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HomeMy WebLinkAboutPermit Building 2000-7-26 -. , .- ~ Job# 00-01084-01 Page 1 of 3 TRANS#:Ol-0002680 DATE:JUL 26 2000 AMT RECD:2 $ 328.26 , CHANGE: CASHIER: 061 SPRINGFIELD ~. CITY OF'SPRINGFIELD, OREGON d., RESIDENTIAL PERMIT City.Of Springfield Community Services Division Building Safety Job Number: 00-01084-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 12200 St Spr Assessors Map#: 17032614 Lot: Block: Addition: Tax Lot #: 03500 Subdivision: , Owner: Address: S & H Ventures. 1441 HWY 99 North Phone Number: 541-302-4845 City/State/Zip: Eugene, OR 97402 Alteration Value: $8,425 Scope Of Work: Single Family Residence I' relocate residence on same lot and construct new garage Contractor Type General Contr Contractor A K Stickler Construction Co 36579 Alderbranch, Springfield, OR 97478 Registration # 99489 Expiration Date 6/1/2000 Phone 541-741~0132 Verify Ground Rod Footing Foundation 'Post and Beam Framing Firewall, Final Building Office Use Quad Area: 2RNW Land Use: Single Family Dwelling # Qf ftWlR;rnwte~u'resy()UL # Of Units: Zoning Code: MDR ATIEN~~I~~~~GtOreQW)~~t Constr. Type: (VN) Wood Frame Bedrooms: fO"OW~U M~ru'esareset rt Water Heater: Range: ~otKiOA~R9~~' 'M"'U9tlOARh95u2le~s~" In "'. ~ _ _ 1_ ","'''''\()I',,)ft er J ~VoU may CUltl"l vvt' . - telephone To request an inspection call the 24 hour recording at 726-3769. All ins ~"ftM.ft~eb~~:~NotKicat\Ofl a.m. will be made the same working day, inspections requested after 7:00 uWditiY~bA~~~44) working day. n Cenmri~,1-f'M"\~. .'. . Required Inspections I Building I -Install ground rod at footing', and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. NOTICE: f -Prior to cover., T SHALL EXPIRE IF THE WORK - Located and constructed according to plans. THIS PERMI PERMIT IS NOT - When all required inspections have been approv~ff~~M~~~f?:Jh\~ete. FOR COMMENCED OR IS ABANDONED ANY 180 DAY PERIOD. Plumbing Rough Plumbing . Water Line Sanitary Sewer Line Final Plumbing - Prior to cover. - Prior to filling trench. - Prior to filling trench. - When all plumbing work is complete. i' 1 Job# 00.01084-01 I Sidewalk Type: Additional ROW? Street Improvement: Fully Improved Curb Cut?~ Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special Instructions: Other Utilities: Size Of Line (in): Downspouts/Drains: ' Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 Curbside - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Project Supervisor: Types Of Warning Devices Reqd. Zoning:MDR FloodPlain? [] Wetlands? D Journal numbers Overlay District: # of Street Trees: 3 Land Use: Single Family Dwelling Pave Driveway? 0 1 : Comments: 2: 3: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier:,", 'Drainage: " ::. '. Floodway FEMA: n/a .~ ','~ < Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a Constructio'n"Types:(VN) Wood Frame Occupancy G~oups: Dwelling # Of Building~: 1 # Of Bedrooms: Ha'ridlcap A:ccess? D -Area (Sq. Fe'et) Main: Accessory: Accessory Structure # Of Stories: 1 Height (feet): 17 Current Units: 1 Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Plan Check 07/12/2000 2540 I. Value/Quantity ResidentiaiPii:m Check ," " '" ._\ Total Plan Check Building Pe[8:li.t, . State Surcharge For Building Permit Building Administrative Fee Total Building Building 07/26/2000 2680 07/26/2000 2680 07/26/2000 2680 Mini~um Plumbing Permit Fee State' Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Storm Sew.er Footage Plumbing 07/26/2000 2680 07/26/2000 2680 07/26/2000 2680 07/26/2000 2680 07/26/2000 2680 ;'j t ~! 8,245 8,425 30 30 30 Fee Amount $48.43 $48.43 $74.50 $5.22 $2.24 $81.96 $.00 $5.25 $25.00 $25.00 $25.00 i. Fee I Job# 00.01084.01 Paid On Receipt# Plumbing 07/26/2000 2680 Value/Quantity Page 3 of 3 Plumbing Administrative Fee Total Plumbillg Residential -Single Family - Storm Residential - Single Family- Storm SDC Administrative Fee Total System Development Grand Total System Development 07/26/2000 2680 07/26/2000 2680 07/26/2000 2680 650 650 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin 07/14/2000 07/24/2000 07/25/2000 Engineering-Res Planning-Res, , AI Ward Fee Amount $2.25 $82.50 $156.00 $156.00 $7.80 $319.80 $532.69 Structural-Res Wendy Stanley 07/20/2000 By signature, I" state and agree that I have carefully examined the completed application and do hereby certify "that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055~will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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. . 'fLJ~AA~ 7 -26-00 Signature Date t. " , '/:. ,'. " ,.. ... ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01084-01 NAME OR COMPANY: S&H VENTURES LOCATION: 1220 'Q' STREET TAX LOT NUMBER 17-03-26-14-03501 (98-PI199 PARCEL 1) DEVELOPMENT TYPE: RELOCATION ON SITE OF EXISTING HOME & NEW GARAGE DWELLING UNITS: BUILDING SIZE: LOT SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 650.00 x $0.240 PER SQ. FT. 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) o x $49.86 PER PFU (/ 3. TRANSPORTATION NUMBER OF TRIPS x TRIP,RATE x COST PER PM PEAK HOUR TRIP o 1.01 x $502.79 PER TRIP x $502.79 PER TRIP x x TOTAL TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's o $242.76 PER FEU r x B. IMPROVEMENT COST: NUMBER OF FEU's o $22.05 PER FEU x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTALMWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $163.80 ~~1~ SDC COORDINATOR TOTAL SDC CHARGES I 07/24/2000 DATE $156.00 I $0.00 I $0.00 $0.00 $0.00 I $0.00 I $0.00 I $0.00 I $0.00 I $0.00 I $156.00 l $7.80 I PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK. TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAWALL WASH BASIN/LA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 i 2 2 1 6 4 TOTAL PLUMBING FIXTURE UNITS=1 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEI YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $4.74 1990 $1.96 1980 $4.65 1991 $1.55 1981 $4.59 1992 $ 1.36 1982 $ 4.46 1993 $ 1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 $0.75 1986 $3.63 1997 $0.57 1987 $3.26 1998 $0.35 1988 $2.85 1999 $0.15 1989 $ 2.40 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA TlON DATE) FIXTURES NEW OLD x x PLUMBING FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o o $0.00 $0.00 CREDIT TOTAL $0.00 . j........