIFTH STREET. SPRING:IELD: ~ . PH:(541)726-3753 . FAX: (541)726-3689
City Job Number ~,Pi b1 ' Date
~ 1 & 2 Family Dwelling;r Accessory Rl New Construction .
o Multi-Family 0 Addition/Alteration/Replacement
o CommerCiaVIndustrial 0 Tenant Improvement
J lJ 7 So Lf o..~ r,
Subdivision F; I ~u+ IY\e.JolJ S
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o
Demolition
Other
Job Address
Lot 7 tl
Block
Bldg No,
Tax Maprrax Lot
Suite No,
Ig-o l-Olo-I./}
Project Name
Descripti~~m ofWark/location on premises/special conditions-
o ,:rrJri~~tY. O.wrie~ :~\J~t;~~~~~:J ,:; ,;~~.i.~~:t~~tr~:!i~~.;i~,
"'1. ~ 2 iU!nily D~'v~lli!lg .:;},.-.'.', '::J../: ...{::"'~:'~
New DW~l1ing Area \ \S~~ X $/SQ Ft
Garage/Carport Area ~
, . .
"~ "~);': ""~.~ ;1 ,'11
Namej\"'lIte;Wiec:..he...~Cuf,\o.... ~.....eS :t.oJe.
Mailing Address3 07.5 5 I' "/ VI'~ '"
CityE'-iqef1t.- Staie 0(2.. Zip 'J7'fo"-
Phone b 'Z (, - q '1 5' g Fax 3 '-i '-f - 33 b "l.
Owner Representative Vev- of ;c..fC. W ~~ k"~V':
Phone bOb -Sio 50 Fax 13b -09'1'1
Value
_ cfC;J
Other Structure Area * 7 / rl L;
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c::onimercial/Jndii".trilllfM.l1lti-Fa'!';ly.\., ' ;')<,:.,:,:,.,~,,:
SQ Ft X $/SQ Ft ~ Value
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.,~ppl_lcant_:. " ::'>~H;' .:~_ ~;...:. .~"'i,~~':t- ",:~'~~:~-J:c~('~'.v'i' ;',~~'~.~
NameDyV<.C W;.c:..\....-Y Cv1'ro.... Il-o.....~:r......
Mailing Address 307.'> 5k:.. .;eW
City t; v j!." c..- State 0'((. Zip f 7 'f""-
Phone b:3 b- 9 'f5~ Fax 3 Lf '1; 33& 'Z.
Existing Building Area
New Building Area
Total Value
o ~'4r~h (t~~!ii;J~~'iJ~~~ ;EriJ'(~~~;~'~~2?J:i'~:~::,-~\;~:,',};~i~
Name
Address
,::::>"'~:":~;; :;~!~;~j{:~~:';~Stt '~~;~~;1~~~.:-~~:~\.:~~;<~ r
Existing
New
)
\'
City
Contact Person
State
Zip
Occupancy Group(s)
ConsL Tvpe(s)
Number of Stories
Phone Fax
~ ,COl1tl."~~~~~~or':~:~e ";'
\;5 General ~ tV,'" W; ee-h. e,+ LuS \'or>-
i!J Plumbing , S+t:v<'~ y\ u.... I'. ""
Mechanical Co~A,,,1' .{2/o'-' ife,,+;~\.
Electrical L. ~ ~
'- ., .
o COllllllcrcial/IndUstria/'Projects
Has site review application been submitted?
DYes 0 No 0 NIA
If so, Name of Planner
Journal Number
~." ti,,,
. ":(: ,;~<,,::}.
..~...: ~;/"'" > \ ':~:'
ko", s
CCB#
Ib/71?
Expiration Date
/./,S
Phone #
6g6-'1'1>(
o Residential Projects::, ,_; ,. "'')c,,;''.;'
. Heat Source: Primary jiAS Secondary
Water Heater }'^S Range ~,^5 Energy Path
Do you require any of the following for this project? .
Over-width or Second Driveway ~ Yes 0 No
Temporary Power. 0 Yes lia No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under"orovisions ofORS 701 and may be recruired to be licensed in the jurisdiction where work is being performed.
I For Office Use Onll/ .
