HomeMy WebLinkAboutPermit Building 1999-09-11SPRINGFIELD
225 North Fi-fth Street
Springfi-e1d, OR 974'77
LocaEion of Proposed Work: 1898 42ND ST
Assessors Map #: 17023000
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIETD iIOb NUMbET:
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Office
lnspection Lj-ne
Page 1
98L47 4
726 -37 59
726 -37 69
Tax Lot #: 01913
CITY OF SPruNGFIEI*D,
Owner: SCHOOL DIST #19
Address: 1890 42ND STREET
Description Of Work: FOOD STORAGE BLDG
Phone #: '726-3257
city/state/zip: SPRTNGFTELD, OREGON 97478
NEW VaLue 364,225.00
Name
NAGAO
Address Phone
Architect
General:
Plumbing:
Mechanical
Electrical
ConEractor
,.TOHN HYLAND OO45O71
PO BOX 7857 EUGENE OR 974010000
BL DUMAS 00571.52
741 MAIN ST SPRINGFIELD OR 97477000
GARIBAY OO4325A
4207 w 5th Eugene OR 974020000
LrNN CO 0004624
PO Box 925 Albany OR 973210000
Const.
Contraetor #Expires
o7 /1.1./00
03/06/e8
L2/0]-/eO
06/22/e2
Phone
125 -8081
't26 -21,87
344-2481,
925 - 4255
PLIIMBING - - -
No
6
Fee Charge
50.00
85.00
40.00
150.00
345.00
Single Fi-xture
Sanitary Sewer
Water Service
Storm Sewer
TOTAL PERMIT
425
150
904
ft.
fr.
fr.
MECHANICAL
No
3
Fee
i SHALL EXPIRE IFTHE WORK
IJ UNDEB THIS PERMIT IS NOT
Charge
9.00
12.00
2 .50
15.00
10.00
48.50
Vent Fan/Single Duct
CONDENSERS
GAS LINE
z
Permit Issuance
TOTAL PERMIT
f,i0TlCIE
QUAD AREA: 3CNC
- - OFFICE USE - -
LAND USE: 5800
ftem VaIueSquare Feet x $/Square Feet
AT-l EN'f lUN:Oregon iaw requires you t!'
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set fortlt
in OAR 952-OO1-0O10through OAR 952'001-
0090. You may obtain copies of the rules b)
calling the center. (Note: the telephone
numbe; for the Oregon Utility Notificatiorr
Center is 1 -800-332'2344)'
.-
SPRINGFIELD
Job Number: 98L474
CITY OF
Page 2
TOTAL VALUE OF PRO,JECT 364 ,225 .00
BUILDTNG
Surcharge/edmin
MECHANICAL
Surcharge/admin
PAVING VALUE
PLUMBTNG
Surcharge/edmin
ADDL. PLAN CK
CITY SDC FEES
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
14, 000.00
1,,029 .25
82.34
48.50
3.09
104.50
345.00
27.50
204.75
7 ,284 .24
9 ,429 .27
9,L29.27
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you wil-1 be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m wilf be made the following work day.
Special Inspections: In accordance with Section 306 of the State Specialty Code
a speci-al inspector shall be employed by the owner/Contractor during
construction of any following "*" work. A copy of the special Lest.ing reports
shall be furnished to Building Safety.
In addition Lo the i-nspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
FOOTING - Aft.er trenches are excavated.
FOITNDATfON - After forms are erected but prior to concrete placement.
I,NDERGROI,ND ELECTRICAL - Prior To Cover.
I,NDERGROI,ND PI.I,ITIBING _ Prior to filling t,rench.
MASONRY - Steel location, bond beams grouting or verticals in
accordance with UBC 2415.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ROUGH PIJI,MBING - Prior Io cover.
WATER LINE - Prior to filling t.rench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fi-lling trench.
ROUGH GAS - after line is instal-l-ed and capped if not attached to an
appliance
cAS SERVICE - After line is install-ed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
STRUCTURAL CONCRETE in excess of 2500 psi. To be done during constr.
by State Cert. Insp. Results to City Building fnspector
Plan Check Fee: 464.26 Rec #: 32t86 Date: l1'/3o/98 Rec By:
--- REQUIRED INSPECTIONS ---
-SPRINGFIELD
.fob Number : 981-47 4
CITY OF SPilNGFIEI*D,
Page 3
HIGH STRENGTH BOLTING - To be done during constr by State Certified
Speci-a1 Inspector. Results provided to City Building Division.
