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Home My WebLink AboutPermit Building 2003-06-26Building/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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003 EXPIREST 0112212004VALUE: $ 203,571.00 SITEADDRESS: 1990 10TH ST995 S St ASSESSORTS PARCEL NO.: 1703261308700 PROJECTDESCRIPTION: Duplex Owner: TIIOMAS KAST Address: 282 ROCKRIDGE CT EUGENE OR 97405 Contractor THOMAS F. KAST INC SPRINGFIE TYPE OF WORI(: Duplex TYPE OF USE: New Residential PhoneNumber: 541-687-9455 License 56803 \CTOR INFORMATION Contractor Type General Electrical Mechanical Plumbing EUGENE BRYAN L HURLEY THOMAS F IT SHALL EXPIRE IF Expiration Date 06116t2004 12t26t2003 06n6t2004 0u09t2004 Phone 541-687-9s44 541-606-2797 541-687-9544 s41484-7440ER # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: THIS PE ORK NOT # 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: c0M ANY 1 2 R-3 u-1 YN I 24.00 Wall Heat Electric Electric 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: 8,273 1,232 1,232 1,008 7 18.00 10.00 13.00 REQUIRED PARJ(NG Total: 2 Handicapped: Compact: 34.00 0.00 Fuuy rmproved Sidewalk rype: Setback 5, Yes Downspouts/Drains: Curb and Gutter Overwidth driveway approved for up to 30 ft for driveway throat and second driveway was also approved 6/6/03 Notes: Page 1 of4 { thc Oregon UtilitY rules are set lort'follow 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003EXPIRES: 0112212004VALUE: $ 203,571.00 Description Dwellings Garage Tyne of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 2,464.00 1,009.00 Value $183,814.40 $19,756.80 $203,571.20 Date Calculated 05n912003 05/19/2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Plan Review - Planning PW Mult Disc - 3rd 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 Attached (duplex) + l0Yo Administrative Fee + 7oh State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtt 500 Amount Paid Total Value of Project Date Paid Receipt Number 1200200000000001238 1200200000000001647 1200200000000001647 r200200000000001647 r200200000000001647 120020000000000r647 1200200000000001647 1200200000000001647 r200200000000001647 r200200000000001647 1200200000000001647 r200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 120020000000000r647 r200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 r200200000000001647 1200200000000001647 1200200000000001647 r200200000000001647 1200200000000001647 1200200000000001647 2200200000000001352 22002000000000013s2 220020000000000r3s2 2200200000000001352 $s87.37 $r0.00 $151.57 $106.10 $s08.00 $16.00 $903.65 $3s.00 $35.00 $75.00 $r2.00 $18.00 $59.00 $-60.00 $s70.86 $751.06 $10.00 $69.66 $66s.72 $159.00 $10r.s6 $1,419.61 $321.74 $7s.00 $1,413.95 $50.00 $24.00 $1,848.00 $28.80 $20.16 $212.00 $76.00 st19t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26103 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 8t6103 8t6t03 8t6t03 8t6t03 Fees Paid Total Amount Paid $10,273.81 Paee2 of 4 I Valuation Descrintion LD 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003EXPIRES: 0112212004VALUE: $ 203,571.00 Plan Reviews Initial Review Planning Review Public Works Review APP APP APP Spoke with Mr. Kast June 5th regarding the need for a overwidth and second driveway application, he did appty and has approval from PW traflic division 61612003. Structural Review 05t2u2003 06n012003 APP RJB 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. Erosion/Grading Inspection: After all erosion measures are in place. 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. Firewall: Located and constructed according to plans. 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. 05t20t2003 05t2u2003 06t02t2003 0st2u2003 06t0212003 06/10/2003 LLH AJI) VRJ I 2 3 4 5 6 7 8 9 r0 ll t2 13 l4 15 16 t7 18 19 20 2t 22 23 24 25 26 27 28 Reouired Insnections Page 3 of4 t'T! 