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Home My WebLink AboutPermit Building 2003-07-21Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0511412004VALUE: $ 225,752.60 SITE ADDRESS: 1853 8th St ASSESSOR'S PARCEL NO.: 1703261300502 PROJECT DESCRIPTION: SFR - add 3rd bath l0l503.DB Owner: HIATT GENE B & DOROTIfy JO Address: PO BOX 447 BLUE RMR OR 97413 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541-822-3509 License Expiration Date Phone 132089 02t0u2004 541-688-5006 Contractor Type General Electrical Contractor OWNER HARDING ELECTRIC INC CONTRACTOR INFORMATION BUILDIN( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: 2 Height of Structure 24.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I R-3 u-1 VN 12.00 22.00 1,615 496 3 484 385 REQUIRED PARKING 18.00 7.00 48.00 th e Oregon Sidewalk Downspouts/Drains: 1 Curbside 5' Curb and Gutter nuln Fully Improved No }fififiU'pmpmirff#3r Notes: Page 1 of4 rE e rul@s t Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRES: 0511412004VALUE: $ 225,752.60 Description Dwellings Dwellings Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Addressing Assignment Annexed 1997 Appliance Vent Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy lst @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning Plan Review Residential Plan Review/Residential Hourly PW Mult Disc - 2nd Permit 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 Iess Vent Fan Willamalane Single Family Total Value of Project Date Paid Receipt Number 1200200000000001445 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 Tvpe of Construction V Wood Frame V Wood Bonus Rm Garage $ Per Sq Ft or multiplier $90.60 $s9.68 $23.80 Square Footage or Bid Amount 2,111.00 385.00 484.00 Value $191,256.60 $22,976.80 $11,519.20 $225,752.60 Date Calculated 06t0st2003 07t03t2003 06t05t2003 Amount Paid $s8s.26 $10.00 $109.s2 $76.66 $8.00 $-18.11 $6.00 $975.15 $9.s0 $0.75 $75.00 $6.00 $9.00 $12.00 $1s.00 $4.00 $s9.00 $48.s9 $90.00 $-30.00 $335.80 $441.80 $10.00 $34.83 $332.86 $100.57 s49.46 $709.81 $160.87 $75.00 $992.64 $s0.00 $18.00 $1,000.00 6tst03 7t2u03 7t2u03 7t2U03 7t2y03 7t2il03 7tzr/03 7t2u03 7t2U03 7t2u03 7/2U03 7t2U03 7t2y03 7t2u03 7t2U03 7t2U03 7t2u03 7t2il03 7t2u03 7t2U03 7t2U03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2U03 7t2u03 7t2u03 7t2U03 712u03 7t2u03 7t2U03 7t2u03 Fees Paid Paee2 of 4 Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0511412004VALUE: $ 225,752.60 + l0oh Administrative Fee + 77o State Surcharge 2 Baths One or Two Family + lOoh Administrative Fee + 77o State Surcharge Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + l0o Administrative Fee + 77o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid $2s.40 $17.78 $254.00 $5.20 $3.64 $s2.00 $120.47 $1s8.48 $13.95 $16.30 $11.41 $106.00 $s7.00 $7,204.59 8t2U03 812U03 8t2u03 t0t2U03 t0t2u03 t0t2U03 t0l2u03 t0l2t/03 t0/21/03 rt/14/03 tUt4t03 tut4t03 tl/t4t03 1200200000000001994 1200200000000001994 1200200000000001994 1200200000000002351 1200200000000002351 1200200000000002351 1200200000000002351 1200200000000002351 1200200000000002351 1200200000000002468 1200200000000002468 1200200000000002468 1200200000000002468 Plan Reviews Initial Review Planning Review Public Works Review Public Works Review Structural Review Structural Review Structural Review 06t06t2003 06t06t2003 06n,/2003 10n6t2003 06t06t2003 06n0t2003 06fi2t2003 10n6t2003 APP APP APP APP LLH AJD DJW VRJ 06t06t2003 07t03t2003 WE DLM 0711012003 07fi4t2003 WE DLM 07n8t2003 o7n8t2003 APP DLM Added SDC's for bathroom added after PW's review. Plans submitted 10/15/2003. Requested truss lay-out dwgs from applicant to verify foundation locations and Ioads. Received truss layout drawings from applicant. Truss loads indicate that some footings are inadequate. Called architect, who said his calculations show htat the truss co. loads are excessive and although he has no problem with the truss over-design, he is not interested in over-designing the footings. His design calculations were not included with the application. He is going to fax the calculations to me. Received architectf s design calculations, and reviewed them for consistency with the plans for this project. OK To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Paee 3 of4 IN'IAD ! Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRES: 0511412004VALUE: $ 225,752.60 I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to coyer or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 2l Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 Gas Service: After line is installed and Iine has been connected to a minimum of one appliance including required testing. Presure test done at this point. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 3l Final Electric: When all electrical work is complete. Owner or Contractors Signature Paee 4 of 4 Date Kequ I rqt-ulsllcgltQlts l 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 all required inspections are requested at the proper time, that each address is readatlle 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. Sf. GFIEL(, The toltowing zonlng and r approval PERHTT APPLICATION225 TIFTE S1BEET SPPJNGFIEIJ, OREGON 97 477 INSPECTION REQIESTt 726-3769 OFFICE: 726-3759 l' rte 1 LOCATION OP 1 I,EGAL DESCRTPTIONI703t'3 oos'oz D b Nnnber6ontLco 3^c>oVf7 SCMDULE BELOII A. New Residential-Single or Hulti-FamilY Per dvelling unit. Service Included:Items Cost Sum Zoning Signature Y DQa /c6 Electrical Contractor Ardi^Elcclr,' c Address J U.)9 t4 inlcr c-r Phone 5 t)bt* 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Ilome- or Modular 'Dvelling Sertice or Feeder .8. Services or Feeders Installation, Alterations or Relocation: h Service Permi t 5. SUBTOTAL OF ABOVE 7% state Surcharge /O lZ edministrative Fee .00 .00 .00 .00 ;00 .00 cation .00 .00 .00nBu a566 Branch Circuits New, Alteration or Extension Per Panel $ 35.00 h.. $ 2.00 l.liscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res - Limited EnergY/Comm 3 s t?lh -57 $ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Ci ty ll Supervi License Number I b2 77 Expiration Date / Gil Cons tr contr. Number t it o(\ Expiration Date 3 - i- u4 P Signature z,* of Supervising Electriciant e-a D Owners Name Ga,q fl;oll -l\Address Vo rS Ol<LAIA1 ci OIINER The instal property I for sale'Iease or rent. Osners Signature: s 40.00 $ 40.00 $ 20.00 s 36.00 t6e b OREGO'VCITY OF DATE: I t?0 L .t less 400 amps 600 amps 1000 . $ 40.00 or to to to 1-001 Over nntor of the rules \ 225 Fifth Street Springfield, Oregon 97 477 54L-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200200000000002468 Date: llll4l2003 3:03:04PM coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 1Yo State Surcharge + lUYo Administrative Fee Item Total: 106.00 57.00 I l.4l 16.30 -si507r Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard JAMES HARDING djb 000221 014176 In Person Payment Total: $ 190.71 $190.71 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/05/2003EXPIREST 0212912004VALUE: $ 225,752.60 SITE ADDRESS: 1853 8th St ASSESSORTS PARCEL NO.: 1703261300502 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: HIATT GENE B & DOROTI1y JO Address: PO BOX 447 BLUE RIYER OR 97413 PhoneNumber: 541-822-3509 License Expiration Date PhoneContractor Type General Contractor OWNER )RMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 u-l vtl 12.00 22.00 18.00 7.00 48.00 3 Yes 24.00 3 # of Stories: Height of $ay c.ant Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: AUlH COMM ANY 1 outo util.