FRA.DIING - Prior to cover.
INSULATION - Floor; prior to decking wal]/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLITMBING - When aII plumbing work is complete.
FINAL MECHAIiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL SITE PLAI'I - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS
REFERRED FOR MINTMUM DEVELOPMENT STANDARDS
ELECTRICAL PERMIT REQUIRED
Pl-ans Reviewed By:
Bui-1ding Site Reviewed By: LISA HOPPER
Date: 12/28/98
By signature, I state and agree, thaL 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. f further certify that onJ-y
contractors and employees who are in compliance wj-th oRs 701.055 will be
used on this project.
f further agree to ensure that a1l- required inspections are requested at the
proper time, that project address is readabl-e from the street, that the
permit card is located at the front of the property, and the approved set.
of ill remai-n on the sj-te at all times during construction.
gF a/rt/ qr
Signature ;{"--7-
VALIDATION
Receipt Number:
Date Paid:
AmounE Received:
Received By:
<2%t
L7
CITY OF OREGO'V
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (s41) 726-368s
approval
225 FTETE STREBT Zonino
7L77SPRTNGFIELD
INSPECTION .
OFFICE: 726-3759Authorized Signature
1. LOCATTON OF TNSTALI,ATION
TEGAL DESCRTPTION
JOB
Permits are non-transferable and expire
if vork is not started vithin L80 days
of issuance or if vork is suspended for
180 days.
2 COIITRACTOR INSTALI.,ATION ONLY
ElectricaL Contractor
Address
Ci ty Phone
Supervisor License Number ioI3 ps
Expiration Date
Constr Contr. Num.ber
Expiration Date
Signa of Supervising Electrician
ETECTRICAL PERHIT APPLICATION
City Job Nunber
3. COI{PLETB PEE SCEEDUI,E BELOS
A
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201- amps to 400 amps
-40L amps to 600 amps
60i. amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
5. SUBTOTAL OF ABOVE7z State Surcharge
3Z Administrative Fee
TOTAL
Nev Residential-Single or
Multi-Family per dvelling unit.
servid{OTUDReti:
THIS PERMIT SHALLLKflTfi r rPrfiB?[ONr SUM
1000 #JEdoTZEDABOER TH|S pEfi rVilfl S0toT
Each 416ffl4[7ffi EDUH rs naANDoNED FoB
ifl;,SWIaBBtrVHEnroo $ ls.oo
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
I. OREGON 9
nroussfS'"
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
s 40.00
Ci ty Srn l^rqfiaf PhoneT
OIJNER TNSTALLATTON
The installation is being made on
property f ovn which is not intended
for sal-e, lease or rent.
Ovners Si
c
D. Branch Circuits
Nev, Alteration or Extension Per Panel
oneCircuit i $35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
Temporary Services or Feeders
Installation, Alteration or Refocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000-voTTs see rrBrr aE6tE-
-Each installation
Pump or irrigation $
Sign/Out1ine Lightirg- $Limited Energy/Res $
Limited Energy/Comm $
ress D.
