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Home My WebLink AboutPermit Building 2000-05-18SPRINGF!ELD Job# 99-01 050-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 TRANSS:01-00CI1783 DATE:I{AY 18 2OOO fti'1T REID:Z $ 118.]1 1 $ 300.00 IHANEE: [ff5HIER:05!j 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 147 0001Oth St Spr Assessors Map#: 17033541 Lot: Block: Addition Job Number: 99-01 050-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 02300 Subdivision: ctTY oF sPRtNcFtELD, OREGOTV Owner: HeidiLemkke Address: 25660 Perkins Scope Of Work: Bathroom Phone Number: City/State/Zip: Remodel 541-935-0838 Veneta, OR 97487 Value: $5,989 Contractor Type GeneralContr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Heidi Lemkke 25660 Perkins, Veneta,oR 97 &O Itgaf"si"tration # PER/,IIT Expiration Date Phone 541-935-0838 IryIS /FIHE 2RNW (VN)Wood Frame una u6&iYr Zoning Code Bedrooms: Range: 80 DAY oB/s ings: cy Group: Dwelling pER/oo Source: Sq. Footage: To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required Inspections Build Footing Foundation Post and Beam Floor lnsulation Framing Wall Insulation Drywall FinalBuilding -After trenches are excavated. -After forms are erected -Prior to decking. l6r -Prior to floor insulation ttollectiila Underfloor Plumbing Rough Plumbing FinalPlumbing -Prior to cover olta -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete -Priortoinsuratio# - Prior to cover. -When all plumbing work is complete. Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory: Job# 99-01050-01 # Of Stories: Height (feet): Current Units:1 Proposed Units: Census Code: Does not apply Total: Page 2 o'f 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 05/18/2000 1783 5,989 $36.73 $36.73 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 05/1 8/2000 05/1 8/2000 05/1 8/2000 1783 1783 1783 5,989 $56.50 $3.e6 $1.70 $62.16 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 0511812000 05t1812000 05/1 8/2000 0511812000 1783 1783 1 783 1783 6 $.00 $60.00 $4.20 $1.80 $66.00 Sanitary Sewer SDC Administrative Fee Tota! System Development System Development 05/1 8/2000 05/18/2000 1783 1 783 5 $241.35 $12.07 $253.42 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are $418.31 requested at the is located at the during sig re proper front of time, that the project address is readable from the street, that the permit card the , and the approved set of plans will remain on the site at all timesffi ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: HEIDI LEMKKE 99 I 050 147 lOTH STREET 1 703354 I -02300 REMODEL BUILDING SIZE:LOT SIZE 1. STORMDRAINAGE IMPERVIOUS SQ. FT.0.0 x $0.232 PER SQ. FT $0.00 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU5 $241.35 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP 0 x l.0l x $486.73 PER TRIP x x $486.73 PER TRIP $0.00 $0.00 TOTAL TRANSPORTATION SDC $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 x $242.76 PER FEU x $0.00 $0.00 .00 $0.00 $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE $22.05 PER FEU TOTAL MWMC SDC SUBToTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ 12.07 ,btz/oe $2s3.42TWTOTAL SDC CHARGES I sz+t.:s I SDC COORDINATON. PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = PLUMBING FIXTURE UNITS fNOfE: fOn nnUOOEl,S PLUMBING FIXTURES I.INIT FIXTURE FIXTURE TYPE NEW OLD ALENT UNITS BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASHiETC. LALTNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARKTRAP (I PERTRAILER) RECEPTOR FOR REFzuGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SNK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE IINITS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 2 1 2 J 6 2 6 6 1 J 2 1 2 2 I 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $4.41 $ 4.38 $ 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1 989 1990 t99t 1992 r993 1994 1995 1996 1991 1998 $ 2.18 $ l.7s $ l.3s $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1979 or before r980 l98l 1982 1983 1984 1985 1986 t987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) .x x $0.00 s0.00 $0.00CREDIT TOTAL 5 I s PRINTGFlELc, q.b"* uc.225 FIFTE STREET SPRINGFTEI^D, oREGoN 97477 INSPECTION REQLIEST: 7.26-3769 . OFFICE z 726-3759 ELECTRICAL PERilIT APPLICATION Ci ty Job Nurnber COHPLEIE FEE SCMDULE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service fncluded: ftems Cos t $ Bs.oo 8t $ 1s.oo I > $ 40.00 3 A I^EGAL DESCRIPTIONt10 3\ 5q I D ZSAO Sum JOB PTION .u)\v-e_ DE;qRI tle +S, rc- 1000 sq.ft. or less I Each additional 500 sq. ft or portion thereof 1 Each Manuf'd Home. or -Modular 'Dve11ing Service or Feeder Permits are non-transferable and expire if vork is not'started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATION ONLY Ci ty t a.ue.\\ Phone Supervisor License Number 13'7- s,tzl ,155y s Expiration Date ! Constr Contr. Number ZO- 4 qAC_ Expiration Date,\o lor lol Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect OnIy Temporary Services or Feeders Installation, Alteration or Relocation B C s s0.00 s 60.00 s100.00 s130.00 s300. 00 $ 40.00 e nBrr a60ve D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E MiscelLaneous (Service/feeder not included) -Each insta]lation Pump or irrigation $ 40.00 Sign/Out1ine Lighting $ Limited Energy/Res $ Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee 200 amps''or less $ 201 amps to 400 amps - $ Over 401 to 600 amps - $ Over 600 amps or 1,000 volTs se 40.00 5s.00 80.00Signature of Supervising E ,ectrician Ovners Name \\ "ia;Ler-k\r"- Address 2-5Ab0 7"-L rnj Ci ty Ven',,;lL Phone 345* 4?/;L OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0rmers Signature: DATE: +\(:}(:} LNL]ll-r L:t-l tZ Ci*. RECEIVED oszrto I TOTAL $ Fr '. (:) fi f..f(}l-r 1. LOCATION OF INSTALLATION.'' """'^^"[di']i5ff^*\-r*.f Electrical Contracto. D'rn Ui t\e"trzrl6' Address ?,O, Boo