HomeMy WebLinkAboutPermit Plumbing 2008-9-18
Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01431
ISSUED: 09/18/2008
APPLIED: 09/18/2008
EXPIRES: 03/18/2009
VALUE:
"
,Springfield TYPE OF WORK: Plnmbing Only
SITE ADDRESS: 2793 PHEASANT BLVD,
ASSESSOR'S PARCEL NO.: 1703224202700
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Connect to sanitary sewer
Owner: BETZ GERALDINE A
Address: 1071 HARLOW RD
SPRINGfIELD OR 97477
Contractor Type
Plnmbing
Contractor
OWNER
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
I CONTRACTO~ INFORMATION 1
License
Expiration Date Phone
R-3
I BUILDING INFORMATION'
.. requireS YOU .\~ .
1l&~<Oi~on \a~\1e Oregon UtilitY Lot Size: .
ATTE~ ..i&""~l5tTlla~l~rulesareSe\.tortr. Sq Ft 1st Floor:
lo\lo~ eRI(;QIi'll1J'airl1O u \1 OAR 952-00 Sq Ft 2nd Floor: '
NotillCa ltt""1T,nn10 t\1ro.g 01 t\1e rules bY Sq Ft Basement.
. OAR ;;-.."VV )'p<. 'n copies , \1 ne .
In 0 -fuUlg~Jfjle\al (Note: t\1e \ele.~ o. n Sq Ft GaragelCarport
009 i\i&:r!\~g)CI!litG!' on Utility NO\lllca\IO Sq Ft Other:
ca ll\pmliOk\Fdl.DlIfi'~332-2344)rJa Occnpant Load:
nU ",_"",tor \s 1~
I DEVELOPMENT INFORMATION I
VB
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd:
% of Lot'Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPRO~EMENTS 1 ' ~ \f 't\\t 't'JO~~
..'01\Ct.~ ,... "",r>,\.$i~~.:r~WI\i \$ ~
" I''t.?-Wl\ 'v C:1l.1",\~t'1 n ~O?-
1"'IS. ?-12't.\) \}~\)Dd\Y~~~lI'ids:
. J>,\}i"'O 't.\) O?- \$ '"
'COWlWl't.~C J>,'lI''t.\\\O\).
, (l,\4'l ~l)O \). .
. I Valuation D~scrintion I.
$ Per Sq Ft
or multiplier
Square Footage
orBid Amonnt
Date Calcnlated
Valne
Page 1 of 3
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
, + 5% Technology Fee
Sanitary or Storm Sewer Cap.
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
. SDC MWMC Reimbnrsement
SDC SanitarylStorm Admin
Total Amonnt Paid
Amonnt Paid
'$10.40
$12.48
$5.20
$52.00
$52.00
$462.80
$608.63
$10.00
$1,009.17
$97.90
$109.43
$2,430.01
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01431
ISSUED: 09/18/2008
APPLIED: 09/18/2008
EXPIRES: 03/1812009
VALUE:
Total ~alue of Project
F'~P,~. P...m.i
Date Paid
Receipt Nnmber
9/18/08
9/18/08
9/18/08
. 9/18/08
9/18108
- 9/18/08
9/18/08 .
9/18/08
9/18/08
9/18/08
9/18/08
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
2200800000000001417
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. 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
. -
work day.
~ Rpnll~wlJ~ll'i~tin"i.l
Sanitary Sewer Line: Prior to filling trench and inclnding reqnired-testing.
. \ . . .
Septic Tank Pnmped: After septic tank has. been pumped and fiiled. Please provide the inspector with receipt and
verification from company performing pninp and fill.
,
Page 2 of 3
_~IlII~G<!,llOlhl:1l",,, ,.
"
,.
ij
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
.PERMIT NO: COM2008-01431
ISSUED: 09/18/2008
APPLIED: 09/]8/2008
EXPIRES: 03/1812009
VALUE:
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I further certify ihat 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 strnctnre withont permission of the Commnnity Serviees Division, BniIding Safety.
