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Home My WebLink AboutPermit Curb Cut 2009-5-15 (2) Status Issued CITY OF ~t'Kll~l.l'lJ',LD . , Building/Combination Permit PERMIT NO: COM2009-00677 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/19/2009 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 750 66TH ST Springfield TYPE OF WORK: Curbcut ASSESSOR'S PARCEL NO.: ]702341'300~QOnON: Oregon law require' f follow rules adopted by the Oreatttll/lF USE: New' PROJECT, DESCRIPTION: WastewateiiiSDGs,Curbcut,-and,P,lumbing. tf"tYh . . '.. -'-......." l"u"c;IUIl:~~b.,ese ort In OAR 952-001-0010 throllnh OAR a~') M< vv~u', 'uu may Obtain copies of the rules by LuNDBLAD ROY W calling th t 1444 VERA DR ' e cen er. (Note: the telephone SPRINGFIELD OR 9747~umber for the Oregon Utility Notification Center IS 1-809-332-2344). Public Owner: Address: Phone Number: 541-746-0194 Owner: MIKE BLANKENSHIP CORP Address: 8063 TH URSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION 1 Contractor Type Plumbing Contractor OWNER License Expiration Date Phone B~ILDlNG INFORMATION I VB # ofStorles: Lot Size:' Height of Structure ,Sq Ft 1st Floor: Type of Heat: Sq Ft. 2nd Floor: ' IjType: ~q,Ft Basement: NOT '~HAll EXPIRE If THE WO$'tj\Ft Garage/Carport TH\SEPn~. at/i:, THIS PERMIT IS I'IDITFt Other: AUTSli\li'd fJl ~lilldffi'RANDol'tl!r; fOR Occupant Load: _ _ "l"~~''''cr nR 1~1l. ' \!\~li'l...._t/':. ~ I D&\;;EL<mMEl1IIfflm\(I).'RMATION 1 REQUIRED PARKING # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Front yard Setback:, Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special ]n~truction: Sidewalk Type: Downspouts/Drains: Notes: Roof drains routed to weep boles at curb line. Paee I 01'3 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description .+ 5% Technology Fee CUl'bcut Permit + 12% State Surcharge + 5% Technology Fee Sanitary or Storm Sewer Cap Sanitary Sewer - ]st ]00 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin , Total Amount Paid CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2009-00677 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: .11/19/2009 VALUE: I Valuation Oescriotion I $ Per Sq Ft or multiplier , Square Footage or Bid Amount Value, Date Calculated Total Value of Project FmP'\W Amount Paid Date Paid Receipt Number $4.40 $88.00 $16.08 $6.70 $58.00 $76.00 $504.88 $663.96 $10.00 $1,009.17 $97.90 $] 14.30 5/15/09 5/15/09 5/19/09 5/19/09 5/]9/09 5/19/09 5/19/09 5/19/09 5/19/09 ' 5/19/09 5/19/09 5/19/09 2200900000000000533 2200900000000000533 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 3200900000000000377 (' . $2,649,39 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. ' , Rpl1l1irp,~ l"snec.tions i Curbcut - Standard: After forms are erected but prior to placement of concrete, Septic Tank Pumped: After septic tank has been pnmped and tilled. Please provide the inspector with receipt and verification from company performing pump and till. Sanitary Sewer Line: Pl'iorto tilling trencb and including required testing. Paee 2 of 3 -TJi'"'~:mu.'" ' .,.. i., ~.......~..I,: ~).j1_ .->...-......",..."," ..1." "",-.,' CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00677 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/19/2009 VALUE: 225 Fifth Street, Springlield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested 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 tbe approved set of plans will remain on tbe site at all times during constl'U tion. /f{/. ~ S ..