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Home My WebLink AboutPermit Building 2006-03-01Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line ITY F Building/Combination Permit PERMIT NO: COM2006-00099ISSUED: 0310112006 APPLIEDz 0112612006EXPIRES: 1ll1812006VALUE: $ 171,939.00 SITE ADDRESS: 530 S 6th St ASSESSOR'S PARCEL NO.: 1703353406400 PROJECT DESCRIPTION: Single family residence - Valley View lot 14 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541-744-0034Owner: Address: DENNIS STAHL PO BOX 448 WALTERVILLE OR 97487 Contractor Type General Electrical Mechanical Plumbing Contractor DENNIS DOUGLAS STAHL OWNER OWNER CRAIG ARNEY PLUMBING LLC License 166338 167015 Expiration Date 09t02t2007 Phone s4t-744-0034 1012s12007 s4r-736-9s82 CONTRACTO] # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,148 I,130 46t 437 ) Curbside 5' Curb and Gutter I R-3 U VN ) 24.50 Electric Electric Electric Path I nla 3 REQUIRED PARKING 18.00 s.00 s.00 44.00 15.00 Overlay Dist: Total: # Street Trees Rqd: HandicaPPed: Paved Drive Rqd: Yes ComPact: oh of Lot Coverage: 2i4.60 Fullv Improved Yes Sidewalk Type: Downspouts/Drains Notes: Storm drainage piped to weep hole at curb face, encroachment permit required for sanitary sewer connection and fee added form must be submitted for approval. PUBLIC IMPROVEMENTS Page I of4 a rJl L Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00099ISSUED: 0310112006APPLIEDz 0112612006EXPIRES: 11/1812006VALUE: $ 171,939.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,591.00 555.00 Value $157,509.00 $14,430.00 $171,939.00 Date Calculated 0u26t2006 0y26t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Heat Pump Pellet Stove/Insert Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo lmprovement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + l0o/o Administrative Fee + 87o State Surcharge Sanitary Sewer Each Addtl 100' Amount Paid Total Value of Project Date Paid t/26t06 3nt06 3n106 3nt06 3nt06 3nt06 31l/06 3nt06 3nt06 3nt06 3n/06 3n/06 3nt06 3nt06 3nt06 3nt06 3n/06 3nt06 3nt06 3/u06 3n106 3/u06 3nt06 3tu06 3nt06 3nt06 3nt06 3n/06 3nt06 5figt06 5n9t06 sn9t06 Receipt Number 1200600000000000078 1200600000000000219 l 2006000000000002 l 9 12006000000000002r9 I 200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 r200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 r2006000000000002r9 1200600000000000219 I 20060000000000021 9 1200600000000000219 I 2006000000000002 I 9 1200600000000000219 1200600000000000219 12006000000000002r9 1200600000000000219 1200600000000000219 12006000000000002r9 12006000000000002r9 1200600000000000219 12006000000000002r9 I 2006000000000002 I 9 r 2006000000000002 1 9 2200600000000000623 2200600000000000623 2200600000000000623 $519.77 $10.00 $119.07 $95.25 $2s4.00 $31.00 $799.65 $6.00 $130.00 $9.00 $r2.00 $r2.00 $30.00 $150.00 $-30.00 $381.40 $501.40 $10.00 $865.31 $82.03 $112.37 $67.36 $805.70 $182.69 $80.00 $766.02 $50.00 $18.00 $1,000.00 $1.40 $1.12 $14.00 leps Prid Total Amount Paid $7,086.54 Paee 2 of 4 at m Valuation Descriotion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERIvIIT NO: COM2006-00099ISSUED: 0310112006APPLIED: 0112612006EXPIRES: 11/18/2006VALUE: $ 171,939.00 Plan Reviews Initial Review LDAP Review Planning Review Public Works Review 0U3u2006 APP APP SKG VRJ This property was included in Tree Felling Permit DRC2004-00048. A condition of approval for that application was replanting 8 trees including 3 street trees. This was done and they are in. No additional street trees are requiredo but the existing street trees should be protected during construction. The