40.00
40.00
20.00
36 .00
553l
,0
/
DATE
RECETVED
ture:
a
5o
-
D EVELOP M ENT S ERVI CES DE PARTM E NT
The following projecl as submitted has the lollowing
zoning. and does not require specific land use
nlelr. (Nicl
u'8/'q/g
SPFINGFIELD
225 North Fifth Street
Springfield, OR 91477
Location of Proposed Work: 1898 42ND ST
Assessors MaP #: 17023000
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
age 1
ilob Nrrnrlcer: 98L47 4A
office:
Inspection Line:
126-3759
7 26 -37 69
Tax Lot #: 01913
ctTv SPI?IAIGFIED,
Owner: SCHOOL DIST #l-9
Address: 1890 42ND STREET
Description Of Work NEW Value 750,450.00
--- PLI'MBING ---
No Fee Charge
70.00
70.00
Water Service
TOTAL PERMIT
260 ft
QUAD AREA: 3CNC
-- OFFICE USE --
LAND USE: 6800
Item
TOTAL VALUE OF
Square Feet x $/Square Feet Value
20,990.OO
20, 990.00
CHANGE DIRECTIVNOTICE;
TH,SPERMM S'.,ALLEXPIRE,F THEWORKA*E{gSIZED UNDERTH,S PERII4IT ,SNOTCOMMENCEDOR,S ABANDONED FOBANYlSODAY
BUILDING
Surcharge/admin
MECHANICAL
Surcharge/admin
PLUMBING
Surcharge/admin
PLAN REVIEW FEE
SIIBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
ow rules adorlipd b
Notificataon eenrer rr,
in CAR 9S2-00.r -Qiir {: :
0090. You rnav obtair,
calling thE cenier. (l
numbertcrrthe Orepc
el:','.':''- ,1
A A 'C
). /o
, :_-
0.00
0.00
0.00
5.60
0.72
7
)
157.35
157.3s
--- REQUIRED INSPECTIONS
It is the responsibility of the permit hol-der to see that a1I inspections are
made at the proper time. To request an inspection, ca].l 726-3759
(recorder), state your City designated job number, job address, Lype of
inspection requested and when you wifl be ready for inspection. Requests
received before ?:00 a.m. wil-f be made the same working day, requests made after
7:00 a.m wiff be made the folfowing work day.
Special Inspections: fn accordance with Section 306 of the StaLe Specialty Code
a special inspector shaLf be employed by the Owner/Contractor during
construction of any following "*" work. A copy of the special testing reports
shal-1 be furnished to Building Safety.
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
Phone #: 726-3257
city/state/zip: SPRfNGFTELD, OREGON 97478
SPFINGFIELD
Job Number: 98L474A
CITY SPHNGFIELD,
Page 2
WATER LINE - Prior to filling trench.
FRAIIING - Prior to cover.
FINAL PLITMBING - When all plumbing work is complete.
FINAL FIRE - When all Fire Department requirements have been meL.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS ---
Plans Revj-ewed By: LORNE PLEGER
Building Site Reviewed By:
Date: o8/30/99
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify t.hat afI information hereon is true and
correct, and I further certify that any and all work performed shall be done
i-n 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 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
of 11 remain on the site at all times during construction.
?
Signature Date
03
--- VALIDATION ---
LReceipt Number:
Date Paid:7 ff
Amount Received, /
Received By:
t7 t
///r^/
--
CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, $pringfield, Oregon 97477
SPRIIl.GFIELD JoB NUMBER ?e/7" 7
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PFIOPOSED WORK
ASSESSORS MAP:bee TAX LOT:
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER
PHONE:
ZIP:STATE:
VALUE:
l
CITY:
DESCRIPTION OF WORK:
ADDRESS:
OWNER:
PLUMBING:
MECHANICAL:
EI EffiOIAA I .
PHONEADDRESSNAME
R#EXPIRES PHONEADDCO
GE
CONTRACTOR'S NAME
CONST.
PLU MBING
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
/,b4rry*
TOTAL PERMIT ,4rz ,/a#
MECHANICAL
NN FFtr EHA RGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or tloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
AI'IEfiJ I lON:Uregui r ,aw leQutt€LyQU- t'1._ ^_* o r sro Rr t$l @h e O ret'dFAlt?fl URoE
IrtoTtcE:
trntr
THISPERMIT sl,6hh fi XBEE ffir*dE uco BK__
ISNOT
ZONING:
IZED
OCCY GROUP:CONSTR. TYPE:
- OFFICE USE -
* OF UNITS:
LAND USE:
HANDICAP ACCESS:
FLOOD PLAINQUAD AREA:
* OF BLDGS:
Ffft'fiil"r'Jlfift""rAb"dlis8 Fr. ANylsoDAy,ps*toD.
SO. FTG OTHER Centpr is 1-R(.IO-332-23*$.
TOTAL VALUE OF PROJ
SQ. FTG MAIN X e rules b';
:\UtlllUatlUl M
in OAR952-00
phoneling the center. (Note:the
SO, FTG
q4/,57 RCPT#PLAN CHECK FEE
DEMOLITION
BY7A'lz
24,
h
DATE -94^go
BUILOING PERMIT PLUMBING
StateState
Su rc
FENCE
VALUE $
MECHANICAL
State
ha
SIDEWALK
FT.
SUBTOTAL
PERMITS
CURBCUT
FT.