- ( 1 _ ;2 (j (/ r Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS L STORM DRAINAGE o LOT SIZE (SF): o DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S,F, CHARGE I 0,00 I $0.357 I = l $0,00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x COST PER S,F, I x I DISCOUNT RATE I I I 0,00 I $0,357 I 50% I = I ITEM I TOTAL - STORM DRAINAGE SDC $0.00 , 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 24 I B. IMPROVEMENT COST: I NUMBE~~F DFU's I COM2009-00677 Roy Lundblad 750 66th Strect 1702341300200 Single Family Residence I I BUILDING SIZE (SF' COST PER DFU $27.67 x COST PER DFU $2 L04 3. TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC A REIMBURSEMENT COST: I ADT TRIP RATE I x . 9.57 I ~ , $1,168.84 I NUMBER OF UNITS I x I I 0 I I COST PER TRJP 21.06 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRJP I 9.57 I I 0 I I $92,89 ITEM 3 TOTAL - TRANSPORTATION SDC ~ , $0.00 DISCOUNT $0,00 $0.00 $663.96 $504.88 x INEWTRlPFACTORI I LOO I x INlOW TRIP FACTORI I LOO I $0.00 I~ , CFl IW 10 18 10::: IW E- CFl ~ o ~ 1070 11091 1092 1093 SO.OO 1094 4, SANITARY SEWER - MWMC MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMCSANITARY SEWER SDC ~, SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , 'i ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE I~ I $2.285,91 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: A REIMBURSEMENT COST: INUMBER OF FEU's I x I I B. IMPROVEMENT COST: I NUMBER OF FEU's I x I I I ICOST PER FEU I $97,90 ICOST PER FEU $1,009,17 SI,117.07 $2,285.91 = S97.90 I ~I 1054 1055 1054 I 1056 j I I CHARGE $114.30 Todd Singleton 5/19/2009 ,----._-- - PREPARED BY DATE TOTAL SDC CHARGES = , = $1,009.17 $0.00 $10.00 114,30 1079 $0,00 1078 $2'40~1 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 -, I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I I LAUNDRY TUB 1 0 2 = 2 II ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0, 12 = 0 fRECEPTOR FOR REFRIG / WATER STATION i ETe. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 1 0 3 = 3 ISHOWER. SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAURESIDENTlAL KJ'rCHEN 1 0 3 = 3 ISlNK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOlLET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 -EDU (Equivalent Dwelling Unit) is a dischar~e equivalent to a sing~.e family dwellin~ unit (2o..Q~s) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATEI.$1,00.6J'uI ASSES~ED V ""LUF,_ < " $5.29" " _" ""'$1,59" ;, ~L:-~~I~gk'Lt\ i~l;1 :~~~:~;L; ':~:I ;:~~~~"::'r.~~,~'~:~~~:' i,i~i~; ,~$0.28;c_ _ ~:~O,:qQ"!~:Jr,:'j Jt,,~.; ".~~O.O_5l~, -=_ IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE 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 IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 X $5,29 ~ , o TOTAL MWMC CREDIT $0,00 = 225 Fifth Street Springfield, Oregon 97477 541 ~726-3759 Phone Job/Journal Number COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 COM2009-00677 LDP2009-00038 LDP2009-00038 Payments: Type of Payment Check cRcccintl RECEIPT #: Description Sanitary Sewer - Reimbursement Sanitary Sewer - lmprovemeni SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin Sanitary or Storm Sewer Cap Sanilary Sewer - 1 st 100 Feel + 5% Technology Fee + 12% State Surcharge LDAP Short Form + 5% Technology Fee Paid By MIKE BLANKENSHIP CORP ~-, City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000377 Date: 05/19/2009 3:02:23PM "Item Total: Check Number Authorization Received By Batch Number Number How Received Amount-Due 663,96 504,88 97,90 1,009,17 10,00 114,30 58,00 76,00 6,70 1608 450,00 22,50 $3,029.49 Amount Paid djb $3,029.49 $3,U29.49 12462 In Person Payment Total: Page I of I 5/1912009