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Home My WebLink AboutPermit System Development Code Charge 1996-8-20 . . " " I """, "1 o Y.'!.WR~O':!!.l!!t\!!~ " " Job No. ~ NAME: SYSTEMS DEVELOPMENT CHARGE WORKSHEET [}f\ 5 ,0f!P r " . ': PHONE:~+l ~ \ ~~~ltJ\'~srAre~p Ql4ll " ADDRESS: . ' Lq<:ATION OF PROPOSED ?UI}8!.I}lG SI1f\, ~^ 1!'.1 ,...:" Street Address if Known:.1.Iltt=1 U U.(\ ULU.lJ.J...' .J Platt N e: Tax Lot Number: ~. , I f)O~&l9-(rJ D~ , 1. DEVELOPMENT TYPE (Chedc appropriate dwellirig(sl. SDC calcul;ltions and dwelling type definitions are on the back.) , " " " , ' ' A. Sinl!le Familv - Detached " + Single Family home' , . NO OF UNITS 1 Manufactured home not in a park:, . (j) X $400 PER UNIT.r. , " $ 4ro. B. Sinille Familv -'Attached .' \, \ NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv ADartmen~ . NO OF UNITS D. ManufactUred Home Park' X$'P7 PER UNIT = $ NO OF UNITS X $280 PER UNIT = $ " $400P:), ,': IY $ -V $1LOOO WPRO SOC 2. SOC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit approval. See SDC Credit Worksheet. , ' 3. TOTAL WPRD NET SOC ASSESSED (If SDC reduced {or Credit} ~p~ )~DPeJ t), W',' CXl,o , ' ~ , . . '.~':N'O: '1.:;;~4-0 CITY OF SPRINGFIELD ~YSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: $-(CAN 13 CORP LOCATION: ~ 1-" ,,-1/ CHt:> LA '> 17 t:>~ '2"2. i"2. - 0 I~ 0(" DEVELOPMENT TYPE: L f) R- - NF- V\J ~FR BUILDING SIZE: LOT SIZE SQ, Ft. 1, STORM DRAINAGE IMPERVIOUS SQ, FT, '2."'1 e,? X $0.209 PER SQ. FT, ~~?~0 2, SANITARY SFWER-CITY NO, OF PFU'S 19 X $43,26 PER PFU (See Reverse) c-B~I~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP f X f,()1 X $436,19 X X $436.19 X $436.19 c-440V $ $ X 4, SANITARY SEWER-MWMC NO, OF PFU'S \,,\ x $17,19 PER PFU + $10 MWMC ADM FEE $ ?~<O~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ NIA TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 7"2229'7 5, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) V'^~Lt.k. (j Kip Burdick SOC Coordinator X .05 Date: ? /?/ /&f!i.. I , 'TOTAL SDC Gllt\~ .......... ~ $ '2.~?A-~ ---, FIXTURE UNIT. ,C;ALCULA TI~ T A.BLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, 'calculate only the. addltlonal fixtures) . , NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ? 2 1 2 3 6 2 6 6 1 ,3 2 1/Head 2 2 1 6 4 4 z... Bathtub......., ...........,................,..,.......................,' ,.... Orinking Fountain.......:............................................. Floor Drain"......,."....,.,.....,....................,....,........,.... Interceptors For GreascIOiIISolidsIEtc................. Interceptors'For Sand/Aulo Wash/Etc.................. laundry TubIClotheswashcr... ...... .,...., .... ....,. ...."... Clothes washer . 3 Or Morc........,...~......................., Mobile Home Park Trap (1 Per Trailerl......:........... Receptor For Refrigerator/Water Station/Etc........ Roceptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall..............,..,..,....,..,.................... Shower, Gang,......,....,....,.."...,....,..,..,.. .............:....... Sink: Bar, Commercial, Residential Kitchen,....................... Urinal, Stall/Wall., ,..."......,..."..,.".".,....,",.... ...... ,..'" Wash Basinllavatory; Single....,........,............,....... Toilet, Public Installation...................................,.... Toilet, Private................................,..,..............;.... Miscellaneous: '2 1. ? '2 ~ TOTAL FIXTUI1E UNITS ~ \'1 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, r----- calculate credits separates. Year Annexed Hate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3,38 3.32 3,21 3,06 2,92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1,37 0.97 0.61 0.44 0.15 ,I Improvement (if after annexation datel X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit' for ,Parcel or land Only If Applicable = CREDIT TOTAL = $ .