{Y Size: 2nd Floor: Surface Area: REQUIRED PARIflNG Total: 2 Handicapped: Compact: lst Floor: t0R 1,615 496 484 385 ORK Fully Improved No Curbside 5' Curb and Gutter Notes: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Tvpe of Construction Page I of4 Value Date Calculated PROJECT DESCRIPTION: SFR - add 3rd bath 101503.DB lHIS DAY ffi{lfli}outs/Drains: Garage/Carport Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0212912004VALUE: $ 225,752.60 Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 77o State Surcharge Addressing Assignment Annexed 1997 Appliance Vent Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy lst @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning Plan Review Residential Plan Review/Residential Hourly PW Mult Disc - 2nd Permit 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 + l0oh Administrative Fee + loh State Surcharge 2 Baths One or Two FamilY + l0o/o Administrative Fee + 77o State Surcharge V Wood Frame V Wood Bonus Rm Garage $90.60 $s9.68 $23.80 2,111.00 38s.00 484.00 $191,256.60 $22,976.80 $11,519.20 $225,752.60 06/05/2003 07t0312003 06/05/2003 Amount Paid Total Yalue of Project Date Paid $s85.26 $10.00 $109.52 $76.66 $8.00 $-18.11 $6.00 $97s.15 $9.s0 $0.75 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $s9.00 $48.59 $90.00 $-30.00 $335.80 $441.80 $10.00 $34.83 $332.86 $100.s7 $49.46 $709.81 $160.87 $75.00 s992.64 $s0.00 $18.00 $1,ooo.oo $25.40 $r7.78 $2s4.00 $5.20 $3.64 6t5t03 7t2u03 7t2u03 7t2U03 7t2u03 7t2u03 7t2u03 7t2y03 7t2u03 7t2u03 7t2u03 7t2u03 7l2ll03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2U03 7t2u03 712u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 8t2lt03 8t2u03 8t2U03 t0t2u03 t0lzu03 Receipt Number r200200000000001445 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 1200200000000001994 1200200000000001994 1200200000000001994 1200200000000002351 r20020000000000235r tr'ees Paid Pase2 of 4 Dwellings Dwellinss Garage F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0212912004VALUE: $ 225,752.60 Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid $52.00 $120.47 $158.48 $13.9s $7,013.88 t0tzy03 t0t2u03 t0lzu03 t0t2u03 1200200000000002351 1200200000000002351 1200200000000002351 12002000000000023s1 Plan Reviews Initial Review Planning Review Public Works Review Public Works Review Structural Review Structural Review Structural Review 06t06t2003 06t06t2003 06nu2003 10n612003 06t06t2003 06n012003 06fiz12003 10n6t2003 LLH AJD DJW VRJ APP APP APP APP 06t06t2003 07t03t2003 WE DLM 07fi0t2003 0711412003 wE DLM 07tr8t2003 0711812003 APP DLM Added SDC's for bathroom added after PW's review. Plans submitted 10/15/2003. Requested truss lay-out dwgs from applicant to verify foundation locations and loads. Received truss layout drawings from applicant. Truss loads indicate that some footings are inadequate. Called architect, who said his calculations show htat the truss co. loads are excessive and although he has no problem with the truss over-design, he is not interested in over-designing the footings. His design calculations were not included with the application. He is going to fax the calculations to me. Received architectrs design calculations, and reviewed them for consistency with the plans for this project. OK 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. I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. Reouired Insnecfions Page 3 of4 F' Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRESz 0212912004VALUE: $ 225,752.60 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to coyer and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. ll Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 