HomeMy WebLinkAboutPermit Plumbing 2005-11-30
.
. CITY OF SPRI1'i\..r1' l.r.LU I
Building/Combination Permit
PERMIT NO: COM2005-01664
ISSUED: 11130/2005
APPLIED: 11/30/2005
EXPIRES: 05/30/2006
VALUE:
; Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 2787 OL YMP]C ST 6
ASSESSOR'S PARCEL NO.: ]703254]00600
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: ]nstallation of2 sinks.
NEW SALEM TRUST R-*'
2787 OL YMP]C ST STE ]5 ~\S Rl'
SPR]NGFIELD OR 97477 ,~v.. f,> ~
{. )~ <l.
~ ,. ~"_ xv'
. v..~~ ~v..~~Y"'tONTRACTOR ]NFORMA TlON I
\... ,~ ~'V\S
Contractor Type ~t~~ License
Plumbing 'f~'-'!'~J,~~~URES LLC .J57056
~~ '6 ~'<,~~~<8> ~~ I BUILDING ]NFORMA:TION'I'
'\~ ~~\S ~~ ~ ;j-v o~ e' ,- <::p"
# of Units: ~~~ "O~ ~ # of Stori~~:~O\eQ>.",e Cj b'l: fOx:>'"
Primary Occupan~: Height,ofStructure.2- Cii ,.s-e ^e
{'\' ~' ~'" ,'C;:s.' " 0..... ~
Secondary Occupanct1 roup: TYRe"ofJIeat:\V ~ 0 -S-e ^"" ~o
. Wv~ ~..... c...'U ~. ~ }..(Q"< (j?i-
; Primary Construchon Type . '_ a~r}~ype: ~Ov , efO ,e.J.'
Secondary Construction Type: ,O~~f!iig'KTYP~:" 0<::1' ,-S-e -i'o 1>:\'
# of Bedrooms: <v~ ~e'Ef,!'-$~at~i,Ci~0,e.0~'\"'~
0'" ~ \V o!:lpr;!,l!k1e~:Bu~lding:' n.",'l: nla
l- ~"O _,,, n' .,\ ...e; ~0..'"' ....~J
Owner:
Address:
Expiration Date
] 1/03/2007
Phone
54]-544-5258
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
~ Frontyard Setback:
\ Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
\,DEVELOPMENT_]NFORMATlON I
, \~ ~ Ri\)- .!::-Cil - \0' 1-.,e.\'
\)c:s _~, e.\ _..,'C'
(O~-!,.rJay 'Dist:
#:Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC ]MPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
,
Pal!e] of3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01664
ISSUED: 11130/2005
APPLIED: 11/30/2005
EXPIRES: 05/30/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fpp< P'1ilU
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $4.50 11/30/05 2200500000000001635
+ 7% State Surcharge $3.15 11/30/05 2200500000000001635
Fixture $42.00 11/30/05 2200500000000001635
Minimum/Adjustment Plumbing $3.00 11/30/05 2200500000000001635
Sanitary Sewer. Improvement $73.11 11/30/05 2200500000000001635
Sanitary Sewer - Reimbursement $96.17 11/30/05 2200500000000001635
SDC MWMC Administration $10.00 11/30/05 2200500000000001635
SDC MWMC Improvement $1,139.24 11130/05 2200500000000001635
SDC MWMC Reimbursement $108.00 11130/05 2200500000000001635
. SDC Sanitary/Storm Admin $48.13 11/30/05 2200500000000001635
SDC Transpo Admin $28.14 11/30/05 2200500000000001635
SDC Transpo Improvement $80.67 11/30/05 2200500000000001635
., SDC Transpo Reimbursement $18.29 11/30/05 2200500000000001635
Total Amount Paid $1,654.40
I Plan Reviews ~
Public Works Review
11/30/2005
11/3012005
APP SB
Added SDCs for change of use and
plumbing fixtures.
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.
IRp~
Rough Plumbing: Prior to cover and Including required testing.
Final Plumbing: When all plumbing work is complete.
Pal!e 2 013
.
. CITY OF SPRI~ul'l~L1J"
Building/Combination Permit'
PERMIT NO: COM2005-01664
ISSUED: 1113012005
APPLIED: 11/30/2005
EXPIRES: 05/30/2006
VALUE:
Status
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and 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 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 Community Services Division, Building Safety.
1 further certify that only contractors and employees wbo are In compliance with ORS 701.005 will be used on this 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
. times during construction.
~M~,
jl/~/os-
Owner or Contractors Signature
Date
.
.
Paee 3 of3
~--
- AlTACHMENTA A
CITY O'\!l!l!!'RINGFIELD SYSTEMS DEVELOPMENT CHARGE __SHEET
JOURNAL OR JOB NUMBER: COM2005-01664
NAME OR COMPANY: Lisa Goodness and Sue
LOCATION: 2787 Olym~ic, Suite #6
MAP & TAX LOT NUMBER: 1703754100500
DEVELOPMENT TYPE: Cake Caterino business
NEW DEVELOPED AREA (S.F.): 960
EXISTING DEVELOPED AREA (S.F.): 960
TOTAL IMPERVIOUS SURFACE (S.F,):
.,
Office and Calcrer ITE:
Office & Warehouse ITE:
LOT SIZE (S.F.):
936
710
I STORM DRAJNA(H~
IMPERVIOUS SQ. FT. 0
x
$ 0.310 PERSF
TOTAL STORM DRAINAGE SDq
2 SANITARY SFWl'R-rITI
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
4
x
$ 24.04 PER DFU
4
x
$ 18.28 PERDFU
TOTAL LOCAL SAN-SEWER SDc:1 $
Charged as change from Warehouse to Office
169.28 1 $
169.28
3 TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACfOR
NEW
A. REIMBURSEMENT COST:
0.960 x 11.01 x $ 18.30 PER TRIP x 0.5 NTF 1$ 96.70 I
B. IMPROVEMENT COST:
0.960 x I LOI x $ 80.72 PER TRIP x 0.5 NTF 1$ 426.60 I
EXISTING
A. REIMBURSEMENT COST:
-0.960 x 4.96 x $ 18.30 PER TRIP x 0.9 NTF 1$ (78.42) I
B. IMPROVEMENT COST:
-0.960 x 4.96 x $ 80,72 PER TRIP x 0.9 NTF 1$ (345.93)1
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TRANSPORTATION SDq $ 98.96 I $
4 SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
Charged as cbange rrom Office to Drinking Place
0.960
x
$159.38 PER FEU
1$
1$
153.00 I
1,613.921
x
$1.681.17 PER FEU
0.960
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -0.960
B. IMPROVEMENT COST:
NUMBER OF FEU', -0.960
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
1$
$494.46 PER FEU I $ (474.68)/
INDUSTRIAL STRENGTH INCREASE I $ ,
TOTAL MWMC REIMBURSEMENT FEE:I $
TOTAL MWMC IMPROVEMENT FEE:I $
MWMC ADMINISTRATIVE FEE:' $
TOTAL MWMC SDC:I $ 1.257.24' S
SUBTOTAL (ADD ITEMS 1.2,3,&4) 1$ 1.525.481
$46.88
PER FEU
(45.00)1
x
x
.
. .
" .
~...
t::~b'
~ c c
00",
$0.00 1070
$96.17 1091
$73.11 1092
18.29 1093
80.67 1094
98.96
108.00
1.139.24
10.00
1,257.24
$
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
1,525.48 x 5% $ 76.27
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE:I $
28.14 1078
48.13 1079
.
,; rI
"..
'=8
1054
1054
1055
1056
1,601.75 I
steve",- w. "'e."'~'1:I "'.rv..es
L~~ lSWN'a'l;i~i,;q,~
I 1/3012005
DATE
TOTAL SDC CHARGES
r$
1 JULY 2004
..
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FDmJRES x UNIT EQUTV AlENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODElS. CALCUlATE ON!. Y THE NET ADDITIONAL FIXTIJRES)
Lisa Goodness and Sue
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OlUSOLlDSIETC.
rNTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINKI D1SHWASHERlETC.
SHOWER. SINGLE STALL
SHOWER. GANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KJTCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LAVATORY
SINK: SINGLE LAVATORYIRESIDENTIALBAR
URINAL. ST ALUW ALL
TOILET. PUBLIC INSTALLATION
TOILET. PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
2
TOTAL DRAINAGE FIXTURE UNITS=
-EDU (EQu~lent Dwellm.~ Unit) is a discltarRC eouivalent to a sin,%!: family dwellinR: (20 DFU\ set at 1671l!1Ions per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
3
o
o
I
o
o
o
4
o
o
4
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER SI,OOO
ASSESSED VALUE
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
'$3.67
$3.22
$2.73
$2.25
$1.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
Usa & Sue's Caterers.x1s
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER SI,OOO
ASSESSED VALUE
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
x
x
CREDIT TOTAL
SO.OO
SO.OO
SO.OO
1 JULY 2004
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
..!'~"'''~.~.-''.
~. .;
--'. t
____ - It.!
~y of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1664
COM2005-0 I 664
COM2005-0 1664
COM2005-0 1664
COM2005-01664
COM2005-0I664
COM2005-0 I 664
COM2005-0 1664
COM2005-0 1664
COM2005-0 1664
COM2005-0 1664
CbM2005-0 1664
CUM2005-0 1664
RECEIPT #:
2200500000000001635
Date: 11/30/2005
Description
Fixture
Minimum/Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Im~.v.......nt
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
SDC Transpo Admin
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Check
:,
;,
:(
:'
;\
:1:
l'
;,
:!
;(
;!
:,
:1:
f
11/30/2005
SUSAN G K SMITH
jmp
6848
In Person
Payment Total:
Page I of 1
IO:52:48AM
Amount Due
42.00
3.00
3.15
4.50
96.17
73.11
18.29
80.67
108.00
1,139.24
10.00
48.13
28.14
$1,654.40
Amount Paid
$1,654.40
$1,654.40