Loading...
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 , . I I I I I ;1 I I I II