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Home My WebLink AboutPermit Miscellaneous 2002-4-30 f_ -.." \ . I / SPRINGPIELD ~ -. I Job# 02-00428-01 I . Page 1 of2 TRANS#:01-0008761 DATE:APR 30 2002 ANT RECD:2 $ 1090.41 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00428-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5925 Main St Spr Assessors Map#: 17023432 Lot: Block: Addition: Tax Lot #: 01003 Subdivision: Owner: Address: Robin Donner Phone Number: 541-747-6922 City/StatelZip: Springfield, OR 97478 New Value: $8,000 5925 Main Street Scope Of Work: Paving .,-0 C\V. ~~'1-' 1(\ Office Use' ,}\e"'o",\5 i\.'0~" Land Use', I A t~' '''k~ .e~# Of"'80 ~,r.ll"'''_-.\ nsurance gen, fO er, ",' .. UI ulllgS: ',J> e"" c,v -J-:-,0- Zoning Code: NC ,~~., ')\'$' \~eo~up'ancy',Group: Bedrooms: Q\"""" eo'O 0",0 .\~H~at~'Soffi~:P~ n''''' 0~'1 ~'(;< ~ov.< "'~ .0'- ..~,,,- Water Heater: Range: ."U ~CI ~\. ,,'$' ",S!HFoo!age: .-.\. G'-V ..\-u _-''-J ,.O"Y .",. \~'..., AV -\>'v r.<6' 5.)"'; ',\" o'"v .~,,, ^"'~' .:\: .( _v~.. \'1J' \~ ,'~ ft" To request an inspection call the 24 hour recording at 726'3~69,~Albin""e<;lionl1.re\Weste.d before 7:00 a.m. will be made the same working day. inspections reque~~~(j'!'af!.et7~po\a,:;m':lI{illi~jili-ade the following working day. ~o O~'<' ..J..O-\> '$>0V 1(\0": ,93 .^ ". t\ ~'1 ,\'" . \'\.' t"'.<?lv. \.\\.<:-."'!) ,,\0 .1l0'\. ReqUired Inspect!.o~lbl!. CP I Building 'C''''' I -See Plan Review and/or Inspectors Notes, or prior to cover if applicable. -After paving is complete. Paving Quad Area: # Of Units: Constr. Type: 4RSE Special Final Paving Storm Sewer Line I - Prior to filling trench. Plumbing ~~~'f.. &- ,\y.~ ~ ~~'\ ~\~~~~~~ ~~~ . ~y.~\'\..'\'~~ f\)~~~ ~~'\\~\~~~ ~~'\)~ ~~se: Insurance Agent, Broker '\~~ ~ f\)~t.~l'\) '\)~ ~~ Driveway? D ~~'\V/. ~~~~ ~ ~~ 3: c,~~ <0<;) '\) ~~~ '\ Zoning: NC FloodPlain? D Wetlands? D Journal numbers 1: Overlay District: # of Street Trees: 2: Comments: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: r/ "- .... - ~ , \ ~onstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D jArea (Sq. Fe ,1) I Main: Accessory: . I Job# 02-00428-01 I . Page 2 of2 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: I I Paid On Receipt# Plan Check 04/30/2002 8761 Value/Quantity Fee Amount Fee Commercial Plan Check Total Plan Check 8,000 $59.67 $59.67 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 04/30/2002 8761 04/30/2002 8761 04/30/2002 8761 8,000 $91.80 $6.43 $7.34 $105.57 Minimum Plumbing Permit Fee State Surcharge - Plumbing Storm Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing Plumbing 04/30/2002 8761 04/30/2002 8761 04/30/2002 8761 04/30/2002 8761 40 $.00 $3.15 $45.00 $3.60 $51.75 Impervious Surface Area - Storm SDC Administrative Fee Total System Development Grand Total System Development 04/30/2002 8761 04/30/2002 8761 3,047 $831.83 $41.59 $873.42 $1,090.41 Plan Check Type Checked By Date Completed Comment Initial Review-C/IIP Engineering-C/I/P Planning-C/I/P Lisa Hopper Pam Ownby Liz Miller 04/17/2002 04/26/2002 04/17/2002 OK'd by Sarah Summers in conjunction with easement for Billings Chiropratic Easement Landscaping shall be in accordance with 31.140 of the Springfield Development Code. Any trash receptacles shall be screened. Structural-C/IIP Tom Marx 04/22/2002 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 requested at the proper time, that the project 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 dur' a:onnstrrli:in.., . . ~ ) luJAJ3-I'/ ~'----'" M'3o ,tZ60' oz.. ~ ture / Date ) '- i . . AITACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 02-00428-01 NAME OR COMPANY: ROBIN DONNER LOCATION: 5925 MAIN STREET MAP & TAX LOT NUMBER: 17-02-34.32 DEVELOPMENT TYPE: OFFICE. PARKING LOT PAVING NEW DEVELOPED BUILDING AREA (S.F.): EXIST]NG DEVELOPED BUILDING AREA (SF): TOTAL DEVELOPED BUILDING AREA (S.F.): 3,047 ITE: ITE: LOT SIZE (S.F.): I. STORM DRAINAGE IMPERV]OUS SQ. FT. 3,047 x S 0.273 PER SF TOTAL STORM DRAINAGE SDC: , $ 2. SAN IT AR Y SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 715 ~ u - ~ 'Ill ~ 'CiJ"CI u = ,,'-' 831.83 1070 0 x S 21.37 PER DFU I $ :;l091. ~';r~i>~i 0 x S ]6.24 PER DFU I $ TOTAL LOCAL W ASTEW A TER SDC: I $ 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x I 1.57 x S 16.26 PER TRIP x B. ]MPROVEMENT COST: 0.00 x 11.57 x S 71.75 PER TRIP x 0.9 NTF 0.9 NTF TOTAL TRANSPORTATION RE]MBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC: 1$ 1$ $ $ $ 1093 1094 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 S190.20 PER FEU x 0.00 S19.90 PER FEU x MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC: IS IS IS I $ 1055 1056 , $ l , $ 83~83l: , $ 41.59 1073 I $ 873.42 ~ SUBTOTAL (ADD ITEMS ],2.3, & 4) 5. ADMINISTRA TIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 pa""-eLaj. OWVIob eM SDC COORDINATOR 4/26/2002 DATE TOTAL SDC CHARGES ComBuildSDC2001.xls JULY 2001 . . 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) I. FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDS/ETC INTERCEPTORS FOR SAND/AUTO W ASH/ETe. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A nON/ETe. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL. RESIDENTIAL KITCHEN SINK, COMMERCIAL BAR SINK, WASH BASIN/DOUBLE LAVATORY SINK, SINGLE LA V ATORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INST ALLA nON TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD NUMBER OF EDU'S' UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS= *EDU (EQuivalenl Dwellin~ Unit) is a dischar~e eQuivalent to a sinj;tle family dwelling (20 DFU) set at 167 gallons per day DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o o o o o CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULA TE CREDITS SEPARA TEL Y YEAR RATE PER $1,000 YEAR RA TE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $ 4.92 1990 $ 2.06 1980 $ 4.83 1991 S 1.64 1981 $ 4.77 1992 $ 1.45 1982 $ 4.64 1993 S IJI 1983 $ 4.47 1994 $ 1.13 1984 $ 4.30 1995 $ 0.97 1985 $ 4.09 1996 $ 0.82 1986 $ 3.78 1997 $ 0.63 1987 $ 3.41 1998 $ 0.41 1988 $ 2.98 1999 $ 0.22 1989 $ 2.52 2000 $ 0.04 CREDIT FOR PARCEL OR LAND ONL Y IF APPLICABLE x =1 $0.00 IMPROVEMENT (IF AFTER ANNEXA nON DATE) x =1 SO.OO CREDIT TOTAL so.oo ComBuildSDC20D1.xls JULY 2001 IIII ~- P?... Willamalane t'- "'!' Park & Recreation District . Job. No. () 1- r.Jb J,s'lJ -OJ "'. . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: Ro h;,.. ~ 01~ ~ I_.J- PHONE: '7Y1- (gqJ).- STATE: ()(L~IP: 4147' ADDRESS: 8M:}. S- LOCATION OF PROPOSED BUILDING SITE: Street Address: I'i3J /4S- 5~ Plat Name: Tax Lot Number: liD 1..}if 3"2. 0 JA-oC> 1. DEVEL9Pf1!ENT TVP.E (Check appropriate dwemng(s). SDC calculations and dwemng t ype definitions are on the back.) A. Slnole-FRmllv DetR~ Single Family home . Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $ B. Sinole-FRmllv AttRcherf NO. OF UNITS ~ X $924 per unit = C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Ma"I/fR0II/rArf Hom~ Park NO. OF UNITS WILLAMALANE SDC X $699 per unit <= $ 2. SDC CREDIT (If appficable) SDC-payer must fumlsh proof 01 Willamalane Credit approval. See sac Credit Wotksheet.$ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) $ 1\ W~ DevelOP~ Services Department. City of Springfield $ 1~~<6. - $ \~L.j.~. - (fi 1</-4<[ . - 4 I ()'J.... I 0 ( Date'