I PLAN CHECK FEE I
"
I RCPT#
BY I
AP PLICA TION
I DATE
BUILDING
PERMIT
Shared Drive(T:J/Building FonnslBuildin[; Pennit Applic:Jtioll IO-02.doc
.(
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00572
Paymeuts:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
Description
Plan Review Residential
Paid By
DERRICK WESTOVER
I~~~~~
WIi:~
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000512
Date: 04/24/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 0524b In Person
Payment Total:
Page I of I
9:02:25AM
Amount Due
635.22
$635.22
Amount Paid
$635.22
$635.22
4/24/2008
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2008-00572 -- Without Slonnwater Calculated
NAME OR COMPANY: Bruce Wiechert Custom Homes
LOCATION: 1237 South 40th Place
TAX tOT NUMBER: 18-02-06-41 14100
DEVELOPMENT TYPE: Sin~le Family Residence
NEW DWELLING UNITS I BUILDING SIZE (SF' 2842 LOT SIZE (SF):
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUSS,F, x I COST PER S,F, I I CHARGE
I 0,00 I $0.346 = I $0,00 I
RUNOFF ROlITED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
t IMPERVIOUSS,F, I x I COST PER S,F, I x I DISCOUNT RATE I I
1 0,00 I I $0.346 1 1 50% I '~ 1
ITEM I TOTAL - STORM DRAINAGE SDC $0,00 I
2 SANITARY SEWER - rIT)::
A, REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 23 I
COST PER DFU
$26,83
8. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 23 I
COST PER DFU
$20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$1,086.46
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRJP
I 9,57 I I I I 20.43
B. IMPROVEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS I x t COST PER TRIP
I 9.57 I I, I I 1 $90,10
ITEM 3 TOTAL- TRANSPORTATION SDC = , $1,057.73
4, SANITARY SEWER - MWM(
A REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 I I $95.35
8. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $990,39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINlSTRA TlVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , $1,D95.74
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,239,93
?, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM, FEE RATE I~
I $3,239,93 t 5% I
TOTAL SANITARY ADMJNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$t62,00
DISCOUNT
$0:00
6148
$0.00
$617,17
$469.29
'I;
10
10
I~
I~
'en
a
~
.11070
11091
I
11092
I
x I NEW TRIP FACTORI
I 100 I ~,'
x 1 NEW TRIP FACTORI
I 100 I
=, $3,401.93
Billy Curtiss
4/24/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
$195.48
$862.25
=
$95,35
=
$990.39
$0,00
$10,00
82,09
$79,91
11093
I
11094
I
1054
11055
i 1054
1056
~
I
1079
1078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FtXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
rBATHTUB 1 0 3 3
IDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG I WATER STATION / ETC 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER I ETC 1 0 3 = 3
SHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS), 0 0 2 = 0
ISINK: COMMERClALIRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENllAL BAR 1 0 1 = 1
IURlNAL, STALL! WALL 0 0 5 = 0
fTOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
.EDU (Equivalent DwelJin~ Unit) is a dischar.e:e eQuivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
r--BEFORE 1979
I . 1979
1980
1981
1982
1983
1984
1985
1986
1987
I 1988
I 1989
I 1990
I' 1991
I 1992
I 1993
I 199'
I 1995
I 1996
I 1997
I 1998
I 1999
I 2000
I 2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
~,,1",~:'~~:!i :~" ,,'
~.. "C, $4,98 :,i" '"
".1 . ["'$4.80 ,.1",
'-'; J]" r: $4. 63 -i:~f~.' :'~~
~:ll,,>,.~[:t $4:40;,," :._'
e-:" , , "'--,.. ,~",_' ,- '", -,,>-",1'" ">If~'C ,,"
$4,07 '
$3.6Z ,', -;~d;t'!{~
$3??
$Vi
f,; '. $2.2~
""""""'",$1,80
o
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
~ ,
$0,00
CREDIT FOR tMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0,00 x $5.29 ~ ,
~:'~2'
=
$0,00
TOTAL MWMC CREDIT
;,~
~:_i,lr~o'"
I
I
I
I
I
I
I
I,
4PtJ',
. . ,;tt::" C. cO ~ S1 (j
h\.\00 ~ ~~q.S"o~1
BUILDING PERl\1IT CHECKLISr
La+- /!D
Lot Size
Zoning
I Plan Designation
I Metro Plful Designation
, I Building Height
I Solar Setback Approved
I Percentage Lot Coverage
'I WillainetteGreenway
I Hillside Development.
I UF-10
Historic
FloodPlain Zone '
I FloodPlaih Panel
I Floodway
I Wetlands
IT","T'~ '/'T t..~
.......~.......l. ... .......~...........! 1 !-IJII!I! _...T
. I Tree Felling
Setbacks S N <:j S 10...$
,(house) f.Z E:z,.. TW -,?"iP
r1pave Driveway .
~ l)Number of Street Trees
"- .
Pnor Journal Numbers
LO~
. ___ _____ __.-0 ___ _.___. n__
'(f- Acy' .
, . 0 n _ "n
" ij,q
I
I
I
j,<c~
l~~~.'.
1
1
j
1
I
__ ~~ AS~~ '" \K..d~)Wf~
..~ . I.'
Gd L.{~'. _ '" '"
'-orz.
._.. - ,__._n ,. ,_ _ __ ..._ ~
-
.:..--
-
~25 ~1Lj ~~~c....{ ~cJ-. '
::,,-<.~..k. I
___I " .
Setbacks
(gar:age)
NS
--
E W
....1~
It .
" <'P $-v ~ 'UDS"" - 6D\) Co. "L
(f) ;$v 0 '2 oo-:t - ~I
~1-11.e:.1- ,
CS$4o'Zl(..,
Comments
IPlan Check Fee Entered I ~~- . "
. Qeuv\A't( 0\,~~~ s~ 0-- ~~ ~
~ ~ ~_""'*~: 5f'~~~ ..,. ,,~, .
cP , -&-~ '-, \." 0-' v ., 't.v~L. "J", - (-. '(;- .
2~ ,~ '
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