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003EXPIRES: 0112212004YALUE: $ 203,571.00 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 Page 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt' Development Services Dep artment Public Works Department 1AM coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7o/o State Surcharge + l|Yo Administrative Fee 212.00 76.00 20.16 28.80 Item Total:$336.96 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check THOMAS KAST djb In Person Payment Total: $336.96 -$336-56- ( This home.tns been professionally insulated with Owens Gorning PROPINK" Unbonded Loosefill lnsulation (Job Site Add,ress)E- Name Add,ress Stnte _Zip _ Owens Corning PROPINK Unbonded Loosefill lnsulation (Red Bag) Owens Comiry will accept no responsibility wtren the product is not installed in accordance with the product label. Stated R-ralue is provided by installing the requred number of bags at a thiclness not less than the labeled minimum thiclness. Installation of the required number of bags may yield more than the specified minimum thiclness. Failure by the installer to provide both the required bags and at least the minimum thickress will result in lower insulation R-rralue. Specification For Open BlowAttics Nominal net of insulation is 33 lbs. ci.w fThe higlrer the R-value, the Breater the insulating power. Ask your seller for t}te fact sheet on R-values. Loosefrll insulations lar in thermal performance due to factoN such as ag,ing, mean temperature, settlemeni. convection, moisture absorption and installation variation. Convection in glass loosefrll insulation installed in open attics can reduce its theEnal perfornance in extreme winier temperatures during the heatirul season. Blanket lnsulation Blanket and batt fiber glass when installed to the manufacturer's will the stated R-Value. Conlractor Bui)ter . , Dote s(riafrm Plwrw Photlp orvtra3@iliao woit t IIAOOT A[ll3 ONE OI'€NS CORNING hRKVIAY TOLEDO. OHrO€559 r&lf-i.5la&A Ptr.td h U.3A Arril 20@ Corrletr O 20@ Om Cc't'r' as submitted has the tollowing 225 FIFTH STREET . SPRINGFIELD, OR97471 r PH:(541)726-3753 o FAX: @tid2{r.g@s not require specific land use ELECTRICAL P E RM IT APPLICATIAN City Job Number CAqZ""j . .O 3 f L Date I. LOCAT'ION OT- o 8o 6o;s Date 3. CAMPLE'I-E A. New Residential - Single or tsIulti-Famil;- per drvelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Seruice or Feeder approval Zoning ?70 tk s+ \97sS LEGAL DESCRIPTION l7osZ.6t 3 OVToo JOB DESCRIPTION \t^.?L.rt LE Permits are non-tratrsferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Do.d90I t\ \ ^rf Z , $106.00 ?17 4 $ te.oo aL 2. CO.NTRACTOR INSlArLArroN ANLY B. services or Feetlers - lnstallation, Al{erations or Relocation: Electrical Contractor A-l {..+L $50.00 Address Phone 0 COMM Ll 8st SANY, 200 Amps or less 201 Amps to 400 AmPs P $ 63.00 $ 75.00 w0 RK---- $t2s.oo IS $163.00 fOR $375.00 $ 50.00 OT ICE: HIS P City Superuisor License Number RIZE ENC Expiration Date o * al*70 011 Constr. Contr. Number q q3? Expiration Date -L -zt-^zooj Over 600 ATTE$:T Signature of follow Owners Name rus I F. Address 8> 80 DAY C.TemporarY Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs lLl Installatictr City Phone I q - oSqL OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent' Owners PumP or irrigation Sign/Outline l-ighting Limited EnergY/Residential Limited EnergY/Commercial Minimum Electric Permit Inspection 4. SLTBTOTALOFABAI'TE TohState Surcharge 10% Administrative Fee TOTAL $ s0.00 s 50.00 $ 2s.00 s 4s.00 ,..,, s[oo *Surcharges ?