HomeMy WebLinkAboutPermit Miscellaneous 2006-5-8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRIN(,rmLD
Building/Combination Permit
PERMIT NO: COM2006-00479
ISSUED: 05/08/2006
APPLIED: 04/24/2006
EXPIRES: 11/08/2006
VALUE:
SITE ADDRESS: 4070 NORTH ST
ASSESSOR'S PARCEL NO.: 1802061100800
Springfield TYPE OF WORK: Site Work Only
PROJECT DESCRIPTION: Site work for partition
Owner: GEORGE ISAKSEN
Address: 4070 NORTH ST
SPRINGFIELD OR 97478
. ..,...,,'I,reS 'jUv..~~ .
I CONTRACTOR INFORMATION'
. . "J U) - re ~\jl. ,......
o ~ ..\:' ,oJ, ("f.) fU\es a r. nr",\...
Contractor . :;l\Ct. \"oJv \l 01>-1" 9ElcenSe
OWNER - . ':';'~ ~,\\_OO,o \\lro~~~ nl \\le rules '0,/
"~':.~' .~~~ I PBUI~DING'.iNFORM}\iioN'I~o
w"J -. \1 e <"0"'- U\\I\\~ ..--
C"\\",g' ^ "'''000 44)
" bef lor \'#'of-Stories:,332-23 .
f)u\1'\ . .. .1--0\ IV
ceotHeignt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
TYPE OF USE: New
Residential
Phone Number: 541-741-6627
Expiration Date Phone
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Rqd: 'f..
Paved Drive Rqd: t i\-\'t. '-NO"- :i
C't.% of Lot ~t"['ige:'J,'t. \ ,,-\'.~\i \'2, ~O
~O~ ~~~~\~~~~"- ~~~~~~~Nt\) to"-
J ~l)/lUTe-IMP.~~MElNIENTS I
COW.\~\\."- [>.'1I''t.\,\\V-
[>.~'1 illlJ \)
I Valuation Descriotion I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
In Lieu of Assessment
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each AddtllOO'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Public Works Review
.
.CITY OF ~rKll~'-'r""'LD
Building/Combination Permit
PERMIT NO: COM2006-00479
ISSUED: 05/08/2006
APPLIED: 04/24/2006
EXPIRES: 11108/2006
VALUE:
Total Value of Project
Fees tiW!J
Amount Paid
Receipt Number
Date Paid
$5.90
$4.72
$3,303.30
$45.00
$305.12
$401.12
$14.00
$10.00
$865.31
$82.03
$83.18
5/8/06
5/8106
5/8/06
5/8/06
5/8/06
5/8/06
5/8/06
5/8/06
5/8/06
5/8/06
5/8/06
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
3200600000000000241
$5,119.68
, Plan Reviews ,
04/24/2006
APP SB
Added SDCs for new sanitary sewer
connection
05/03/2006
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~irerl 'nsn~
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, I state and agree, that 1 have carefully examined 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 descrihed herein, and
that 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 who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle frnm lhe
, I street, that the r it card is located at the front of the property, and the approved set of plans will remain on the site at all
times during ons ZrJ L ~ ~tf7~
Owner or Contractors Signature
Date
Paee 2 of2
~- . .' '"1
.
CITY OF SPIGFIELD SYSTEMS DEVELOPMENT4lRKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x I COST PER S.F. I 1 CHARGE I
1 0.00 S0.323 = 1 $0.00
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F. I x I COSTPERS.F. I x 1 DlSCOUNTRATE I 1
1 0.00 I SO.323 1 50% = 1
-
COM2006-00479
Geor~e Isaksen
4070 North SI
1802061100800
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF:
o
LOT SIZE (SF):
o
'1-
I~
'0
u
c.:
w.J
l-
(/)
o
~
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
SO.OO
$0.00
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
16 I $25.07 $401.12 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
1 16 I $19.07 $305.12 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $706.24
] TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADTTRIPRATE I x I NUMBER IOF UNITS I x 1 COST PER TRIP I x INEW TRIP FACTORI
1 9.57 1 S19.09 1 1.00 1 $182.69 1093
B. IMPROVEMENT COST:
1 ADT TRIP RATE I x I NUMBER IOF UNITS I x 1 COST PER TRIP I x INEW TRIP FACTOR I
1 9.57 1 $84.19 1 1.00 $805.70 I 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 1 S82.03 = $82.03 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
1 I I $865.31 = $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 _I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $1,663.58 I
5 ADMINISTRATIVE FEE:
ISUBTOTAL x ADM. FEE RATE I~ CHARGE
I $1.663.58 5% $83.18
TOTAL SANITARY ADMINISTRATION FEE: 83.18 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078
1
Steve Beaudry Barnes 5/8/2006 TOTAL SDC CHARGES ;1 $1,746.76
PREPARED BY DATE
. . ~~ , .
, , .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FtXTURES , UNIT EQUtV ALENT = DRAINAGE FIXTURE UNtTS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
IBATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL 1 SOLIDS / ETC. 0 0 3 = 0
IiNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EAt 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
!RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAL/RESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL! WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 16
'EDU (Equivalent DwellinR Unit) is a dischar~e equivalent to a sin~le family dwelli"lit unit (20 DFU's) set at 167 ~llons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 $5.29 (Enter I for Yes, lfor No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $5.19 (Enter I for Yes, 2 for No)
1981 $5.12 BASE YEAR 1979
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE 11000 CREDtT RATE
1985 $4.40 $0.00 x $5.29 = , $0.00
1986 $4.07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE / 1000 CREDIT RATE
]989 $2.73 $0.00 x $5.29 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
]997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
, 200t $0.05
II
.1
i
225 Ftfih Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
COM2006-00479
Payments:
Type of Payment
Check
.
RECEIPT #:
3200600000000000241
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
In Lieu of Assessment
A of Springfield Official Receipt
l!rvelopment Services Department
Public Works Department
Date: 05/08/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
THERESA & GEORGE
ISAKSEN
njm
:!:"E,.,"'oESA, "
sPFiflVa FiTH sr GEORG" '
I'fEW. o' ?"-662/" ISA,IrS
h Fi 9?4?~ EN
ray to th '8
ordero/ C
. . .
.0
,.
, 00
C~t:'~,j.~""l"'"
~ ""3as ""0,.,
For '~
. ~
'.32
-. 32,1.1." k-
- Q .':000
,
.
0298 ~
000 - -.
211-
8. .s
Page I of I
8\ 16
In Person
Payment Total:
<4-
~te~
8116
....,~
$ 'S'1/9
. (,~
olkrs
d) :;:..,_
......
,"!'
1I:45:14AM
Amount Due
45.00
14.00
4.72
5.90
40\.12
305.\2
82.03
865.3\
10.00
83.\8
3,303.30
$5,119.68
Amount Paid
$5,119.68
$5,119.68
5/812006