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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