HomeMy WebLinkAboutPermit Building 2008-5-2
CITY OF SPRINGFIELD, OREGON
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Iiii:. ~
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o Demolition
o Other
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Da'te i
City Job Numher {OIAA Zc:;C)1! - 00 61 If
VJ & 2 Family Dwelling or Accessory 0 New Construction
o Multi-Family 0 Addition/Alteration/Replacenient
o CommerciaVlndustrial 3 Tenant Improvement
Job Address 1-\61,0 M",;" c.,-h eL--1; BldgNoc (~
Lot Block Subdivision Tax MaplTax Lot
Project Name Ar""",,~~ \\.0 rz.rx>Jh^)~ ~
Description of Work/location on premises/special conditions~<'.........._", .. '-: ~_ ':. f;&",:--{ *{ofV\
~ I Prollertu Owner "l11 & 2 Familif1Jw~lling
Name \\\I\c.i\~ c;\AS;I\<'ss, ?<>I'kLLL.- - SQFt
I
Mailing Address () 0 &,,)(.:-?"i) I> '7
City [\^~ PAP_ State (9ft Zip t'I,4Dl
J
Phone 7~ b-'iS"o\?\ Fax 7\-\\-o<l'1b
Owner Representative S ,^", '^" \\ \/\"'" >_
Suite No. L-\ 1.1 0
\/'-lD?.- '<,:l. .. L\ ,../ oo/..Po
).005-00 \5'6
X $/SQ Ft
Value
New Dwelling Area
Garage/Carport Area
Other Structure Area
Phone
Fax
Total Value
I CommerciallIndustriallMulti..Familu
SQ Ft X $/SQ Ft
-,;-
Value
o L1plllicant
Name S~
Mailing Address
City
Phone
Existing Building 'Area
New Building Area
State
Fax
Zip
Total Value
if\'Sow
I
I U I Residential Proiects
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-Width or Second Driveway 0 Yes 0 No
Temporary Power 0 Yes 0 No
Air Conditioning 0 Yes 0 No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions of ORS 701 and may be required to be licensed in theiurisdiction where,work is bein.g oerfonned.
I For Office Use Only
I PLAN CHECK FEE I
o I ArchitectlDesianerjEngineer
Name LA- \.<''''''<.d, ,&c;.!""i-lu--t(
Address '),C\) \Ai _ n,-II-.. # <::;..... ."1.. A-
City (~~ .P;\._. State mL Zip q 7Lt-01
.....
Contact Person '0_p. 14x '"
Phone "'<, -Sl-\/ b CWr,
o I Contractor(s)
Contractor's Name
General ")ok 1\7\ ""i~ Lo,,- vi ~'--
Plumbing M"i!..-IA,",A'L..- D\----:~ ''''''..-
Mechanical (1)~'rtvvI J:=-\.n -..r .."
Electrical (2, v-h-<fl\ (SJ'o".
o I Commercial/Industrial Pro.iects
Has site review application been submitted?
DYes 0 No 0 N/A
If so, Name of Planner
Journal Number
I I
Existing
New
'Occupancy Group(s)
Const. Type(s)
Number of Stories
Fax
CCB#
t.\bo 11
Expiration Date
Phone #
Secondary
Energy Path
I RCPT# I
BUILDING
PERMIT
rBY I
APPLICATION
I DATE I
Shared Drive(T:)/Building FormsJBuilding Permit Application 3-08.doc
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TOTAL P.Ol
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2008-00618
NAME OR COMPANY; Hvland Business Park (Suite 440 - Annadillo Roofmg)
LOCATION: 4660 Main Sl.