existing tree on the south side of the property needs to be protected with construction fencing. Encroachment permit required fee added to permit still need to fill out form;Storm drainage piped to curb face 2/3/2006 CAS Structural Review 0u3U2006 02n6t2006 OK RJB To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Page 3 of4 02t07t2006 0y3y2006 02t22t2006 APP TAJ 0y3u2006 02t03t2006 APP CAS LDAP is ready to issue and at the front counter. $300.00 is due at issuance. A survey is required because of minimum side setbacks. ,y f,h Keouired lnsDectrons Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line F PRIN Buildin g/Combination Permit PERMIT NO: COM2006-00099ISSUED: 0310112006APPLIEDz 0112612006EXPIRES: l1l1812006VALUE: $ 171,939.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to Cify Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 unrr." 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 t { Owner or Contractors Signature Paee 4 of 4 Date 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir" of Springfield Official Receipt D .lopment Services Department Public Works Department RECEIPT #: 2200600000000000623 Date: 0511912006 8:47:55AM Job/Journal Number coM2006-00099 coM2006-00099 coM2006-00099 Description Sanitary Sewer Each Addtl 100' + 8% State Surcharge + llYo Administrative Fee Amount Due 14.00 t.\2 1.40 Item Total:$16.52 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check DENNIS STAHL CONSTR djb l06 t In Person Payment Total:$16.52 $ 16.52 cReceintl Page I of I 5t19t2006 l;a$toffi.D F PRIN Buitding/Co mbinatio n Permit PERMIT NO: COM2006-00099ISSUED: 0310112006APPLEDz 0112612006E)PIRBS: 09/0112006VALUE: $ 171,939.00 Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676F,ax 541 :7 26-37 69 I nspe ction Line t SITE ADDRESS: 530 S 6th St ASSESSOR'S PARCEL NO.: 1703353406400 TYPE OF Single Family Residence IT SHALL EXPIRE IF THE WORKERM AUTHORIZE0]&OOH pBS PmCflT lS NOT Residential PROJECTDESCRIPTION: Singlefamilyresidence-valle$[fpffiNttD 0R lS ABANDSNED FgR - Owner: , Address: DEI\NIS STAHL PO BOX 448 WALTERVILLE OR 97487 PhoneNumber: 541-744-0034 Contractor TVpe General Electrical Mechanical Plumbing Contractor DENNIS DOUGLAS STAHL OWNER OWNER OWNER License 166338 Expiration Date 09t02t2007 Phone 541-744-0034 C ONTRACTOR INFORMATI ON # of Unib: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 U VN 2 24.s0 Electric Electric Electric Path I nla 9,148 1,130 461 437 3 Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacls: Street Storm Sewer Available: Special Instruction: 18.00 5.00 s.00 44.00 15.00 Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Yes Yes 24.60 Sidewalk Type: DownspoutVDrains Curbside 5' , Curb and Gutter Notes: Storm drainage piped to weep hole at curb face, encroachment permit required for sanitary se\ryer connection and fee added form must be submitted for approval. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS l of 4 t l, U lrJl-rll'l (, ll,\ I (rl(rYll!.1Mll GFIEL Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Frx 541:7 26-37 69 I nspe ction Line PERMITNO: COM2006-00099ISSUED: 0310112006APPLED: 0112612006E)?IRES: 09/0112006VALUE: $ 171,939.00 Description Dwellines Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multip[er $99.00 $26.00 Square Footage or BkI Amount 1,591.00 555.00 Value $157,509.00 $14,430.00 $171,939.00 Date Calculated 0u26t2006 0u26t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee- +8oh State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Heat Pump Pellet Stove/Insert Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin' SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage