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Home My WebLink AboutPermit Building 1999-5-18 ~. \--~ ":0-""-- S"",INOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY O~ SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990585 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 330 EDIE ST. Assessors Map #: 17032241 Lot: Block: Tax Lot #: 05900 Subdivision: Owner: FRANK EMMERICH Address: 330 EDIE ST. Phone #: 746-9808 City/State/Zip: SPLFD OR,97477 Describe Work: ADDITION NEW Contractor Const. Contractor # Expires Phone General: R.A.ROBERTS 0122431 PO BOX 40575 EUGENE OR 974040000 Electrical: BUILDERS ELECTR 0004296 195 MADISON ST EUGENE OR 974025030 04/10/98 461-0045 10/01/01 485-0922 QUAD AREA: 5RNW SQ FOOTAGE: 130 OFFICE USE LAND USE: 1111 # OF BLDGS: 1 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete.' Item Main Garage ADDITION Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 130 69.64 Value 0.00 0.00 9,053.00 9,053.00 Building Permit Fee Surcharge/Admin 80.50 6.45 TOTAL FEE (A) 86.95 ...-- Job Number: 990585 Page 2 --- MISCELLANEOUS PERMITS --- Surcharge/Admin CITY SDC ELECT. PERMIT 0.00 56.14 44.28 TOTAL MISCELLANEOUS PERMITS (E) 100.42 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 187.37 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. P1an Check Fee: 52.33 Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: Date Paid: 04/30/99 Receipt Number: 033754 Date: 05/17/99 --- ADDITIONAL COMMENTS --- 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 701.055 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. /. ,4 ~C/f ~ s- ~ /,A3::; Signature Date -- - VALIDATION Date Paid: ~sq6r7 S- /0/1'7 1f)']7/? dI tJ~ Receipt Number: Amount Received: Received By: r The following project as submitted has tha following zoning, and doas not raquire spaciflc land use approval. (L- Zoning . L j) .::. _ \ <(, ,"\ '\ ATTrNTION'O. Date . regon law requires yo ~f~_1~IJ:JJ1..~JREET ~ ,'lfO!'OW rules adopted by the Oregon U~,~i..ECTRICAL PERMIT APPLICATION AU~'tImc:r.r~, lJliliGUN ~ III'.d'''QlIun Center. Those rules are set ~I y tl 00 5" g 5 INSPECTION REQUEST: 12'6'~'92-o01-0010throughOAR952-om~y Job Number 7'{ OFPICE: 726-3759 0090. You may obtain cop; oft 1- calling the center (Note'~e t ~OMi'~' FEE SCHEDULE BELOII 1. LOCATION OF INSTALDMJ1loltforthe Or~gon UiWt Ne ~pho~e '. 31 i) eTJlt:!- Cent"ri~1_QnO_33Pl"'AJiM19~€l!hdential-Single or . - ~ulti-Family per d~elling unit. LEGAL DESCRIPTION Service Included: / 7 ~ ~ ). '). '1'( b s-1o 0 Items Cos t Sum B. Services or Feeders r- Installation, Alterations c:.leC+r,'ClI'lC?r Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 4~S-CCt2'2. NOTIAAJ.amps to. 600 amps $100.00 _ ~'amps to 1000 amps $130.00 Supervisnr License Number L.-'j.1(}- ~ THISP!trlMfT$IlOOl~IilIZdf.l.ThlcYYul"ll' $300.00 1/'\ I ~ /'\/ AUTH~~15E~SPERMITI~NOT $ 40.00 Expiration Date~- -~ - . CC>M~pYS~~E~eders Constr Contr. Number ilLC, (a ANY.100l:lA'I'PERl0!W, Alteration or Relocatio.n JOB DESCRIPTION / '-I LlILt-AI f/ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~~ Address\ q S Mad ,.:s,on Ci ty E\J~ Phone Expiration Date 12-IO-QI:( Signature of Supervising Electrician &v.t--l2~ J? O~ners Name F/lAtvk /;I11;,&-rtc..L 3?o li'O/ E Ci ty <) fJ L P 0 Phone tlf j-- fro f OIlNER INSTALLATION Address The installation is being made on property I o~n which is not intended for sale, lease or rent. Owners Signature: ------------------------~r--7---------- DATE: ~llr 17 RECEIPT 11: IH <ro ~,. /7 .-1 RECEIVED BY: /1/ WtYJ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereci'f Each Manuf'd Home. or Modular .D~elling Service or Feeder 200 amps. 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 85.00 $ 15.00 .$ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see liB" above New, Alteration or Extension Per Panel $ 35.00 30- Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit ? E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL I $ to 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 '11.00 Z.t> S 1.2. .., 1I<..1. 1..-'V' . JOURNAL OR JOB NO. QQ05"8:F' ,:, ATTACHMENT A . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: FRA.J1l ~ I~A FM""6~,cl-l- LOCATION: ~.~o EDIG' ST. DEVELOPMENT TYPE: I 1...1' rUr_ 12...,.,.,.. ~ A Of1,-r-, n 1'\' BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE NoS"'" RooF 13.,n)( 17."'7 = Z. 35' IMPERVIOUS SQ. FT. 2.:2,,,, X $0.227 PER SQ. FT. L "'~.4_7 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) X $47.14 PER PFU $ 4;>... 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIp. x X $475.32 $ .,g... x X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S. x PER FEU $ B. IMPROVEMENT. COST: NO. OF FEU'S x PER FEU $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ . > $ 10 00 TOTAL-MWMC SDC $-e- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE C~R~ (SUBTOTAL ABOVE) X .05 J'---JY...... Date:5-/I-r'1 SDC Coordinator ATIACH'A.WPD $ 53.47 $ 2.c'7 TOTAL SO!:. $ 5(,.,.ft . ,. FIXTURE UNIT CALCULATION TABLE: N~mber of New Fixt_X Unit Equivalent = Fixture !)n!t~ (NOTE: For remodels, calculate onl. NET additional fixtures).. . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain...........:.... ..... ........... ..................... Floor Drain............... ............,........................ ............ Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.......;.......... Laundry Tub/Clotheswasher. ....... ........................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....,........................................... Shower, Gang...................... ......... ....... .................... Sink: Bar, Commercial, Residential Kitchen.....................,.. Urinal, Stall/WaIL.........:.......... ............. ..................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation.........;.............................. Toilet, Private....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 . Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3048 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 Credit for P,arcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL........................... 004 CommericaL........................ 0.9 IndustriaL........................... 05 Governmenta1...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT