HomeMy WebLinkAboutPermit Plumbing 2010-6-16
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CITY OF SPRINCFIELD
Building/Combination Permit
PERMIT NO: COM2010-00775
ISSUED: 06/16/2010
APPLIED: 06/16/2010
EXPIRES: 12/16/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 710 McKenzie Crest Dr
ASSESSOR'S PARCEL NO.: 1703234200700
Springfield TYPE OF WORK: Plnmbing Only
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2 fixtures to include a french drain
Owner: CHASE KATHRYN S
Address: 710 MCKENZIE CREST DR
SPRINGFIELD OR 97477
I CON~RAGTQRINFORMATlON ~
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Contractor Type
Plumbing
Contractor ...,.." . License
RIGHT WAY PLUMBING 49561
BUILDING INFORMATION ~
Expiration Date
12/16/2010
Phone
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Waler Type:
Range Type: .
Energy Path:
,Sprinkled Buiimng!'
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of LOI Coverage:
Total:
Handicapped:
Compact: -.
-.-., . - ~.. .
",".. ~ .-.... ."'~
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
I PUBLIC~IMPR?vEMEN~llw rules ~doPtednbY ~h~eg~:=:o
'. Notl'icatIQfl.!tWlt'tRr.TTB@.6erulesares8tfo%.
" In OAR 95~'-001-0016throughOAR952.oo1
0090., YotUw.lly~1llS of the rules ~
calling the center. (Note: the telephone'"
number for the Oregon Utility Nollfloatlon
Center is 1-800-332-2344).
Notes: NQ1iI&~j, Ol2i\mtt!'l!Xp~Wai5jJll\i,lNORK
THIS PERM1T;:,nPo IT IS NOT
AU BANDONE9 fOR '~
COMMENCED OR IS A Valuation Description
ANY 180 DAY PERIOD. ," .
, , ,$ Per Sq Ft. .Square Footage
DeSCriptIOn Tvpe of Construchon It' I' , ' . B'd A
or mu }P ler, . :,.:or I mount
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Value
Date Calculaled
Pa2e I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
$13.68'
$5)0
$38.00
$76.00
$96.00
$161.52
$12.91
Total Amount Paid
$403.81
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Total Value of Project
Fees Paid ~
,PI~i1R~views'~
; Date Paid
6/16/10
6116/i 0
6/16/10
6/16/10
6/16/10
6/16/10
6/16/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00775
ISSUED: 06/]6/20]0
APPLIED: 06/]6/20]0
EXPIRES: 121]6120]0
VALUE:
Receipt Number
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
LReauired InsDections ~
.
Sanitary Sewer Line: Prior to filling tren~h and including required testing.
Rough Plumbing: Prior to cover and inCluding 'required testing.
Final Plumbing: When all plumbing work is complete.
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 1 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 employee.s_","ho,"fejn,compliance with ORS 701.005 will be used on this project.
[ further agree to ensure that all required inspectio~sia;rere!ijjes\ed'iit 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 c~nstruction.
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Owner or Contractors Signature
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Date
JOURNAL OR JOB NUMBER: COM20 10-00775
NAME OR COMPANY: KathNn Chase (IJ
LOCATION: 710 McKenzie Crest Drive w.l
Q
TAX LOT NUMBER: 0 0
DEVELOPMENT TYPE: SiMle FamilY Residence U
NEW DWELLING UNITS I BUILDING SIZE (SF; 0 LOT SIZE (SF): 0 e>:
w.l
f-;
