HomeMy WebLinkAboutPermit 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