PAVING SYSTEMS
DEVELOPMENT
?/.8€TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?^/?>^.22-
ARCHITECT:
3-eo
A ,3Q2 . r)^1 q1lk'r:XZ
It is the responsibility of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you wi1 be readyfor lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:oo a.m. will be madethe following work day.
S]TE INSPECTIoN: To be X RoUGH PLUMBING, PAVING: After grave| iS inmade after excavation, but ELECT'RICAL & ' place but prior to ptacingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordanceELECTRICAL & and approved. Section 306 of the State Speciatty CodeMECHANICAL: To be made
berore any work is covered. Arrrc DRAFr sroPs & ar"ff"" 3;l:i,"S:'i :*1[,0;r;,T3'o'"0CURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildi-ng Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter ar insrab buirdins 3l::5::."]ff il'3:It;,;;:r" BIlY,"J"'f3"t,Y"=tT',rrz oservice equipment, conduit, and vents are complete andpiping, accessories and other
incirr-ary equipment rtems are :i?',i::lf,ligl:fl' jJ;[i:t: Bi,f1If],?E]noT,l",?l"tIH?"0in place but before any tighte-ning operations. (306concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, lnsulation and requlred vapor SpRAyED ONelectrical, gas, sanltary sewer, barriers are ln place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43_g.dralnage lines. To be made board interlor wall bovering isprior to covering or filling apptied. spEClAL GRAD|NG,trenches.
,NDERFL..R: p'umbing [::,fl'"'"'f;m'J3l:H]"' ififIt'iix-:lL:,5Jb'il,"t
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
poST & BEAM: To be made interiol and exterior, is in Building Division before
prior to lnstallation of floor place but before any beams are placed' (2501 U'B.C'
insulation, clecklng or floor ]rlastering is applied or before STDS' 25-10'11)'
sheathlng. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATIoN & finished' a'7)
VAPOR BARRTERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
RooF sHEATHING AND :HR3^S?ff"t::f"":'"
NAILING: Prlor to installlng erected but prior to placing
any roof coverlng. concrete.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
'ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Bullding,
City or Development Code.
By signature, I state and agree, that I have carefully examined the completed appllcation and do hereby certify that all information
herein is true and correct, and I f urther 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 Buildlng Safety Division. I further certify that only contractors and employees
who are in compliance with OBS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, that the permlt card is located at the front of the property, and the approved set of plans will remain on the site at all
1$-isnat ff^te
times during co ctlon.
RECE1pT #: nSAl\
VALIDATION K- t)-l 1A fu.{teAMOUNT RECEIVED:
RECEIVED BY:
DATE PAID
{
x
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
F]NAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspectlon. All project condltlons such as
landscaping, parking Iot stri ping, etc. must be completed before
requesti ng thls I nspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS
PLANS BEVIEWED BY 9-Z 4
ATTEf\-
THiS F[iiituilT $HALL EXPIRE lF TH6$ltlB?{d does not require specilic land
AUTHOHIZED UNDEH THIS PERMIT IS N0TzoningfuM rber tor the
C0Ml'l[NCf;0 OH tS ABANDONED FOff \?--bo - 18 Center
GCTRiCAL PERYJTZ2E 1FIFilE I-sINEET
SPRINGFTEI.-D, OREGON 97 4]J
INSPECTION PJQTJEST:726-3769./Ci ty Job Number
.C)COI.{PLETE FEE SCMDULI BEI,OV
A. Nev P.esitiential-Singie or
759
1 LOCATION OF ON \
ffi
LEGAI DESCRIPTION NCZ q\3
JOB DESCRIPTION
'rerTn.ery irF.ler i.nstallalien
Permi ts are non-transf erabl-e and e:<pire
if vork is not started ;i thin iBO riays
of issuance or if vork is suspendec for
180 days.
Constr Contr. Number 49i37
Expiration Date 01-
Signature of- Supervising Electrician
ovners n""," Sp{d Schor* Drt= {-
Acidress 6ag
cirv SekL Phone l\b 174 ,r
O\TNER INSTALI,ATION
The instalLation is being inade on
property I ovn';hich is not intencied
for sale, lease or rent.
UtilitY
llulti.-Far,ri1,r' per dvelling uni t.