2l Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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 construction. a O-r-Va I -O 3 Owner or Contractors Signature Date Pase 4 of 4 J 225 Fifth Street ; Springfield, Oregon 97 477 541-726-3759 Phone 'City of Springfield Official Receipt Development Services DePartment Public Works Department #: 12002000000000023s1 Date: 1012112003 1:26:28PM coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-00457 Miscellaneous Plumbing + 7%o State Surcharge + llYo Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Item Total:$353.74 52.00 3.64 5.20 158.48 120.47 13.95 Received By Batch Number Authorization Number How Received Amount PaidType of Payment Paid By Check GENE HIATT djb In Person Payment Total: $353.74 $353.74 CITY OF OREGO'V SPRIr:JFIELD DEVELO P MENT SERVIC ES DEPARTM ENT Encl ) 225 FIFTI-I S raFa - spq/lcFlElf :)- : ' hJ .-t... . - FAX i5,11, ::6 ?,.,:l:, August 1 1, 2003 Gene Hiatt P.O. Box 447 Blue River, Oregon 97413 Dear Mr. Hiatt: On July 21 2003 our office issued permits for the construction of a single family residence to you to be located at 1853 8'h Street, Springfield, Oregon. While calculating the fees for that permit, the plan revierver neglecteC to include the plumbing perrnit fee of $254.00, the 7o/o State Surcharge of $ 17.78 and the l0oA City Administrative Fee of $25.40 leaving a balance due of $297 .18 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. i have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at736-t029, or myself at726-3790. Sincerely, Lisa Hopper Buiiciing Safety Supervisor Kaye Wilson Don Moore cc 6-" *,n <\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRESz 0112112004VALUE: $ 225,752.60 SITE ADDRESS: 1853 8th St ASSESSORTS PARCEL NO.: 1703261300502 PROJECTDESCRIPTION: SFR Owner: HIATT GENE B & DOROTIIy JO Address: PO BOX 447 BLUE RIYER OR 97413 Contractor Type General Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PhoneNumber: 541-822-3509 Expiration Date Phone CONTRACTOR INFORMATION Contractor OWNER .OO # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 1$s hfl q52 Square Footage or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,615 496 484 38s 18.00 7.00 48.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 12.00 22.00 $' Fully Improved No $ Sidewalk Type: Downspouts/Drains: Curbside 5' Curtr and Gutter Notes: $ Per Sq Ft or multiplierDescription Type of Construction Paee I of4 Value Date Calculated 1 Valuation Description I rF Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0112112004VALUE: $ 225,752.60 Dwellines Dwellinss Garage V Wood Frame V Wood Bonus Rm Garage $90.60 $59.68 $23.80 2,111.00 38s.00 484.00 $191,256.60 $22,976.80 $11,519.20 $225,752.60 06/0s/2003 07t0312003 06/0s/2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Addressing Assignment Annexed 1997 Appliance Vent Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy Ist @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets l-4 Plan Review - Planning Plan Review Residential Plan Review/Residential Hourly PW Mult Disc - 2nd Permit 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 + l0o/o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Amount Paid Total Value of Project Date Paid Receipt Number 1200200000000001445 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 220020000000000r280 1200200000000001994 1200200000000001994 120020000000000r994 $585.26 $10.00 $109.52 $76.66 $8.00 $-r8.11 $6.00 $975.15 $9.s0 $0.75 $75.00 $6.00 $9.00 $12.00 $r5.00 $4.00 $s9.00 s48.s9 $90.00 $-30.00 $335.80 $441.80 $10.00 $34.83 $332.86 $100.s7 $49.46 $709.81 $160.87 $75.00 $992.64 $50.00 $18.00 $1,000.00 $2s.40 $17.78 $254.00 6t5t03 7t2u03 7t2u03 7t2y03 7t2u03 7t2u03 7t2u03 7t2u03 7t2U03 7t2u03 7t2U03 7t2u03 7t2u03 7t2u03 7t2y03 