HomeMy WebLinkAboutPermit Plumbing 2003-11-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00938
ISSUED: 11/17/2003
APPLIED: 09/19/2003
EXPIRES: .05/17/2004
VALUE:
225 FifthStreet, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 885 ANDERSON LN
ASSESSOR'S PARCEL NO.: 1703331100701
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install 25ft sanitary sewer to new connection. Abandon septic.
Residential
Owner: BENSON VERN W
Address: 940 HWY 99 N EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
BENSON DEVELOPMENT CO LLC
BENSON DEVELOPMENT CO LLC
License
143021
143021
Expiration Date
05/1512004
05/1512004
Phone
541-688-8897
541-688-8897
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION I
SETBACKS t
. '8res yOU 0
Front yard Setback: .oregon laW reQ vecSft~AAty
Side 1 Setback: A1iEN110Nd ted by the OWSlreetJr~~qd:
Side 2 Setback: folloW rules a OtPr lhose rulepa~~~ Rt;:~'.:t>Bqd:
" .' tion Cen e . gh OAR gs: I
Rearyard SetbadetlflCa .0.01-0.010 throu % O:t:bo1!~'@()'iIerage:
^R 952- . I {, ' 'i. pies 0', .1'\,- .
Solar Sdbacks: In 01"\ , . may obtain co h telephone
,,'}on YOU _ 'I\.\ntA: t e ., _....
~ - calling the ~~~ 'O~~gOLlJBiK?tWRotiMENTS I
nuV'-nber for . . 80 -,:J..:J&- 2J .
Street Improvements: Center IS 1-
Storm Sewer Available:
Special Instruction:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
Status
Issued
225 Fifth Stre'et, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00938
ISSUED: 11/1712003
APPLIED: 09/19/2003
EXPIRES: 05/17/2004
VALUE:
Value
Date Calculated
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $9.00 11/17/03 1200200000000002472
+ 7% State Surcharge $6.30 11/17/03 1200200000000002472
Encroachment Permit $120.00 11/17/03 1200200000000002472
Sanitary or Storm Sewer Cap $45.00 11/17/03 1200200000000002472
Sanitary Sewer - 1st 50 Feet $45.00 11/17/03 1200200000000002472
Sanitary Sewer - Improvement $309.78 11/17/03 1200200000000002472
Sanitary Sewer - Reimbursement $407.52 11/17/03 1200200000000002472
SDC MWMC Administration $10.00 11/17/03 1200200000000002472
SDC MWMC Improvement $214.23 11/17/03 1200200000000002472
SDC MWMC Reimbursement $314.63 11/17/03 1200200000000002472
SDC Sanitary/Storm Admin $62.81 11/17/03 1200200000000002472
Total Amount Paid ' $1,544.27
Public Works Review
Plan Reviews I
10
09/25/2003
Pa2e 2 of 3
It is my understanding that Mr.
VerB Benson has requested sanitary
sewer connection for the existing
house at 855 Anderson. The plat
nor the public improvement plans
have been accepted. Once the public
improvement plans are accepted
through council, we (PW's) can
allow sewer hook-up. A permit was
initiated, Com2003-00938, applicant
has not submitted plumbing fixture
units for SDC calculations, fees have
not been calculated for permit, we
are requesting that the permit is not
issued and that inspections are not
finaled, please defer to PW's. Since
Steve is out today, I contacted Tom
in the field and Lisa has left
messages for building to contact PW
when Mr. Benson comes in.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
10/29/2003
10/2912003
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00938
ISSUED: 11/17/2003
APPLIED: 09/19/2003
EXPIRES: 05/17/2004
VALUE:
DON VRJ
Fees added for SDC's. Applicant
connected to sanitary sewer prior to
PW's and council approval of
private permit project and payment
of fees.
To Request an inspection call the 24 hour recording at 726-3769. All iq.spection 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.
l Reouired Insnections ,
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and
, verification from company performing pump and fill.
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.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that allrequired 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. .
'-
'-- -----..
"- r-::::
Owner or Contractors Signature
Paee 3 of3
Ji-}'7"-~~
Date
215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
COM2003-00938
Payments:
Type of Payment
Check
r'
,
Receipt #: 1200200000000002472
Description
Sanitary Sewer - 1st 50 Feet
Sanitary or Storm Sewer Cap
+ 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
Encroachment Permit
Paid By
BENSON DEV
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department.
Public Works Department
Date: 11/1712003
8:09:24AM
Amount Paid
Item Total:
45.00
45.00
6.30
9.00
407.52
309.78
314.63
214.23
10.00
62.81
120.00
$1,544.27
How Received
In Person
Payment Total;
Amount Paid
$1,544.27
$1,544.27
CITY OF SPftNGFIELD SYSTEMS DEVELOPMEN1ltORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00938
NAME OR COMPANY: Vem Benson
LOCATION: 885 Anderson Lane
TAX LOT NUMBER: 17033311 tI 701
DEVELOPMENT TYPE: Sewer Hookup only
NEW DWELLING UNITS 0 BUILDING SIZE (SF'
o
LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x r COST PER S.F. I I CHARGE I
0.00 I $0.290 = I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE DISCOUNT
0.00 $0.290' 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $0.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x I
i 18 I
COST PER DFU
$22.64
B. IMPROVEMENT COST:
NUMBER OF DFU's I x
18
COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1
3. TRANSPORTATION
$717.30
A. REIMBURSEMENT COST:
ADT TRIP RATE ,I x
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
NUMBER OF UNITS x
o
COST PER TRIP
$17.23
x NUMBER OF UNITS x I
o I
= I
COST PER TRIP
$76.01
$0.00
ITEM 3 TOTAL - TRANSPORTATION SDC
x I NEW TRIP FACTOR
I 1.00
x /NEW TRIP FACTOR
I 1.00
o
,
$0.00
$407.52
$309.78
$0.00
$0.00
lei)
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u
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eI)
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I
1070
1091
1092
1093
1094
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$I ,000
ASSESSED VALUE
$4_92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3_78
$3.41
$2.98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92
= I
1979
$0_00
$0.00
o
o
o
-'
J:
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92
TOTAL MWMC CREDIT
=