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Home My WebLink AboutPermit Building 1999-08-17SPFINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIEI,D COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 990855 726-3759 726 - 37 69 225 North Fifth Street Springfield, OR 9741'7 Location of Proposed Work: 3434 WATERI{ARK CT Assessors lrtap #: 1-7021-943 Lot : 55 Bl-ock: office: Inspection Line: Tax Lot #: 05500 Subdivision : AMBLESIDE SPHNGFIELT', Owner: SHERRI'JOHNSTON Address: 387 V STREET Describe Work: S.F. RESIDENCE Phone #: 747-4708 City/State/ztp: SPRINGFIELD, OREGON 97477 NEW Contractor ConsE. Contractor #Expires 05/te/o0 Phone 334- 4459General: El-ectricaL DAN WTLSON 0123591 3310 HONEYWOOD EUGENE OR 974O1OOOO OWNER QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 3510 OFFICE USE - - LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 4 RANGE: G # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request an inspection, call the 24 hour recording aL 725-3'169. A11 inspections requesLed before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wil-f be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR MECHANICAL - Pri-or to insulation or decking. ITNDERFLOOR DRA,IN - Prior to cover or placement of concrete. ITNDERFLOOR PLITMBING - Prior to insulation or decking. POST AND BEAII - Prior to floor insul-ation or decking. INSULATION - F1oor,' prior to decking Wa11/Ceiling; Prior to cover WATER LINE - Prlor to filling trench. SAI{ITARY SEWER LINE - Prior to fi-I1ing trench. sToRM sEwER LINE - Prior to filIi-ng trench. ROUGH PLITMBING - Prior to cover. ROUGH MECHANICAL - Prior To cover. RoUcH GAS - after line is installed and capped if not attached to an appliance ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before coveri-ng sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWAIJIJ - Prior to taping. SIDEWALK - After excavation is complete, forms and sub-base material in p1ace. CURBCUT - After forms are erected but prior to placement of concrete. ETECTRICAL SERVICE - Must be approved to obtain permanent power. GAS SERVICE - After line is installed and line has been connected to a minj-mum of one appliance. Pressure test done at this point. SPRINGFIELD Job Number: 990855 SPflNGFIELq Page 2 FINAL PLITMBING - When all plumbing work is complete. FINAL I{ECHANICAL - }Ihen all mechanical- work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: E Topography: 2 Solar Approved: Y House Garage Lot. Sg. Ft.: 15304 Total Height: 27 Lot Type: INTERIOR Setbacks swE 35 97 30 Lot Coverage: 14 Z Setbk From NPL: 32 N Item Main Garage Total Value Bui-lding Permj,t Fee Surcharge/admin TOT.A,L FEE BUILDING PERMIT --- Square Feet x 2985 524 $/Square Feet 69 .54 18.34 (A) Value 2O'7,945.OO 1,L,444 . OO 21,9 ,389 . OO 703.00 56.24 7 59 .24 PLI'MBING PERMIT Item Residenti-a1 Bath (s) Plumbing Permit Surcharge/admin TOTAL CHARGE 3 Fee 492 .50 1,92 .50 L5 ,4L 207.9L(c) --- MECIIATiIICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent GAS PIPE Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 5.00 4.50 12.00 4.50 3.00 5.00 35.00 10.00 2.80 47 .80 ( (D) --- MISCETLANEOUS PERMITS Surcharge/admin Sidewalk Curb Cut CITY SDC WILLAMALANE ELECT PERMIT PLAN AD,J. TOTAL MTSCELIJANEOUS PERMITS 0.00 50.00 60.00 3 , O40 .21 1, 000 . 