I. STORM DRAINAGE (IJ
~
DIRECT RUNOFF TO CITY STORM SYSTEM 0
A. REIMBURSEMENT COST AREA DRAINING TO ~
I IMPERVIOUS S.F. , I COST PER S.F. I DRYWELL I CHARGE I
r 0.00 r $0.091 l ; 0 I $0.00
$0.00
B. IMPROVEMENT COST
r IMPERVIOUS S.F. , I COST PER S.F. I I CHARGE I
I 0.00 $0.328 ;1 0 I I $0.00 1070
$0.00
I I I
ITEM I TOTAL - STORM DRAINAGE SDC $0.00
2. SANITARY SEWER - CITY .
A. REIMBURSEMENT COST:
I NUMBER3 OF DFU's I , I COST PER DFU I
r $53.84 I ~ J $161.52 1091
B. IMPROVEMENT COST:
I NUMBER3 OF DFU's I , I COST PER DFU I
r $32.20 I ; I $96.60 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $258.12 l
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I , I NUMBER 001' UNITS I ' I COST PER TRJP I ' INEWTRIPFACTORI
9.57 29.21 I 1.00 I ~ I $0.00 1093
B. IMPROVEMENT COST:
I ADT TRJP RATE I , I NUMBER 001' UNITS I ' I COST PER TRJP I , INEW TRJP FACTOR I
9.57 I $119.14 I 1.00 I ~ I $0.00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC ; I $0.00 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I , rCOST PER FEU I
I $101.97 I ; I $0.00 1054
B. IMPROVEMENT COST:
INUMBER ~F FEU's I , ICOST PER FEU I
I $1,333.57 I ; I $0.00 1055
C. COMPLIANCE COST:
INUMBER ~F FEU's I , rCOST PER FEU I
I $22.63 I ; $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ $0.00 1054
MWMC ADMINISTRATIVE FEE ~ $0.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $0.00 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~I $258.12 I
5. ADMINISTRATIVE FEE:
I SUBTOTAL I , I ADM. FEE RATE I~ I CHARGE I
5% $12.91
$258.12
TOTAL SANITARY ADMINISTRATION FEE: I 12.91 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: I $0.00 1078
Todd Singleton 6/16/20 10 TOTAL SDC CHARGES - $271.03
PREPARED BY DATE
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT - DRAINAGE FIXTURE UNlTS
(NOTE: FOR REMODELS, CALCULATE ONLY mE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTU RE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 - 0
DRINKING FOUNTAIN 0 0 1 - 0
FLOOR DRAIN 0 0 3 - 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 - 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 15" - 0
LAUNDRY TUB 0 0 2 - 0
CLOTHESW ASHER / MOP SINK 1 0 3 - 3
CLOTHESWASHER - 3 OR MORE rEA) 0 0 6 - 0
MOBILE HOME PARK TRAP (I PER TRAILERI 0 0 12 - '0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 - 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 - 0
SHOWER, SINGLE STALL 0 0 2 - 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 - 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 - 0
SINK: COMMERCIAL BAR 0 0 2 - 0
SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 - 0
SINK: SINGLE LA V A TORY !RESIDENTIAL BAR 0 0 1 - 0
URINAL, STALL / WALL 0 0 5 - 0
TOILET, PUBLIC INSTALLATION 0 0 6 - 0
TOILET, PRIVATE INST ALLA TION 0 0 3 - 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS I 3
.EDU (Equivalent Dwelling Unit) is a discharl!e eauivalent to a sinl!Ie family dwellinl! unit (20 DFU's) set at 167 l!allons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.2~
$5.19
$5.1'2'
$4.98
$4.80
$4.63",
$4~40,'=
- $4.07 .
$3.61.
, $3.22=c
"" $2.73'
$2.25 '
$1.80
, .:.-.' $1.59
$1.45..
c. $1.25:
"',":~ ~!~ .
$0.72.
, $0.48
'$0.28~ ''', I
$0.09=
$0:05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for.No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
8Pj;QF~~
WIr.~ .... ...
225 Fifth Street
Sprillgfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
. RECEIPT #:
2201000000000900704
Date: 06/16/2010
I :25:44PM
Job/Journal Number
COM2010-00775
COM201O-00775
COM20 1 0-00775
COM20 I 0-00775
COM2010-00775
COM20 I 0-00775
COM20 I 0~00775
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Sanitary Sewer - 1 st 100 Feet
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Impr6vement
SDC Sanitary/Storm Admin
Amount Due
76.00
. 38.00
13.68
5.70
161.52
96.00
12.91
$403.81
Paid By
KURTIS ARNOLD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
036561 In Person
Payment Total:
$403.81
$403.81
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