7t2y03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2y03 7t2ll03 7t2u03 7t2ll03 7t2103 7t2u03 712y03 712u03 7t2ll03 812y03 8t2u03 8t2u03 tr'ees Pa Total Amount Paid $6,660.14 Pzee2 of 4 Building/C ombination Permit Status Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRES: 0112112004VALUE: $ 225,752.60 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 06t06t2003 06t06t2003 06mt2003 06t06t2003 06t06t2003 0611012003 06fizt2003 07t03t2003 LLH AJD DJW DLM APP APP APP WE 07110t2003 0711412003 WE DLM 07fi8t2003 0711812003 APP DLM Requested truss lay-out dwgs from applicant to verify foundation locations and loads. Received truss layout drawings from applicant. Truss loads indicate that some footings are inadequate. Called architect, who said his calculations show htat the truss co. loads are excessive and although he has no problem with the truss over-design, he is not interested in over-designing the footings. His design calculations were not included with the application. He is going to fax the calculations to me. Received architectrs design calculations, and reviewed them for consistency with the plans for this project. OK 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. I 2 3 4 5 6 7 I 9 10 11 t2 13 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. Paee 3 of4 Reanired fnsnecfions t4 15 16 -t Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00417ISSUED: 0712112003APPLIED: 06/0512003EXPIRES: 0112112004VALUE: $ 225,752.60 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 2l Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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. Owner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 1994 coM2003-00457 coM2003-00457 coM2003-00457 2 Baths One or Two Family + 7o/o State Surcharge + l0% Adminishative Fee Item Total: 254.00 17.78 25.40 $297.r8 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check GENE HIATT djb In Person Payment Total: s297. l 8 $297.18 F Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0112112004VALUE: $ 225,752.60 SITE ADDRESS: 1853 8th St ASSESSORTS PARCEL NO.: 1703261300502 ^1499H4CI NegGrynTIONrreSBE s yo u to rules the o uti Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential ICE: PEfiIvII97413 of the ru PhoneNumber: 541-822-3509 I SHALLTHIS calling the center. (Note: the ne S P E B t{i I S NOnurnber for the Oregon Utility Notification AN D 0 NE D I Center is 1 -800-332-23441. Contradtor Type Contractbr F,08 Expiration Date Phone General OWNER # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 u-1 VN # of Stories: 2 Height of Structure 24.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,615 496 3 484 385 SETBACKS REQUIRED PARJ(NG Total: 2 Handicapped! Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: 18.00 7.00 48.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: 3 Rearyard Setback: Solar Setbacks: 12.00 22.00 Yes 24.00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page 1 of4 Value Date Calculated -t U Itrl-rt-L\ (, Il\ I (rI1,1Yl4!!!!|1I | Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0112112004VALUE: $ 225,752.60 Dwellinss Dwellings Garage V Wood Frame V Wood Bonus Rm Garage $90.60 $59.68 $23.80 2,111.00 385.00 484.00 $191,256.60 $22,976.80 $11,519.20 $225,752.60 06t05t2003 0710312003 06t0st2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Addressing Assignment Annexed 1997 Appliance Vent Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy lst @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning Plan Review Residential Plan RevieilResidential Hourly PW Mult Disc - 2nd Permit 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 1200200000000001445 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 220020000000000r280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 