00 232.20 20 .47 4 , 4L2 .88(E) 5,427 .83(Excluding Electrical ) unless otherwise noted --- TOTAT AMOI'NT DUE --- (A, B, C, D, and E combined) 4 SPRII{GFtELD Job Number: 990865 SPilNGFIEIT', Page 3 --- BUILDING VAI,UE, PI,AN CHECK A}ID BUIIJDING PERMIT This permit is granted on the express condition that the said construction sha11, in all respects, conform to the Ordinance adopted by the City of Springfi-eJ-d, incJ-uding the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any prowisi-ons of said ordj-nances. Received By: Pl-ans Revj-ewed By: AL WARD Buildj-ng SlEe Reviewed By: LrSA HOPPER Date: 08/t2/99 --- ADDITIONAT COMMENTS A & T DEFAULT AIVIOUNT USED FOR CITY SDC CREDITS DRIVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED By signature, I sEate and agree, that I have carefully examined the completed application and do hereby certify that al-l- information hereon is true and correct, and I further certify that any and al-I 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 descrj-bed herein, and that NO OCCUPANCY will be made of any structure without permi-ssion of the Community Services Division, Building Safety. I furt.her certify that only contractors and employees who are in compliance wit.h 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 properLy, and the approved set of plans wi-I1 remain on site at all times during constructi-on k- t-?- q1 Date --- VALIDATTON --- Receipt Number: Date Paid: Amount Received: Received By: SPiIINGFTELD o RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 990865 225 North Fifth Street Springfield, OR 91477 Locatsion of Proposed Workz 3434 WATERMARK CT Assessors Map #: 1-7021943 Lot: 55 Bl-ock: office Inspection Line 726 -37 59 726 -37 69 Tax Lot # Subdivision 05500 AMBLESIDE SPruNGFIELD, OwNer: SHERRI .fOHNSTON Address: 3B'7 V STREET Descri-be Work: S. F. RESIDENCE Phone #: 747-4708 ciry/stare/zip: SPRTNGFTELD, OREGON 97477 NEW Contractor DAN WILSON 0123591 3310 HONEYWOOD EUGENE OR 974O1OOOO OWNER Const. Contractor #Expires o6/te/00 Phone 334- 4459General- Electrical- QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 3510 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 4 RANGE: G # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request an inspection, call the 24 hour recording aL 726-3769. A11 inspecti-ons requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wil-I be made the fol-l-owi-ng work day. 'Tr^rt /av,t\)- --- RE',TRED rNspEcrroNs --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected buE prior Lo concreLe placement. ITNDERFLOOR MECHAI.IICAL - Prior to insulaLion or decking. T NDERFLOOR DRAIN - Prior to cover or placement of concrete. ITNDERFLOOR PLITUBING - Prior to j-nsulation or decking. POST NiID BEAI{ - Prior to f loor insulation or decking. INSULATION - Floor; prj-or to decking WalJ-/Cei1i-ng; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PtITMBING - Prior to cover. ROUGH MECHANICAL - Prior Io cover. ROUGH GAS - after line is installed and capped if not att.ached to an appliance ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAITING - Before covering sheathing with finish materia1s. FRAIr{ING - Prior to cover. INSUIJATION - Fl-oor; prior to decking Wall/Ceiling; prior to cover DRYWALL - Prior to taping. SIDEWALK - After excavation is complete, forms and sub-base material- i-n p1ace. CURBCUT .- After forms are erected but prior to placement of concrete. ELECTRTCAL sERvrcE - Must be approved to obtai-n permanenL power. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. pressure test done at this poj_nt. SPfIINGFlELD Job Number: 990855 a Page 2 FINAL PLIIMBING - When all plumbing work is complete. FINAL MECHAI{ICAL - When all mechanical work is complete. FINAL ETECTRICAL - When aff electri-ca1 work is complete. FINAIT BUILDING - When all required inspections have been approwed and the building is complete. Lot Faces: E Topography: 2 Sofar Approved: Y House Garage Lot Sq. Ft,.: 15304 Total Height: 27 Lot Type: INTERIOR Setbacks SWE 35 97 30 Lot Coverage: L4 % Setbk From NPL: 32 N 2B Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x 2985 624 $/Square Feet 69 .54 18.34 (A) Value 207 ,945 . OO L1,,444.OO 219, 389 . 