MAP & TAX LOT NUMBER: 17023242 00200
DEVELOPMENT TYPE: Tenant lnfill
NEW DEVELOPED AREA (S,F,):
EXISTING DEVELOPED AREA (S,F,):
TOTAL IMPERVIOUS SURFACE (S,F,):
MWMC:
MWMC
ITE:
ITE:
LOT SIZE (SF):
L STORM ORAINAC.F:
IMPERVIOUS SQ,FT,
x
No New Impervious Area
$ 0346 PER SF
TOTAL STORM DRAINAGE SDC:I
2. SANITARVSF.WF.R-f:ITY (see reverse side)
A REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
5
x . $ 26,833 PER DFU
'5
x $ 20A04 PER DFU
$ 47.24
TOTAL LOCAL WASTEWATER SDC:, $ ___
23619 I
3. TRA NSPORT A TION No New Building Square Footage
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRlP FACTOR
NEW:
A REIMBURSEMENT COST:
0,00 x 0
B. IMPROVEMENT COST:
0.00 x
EXlSTING:
A REIMBURSEMENT COST:
0.00 x 0
B, IMPROVEMENT COST:
0.00 x
o
NTF
$0,00 ,
$0,00 ~
x
$ 20A3 PER TRIP
x
o
$ 90.10 PER TRIP
x
o
NTF
x
o
NTF
$0001
x
$ 20A3 PER TRlP
x
o
$ 90.10 PER TRlP x 0 NTF $0,00 I
$ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:I
TOT AL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION S])S1 $ I
No New Building Square Footage
x
4. SANITARY SEWER - MWMf:
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
0.00
x
#N/A PER FEU $000 I
#N/A PER FEU $0:00 ,
#N/A PER FEU $0,00 ,
#N/A PER FEU $0,00 I
0,00
x
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x
B, IMPROVEMENT COST:
NUMBER OF FEU's 0.09 x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUB-~OTAL (ADD ITEMS 1,2,3, &4) I
I
$236.19 L
5. ADMINISTRATlVF. FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
236.19 x 5% , $11.81
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRA iION FEE: $
Jesse Jones
Civil Engineer, EIT
5119/2008
DATE
TOTAL SDC CI!^RGES
$11.81
$248,00
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Tenant Infill ,.
, FIXTURE TYPE
,BATHTUB
DRINKlNG FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/Oll/SOLIDS/ETC
INTERCEPTORS FOR SAND/AUTO WASHlETC
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/W A TER ST A TIONIETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF I'IEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK:-WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LA V A TORY/RESIDENTIAL BAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INST ALLA TION
TOILET,PRlVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
,3
2
2
1
5
6
3
2
. NUMBER OF EDU'S'
DRAlNAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
o
o
3
o
TOTALDRAlNAGE FIXTURE UNITS ~, 5
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA TEL Y
YEAR
'ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1.000
ASSESSED VALUE
t~1
12~
8j;
;.."
O~
RATE PER $1.000
ASSESSED VALUE
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
$t21~
-".f;'t1=''"lf
~2:7)),1
$22S!i
~H~'80~~
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
CREDIT TOTAL
$0.00
$0.00
$0,00
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ATTENTION: Oregon law requIres you to ~~
follow rules a lopted by.the Oregon UtIlity .
Notification Ce Iter.-_ Those rules are set forth
In OAR 952-00-001 0 through OAR 952-001.
0090. '4bu ma) obtain copies of the rules by
. IIlIIIIng the c mter. (Note: the telephone
r ~ fqr,tl' e Oregon Utility NOtificatiOq.~
"', ~ ;is 1-800-332..2344). ; .if.'
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DATE RECEIVED '5/t~8
ZONE c.c... .
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JOB No COIoI4 zooS -00 bI B
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'OCCUPANCY GROUP B:
~NIT{S) OCCUPANCY LOAD ,
?TORIES TYPE CONSTRUCTION va
LEGAL DESCRIPTION 17D2. J 'Z~z. OOZOC)
ADDRESS 4"60 mA-IN, s r.# 440'
OWNER ti.;J.ANI\ RWI~'!." .oAiu:...
THE CONTENTS HERE ON HAVE BEEN REVIEWED. WITH
ALTERATIONS INDICATED ON COLORED PENCIL CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR
PROJECT AFTER THE DATE BELOW SHALL BE APPRDVED BY
THE BUILDING OFFICIAL.
CITY OF SPRINGFIELD, OREGON/ /
ApPROVED By --:J:::, ~ DATE 'S!I;/~
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NOTlCE:- ,-........" " .M'tt.ftA
THIS PERMIT SHALL EXPIRE IF'THE WORK
AUTHORIZED UNDER THIS PERMIT IS NO"
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