HomeMy WebLinkAboutPermit Plumbing 2009-12-15 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01774
ISSUED: 12/15/2009
APPLIED: 12/11/2009'
EXPIRES: 06/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 I nspection Line
SITE ADDRESS: 3957 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO,: 1702190003300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: Connect existing fixtures to sanitary sewer
Commercial
Owner: CITY OF EUGENE
Address: CITY HALL
EUGENE OR 97401
I CONTRACTOR INFORMA TlON ,
Contractor Type
Plumbing
Contractor
ROBINSON PLUMBING INC
License
107124
Expiration Date
07/13/2011
Phone
541-345-6909
I BUILDING INFORMATION I
.~_..,~.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
# of Units: # of Stories:
Primary Occupancy Group: H~i ~~wStructure
Secondary Occupancy Group: tequlleB ~t,ijeat:
Primary Construction Type~. Ole~ la~tle Ole~t 'i~:
Secondary Constr~ : adO'P\ed tl'lse lUleS !I'8t~~2: )J:i\o:
# of Bedrooms: ~"o'" f\J e.centet. '010 OUgtl Oilfl.~?\)ye%:ijIJ:
No\lMe.\\O~.oo\.oo\O\tllopies ol~~\li~,,~uilding: n/a
a'lP~" -.....''1C ~AII'\ev "--
'QagO. 'f~~"~ntet. ~tJ;.v~_'o/'MENT INFORMATION I
calling . r \tie 0le9 0 '3'Jr-... '
.:-.~"""" ,0 I \B \-&0 .
Frontyard Setback: 1\>>"-- cenW Overlay Dist:" ,
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Slorm Sewer Available:
Special Instrnction:
Sidewalk Type:
DownspoutslOrains:
Description
Type of Construction
'. ,''', ,::'~" :~,'~A":~'.'(~-"""
MOl\CE: EXP\~E If THE WOR\( .(
-"^ n.-..,MIT ~"'/'1.LL . f~r:,"\T \~ NOT ,:
, "',"'-' ND"Kln'i) ..to' ."
. , . ED U " FOR ,,\:.,"
I V~luatlOn DeSCrIDtllAiU I-IORNIZCED OR IS ABANDONED ,.' '.' .
~u~ME IDD'
$ Per Sq Ft Squa'i!\IJfllot:W DAY PER .
It' I' B'd At' Value Date Caleulated
or mu Ip ler or I moun
Notes:
Pa2e I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01774
ISSUED: 12/15/2009
APPL1 ED: 12/11/2009
EXPIRES: 06/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetion Line
.,T!)tal Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
Date Paid
Receipt Number
$6,96
$2,90
$57,00
$1.00
$250.64
$513,52
$38,21
12/15/09
12/15/09
12/15/09
12/15/09
12/15/09
12/15/09
12/15/09
2200900000000001384
2200900000000001384
2200900000000001384
2200900000000001384
2200900000000001384
2200900000000001384
2200900000000001384
Total Amount Paid
, $870,23
Plan Reviews I
Public Works Review
12/11/2009
12/14/2009
DON CTM
possible sdc's for sanitary sewer
connection of three existing fix,tures.
To Request an inspection call the 24 hour rec!lrd!ng at 726-3769. All inspections requested before 7:00
a,m. will be made the same working day, ins'pections requested after 7:00 a.m, will be made the following
work day,
I Relluired Insneetions I
Rough Plumbing: Prior to cover and including required testing,
Final Plnmbing:' When all plumbing work is complete,
By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify tbat 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 Commuuity Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
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 on the site at all
tim2eSd:/~~ ~
/~ V- . --
O"oer o~ontractors Signature
J 2-.- / )' ~o 9
:.1
Date
", :
Page 2 of2
~ . . .