00 703.00 56.24 759.24 --- PLIIMBING PERMTT --- Item Residential Bath(s) Plumbj-ng Permit Surcharge/admin TOTAL CHARGE 3 Fee 1,92 .50 t92 .50 l5 .41, 207.9L(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/ InserE /Fireplace Unit Dryer Vent GAS PIPE Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 5.00 4 4 1_2 4 3 5 50 00 50 00 00 35 10 2 00 00 BO (D)47.80 --- MISCELLANEOUS PERMITS Surcharge/admin Sidewalk Curb Cut CITY SDC WILLAMALANE ELECT PERMIT PLAN ADJ. TOTAL MISCELLANEOUS PERMITS 0.00 50.00 50.00 3 ,040 .21, 1, 000 . 00 232.20 20 .47 4,4L2 .88(E) 5,427 .83(excluding Electrical) unless ot,herwiee noted --- TOTAL AIIIOI,NT DUE --- (A, B, C, D, and E combined) SPflINGFIELD Job Number: 990855 a SPilNGFIEII', Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- Thi-s permit is granted on the express condition that the said construction sha11, j-n all respects, conform to t.he Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buj-ldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: LISA HOPPER Date:08/1,2/99 --- ADDITIONAI. COMMENTS A & T DEFAULT AMOI]NT USED FOR CITY SDC CREDITS DRTVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED 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 sha1l 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 sEructure without. permission of the Community Servj-ces Division, Building Safety. r 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 inspecti-ons are requested at the proper time, that each address is readable from the street, that the permit card is l-ocated at the front of the property, and the approved set of plans will remain on the site at al-I times during construct.ion. Signature Date --- VALIDATION --- ReceipE Number: Date Paid: Amount Received: Received By: SFRINGFIELD Page 1 ENGTNEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: SHERRT,]oHNSTON Mail- Address: 387 v STREET spRrNGFrELD, oREcoN Tax Lot #: L7O2L943055OO Project Address: Subdivision: AMBLESIDE Lot: 55 Blk: Job No 97477 Phone #: 3434 WATERMARK CT Eng. Rev. No.: .: 990865 '747 -4708 Book: Street Gravel Ac 3434 WATERMARK CT Existing Curbcut: N EXISTING TMPROVEMENTS Mat Curb Fu11 Imp SW Width Curbside Y 5 FEET 12:1 FLAIRS Setback ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SA}iIITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344 Avai]able: Y Stubbed Out To property Line: y Depth: 4-6 Si-ze of Line : I In. Tee : 6 In. Locati-on From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT Make Connection: PER PLUMB]NG CODE COMMENI,S: NO CONNECTION UNTIL INFRASTRUCTIIRE COMPLETE AND ACCEPTED. STORM SEWER Avai-Iab1e: Y Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER Pipe Parking Lot Drainage To: N/a COMMCnIS: NO CONNECTION UNTIL INFRASTRUCTURE COMPLETE AND ACCEPTED IL SIDEWAIJK A}iID DRIVEWAY INFORMATTON New Curbcut Appr.: Y STANDARD Width: 24 Ft Flairs Sidewalk Permit: Y Width: 5 Ft Length: 90 FL Curbcut Permit: Y Width: 36 Ft 6 Ft ENCROACHMENT AT{D ASSESSMENT Encroachment Permj-t Required: N Sani-tary Sewer In Lieu Of Assessment: N Comments: COMPLY WITH PENDING L.D.A.P. BEFORE CONSTRUCTION SPECTAL NOTES AIID REQUIREMENTS A11 work within the public ri-ght of way sha11 be in conformance with the Cityof