ImPervious Area Temp Power 200 amPs or less Vent Fan ; Willamalane Single FamilY Amount Paid Total Value of Project Date Paid Receipt Number 1200600000000000078 1200600000000000219 1200600000000000219 1200600000000000219 12006000000000002r9 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 r200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 1200600000000000219 $519.77 $10.00 $119.07 $9s.25 $2s4.00 $31.00 $799.65 $6.00 $130.00 $9.00 $12.00 $12.00 $30.00 $1s0.00 $-30.00 $381.40 $501.40 $10.00 $865.31 $82.03 $112.37 $67.36 $805.70 $182.69 $80.00 $766.02 $s0.00 $18.00 $1,000.00 u26t06 3tU06 3nt06 3nt06 3n106 31u06 3nt06 31y06 31u06 3nt06 3nt06 31u06 3tu06 3nt06 3nt06 3nt06 3nt06 3nt06 3tu06 31u06 3nt06 3nt06 3n106 3nt06 3nt06 31u06 3nt06 3nt06 3n106 ees Paid Total Amount $7,070.02 2of4 T Valuation Description I Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line CITY OF Building/Co mbin atio n Permit PER]\{IT NO: COM2006-00099ISSUED: 03/01/2006APPLED| 0u26t2006E)PIRES: 09/0112006VALUE: $ 171,939.00 Plan Reviews 0u3u2006 SKG VRJ0210712006 LDAP is ready to issue and at the front counter. $300.00 is due at issuance. A survey is required because of minimum side setbacks. - Planning Review 0u3u2006 02t22t2006 APP TAJ This property was included in Tree Felling Permit DRC2004-00048. A condition of approval for that application was replanting 8 trees including 3 street trees. This was done and they are in. No additional street trees are requlred, but the existing street trees should be protected during construction. The existing tree on the south side ofthe property needs to be protected with construction fencing. Encroachment permit required fee added to permit still need to lill out form;Storm dreinage piped to curb face 2/3/2006 CAS Structural Review 0U3u2006 0211612006 OK RJB To Request an inspection call the24 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with linish materials. 3 of 4 Initial Review LDAP Review Public Works Review APP APP 0u3u2006 02t03t2006 APP CAS Reouired Insnect F PRINGFIELD Buildin g/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541.:726-3753 Phone 541-726-3676Fax 541 :7 2637 69 Itspe ction Lin e PERMIT NO: COM2006-00099ISSUED: 0310112006 APPLIEDz 0112612006E)PIRES: 09/0112006VALUE: $ 171,939.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signaturer l state and agree, that I have carefrrlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCC[ PAIICY 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 all required inspections are requested at the proper time, that each address is readable from the street, that permit card is located at the front of the property, and the approved set of plans will remain on the site at all times 3 oO Owner or Contractors Signature 4of4 Date rll CITY OF SrrtlNGFlELD SYSTEMS DEVELOPMEiT. TVORKSHEET JOURNAL OR JOB NUMBER: COM2006-00099 NAMEORCOMPANY:Dennis Stahl LOCAI-ION 530 S 6th St TAXLOTNUMBER:17033s3406400 DEVELOPMENT TYPE:FAMILY RESIDENCE NEW DWELLING LINITS I. STORMDRAINAGE DIRECT RUNOFF TO CIry STORM SYSTEM BUTLDTNG SrZE (SFl 2119 LOT SrZE (SF): CI]ARGE $766.02 5800 IMPERVIOUS S.F x 2371.58 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NI-IMBER OF DFU's 20 B. IMPROVEMENT COST: NUMBER OF DFU's 20 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SIJBTOTAL $3.594.55 COST PER S.F $0.323 COST PER S.F. $0.323 COST PER DFU $25.07 $19.07 NUMBEROFT]NITS I NUMBER OF I]NITS I ADM. FEE RATE 5o/o DISCOUNTRATE 50"4 $766.02 DISCOLINT $0.00 x x x x x x x x x ruEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A REIMBURSEMENTCOST: ITEM 2 TOTAL. CITY SAMTARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: $882.80 COST PER TRIP $19.09 COST PER TzuP $84. l9 $988.39 xx NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBTIRSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 $3,594.55 CHARGE s179.73 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: Cheryl Slaymaker 2t2t2006 COST PER FEU $82.03 .40 $381.40 $82.03 $0.00 ll 7 .36 $3,774.28 1 070 l09l 1092 I 093 1094 1054 I 055 I 054 1056 079 078 a rrl oU &ElFa (, E]& COST PER FEU $865.31 PREPAREDBY DATE TOTAL SDC CHARGES I DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FDffURE UNITS FOR CALCUIATE ONLY THE NET ADDITIONAI NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTUR.E UNITS isa loa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTTIRE UNITS 0 2 2 1979 *EDU BEFORE 1979 1979 1980 l98l 1982 1983 I 984 I 985 1986 1987 I 988 I 989 I 990 1992 '1993 1994 I 995 I 996 1997 I 998 't999 $5.2e $5.29 $5.1e $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 vALtrE / 1000 $0.00 CREDIT RATE $5.29 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) x 199 CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MVYMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.e2 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 1 0 3 3 0 0 1DRINKING F'OUNTAIN 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 I-AI.NDRY TUB 0 0 2 0 CLOTHESWASI#R / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. S]NK / DISHWASHER / ETC.0 0 3 0 SHOWER. SINGLE STALL 1 0 2 2 SHOWER" GANG (NUMBEROF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENIIAL BAR 1 0 1 1 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET. PRIVATE INSTALLATION 2 0 3 b 20 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALI'E $0.00 0 2000 2001 225FIFTHSTREET.SPRINGFIELD,oRST4TToPH:(54|)726-3753oFAX:(541)726-3 E LE CTRI CAL P E RM IT AP PLI CATI O N City Job Number Q"a 26b0,--nAO q7 1. LOCAT:ION OI'INSTALI,AT'ION,/S'3o s, bf \f LEGAL DESCRIPTION llo3 3 {st oL*oo JOB DESCRIPTION 'r<n4 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor Address SHALL EXPIRE IffiHHORR, I9'OO m#trffinit;5ffii[T'l,o* Date.'' a$",oa 3. A. Neu'Residential $ 63.00 $ 7s.00 $r25.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 Each additional NOTSE;'*r THltPr'FfltHI,: AtlthlffiEhUr, 500 sq. ft. or , COI\ru'RAC'IORINSTALLATION ONLY B' : Phone ,/ Wh4h{ENCED 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only Supervisor License Num Expiration Date Constr. Contr, Expiration Date Signature of Supervising Electrician Owners Name nA It *^A I City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners C. Tenrporarl'services or Feeders Instatlation, Alteration or Relocation 200 Amps or less i $ 50.00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 fo,,x> Over 600 or 1000 Volts see"B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit D. Address P,O 6oY +18 Dtt Lnllb-ho"" (!'1|.'?4'+-ooq Pump or irrigation E. l\Iiscellangous(Service/feeder not included) -Each Installation $ s0.00 Sign/Outline Lighting $ s0.00 Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45'00 + Surcharges 4. SUBTOTALOTTABOVE fo,oo ff/o State Surcharge 10% Administrative Fee TOTAL l,oct Inspection Request: 726-37 69 Shared Drive(T:)/Building Fonns/Electrical Pennit Application l-03'doc Service Included 1000 sq. ft. or less $ r 06.00 City s 225tifth Street Springfield, Oregon 97 477 541-72G3759 Phone eity of Springfield Official Receipt ;evelopment Services Department Public Works Department t RECEIPT#: 1200600000000000219 Date: 0310112006 8:35:14AM Job/Jrurnal Number coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 