Service Incl-uded:
I iens Cos i
n..rthorized ,4
oFFrcl'eq63
Sum
100C sq.fr. or less S 85.00
Eacr aciciitionai 500
sq. ft or portion
thereof S i5.00
Each Manuf 'd llome- or
-Mo <i u L a r Dv e 1 1 i n g'rh-e
lo]lowlp. projec, p XgQmittacr has thc roilotrit
S e rr i ce o r Feeci e r ;3'ffi!1go"6nd%O0e sp*,r-laiJ ilf '
2. CONIRACf,OR INSTAJ.I,ATION ONLY B.
EIec tr i ca I Contractor E C Ccrya.v/Lirurco Division
A<idress POBox925 200 arnps or less Authorized sien%
Ci ty Albany Phone 541 92*266
201 amps to 400 amps _40i amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 anps/volts
Reconnect 0n1ySupervisor License Number 1?q7q
Expiration Date 1CH)l{)1
Services or FeederS zonirrcInstallation, Alterations
------
or S,eLocation: Deite
C. Tenporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less I
201 amps to 400 anps _
Over 401 to 600 amps
s130. 00
s300.00s i0.00
s 50.00
s100.00
40
55
80S
00
I
Over 600 amps or L000-7oITs see "8"aEo're
D. tsranch Circui. ts
Nev, Alteration or Exiension Per Panel
One Circuit S 35.00
iach Addi iional
Circui t or vi. th Serrice
or Feeder Pernil S 2-00
@-m.-00
00
not incLuded)
40.00
40.00
20.00
6(rrrfi,Y&A
i'lisceilaneous ( Service/ f eeder
-Eacn installation
Pump or irrigation S
Sign/outirne Lighti"g- S
Linrite<i Energl;/Res $
Lini ted lnergy/Comm S
0rrners Sigaature:
5 SIJBTOTAL OF AtsOVE
52 State Surcharge
3Z icininistraiive Fee
fctf,_li
40.00
2.Wud l.r-
L.26
l)--ng
the
1
SPFlINGFIELD
JOB /i
Date
ozzff$f e-t
Ai/rhorized Signatur€
T.EGAI DESCRIPTION
.oo
JOB DESCRIPTION
FmD 6eR!tc.E UL)ARE HOUSE
Address P0 BOX 925
Ci ty ALMI{Y Phone 926-4266
Supe rvisor License Number 32575
Expiration Date tol0uor
Constr Contr. Number 49737
Expiration Date Llrslac/Jl_
s t of-Supe Electrician
Owners Name SCHOOL DIST.tg
Address 525 ST
Ci IySPRIIIIGFLED, 0R Phone 726-3267
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Osners Signature:
DATE:
9e,
-800-$2{43}r1}-Family per dvel}ing uni t.
Service Included:
I tems Cos t Sum
Permits are non-transferable and expire
:f I::["i:"":: ilT::fl fi ':l$df;hFl;.
L80 days. THIS PERMIT SHALL
1000 sq.ft. or less
gach additional 500
sq. ft or portion
thereo f
Eaeh Hanuf'd Home or
-Modular Dvelling
EXPIHEtFThE WOffi6eder
SUBTOTAL OF ABOVE
5Z State Surcharge
32 A<ininis tra tive Fee
TOTAI
$ 85.00
s 1s.00
$ 40.00
z - cor{rRAcroR rNsrALt ArroN,S!ff}iORlzED UNDH1 TH$ FFSAItr l!-}91"a"'.
EIe c t r i ca 1 con t ra c t o r E c ** ^$q$rffiff:'
g:: :*ryHH#:;, o1 t
" " t i o n s
--!