Springfield standard specificati-ons for constructi-on. A11 existing unusedcurbcuts or portions thereof shall be restored to ful-l curb height as directedby the City. The owner/developer is responsible to relocate any utilitles andestablish private or public easements when the utilities confl-ict with thedevelopment, at their expense. Reviewed By: DENNIS ERNST Date: O7/1,4/99 FOR FURTHER IMPORTAI{T TNFOR}{ATIONsEE DRAWINGS ON SPECTAL REQUIREMENTS COVENANT being the record owner(s)of all the following described properry located in the City of Springfield, in the County of Lane, State of Oregon Let tp' SS -t Slo e\rn\r\a-S t dc. 6^bdt u'S,or. rd. IN CONSIDERATION for the issuance of a Building Permit issued by the City of Springfield which allows the owners to construct a dwelling without adherence to certain setback requirements of the Springfield Development Code pertaining to the common property line of lots described above, the record owners do hereby make the following covenant (for the good and safety of the public, in compliance with the building regulations of the City of Springfield), covering the above described real property, speciSing that this covenant shall constitute a limitation to run witir the land and shall be binding on all persons claiming under them, and that the covenant shall be for the benefit ofpresent and future owners ofsaid real property. BE IT HEREAF-IER known and agreed that the two lots described above must hereafter be sold together without separation of the lots or portions thereof as a single unit of land. IN WITNESS WHEREOF, the undersigned have caused this instrument to be executed this / 'l day of DN Owner STATE OFOREGON) ) ss. County oflane ) On this /@o^,of slf aN Public, the within named and acknowledged the foregoing to be their voluntary act and deed. my and seal last written above. N Commission Expires: @^,, JUOY UAT{ IIETL NOTABY PUBLIC.OREGON 744 20m Rev. I l/04/98 51 *Aloo a Willamalane Park & Recreation District Job- No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE: ADDRESS:STATE: LOCATION OF PROPOSED BUILDING SITE: Street Ad S Plat e:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calculations and ype definitions are on the back.) A. Single-Family Detached Manufactured home not in a Park X $1,000 per unit = $\Dan.@ P Single Famity home NO. OF UNITS B. Singte-Family Attached NO. OF UNITS X $924 Per unit C. Multi-Family Aoartment NO. OF UNITS X $692 Per unit D. Manufac{ured Home Park NO. OF UNITS X $699 Per unit WLLAMALANE SDC 2. SDC CREDTT (if applicabte) SDC4ayermust fumish proof of Willamalane Credit approval. See SOC Credit WorlcsheeL 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $ $q $ $ $,oo City of (if SDC reduced for Credit) nt -a t /? r 7? Date 6 This Side To Be Filled Oiit by Applicant This permit is required for any site activity in the flood plain and everywhere site alteration consists fifty (5O) cubic yards of material or more and/or if a drainageway is affected, within City limits and of t,Oity of Springfieldtro Springfield, Oregon Property Owner Address Date of Appl ication Phone: Permit Expiration Date: Site Journal number applicabte Land Use Application tr OLt1 4e-7Tax Map NoUGB Address ' , Source LocationZErc Ff .A. tr tr FIAtr Phone Suppl ter FILL, EXCAVATION, Material x!. A. Supplier: , Projscl GRADING,Ou Destination: Efii66;,g3';-"ffiffiI.,$il$xiiqilTfi i#ilB;,3:tliis;ilii3l'kiqa'fi ". u tr tr tr tr CROSS SECTIONS, DRA]NAGE, POLLUTION AND EROSION CONTROL PLAN REPLANTTNG PLAN COMPANY NAME: ' ADDRESS: COMPANY NAME: ' ADDRESS: PHONE STATE PHONE STATECITY CITY PROJECT SUPERVISOR: PROJECT SUPERVISOR: EMERGENCY PHONE: FAXztP I t t Registrati on Number: Sor.