HomeMy WebLinkAboutPermit Plumbing 2005-12-6 (2)
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01680
ISSUED: 12/06/2005
APPLIED: 12/02/2005
EXPIRES: 06/06/2006
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'.
:' 541-726-3769 Inspectioo Line
SITE ADDRESS: 3360 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703221202000
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Sanitary sewer.
. Owner:
. Address:
KOREAN CENTRAL COVENANT CHURCH
28325 W 11TH
EUGENE OR 97402
Phone Number: 541-342-5350
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
. 'IOU 10
" .onU\feS ""'J
("\ egu" ,- 011 v'"
-. ~~\. Hf d. ~ nreO . rth
11-\\ t~CONTRAQTORIINFORMATION'11_
'oIIOW '.-'. C (lIef. \ "v"- h 011-\'1 >;>;.><- - ~
Contractor NOli\iCal\O~ 0~1-0010 IhfOU9 s o\biicefi~eS b'l Expiration Date
VOS PLUMB\NG1N&5 :...~" oblai(l COP~~ 'h~J.80~hO(le _ 04/04/2006
OO\:lV "'" '.-. :,~-;:::"'.. ".1\1~""-
I ,.BUlliDING"INF'~\fION
eel J' \ I r
. 'bef 10(\11"'. - 800-'3'3,,,_<'''1''
(lu((\ e!!f\Sfu~e\:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Phone
541-485-0551
, Contractor Type
. Plumbing
Lot Size: .
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Handicapped:
Paved Drive Rqd: ~~act:
% of Lot Coverage: f ""t ~ O~
' ., t1-~\P.t Cl).~\1 f.l ~
_ ..:.ID.,,{a_~\tl, '" '''''~ f ..,c.~ ft;..
IPUBLIC IMI'ltY.V~T. Dt.t. ",,,..'DO"{.
III.. VII LL. ~;t>,'vf'"
~\}~~ot~Ct,t) Op. \\ti~:waIk Type:
CO\ll\li. ,~ \)~" ~~~ownspoutslDrainS
~~'i \
Front yard Setback:
Side 1 Setback:
, Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:z Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
Total Amount
Public Works Review
...
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01680
ISSUED: 12/06/2005
APPLIED: 12/02/2005
EXPIRES: 06/06/2006
VALUE:
Total Value of Project
Fees paidJ
Amount Paid
Date Paid
Receipt Number
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
1200500000000001783
$7.30
$5.11
$45.00
$743.58
$977.88
$28.00
$10.00
$1,137.26
$107.81
$148.83
12/6/05
12/6/05
12/6/05
1216/05
1216/05
12/6/05
12/6/05
12/6/05
12/6/05
1216105
$3,210.77
I Plan Reviews I
12/02/2005
12/02/2005
APP SB
SDCs added, except for impervious
surface which will be added with
pavement permit.
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.
~rp.d ro~np.ctioos I
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 certil)' that any and all work performed shall be done m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,-
and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certil)' that only contractors and employees who are in compliance with ORS 701.005 will be used
" on this project.
I .~ I further agree~sure that all required inspections are requested at the proper time, that each address Is readable from
the street, th~ ~h~ermit card is located at the front of the property, and the approved set of plans wiD remain on the site
at all timeSduring construction.
( /~ 11)/7IDS
Owner~tractors Signature Date / I
2 of 2
225 Fifth Street
Springfield, Oregon 97477
. . 541-726-3759 Phone
.
~~.-',';,'.
~
...-~, '
.llllliity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Joornal Number
COM2005-0 1680
COM2005-0 1680
. COM2005-01680
COM2005-0 1680
l
C0M2005-0 1680
'"
COM2005-0 1680
COM2005-0 1680
COM2005-01680
COM2005-01680
COM2005-0 1680
Payments:
Type of Payment
Gheck
.,
~;~, ;l-
" ,
:,
1
'(;.
'"
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"
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. .