2200200000000001280 $s8s.26 s10.00 $109.52 $76.66 $8.00 $-18.11 $6.00 $97s.1s $9.s0 $0.7s $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $s9.00 $48.59 $90.00 $-30.00 $335.80 $44r.80 $10.00 $34.83 $332.86 $100.57 $49.46 $709.81 $160.87 $75.00 $992.64 $s0.00 $18.00 $1,ooo.o0 6t5t03 7t2u03 7t2u03 7t2U03 712u03 7t2u03 7t2u03 7t2u03 7/2u03 7t2U03 7t2U03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 712!03 7t2u03 7t2u03 7t2U03 7t2u03 7t2u03 7t2u03 7t2u03 7t2u03 7t2y03 712u03 7t2u03 7t2u03 7t2y03 7t2y03 7t2u03 F'ees Paid Total Amount Paid $6,362.96 Paee2 of 4 --__r Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003 EXPIRESz 0112112004VALUE: $ 225,752.60 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 0610612003 06t06t2003 06ny2003 06t06t2003 06t06t2003 06n0t2003 06n2t2003 07t03t2003 LLH AJD DJW DLM APP APP APP WE 07n012003 07n4t2003 WE DLM 07fi8t2003 07n8t2003 APP DLM Requested truss lay-out dwgs from applicant to verify foundation locations and Ioads. Received truss layout drawings from applicant. Truss loads indicate that some footings are inadequate. Called architect, who said his calculations show htat the truss co. loads are excessive and although he has no problem with the truss over-design, he is not interested in over-designing the footings. His design calculations were not included with the application. He is going to fax the calculations to me. Received architectrs design calculations, and reviewed them for consistency with the plans for this project. OK To Request an inspection call the 24 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. Paee 3 of4 I 2 3 l4 15 16 4 5 6 7 8 9 10 11 t2 13 Renrrired Insneefions Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: COM2003-00457ISSUED: 0712112003APPLIED: 06/0512003EXPIRES: 0112112004VALUE: $ 225,752.60 l7 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to lilling trench. 2l Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 25 Rough Mechanical: Prior to Cover 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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 construction. c or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #Date:8:42:32AM coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-004s7 coM2003-00457 coM2003-00457 coM2003-00457 coM2003-00457 Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Plan Review - Planning Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit 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 Annexed 1997 Plan Review Residential Building Permit Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets l-4 Gas Fireplace -Mechanical Issuance Fee- Copy lst @75 cerfis Copies - Ea Addtl @ 50 Cnts Ea + 7Yo State Surcharge + l0o/o Administrative Fee Plan RevieMResidential Hourly 8.00 1,000.00 50.00 59.00 75.00 75.00 (30.00) 992.64 441.80 335.80 160.87 709.8 r 332.86 34.83 10.00 100.57 49.46 (18.1 l) 48.59 975.|s 12.00 18.00 9.00 6.00 6.00 4.00 15.00 10.00 0.75 9.50 76.66 109.52 90.00 Item Total:s5,777.70 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check GENE B. HIATT nJm t2t3 s5,777.70 In Person Payment Total: s5,777.70 CITY OF STxINGFIELD SYSTEMS DEVELOPMEN. ,ORKSHEET JOURNAL OR JOB NUMBER: COM2003-00457 NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS Cene & Dorothy Jo Hiatt 1853 8th St. r 70326r 3TL00-s02 I BUILDING SIZE (SF) O LOT SIZE (SF):8712 (tr! t-loU & lr1F(n trlil 1070 l09l to92 l 093 1094 1054 H 1079 r078 I. STORM DRAINACE DIRECT RUNOFFTO CITY STORM SYSTEM lMPERV.Ious s-E" xJ :szo.oo COST PER S.F. $0.282 CHARGE $992.64 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F. $0.282 x DISCOUNTRATE 50Vo DISCOUNT $0.00 ITEM 1 TOTAL. STORM DRAINAGE SDC $992.64 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 