-, tD 'b CONTRACTOR NAME: PROJECT SUPERVISOR MOBILE PHONE: ADDRESS: STATE: CITY: OFFICE PHO Expiration Date: PHON TheCitvmaYlnspectth6worksit6described.inlhispermitatanytime.during.oneyearperiodfollowingthereceiptby the city of notice ot "o.p'rliiJn-l?t[-" ilrrJriu"o *"",IfL'"i.'i.;iry; "Ltil cit-v's sole'dese'cration, .a.nv additional rsstoration work required to r.turn.#';iil'i" ;';i";;r;;A ;"'pi'iir?io-ti-" Li'iy:iiilpe;iiriitee'witiui notirieb in'writins of anv work Hi',t#,#{g,y[i.]ii.3'l:fJ,l'"{ gid':'sff::#t;:?i$.;$il';iii::tf'.* S:'r;'::.*"rk no'i comprs'1od a'1 '1he end or Dat6 address is readable fromare reouested at the proper time, that projea 6n itrd *ie at all tim;8 durlng construction.thatI further ths str6st, ETF fv --LIJ = tJJ U Z -l Mc F -rr rv -rtIJJo- Zo cZ oZ 5 lUhU' zo E(E TU 5 oz 5 a z 5fozoo E,oFo E, zoo t,JEf, kz C' -a TT LrJz =o a zt! =I() l- o UJE5aulE az5(L TJJ CElFfE b6 QQ t o\qfti"ld4g fi^,'* S; 11P$\)n'[or lYt' l') ( aq qz I t:r*!o,r llr n ,,lr that l. or future any LDAP, which may be 8SA asa and willcompliance and that allthat I of the are inonly contractors used on trd, { tr Date:FLOODWAY, FEMA Community Panel No.: E Culvert, B Natural FLOOD PLAIN, Zone:FEMA Community Panel No.: DRAINAGE, E Storm, E WETLANDS, Description $20.00 s30.oo $40.oo $40.00 For the first 10,000 cubic yards, plus $20.OO for each additional 10,000 cubic yards or fraction thereof. $220.00 For the first 1OO,0O1 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof. $340 For the first 20O,OO1 cubic yar.de, plus $6.00 for each additional 10,000 cubic yards or fraction thereof. $30.00 93O.OO For tho first 1 OO cubic yards, plus 914.00 for each additional 100 cubic yards or fraction thereof, $'l 56,00 For th€ first 1 ,000 cubic yards, plus $ 1 2.00 for each additional 1,000 cubic yards or fraction th€reof. $264.00 For th6 first 10,000 cubic yards, plus $54.00 for each additional 1 0,000 cubic yards or fraction thereof $750.00 For the first 10O,OO1 cubic yards, plus $30.00 for each additional 10,000 cubic yards or fraction thereof Date fi ?qr'rt ? b,n 100,001 To 200,000 2OO.OO1 CUBIC YARDS OR MORE Received by: Estimated Volume: Grading Permit fee: Plan Check Fee: Received By: PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 CUBtq YABDS 10,000 To 100,000cuBlc YARDS GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO l,OOO CUBTC YARDS 1,001 TO 10,000 cuBtc YARDS 10,000 To 100,000 cuBtc YARDS 100,001 To 20o,ooo Receipt No: Date: r/Date: Date:eering tr Maintenance: tr Buitdins:Date: Date tr Ptann W-engin Planning: Engineering: Building: Maintenance: Permit Number lssued by:Date: Date Reqrrlrecl Flnal lnsf'eetlons, Date Date ETF rv --rIIJFJ ]IJ U Z -rfvtr-rc oZ oZ 5 F -ll rv --rIJJo- Zo ifJgrXl?"BtfiTfi.trX[lt#.as outlined in this permit has been compteted in accordance with H0+,?gtJ?69i3f"9,."r%?tLYiltJf""rgY,,lined in this permit has not been compreted in accordance Land and Drainage activity was performed prior to apprication for this permit. Accepted by: tr tr tr Date: a is side To Be FilG Gt By City StaiT ulo z Eo IU lU lJ. ozotrozo() o ]U =UJ tr, IE cDz.oFo TU TLaz trJ()z Fo-uloo t.!. 1/6/1998 Receipt No: tt 39 l iLl oatez 7 -2117 oate: l-Zl --15 ATTACHMENT A J,uRNAt'0R J'B N0' ,?r'fcr CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET LOCATION DEVELOPMENT TYPE BUILDING SIZE:OT SIZ 0. Ft 1. STORM DRAINAGE IMPERVIOUS SQ. FT. " Z "7 x $0.227 PER SQ. FI . $ 734.frL/ 2. SANITARY SEWER-CITY NO. OF PFU'S Z1 X $47.14 PER PFU $ t, saz.43 (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP + I x r,ot x $475.32 $ b,o 7 x _ x $475.32 $ 4. SANITARY SEhJER-MWI'4C A. REIMBURSEMENT COST N0. 