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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