CbtvtzoOO-oooss coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 cbNrzooo-ooosq cbNazooo-ooosq coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 cbM2006-00099 cbrr{zooo-ooogg cbM2oo6-oooe9 coM2006-00099 coM2006-00099 botr,tzooo-ooogq { Description Willamalane Single Family Addressing Assignment Temp Power 200 amps or less Sidewalk Permit Encroachment Permit PW Disc - 2nd Permit (Sheet) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Pellet Stove/Insert Heat Pump -Mechanical Issuance Fee- + 8% State Surcharge + l0% Administrative Fee Plan Review Major - Planning Amount Due 1,000.00 31.00 50.00 80.00 130.00 (30.00) 766.02 s01.40 381.40 182.69 80s.70 82.03 86s.31 10.00 " 112.37 67.36 799.6s 254.00 12.00 18.00 9.00 6.00 30.00 12.00 10.00 95.25 119.07 150.00 Item Total:$6,550.25 of Payment Paid By unecxNumDer Aumonzatron Received By Batch Number Number How Received Amount Paid DENNIS STAHL ddk 086400 In Person $6,550.25 Payment totat: -56EdF \ i ,} '( i i fif.l 31U2006 lofl x,lffi,r CI]-Y OF SPRI EI.D. OREGON 225FIFTHSTREET o EI,ECTRICAL City Job Number 1. INCATTONOFINSTAIT.4TION: a?tlrx7-'L.,ZON r I'AX: (!fl)72G3689 INITIALS DATE SOURCE Date COMPLETE FEE SCHEDUL,E, BTLOW SeMce Included 1000 sq. ft. orless Each additionat 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder t// $106.00 OG 3. 7Z LEGAL DESCRIPTIoNI JOBDESCRIPTION: o6 Electrical Conhactor Address \4 Phone t 8b q05 Superrisor License Number b CJ Expiration Date Consh. Contr. Number 5qLl3 Expiration Date 9 -so"aoo 1,, Signature of Supervising Elechician OwnersName Address PO 44 3 OWI{ER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ou,ners Signature: $re.oo 57 $50.00 $125.00 $163.00 $37s.00 $ 50.00 \.iORK \s1\ioI- -Each Installation o Permits ane non-transferable and expire if work isnot started within 1g0 days of issuance or if worX isSuspended for 180 days. 2. coNTn.ltgrotr INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: t$h 200Ampsorless $ 63.00 $ 75.00 Crty 201 Amps to 400 Amps 401 Amps to 600 Amps 60l Ampsto 1000Amps Over 1000 Amps/Volts Reconnect Only C. Temporary Seryices or Feederc Inslallation, Alteration or Relocation 200 Amps or less $ 50.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see'.B,'above. D. Bmnch Circuits E. cfty W^h?liltph, 7# - 44 pumpori",&$;{,$ 50.00 Sigrr/Outtine LiChtinC $ 50.00 Limited Energy/Residential $ 25.00 LimitedEnergy/Commercial _ $45.00 Minimum Electric Permit Inspection Fee is $45.fi) * Surcharges 4. SABTOTALOF^BOVS, 8% State Surcharge l0%o Adminishative Fee 5% Technology Fee & 4? 180 0 Notification Center. in OAR 952-001-001 Those rules are set forth 0 throuqh OAR 952-001- Inspection Request: 726-37 69 TOTAL Shared Drive(T:)tsuilding FormslElectrical pemit Application 8-06.doc A. New Residential - Single or Multi_Family per dwellin$tnit. \ S--- ItL lteration or Extension Per panel One Each H\S P Service Au1 \S r0B_ on law on to 225 Fifth Street Spri.igfield, Oregon 97 477 541-726-3759 Phone l Citv qf Springfield Official Receipt De. "opment Services Department Public Works Department RECEIPT #: 1200600000000001332 Date: 0812412006 l0:37:27AM Job/Journal Number coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 coM2006-00099 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 57o Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 106.00 57.00 8.15 13.04 16.30 Item Total:$200.49 Payments: Type of Payment Paid By ----- --- - eheckNumbar Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROSE CORPORATION dlm 006017 In Person Payment Total: $200.49 -$2o-o:it- cReceint 1 Page I of I 812s12006 3tmfi&Fr3LF