0F FEU'S I X zn,++ PER FEU B. IMPROVEMENT COST: N0. 0F FEU'S / X zt,.uPER FEU Mi^lMC CREDIT IF APPLICABLE (SEE REVERSE) MI^,MC ADMINISTRATIVE FEE SUBTOTAL (ADD iTEMS 1,2,3 & 4)5. ADMINISTRATIVE FEES BASE ABOVE) X .05 SDC Coordi nator ATTACH 'A. t^lPD $ Z-'+r $2O TOTAL-Ml/\lMC SDC $ 10.00 $ 3tz./-4 $ zl 81t, 4r $ /44, -7 Date: 7 - t4-fi TOTAL SDC $ ?.o4o, ZI NAME 0R C0MPANY . 5A 6etZt dr-,'rtwsTo^) JFTL FIXTURE UNIT CALCULATION TABLET Number of New Fixtures X Unit Equivalent : Fixture Units (NOTE: For remodels, calculate only NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..... Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc............... lnterceptors For Sand/Auto Wash/Etc........'...... Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More. Mobile Home Park Trap (1 Per Trailer)............-. Receptor For Refrigerator/Water Stetion/Etc...... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen.'..... Urinal, Stall/Wall... Wash Basin/Lavatory, Single....... Toilet, Public lnstallation. Toilet, Private....... 1 7 3 7 Miscellaneous TOTAL FIXTURE UNITS -2- 4 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 -z ,L CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits se arates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) x $_ : (Rate X Assessed Value) CREDIT TOTAL Year Annexed Rate per S1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.1 B 2.82 2.42 1 989 1 990 1 991 1 992 1 993 'r994 1 995 1 996 1 997 $1.98 1.55 1.15 o.96 o.83 o.67 o.52 o.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating PurPoses OnlY) Residential........ Commerical....... lndustrial.........., Governmental.... .... o.4 ... o.9 o5 ,... o.5 FIXUNIT.WPD tMpERVtOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT z1 z- =$e a I 225 FTFTE STREET SPRINGFTELD, OREGON 97 4.77 INSPECTION REQIESTz 726-3769 0FFICE: 726-3759 1 Permits are non-transferable and pi re if vork is not started uithin 180 days of issuance or if sork is suspended for 180 days. CONTRACTOR INSTALI.ATION E1 rical Contractor Addres Ci ty Phone Supervisor Lic Number Expiration Da Constr Cgnt Expi ra t i signa rlclan Ovners Name Address ci Phone INSTALIJ\TION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE BLEGTRICAL PERHIT Ci ty Job Nurnber 3. COHPLETE FEE SCEEDI'LE BELOII A. Nev Residential-Sing1e or MuIti-Family per dvelling unit. Service Included:Items Cost SPRINGFIELt, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular 'DveIIing Sertice or Feeder W I & $ 8s.00 s 1s.00 $ 40.00 Sum sb qb .8. Services or Feeders Installation, Alterations or Relocation: I I c.Temporary Services or Feeders Insiallaiion, Alteration or Relocation 200 amps or less 201 amps to 400 amPs _ 401 amps to 600 amps - 601 amps to 1000 amPs Over L000 amps/volts Reconnect Oniy 200 amps"or less f,- 201 amps to 400 amPs - 0ver 401 to 600 amPs - Over 600 amPs or 1000 volt Branch Circuits -Each installation Pump or irrigation - Sign/OutIine Lighting- Limited Energy/Res $ s0.00 s 60.00 $100.00 s130. 00 s300.00 s 40.00 s s sss 40.00 s5.00 80.00 4D_ ee rB, aE66 D. r. Nev, Alteration or Extension Per Panel ';' one circuit $ 35'00 Eaoh Additionalti[";i;'J.-i;iin service or Feeder Permit - $ 2.09 HiscelLaneous (Service/feeder not included) 00 00 00 00 $40 $40 $20 $36 RECEIVED B 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Number of Supervising Da te 7 t @