-'Y8 2o tc' 8o 36 Inspection Request: 726'37 69 Shared Drive(T:)/Builcling Fomrs/Electrical Pennit Application l -03'doc I 1 OAR calling E. $ s0.00 $ 69.00 $ 100.00 Oregon UtilitY o through OAF UtilitY rritest-$ 43.00 3.00 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003EXPIRES: 1212612003VALUE: $ 203,571.00 F SITE ADDRESS: 199010TH ST 995 S St ASSESSOR'S PARCEL NO.: 1703261308700 PROJECTDESCRIPTION: Duplex Owner: THOMAS KAST Address: 282 ROCKRIDGE CT EUGENE OR 97405 SPRINGFIE TYPE OF WORJ(: Duplex TYPE OF USE: New Residential PhoneNumber: 541-687-9455 Contractor Type General Mechanical Owner Plumbing Contractor THOMAS F. KAST INC THOMAS F. KAST INC THOMAS KAST EUGENE PLUMBING CO License s6803 s6803 44012 Expiration Date 0611612004 06n6t2004 0u09t2004 Phone 541-687-9544 541-687-9544 s4t-687-945s 541484-7440 CONTRACTOR INFORMATION ,RMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: for up to 30 ft Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 2 R-3 u-1 VN ) 24.00 Wall Heat Electric Electric Path I 8,273 1,232 1,232 18.00 10.00 13.00 34.00 0.00 1,008 PARKING 2 \t Type:Setback 5' Curb and Gutter 3 Fully Improved Yes Overwidth driveway approved approved 6/6/03 Notes: Pase I of4 throat and second driveway was also 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003 EXPIRESz 1212612003VALUE: $ 203,571.00 Description Dwellines Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 2,464.00 1,008.00 Yalue $183,814.40 $19,756.80 $203,571.20 Date Calculated 0sn9t2003 05/19/2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o Stile Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Plan Review - Planning PW Mult Disc - 3rd 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 Attached (duplex) Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200200000000001238 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 r200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 r200200000000001647 120020000000000r647 1200200000000001647 r200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 120020000000000r647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 1200200000000001647 $587.37 $10.00 $1s1.57 $106.10 $s08.00 $16.00 $903.6s $35.00 $3s.00 $7s.00 $12.00 $18.00 $s9.00 $-60.00 $570.86 $75r.06 $10.00 $69.66 $665.72 $1s9.00 $101.56 $1,419.61 $321.74 $7s.00 $1,413.95 $s0.00 $24.00 $1,848.00 5n9t03 6t26103 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6t26103 6t26t03 6t26t03 6t26t03 6t26103 6t26t03 6t26t03 6t26t03 6t26t03 6t26t03 6126103 6t26103 $9,936.85 Fees Paid Plan Reviews Initial Review Planning Review 0st20t2003 0st2u2003 05t2u2003 06t02t2003 APP APP LLH AJD Paee 2 of 4 -I m.i Valuation Descrintion ] 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: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003EXPIRES: 1212612003VALUE: $ 203,571.00 Public Works Review 06102t2003 06/r0/2003 APP VRJ Spoke with Mr. Kast June 5th regarding the need for a overwidth and second driveway application, he did apply and has approval from PW traffic division 61612003. Structural Review 0st2u2003 06n0t2003 APP RJB 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. Erosion/Grading Inspection: After all erosion measures are in place. 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. Firewall: Located and constructed according to plans. 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. I 2 3 4 5 6 7 8 9 10 ll t2 13 t4 15 16 t7 18 19 20 2t 22 23 24 25 26 27 28 red Insnecfinns Paee 3 of4 Buildin g/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2003-00382ISSUED: 0612612003APPLIED: 05/1912003 EXPIRESz 1212612003VALUE: $ 203,571.00 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during jvw >A-)ooQ Owner or Contractors Signature Date Paee 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 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 coM2003-00382 Willamalane Attached (duplex) Temp Power 200 amps or less Plan Review - Planning Sidewalk Permit Curbcut Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl PW Mult Disc - 3rd 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 Building Permit Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- 2 Baths One or Two Family + 7o/o State Surcharge + lDoh Administrative Fee 1,848.00 50.00 59.00 75.00 75.00 35.00 35.00 (60.00) 1,413.95 751.06 570.86 321.14 1,419.61 665.72 69.66 10.00 159.00 101.56 903.65 24.00 18.00 12.00 10.00 508.00 106. l0 t51.57 Item Total:$9,349.48 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check THOMAS KAST INC djb In Person Payment Total: $9,349.48 $9,349.48 225 