12/6/2005
"
RECEIPT #:
1200500000000001783
Date: 12/06/2005
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
Paid By
KOREAN CENTRAL
COVENANT
Item Total:
Lbeck Number AuthorizatIon
Received By Batch Number Number How Received
djb 3223 In Person
Payment Total:
1 of I
1:36:18PM
Amoont Due
45.00
28.00 ,
5.11
7.30
977.88
743.58
107.81
1,137.26
10.00
148.83
$3,210.77
Amount Paid
$3,210.77
$3,210.77
.
.
AlTACHMENT A
CITV OF SPRINGFIELD SVSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER COM2005-01680
NAME OR COMPANY: Korean Central Covenant Church
LOCATION: 3360 Game Fann Rd
MAP & TAX LOT NUMBER: 17 03 22 12 02000
DEVELOPMENT TYPE: Remodel Church and connect to sewer
NEW DEVELOPED AREA (S.F.): 4.600.00
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
ITE:
ITE:
LOT SIZE (S.F.):
560
L ~TORM ORATNACiF;
Impervious surface shall be added to future pavement permit
IMPERVIOUS SQ. Fr.
x
$ 0.323 PER SF
TOTAL STORM DRAINAGE SDq
2_ SANITARY SRWER-CITV
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
39
x $ 25.07 PER DFU
39
x $ 19.07 PER DFU
$ 44.14
TOTAL LOCAL W ASTEW A TER SDC:,
$1,721.45 I
3 TRANSPORTATION Replacing existing church on property
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
4.60 x 9.11 x $ 19.09 PER TRIP x NTF $799.86 I
B. IMPROVEMENT COST:
, 4.60 x 9.11 x $ 84.19 PER TRIP x NTF $3,528. II I
EXISTING
A. REIMBURSEMENT COST:
0.00 x 0 x $ 19.09 PER TRIP x 0 NTF $0.00 I
B. IMPROVEMENT COST:
0.00 x 0 x $ 84.19 PER TRIP x 0 NTF $0.00 I
$ 103.28
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDq
TOTAL TRANSPORTATION SDC:, $ I
4_ SANITARY SEWER _ MWMr
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 4.60 x $23.44 PER FEU $107.81 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 4.60 x $247.23 PER FEU $1,137.261
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:, $ 1,255.08
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $2,976.53.1
5_ AOMINISTRATIVE F~
BASE CHARGE (SUBTOTAL ABOVE)
$
2,976.53 x 5% , $148.83
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMINISTRATION FEE: $
Steven W. Beaudry Barnes
SDC COORDINATOR
12/212005
DATE
TOTAL SDC CHARGES
COM200!Hl1680, KOREAN CHURCH, 3360 GAME FARM.XLS
$977.88
$743.58
$1,721.45
$799.86
$3,528. I I
$4,327.96
$0.00
$107.81
$1,137.26
$ 10.00
$1,255.08
$0.00
$0.00
.
-
148:831
=
$3,i2s.35
1 JULY 2004
, .
.
.
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)
Korean Central Covenant Church
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLlDSIETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB
CLOTHES WASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LA V ATORYIRESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES UNIT
NEW OLD EOUIV ALENT
3
I
o 3
3
6
2
3
6
12
I
3
2
2
3
2
2
4 I
I 5
4 6
3
TOTAL DRAINAGE FIXTURE UNITS~
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dweltin2: (20 OFU) set at 167 gallons ocr day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER Sl,ooO
ASSESSED VALUE
S5.29
S5.19,
S5.12.
$4.98
$4.80
$4.63
$4.40
$4.07
S3.67
S3.22
S2.73
S2.25
SI.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
COM2005-01680, KOREAN CHURCH, 3360 GAME FARM.XlS
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER Sl,ooo
ASSESSED VALUE
SI.45
SI.25
SI.09
SO.92
SO.72
SO.48
SO.28
SO.09
SO.05
SO.oo
SO.oo
SO.oo
x
x
CREDIT TOTAL
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
3
o
o
o
o
o
o
3
o
o
4
5
24
o
o
o
o
39
SO.oo
SO.oo
SO.oo
1 JULY 2004