CITY OF SPRINGFIELD SYSTEMS DEYELOPMENT CHARGE WORKSHEET
, .IOURNAL OR .IOB NUMBER COM2009-0 1774
NAME OR COMPANY: CITY OF EUGENE EWEB
LOCATION: 3957 HAYDEN BRIDGE ROAD
MAl' & TAX LOT NUMBER:
DEYELOPMENT TYPE: CITY UTILITY EXPANSION
-
NEW DEVELOPED AREA (S.F.),
EXISTING DEVELOPED AREA (S,F,),
TOTAL IMPERVIOUS SURFACE (S.F.);
I, STORM DRAINAGE
IMPERVIOUS SQ, fT
MWMC
MWMC
733
733
730 ITE;
730 ITE;
LOT SIZE (S.F.):
x
$ 0.374 PER SF
TOTAL STORM DRAINAGE SDC:,
2. SANITARY SEWER-C.ITY (see reverse side)
A. REIMBURSEMENT COST;
NUMBER OF DFU's
B. IMPROVEMENT COST,
NUMBER OF DFU's
4
x $ 128.38 PER DFU
x $ 62,66 PER DFU
$ 191,04
TOTAL LOCAL WASTEWATER SDC:I $
764,16 I
4
3. TRANSIJORTAT10N
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST;
0,00 x 27,92
B. IMPROVEMENT COST,
0,00 x 27,92
EXISTING:
A. REIMBURSEMENT COST;
0,00 x 27,92
B, IMPROVEMENT COST;
0,00 x 27,92
0,9
NTF
$0,00 ,
x
$ 50,62 PER TRIP
x
x
$ 184.49 PER TRIP
x
0,9
NTF
$0,00 I
x
NTF ,
PER TRIP x 0,9 NTF , $0,00 I
TOTAL TRANSPORTATION REIMBURSEMENT SOC:I
TOTAL TRANSPORTATION IMPROVEMENT SDC
TOTAL TRANSPORTATION SDC:I $ I
0,9
'$0,00 I
$ 50,62 PER TRIP
x
x
$ 184.49
$ 23S,II
4. SANITARY SEWER - MWMC'?
NEW,
A, REIMBURSEMENT COST,
NUMBER OF FEU's 0,00 x $57,96 PER FEU $0,00 ,
B, IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x $597.43 PER FEU $0,00 ,
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,00 . x $57,96 PER FEU $0,00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x $597,43 PER FEU $0,00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE,
MWMC ADMINISTRATIVE FEE,I
TOTAL MWMC SDC:I $ I
SUBTOTAL (ADD ITEMS 1.2,3,&4) I $764,161
!;. AIlMJN1STRATrVR FRF:S:
BASE CHARGE (SUBTOTAL ABOVE)
$
764,16 x 5% , $38,21
TOTAL SEWER ADMINISTRATION FEE;
TOTAL TRANSPORTATION ADMINISTRATION FEE, $
Clayton McEachern PE
Civil Engineer
12/14/2009
DATE
TOTAL SDC CHARGES
f ;..6~;f;j6~~t~
,E"'c:::: 0'.(1:)1-,;4,
;:U"UJ,~'t1T~;
';;11)111)', J/oO."O
ell>. u' ','1:).0
O~._~ ..'::.U
$513,52
$250,64
$764,16
$0,00
$0,00
f?~~~-~.
"fj
'"" 78
$0,00
$0,00
$0,00
$0,00
$0,00
$0,00
$0,00
$0,00
--
~~~~~~~,
$38,21 ' j 175
'J.190
$802.3 7
r
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)
CITY UTILITY EXPANSION
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK'
INTERCEPTORS FOR GREASElOIUSOLlDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TION/ETC,
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK; COMMERCIAL, RESIDENTIAL KITCHEN
SINK, COMMERCIAL BAR
SINK, WASH BASIN/ooUBLE LAVATORY
SINK, SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS;
, NUMBER OF EDU'S'
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
1
5
6
3
, , .
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
I
o
o
o
3
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS = ,I' 4
o
o
o
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family_dwelling (20 OFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA TEL Y
, YEAR
ANNEXED
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED VALUE
2-$5,29
~"$5-19
, ""$5,12"
~~~~~:
,- ~$4,63
~t~i,~f~g')
,'.",$4,07
" ;;$3~67
""$3,22-" '
""$2,73"
~;f$2.25;' ,
'c"-$1.80
or before
CREDIT FOR PARCEL OR LAND ONl. Y IF APPLICABLE
IMPROVEMENT <IF AFTER ANNEXATION DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1,000
"SSE~,SED '! ALUE
~~~-::"j';!)~!:i~'
..$0,92
.- '$0,72
6,48
$O:f8
i $909 '
$0,05
'" '$0,00
,P"Tii'$'6.oo';'
, . $0,00
. ",,,;',jI',
';~"~:"!t:i, "
~~:".--;,.,
x
x
CREDIT TOTAL
$0,00
$0,00
, $0,00
225 Fifth S(reet
. '
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public WorkS Department
Job/Journal Number
COM2009-0 1774
COM2009-0 1774
COM2009-0 1774
COM2009-0 1774
COM2009_0 1774
COM2009-0 1774
COM2009-0 1774
Payments:
Type of Payment
CreditCard
cReceint!
RECEIPT #:
Date: 12/1512009
2200900000000001384
Description
Fixture
Minimum/Adjustment Plumbing'
+ 5% Technology Fee
+ 12% State Surcharge
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SOC Sanitary/Stann Admin
Paid By
WALLY MCCULLOUGH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
OJB 006770 In Person
Payment Total:
'\
Pa,ge I of I
8:54:25AM
Amount Due
57,00
l.00
2,90
6,96,
513,52
250,64
38,21
$870,23
Amount Paid'
$870,23
$870.23,
12115/2009