FIT'TH STREET SPR.tr\TGFIELD,OR97477 o pII:(54 City lob Number LEGAL Permits non-transferable and expire if ts not started within 180 days of issuance or if work is Suspended for 180 days. Contractor Address Superwisor License C. Expiration Date Constr of Supervising Electrician Owners Address $ s0.00 $ 69.00 401 Amps to 600 Amps 00 Over 600 or 1000 Volts see D. New $ 43.00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited Energy,lResidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 7o/o State Surcharge 10Yo Administtative F ee TOTAL Installation, Alteration or Relocation 200 Amps or less \ 201 Amps to 400 Amps 7)726-37s3 A. DE Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 106.00 $ 19.00 B. City $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 City fuq!-r,g- phone 5D.d d \ OWNER INSTALLATION The installation is being made on property I own which is not intended for lease or rent. Owners Signature: $ s0.00 $ s0.00 $ 25.00 $ 4s.00 InsPection Request: ?26-3169 4. Shared Drive(T)/Building Forms/Electrical Permit Application t{3'doc o tr'AX: a58 l. 3. ,Itfd,w, \ ao<.ttq .{iirslelm Servii*b $s0.00 rtiti[r iirc-ltided]Bot *Eaeh CITY OF SPR,NG FIELD sYS TEIt,,S LOCATION; TAX LOTNUMBER: DEVELOPMENT TYPE: NEWDWELLING TINITS LOT SrZE (SF): 2 BUILDING SIZE COMPANY: OR JOB NAME OR Tom Kast 990 0th &Street 99s S Sheet 70326 J 8tl 700 DUPLEX $1 COST PER S.F s0.282 CHARGE $1,413.95 IMPERVIOUS S.F 0.00 COST PER S.F s0.282 DISCOTINT RATE 50% DISCOLINT $0.00 $1,413.95ITEM I TOTAL - STORM DRAINAGE SDC x x AND CONSTRUCTED TO CIry STANDARDS NUMBER OF DFU's 34 COST PER DFU $22.09 NUMBER OF DFU's 34 COST PER DFU s 16.79 $1,321.92 B. IMPROVEMENT COST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC x : I $7s1.06 = | $s7o^86 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: ADTTRIP RATE 9.57 NUMBER OF UNITS 2 COST PER TRIP s 16.81 NEWTRIP FACTOR 1.00 ADTTRIP RATE 9.57 NUMBER OF TINITS 2 COST PER TRIP $74.17 NEWTRIP FACTOR 1.00 ,741.35 B. IMPROVEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC x x x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: NUMBER OF FEU's 2 NUMBER OF FEU's 2 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$745.38 COST PER FEU s332.86 COST PER FEU $34.83 B. IMPROVEMENT COST: x x = | $665.72 : I $o.oo : I $1o.oo 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: SUBTOTAL (ADD ITEMS I,2,3, & 4)$5,222.60 SUBTOTAL $5,222.60 ADM. FEE RATE 5% CHARGE $261.13 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5. ADMINISTRATIVE FEE: x l-il0-i:56'- I tse.s1 1070 1091 1092 1093 1094 I 054 1055 1054 1056 taD HooO & 14F CN(\ IJ]& 079 078 TOTAL SDC CHARGES61t012003Virginia Jurasevich PREPARED BY DATE x x 73 NEWFIXTURE TYPE LTN]T OLD NUMBER OF NEW FXTURES X UNIT EQUIV AIENT = DRAINAGE FXTURE TINITS FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAI NO. OF FIXTURES DRAINAGE FIXTURE LINITS 02 0100FOLINTAIN030DRAIN0300SOLIDSETC.GREASE OILFOR 000FOR SAND / AUTO W ASH / ETC. 002LAUNDRY TUB ti302CLOTHESWASHER/ MOP SINK 0600CLOTHESWASHER-3ORMORE 0 120MOBILE HOME PARK TRAP 1 PER 00FOR REFRIG / WATER STATION / ETC. 3 000FOR COM.SINK / DISHWASHER/ ETC. 0020SINGLE STALL 0 0OFGANG 3 62SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0020SINK: COMMERCIAL BAR 0020SINK: WASH BASIN/DOUBLE LAVATORY 4401SINK:SINGLE LAVATORY/RESIDENTIAL BAR 5 00STALL / WALL 0 0 6 0PUBLIC INSTALLATION 12403PRIVATE INSTALLATION 34TOTAL DRAINAGE FIXTURE UNITS lsa toa set at 167 20 0 +EDU unit MISCELLANEOUS DFU TYPE NUMBER OF EDU'S DRAIN AGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 0 0 1979 CREDITFOR LAND (IF APPLICABLE) VALUE / IOOO s0.00 CREDITRATE $4.92x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $4.92 TOTAL MWMC CREDIT BEFORE 1979 $4.92 1979 $4.92 1980 $4.83 1981 $4.77 1982 $4.64 1983 $4.47 1984 $4.30 1985 $4.09 1986 $3.78 1987 $3.41 1988 $2.98 I 989 $2.s2 1990 $2.06 1991 $r.64 1992 s1.45 1993 $1.31 1994 $ r.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 I 9S9 $0.22 2000 s0.04 l-soro- |--d--