I fnrther certify that only contractors and employees who are. in compliance.with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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. .
-l ^-^.~ '2 ~
Owner or Contractors Sign~ture
,
, Page 3 of 3
q -~6- oES
Date
"
225 Fifth Street
Springfield', Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number.
COM2008-0 1431
COM2008-01431
COM2008-0143 J
COM2008-0143 1
COM2008-0143!
COM2008-01431
COM2008-0 1431
COM2008-01431
COM2008-0143 I
COM2008-0 1431
COM2008-0143 I
RECEIPT #:
220080000000Q001417
Date: 09/18/2008
Description
Sanitary Sewe, - 1st 50 Feet
Sanitary or Stonn Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Sanitary Sewe'r ~ Reimbursement
Sanitary Sewer ~ Improvement
SDCMWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Admi~istration
SDC Sanitary/Stonn Admin
Payments:
Type of Payment . Paid By
Item Total:
Check Number Authorizatio-n
Received By Batch Number Number How Received
Check
cReceintl
LAND PLANNING
CONSULTANTS
djb
11873
In Person
Payment Total:
Page 1 of 1
11 :50:45AM
Amount Due
52.00
52.00
5.20
12,48
10,40
608.63
462.80
97.90
1,009.17
10.00
109,43
$2,43U.UI
Amount Paid
$2,430.01
$2,430.UI
.9/18/2008
. ' ' .
CITY OF SPRINGFIELD SYS'FEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0m2008-0 14311Connecting to sewe,
NAME OR COMPANY: . Betz/Evans
LOCATION: 2793 Pheasant
TAX LOT NUMBER: 1703224202700
DEVELOPMENT TYPE: Single Familv Residence
NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F.x I COST PER S.F.I CHARGE I
1 0.00 I $0.357 . I = I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I 1
1 0.00 I I $0.357 I. I 50% ~ I
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - c:rTY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 22, 1
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x .
I 22 I
$0.00
11070
COST PER DFU
. $27.67
---~
IV)
I~
.0
U
0::
I' U1
.f-<
la
gz
10454
, I
$0.00
~, $608.63 1091
~ , $462.80 11092
$1,071.44. I
COST PER DFU
$21.04
I NUMBER OF UNITS I x I
1 0 1 I
COST PER TRIP
21.06
x INEW TRIP FACTORI
I 1.00 I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC .~ ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADTTRIPRATE. 1 x
I 9.57 1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP
I 9.57 I . I 0 I I $92.89
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0.00
,x 1 NEW TRIP FACTORI
I. 1.00
$0.00
$0.00
1093
1094
4. SANITARY SEWER - MWMr
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I I
ICOSTPER FEU
I $97.90
ICOST PER'FEU
1 $1,009.17
r
1
,
~' .
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWER SDC ~,
$1,117.07
- -
-.-------..-.-.
$2,188.51
. Kaye Wilson
PREPARED BY
=
$97.90
1054
= $1,009.17 11055
$0.00 ! 1054
$10.00 . 1056
> I
I
~I
CHARGE
$109.43
I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~
1 $2,188.51 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
9(18/2008
TOTAL SDC CHARGES
DATE
109.43 ~ 1079
$0.00 11078
-----,
=1 $2,297.94
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 (Ente, I for Yes, 2 fo, No)
1979 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
1980 (Enter I fo, Yes, 2 for No)
f 1981 BASE YEAR 2007
1982
1983 . CREDIT FOR LAND (IF APPLICABLE)
1984 VALUE I 1000 CREDIT RATE
1985 $0.00 X $0.00 ~ , $0.00 I
1986 I,
1987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 VALUE I 1000 CREDIT RATE I
1989 $0.00 x $0.00 ~I 0 I
1990 I
1991
1992 TOTAL MWMC CREDIT = $0.00
1993
1994
1995
1996
1997
1998
1999
2000
2001
, .
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I
I
I
I
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I
I
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