20 x COST PER DFU s22.09 = f9441.96 B. IMPROVEMENT COST: NUMBER OF DFU's 20 x COST PER DFU s16.79 = f J-13s.80 ITENI2 TOTAL. CITY SANITARY SBWER SDC $777.60 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE 9.57 NUMBER OF UNITS I x COST PER TRIP $ r 6.81 x NEW TRIP FACTOR r.00 = I $160.87 B.IMPROVEMENT x NUMBER OF UNITS I COST PER TRIP s74.t7 x NEW TRIP FACTOR r.00 = I $zo .tr ITEM 3 TOTAL. TRANSPORTATION SDC $870.68 ADT TRIP RATE 9.57 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x B. IMPROVEMENT COST: NUMBER OF FEU's I x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL. MWMC SANITARY SEWER SDC =$3s9.58 COST PER FEU $332.86 COST PER FEU $34.83 SUBTOTAL (ADD ITEMS I,2,3, & 4)000.50 5. ADMINISTRATIVE FEE: SUBTOTAL $3.000.s0 x ADM. FEE RATE 5Vo CHARGE $ r 50.03 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: I loo.s7 D. Wright 6fi2t2003 PREPARED BY DATE TOTAL SDC CHARGES = I $3,150.53 x x DRAINAGE FIXTURE UNIT CALCULATION TABLEUIU NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODETS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) DRAINAGE FIXTURE UNITS NO. OF FIXTURES FIXTURE TYPE NEW OLD UNIT EQUIVALENT 1 0 3 3 FOUNTAIN 0 0 1 0 DRAIN 0 0 3 0 FOR GREASE / OIL / SOLIDS ETC.0 0 3 0 FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 ASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE 0 0 6 0 MOBILE PARK TRAP I PER 0 0 12 0 RECEPTOR FOR REFRIC / WATER STATION /0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SINGLE STALL 1 0 2 2 CANG OF 0 0 2 0 SINK:KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK:WASH LAVATORY 1 0 2 2 INGLE LAVATORY/RESIDENTIAL BARSINK:1 0 1 1 STALL/WALL 0 0 5 0 PUBLIC INSTALLATION 0 0 6 0 PRIVATE INSTALLATION 2 0 3 6 20 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 0 TOTAL DRAINAGE FTXTURE UNITS *EDU Unit) is a toa unit set at 167 MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSBSSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE BEFORE I979 $4.92 1979 M.92 I 980 $4.83 198 I $1.77 1982 $4.6.1 l 983 $4.47 1984 $4.30 1985 $4.09 I 986 s3.78 198'1 $3.4 r l 988 s2.98 1989 $2.52 I 990 $2.06 t99t $r.64 1992 $r.4.5 1993 $r.31 1994 $r.r3 1995 $0.97 t996 $0.82 t997 $0.63 1998 $0.4r t999 s0.22 2000 $0.04 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) VALUE / IOOO CREDIT RATE $28.74 x $0.63 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) TOTALMWMC CREDIT 1 0 1997 VALUE/ IOOO CREDITRATE $0.00 x $0.63 r 20 l-sir- 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o F PERMIT APPLICATION City Job Number Date pazuoqlnv alnlEu0!s aleO $ 106.00 $ 19.00 $s0.00 s 63.00 $ 7s.00 $12s.00 $r63.00 $375.00 $ s0.00 1 a5n Pue\ 3 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or 0RL PER/ Amps to 400 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. ffEV Installation, Alteration or Relocation \\\\ Supervisor License Nqmber Expiration Date Constr. Contr Expiration of Supervising Electrician Owners Name Address LEGAL DESCRIPTION \fiC62lat3 0ntf, JOB DESCRIPTION {ftnn' U.',,Ve O^,k Contractor Address City \Phone A ltctu. cirrWoo" or less tao $ 69.00 $ 100.00 see "B" above, Per Panel or with s 43.00 s 3.00Service or Permit E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 7%o State Surcharge l0% Administrative Fee TOTAL \ $ so.oo i11 Yoi I r, 50.00 50.00 25.00 45.00 $ $ $ $ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:4 0 5 .{)Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application I -03.doc CITY OF OREGON I]YS'Ii*LL .?TCIN Allera tions'or Relercation: /s Permits and if not started within 180 davs of issuance or Suspended for 180 days. CONTAACTO& ,6e [*?, Ternpor:ary Ser..vices or Feeders Sn.c, ,s t'g i\liscellaneous (seriice/I'eerler not includetl) -Each Installation aFesovs 3.SD-s.oa