HomeMy WebLinkAboutPermit Plumbing 2001-1-29
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225 North Fifth Street
Springfield. OR 97477
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I Job# 01-00082-01 I
Page 1 of2
TRANS#:01-0004335
DATE:JAN 29 2001
AMT RECD:2 $ 1064.90
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00082-01
Office: 726-3759
Inspection Line: 726-3769
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location Of Proposed Site: 7606 McKenzie Hwy Spr
Assessors Map#: 17023541
lot: Block: Addition:
Owner:
Tax lot #: 01200
Subdivision:
Ronald & Marci Sather
7606 McKenzie Hwy
Phone Number: 541-746-2878
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Plumbing
Sewer Hookup
Contractor Type
General Contr
Contractor
Imbler Construction
x. x, X
Registration # Expiration Date
Phone
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Office Use :..: ' ..~. :o.~' "j,1 r '"'I' ~~(:. ".00-,.
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land Use:"" ,;,.,;. ,\' '~~n\\O\ # Of Buildings:
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Zonmg COile:".,\I"'. '\l'WIl .( _,('In\ OccuPilncy Group:
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Bedroom's:J Ui-'o0 ..1,1 : iI~\\' " , " Heat ~ource:
Range: ' \"'J. 'I' ,I ;J'" ". . Sq, Footage:
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co.w' ..
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
working day.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary Sewer line
Septic Tank Pumped
Required Inspections
I Plumbin!! I ~v...
- Prior to filling trench. ~"{\-\~\S'IO i'i
-After septic tank has been pumped and ~IIed. Pleat~~~9Yille t~~itl1~pe'dtor with receipt and vel
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# Of Stories: '1'00 QrAelght (feet):
Current Units: I'~'< Proposed Units:
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq, r "t)
I Main: Accessory:
Total:
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.I ,. Job# 01-00082-01 I Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbin!!
Minimum Plumbing Permit Fee 01/29/2001 4335 $.00
Septic Tank Removal or Fill 01/29/2001 4335 1 $15.00
State Surcharge - Plumbing 01/29/2001 4335 $3.85
Sanitary Sewer Footage 01/29/2001 4335 90 $40.00
Administrative Fee - Plumbing 01/29/2001 4335 $1.65
Total Plumbing $60,50
System Development
Sanitary Sewer 01/29/2001 4335 19 $403.75
Residential Sanitary MWMC 01/29/2001 4335 1 $285.91
Residential Improvement MWMC 01/29/2001 4335 1 $24.33
MWMC Administrative Fee 01/29/2001 4335 1 $10.00
Sanitary Sewer SDC Reimbursement 01/29/2001 4335 19 $306.85
SDC Administrative Fee 01/29/2001 4335 $47.83
Property Annexed 1997 01/29/2001 4335 130 $-74.27
Total System Development $1,004.40
Grand Total $1,064.90
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
r~7~er tim~:prOject address is readable from the street. I _ c "f? _ COO'{
~ignature ' ,r Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 0 I - 0 0 <:> .J? 'Z.. - 0 I
NAME OR COMPANY: SATHER
LOCATION: 7606 MAIN STREET
TAX LOT NUMBER: 17-02-35-41-01200
ANNEXATION YEAR 1997 LANE COUNTY ASSESSED V AWE (LAND) $130.300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS: I BUILDING SIZE: SF LOT SIZE: SF
I STORM-DR A TNAGE.
1 IMPERVIOUSS.F'!XI COSTPERS.F. I
1 0.00 I $0.271 I
I ITEM 1 TOTAL - STORM DRAINAGE SD;;-
=1
=1
$0.00 I
SO.OO -=rl
l
2 SANITA llV SPWPR - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x 1 COST PER DFU '1
I 19 1 $21.25
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x 1 COST PER DFU I
1 19 1 $16.15
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATTO~
I A. REIMBURSEMENT COST:
1 ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP II NEW TRIP FACTOR I
1 9.57 1 1 I S16.12 XI 1.00 1=1
B. IMPROVEMENT COST:
I ADT TRIP RATE 1 X 1 NUMBER OF UNITS] X I COST PER TRIP
I 9.57 1 I '$68.55
I ITEM 3 TOTAL - TRANSPORT AnON SDC
4 SANITARY SFWFR _ MWMr.
=1
$403.75
=1
=1
$306.85 I.
S710.60 II
I'
I NEW TRIP FACTOR I
X
I 1.00 1=1
=1
I
so.oo j I
A. REIMBURSEMENT COST:
I NUMBER OFFEU's 1.1 COST PER FEU
I I I $285.91
B. IMPROVEMENT COST:
1 NUMBER OFFEU's 1.1 COST PER FEU
1 I I $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3,&4)
5 ADMlNISTRATrvF UE:..
1 SUBTOTAL II ADM. FEE RATE
XI
1 $956.57 5%
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I .SDC COORDINATOR
=1 $285.91
=1 $24.33 I
=1 ($74.27) I
=1 $10.00 --.l
=1 S245.97 II
=1 $956.57 II
=1 $47.83
1/29/0 I
DATE
TOTAL SDC CHARGES = $1,004.40
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTIJRES DRAINAGE
( # NEW # OLD ) x EQ=ENT = FIXTIJRE
FIXTIJRE TYPE UNITS
BATHTIJB ( I ) x 3 3
DRINKING FOUNTAIN ( ) x I 0
FLOOR DRAIN ( ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( ) x 6 0
LAUNDRY TIJB ( ) x 2 = 0
CLOTHESW ASHER / MOP SINK ( ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( ) x I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( ) x 3 0
SHOWER, SINGLE STALL ( ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0
SINK: COMMERClAURESIDENTIAL KITCHEN ( ) x 3 3
SINK: COMMERCIAL BAR ( ) x 2 0
SINK: DOMESTIC BAR ( ) x I = 0
WASH BASIN ( ) x 2 0
LAVATORY ( 2 ) x 1 2
URINAL, STALL / WALL ( ) x 5 0
TOILET, PUBLIC INSTALLATION ( ) x 6 0
TOILET, PRIVATE INSTALLATION ( 2 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( ) x 20 0 IJ
TOTAL DRAINAGE FIXTURE UNITS =1 19
~EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.74 1990 SI.96
1980 $4.65 1991 SI.55
1981 $4.59 1992 SU6
1982 $4.46 1993 SI.23
1983 $4.30 1994 SI.05
1984 $4.14 I 1995 SO.90
1985 S3.93 1996 SO.75
1986 S3.63 I 1997 SO.57
1987. S3.26 I 1998 SO.35
1988 S2.85 1999 SO.15
1989 S2.40.
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
130.300 X $0.57 =1
0.000 X $0.57 =1
TOTAL MWMC CREDIT =1
$74.27
$0.00
$74.27