-Al/A The, following project as oubmltted has the zOning, and does not require specific land use approval. , Zoning ,L l:o\L 225 FIPTH STREET Date~ SPRINGFIELD, OREGON 97477 ~A INSPECTION REQUEST: 726_3769ulhcrlzod Signature 'iV' OFFICE: 726-3759 ", ELECTRICAL PERKIT APPLICATION ritv Job,Number C1S 'O~J.tT\ 3. COMPLETE FEE SCHEDULE BELOV 1. LOC'g~q Ol\rf~~~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION l10~~\':l {')nOIo J~ ~~CRIPTION Items Cost /' $ 85.00 Sum ~~,~ 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder .LI.s.Cb Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor to:\.1V ~ fleS/l'c. Address f. D, ~O;t '1 S9 ~ Ci ty {'!ly..,t 91'1D1 Phone 9'3 ~ ~ 5'"303 Supervisor License Number ~gl~ 5 Expiration Date /0-\-'1S'" Constr Contr, Number "}q '5"7"1 3 $ 15.00 $ 40,00 ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only S 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00: C. Tempora.y Services or Feeders Installation, Alteration or Relocation l:: - 20 - <t l: Expiration Date 200 amps"OT less 201 amps to'400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ..''I''- - $ 40.00 S 55,00 $ 80.00 see "B" above () 1\b . ~1LJlQu) Phone ' D. Branch Circuits .' ,New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or wfth Service or Feeder Permit S 35.00 $ 2.00 The installation is being made on property I own which is not intended for sale, lease or rent, E, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ S 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE I~O, 2 5% State Surcharge ~. ~ 3% Administrative Fee ~ '1.!,!, TOTAL \ "1.n."tfl Owners Signature: DATi;=-----gw-:q(P."-=:-:-~------- RECEIPT 1I: ~ 'J. LY\ l.!-J RECEIVED BY: (f~~ - . '';to' . ~.-. . .." .~:,;.": . ...... TAX LOT: - n J.:301...p SUBDIVISIOrok,J \\C,\~ ' OWNER:~f) ,(\f\ f\ \-~ (\f)({) PHONE:\~o.B\'Y"\ ,OO~ (~ ~ llm \j [\ 1 X \)\Jl.J.J'1 .~ ^ 0 (\f>r(\ CITY: :-J\ ~ fV1)~ ~) STATE: ( '>V" " \ ""''''~" ~~n~~Ma ro. Q '. ~ ~um 0 J-L-- NEW ~EMODEL ADDITION DE~ISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK: lo~~ ASSESSORS MAP:-'!Jn~~ 10.. LOT: fl. BLOCK' . t.--- 1 . C\~ JOB NUMBER 225 Filth Street Springfield, Oregon 97477 , ZIP: ql1l7 CDNTRAClOR'S NAME t~ADDRESS GENERAL: ~.hfi.n.n-" 0 ( a1) PLUMBINGl.'~~f?\ [' \. \roD MECHANICA( , Q:$',.1l \~~ ELECTRICA~ f\~ CONST, q CONTRtTO::9 -a.~ QhES (., 5~HONE ,()~ 81'Qq~ ~C;~ ,l=)OlogQ ~. 'd..\nJtl t:\b IlQ]} ~Qtl?C\ ~. \I,~\_O \o~<l..1?f)10 - OFFICE USE - QUAD AREA: \~ ~)\U LAND USE: ,\\ \ FLOOD PLAIN' \. ZONING CODE: illb . OF BLDGS: . OF UNITS' OCCY GROUP: ~~ \J\. CONSTR. TYPE: $A) . OF BDRMS: .~ - . OF STORIES: , HEAT SOURCE: ~E... SECONDARY HEAT' WATER HEATER- G RANGE: G SQUARE FOOTAG E: c>J C>B'T To request an Inspection, you must call 726,3769, This Is a 24 hour recording, All Inspections requested before 7:00 a.m, will be made the same workln9 day, Inspections requested alter 7:00 a.m, will be made the following work day. '. ..... . Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. ,- o Underslab PlumblnglElectrlcall Mechanical - Prior to cover. rVl Footing - After trenches are ~ excavated. ~ Masonry - Steel location, bond beams, grouting. rVl Foundation - After forms are Lt::J. erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, ' rlJl Underlloor PlumblngJ Mechanical - Prior to Insulation or decking. rY1 Post and Beam - Prior to 1I00r ~ Insulation or decking. r'a Floor Insulation - Prior to I decking, ~ Sanitary Sewer - Prior to filling trench. I\;l Storm Sewer - Prior to filling ~ trench. . IVil Water Line - Prior to filling 4J trench. I l m Rough Plumbing - Prior to l...l::!J cover. " REQUIRED INSPECTIONS , rY1 Rough Mechanical - Prior to ~cove~ ' I\Tl Rough Electrical - Prior to I L..f:=J cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. rvt Wail/Ceiling Insulatlon'- Prior to ~cover. [::ja Drywall - Prior to taping, o Wood Stove '- After 1~~t"'II"'t'lon. o Insert - After fireplace approval and Installation of unll. rvr Curbcut & Approach - After ~forms are erected but prior to placement of concrete. m Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. IVl Final Plumbing - When,all T plumbing work Is complet,e, '..-__1 rvl Final Electrical - When all ~ electrical. work Is complete. i'V'l Final Mechanical - When all L.fW mechanical work Is complete, rn Final Building - When all ( required Inspections have been epproved end building Is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - 'After all required Inspactlons are app'roved and porches, sklrtln'g, decks, a'nd venting have been. Installed. "- BUILDING PERMIT ITEM J1~(JQ~ Main Garage Carport X $/SQ, FT, = -.:10, 21) -3,/0 Total Val ue Building Permit Fee Sta,te Sur~h'arge ~\,I}..() +, \ ~_1;9.. , , Total,Fee ' (A)' B~uq lo:~ , q <f) 7i1 .L\&'L\. CJ() 3,3~ .l..\c;7.~~ , ' SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (B) ~ 'Z,,~'.l. PLUMBING PERMIT ITEM Fixtures , ~ Re~ldentlal Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT, Mobile Home, Plumbing Permit State Surcharge Total Charge 8.t.\:) +4,~ (e) MECHANICAL PERMIT Furnace Exhaust Hood Vant Fan ,'J ... N' ~ Wood StovellnsertlFlreplace Unit Dryer Vent GCY.I nr,~.,\;)',.n -1- ~--.- . , Mechanical Permit Issuance State Surcharge 'l..l4S + ,81 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk !;;7 3i fl fl Curbcut Demoll tlon S+ate-E_,'.o.:...;:..,~ ... "()~~ r~..\R %" Total Miscellaneous Permits , (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE \'bO~ \.b~~ \~W- \.7'{f.~S (.. .- CJ\) J-t,~ '1,~ ~c;o Co.~ .; ~q,O() \b-~ -'>'9, ,9.., -= .L.\\, ~:l.. \B.S!; \.l\.~ r 'c.v ..,.0,,- S '2, ';:65 ] -= ~O qq, So ,(' ~HE PROPOSED WORK IN THE '-"HISTORICAL DISTRICT, OR ON THE HIS10RICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vIolation of any provisIons of said ordinances. Plan Check Fee: . ~ Date Paid: ""nO / Receipt Number: ~ ~f)7 II'" ~C~~BY: , pl}J Reviewed By , r !I\(+;S ~ate Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, AqDI~NAL COMMENTS \ i/rl kn, / I ~ v\nJ) J JI: lCfQS ( ~~/: ~tr)(.'pJ)f. ~ Q-AJL .' ~J ~ 'Xl J"Yl.t Ql) lo ~-') ~ n I (l YI lJfLLD (ac:1nK~ ) '- ~?,' r-.~_,,--~_:-~__.. ...-~~t" f',U-= ~- ',Il1- ~\?:" \ i ! i i .~ : ~~ ., ,~~ , By signature, I state and agree, that I have carefully exam!ned the completed application and do hereby certify that all Information hereon 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 pertaining to the work described herein, and, that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on this proJect. ; i I- I I i I I I , I further agree to ensure that 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 the approved set of plans will remain o t e site at all times during construction. \ :. "'r;( -;:)0.-q U \.., VALIDATION: /) (\(1" 11\ RECEIPT NUMB~ i"' C\rl~'OiJ.J DATE PAID----QY l)G\'lcP AMOUNT RECEI~D ~ ~.b '3,'\, '1 tl RECEIVED BY I rn) . - . - - -