200 amps or less 1 S 50.00 50.00
401 amps to 600 amps T 5100.00 100.00
601 amps to 1000 amps- 5130.00
0ver 1000 amps/volts 5300.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40-00
over 401 to 600 amps
-
S 80.00
0ver 600 amPs or 1000-vofts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit 42 S 2.00 84.m
Miscellaneous (Service/feeder not included)tr
5
-Each installation
Pump or irrigation S
SignZOutline Lighting_ S
t imited Energy/Res
-
S
Limi ted Energy/Comm S
40.00
40. 00
20. 00
35.00
I LL.7O
7.021
RECEIVED B )\t 72
2y.m
JouRNqL oR JoB No. ?51:,zzo
IITY 0F spRINcFIEJT,?lE[l
oorurropuENr
cHARGE
WORKSHEET
NAME OR COMPANY o
LOCATION
tJ
DEVELOPMENT TYPE:
BUiLD]NG SIZE
1. STORM DRAINAGE
IMPIRVIOUS SQ. FT
s/r0 n bv:
/qJz; x
?,7 tt- * ( Zo *Ao)
<s1 37A
$0.227 PER SQ. FT
J ,-)
SIZ 0Ft
.J
s3 qaz-_-
7"
2. SANITARY SEWER-CiTY
NO. OF PFU'S a
3
4. SANITARY SEI^IER-MI^IMC
A. REIMBURSEMENT COST
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
X $47.14 PER PFU
72
?h
(See Reverse Side)
TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
Zzz x -{/x $475.32
x 5475.32
s R-3o8-
X $
(?.J
s L7 ?-NO. OF FEU'S 7^Z
7A.^-
X b7 PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S 7-
3@x A- PER FEU
Mi^ll'4c CREDIT iF APPLICABLE (SEE REVERSE)
M[,'JMC ADl.4INISTRATiVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$
$10 00
TOTAL-MWMC SDC s 7o7
$
<ds A/"-
=7
4
37
3
4
57 At/4
--
S
U^^^
Ud CodfOi nator
WPD UATTACH 'A.
fl-aio
TOTAL SDC
l,/."1o"rT
FIXTURE UNIT CALCULATION TABLE: Number of New Fix''s x Unit Equiva\ent = FixturPUlN
!
(NOTE: For remodels. calculate on
FIXTURE TYPE
Bathtub......
Drinking Fountain....
Floor Drain..
lnterceptors For Grease/Oil/Solids/Etc.........'.......
lnterceptors For Sand/Auto Wash/Etc......'...........
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gang..
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
Wasn Basin lLavatory , Single.......
Toiler, Public lnstallation.
Toilet, Private......
Miscellaneous:
;e NET additional fixtures)
NUMBER OF
NEW FIXTURES
TOTAL FIXTURE UNITS
UNIT
EOUIVALENT
FIXTURE
UNITS
2
1
2
3
b
2
6
b
'l
.)
2
11Head
2
2
1
o
4
CREDTT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,
caiculate credits se a rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Year
Annexed
7.27 X $ ,/a-c'< =
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL
Rate per $1,000
Assessed Vaiue
Z/. Z
Z$r'6
1 981
10Q'
1 983
1984
1 985
1 986
1987
1 988
4.18
4.12
QOO
3.83
3.68
3.48
3.'1 8
2.82
2.42
before
C
o70
Rate per $1.OOO
Assessed Value
Year
Annexed
1 989
1 990
1 991
1992
1 002
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
0.83
o.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.
Commerical........
lndustrial....
Governmental.....
o.4
0.9
05
0.5
FIXUNIi.WPD IMPEBVIOUS AREA = TOTAL LoT SIZE X RUNOFF COEFFTCIENT
I
._-.7'-_
/-
----r----
t
-v-
ac)
I
ACCT STAT: AUTEX,SADJ
PROP DESCR: l1 02 30 00-01913
LEGAL:
PROP ADDR:
YRIA 96 YRLA 95
PROP CLASS 301 STAT CLASS
5.22 ACRES CYCLE
SAV
LAND 319,100
rMPS 1,207,870
TIMBER
RSU}4
A-CT -
INDEX:
GROSS:
EXMPTS:
NET:
L
REAL PROP ACCOUNT SUIVIMARY
113975 1998 JSESSMENT YEAR
F MAP EQ L702300001913 ACCT X
2/Lo/99 l7:06:18
COUN- LANE
YRA X
NAME ADDR: LANE COIINTY SCHOOL DIST 19
525 MILL ST
SPRINGFIELD OR 97477
r-!
190CLAST ACTIVITY
429
4 ZONE
REAL MARKET
319, 100
7,207,870
RES NEIGH 81903 COM NEIGH
06-27-98 CONTROL GROUP 12
LEVY CODE 19-OO
TAX CERTIFIED:
(RMV)
1998 YEAR TAX:
TAX DUE 1998 YEAR:
TAX DUE PRIOR YEARS:
INTEREST AS OF 02-1,0-99
TOTAL BALANCE DUE:
OLDEST DELINQUENT YEARt,526 ,97 0
!.ff
€.TTc.' Y
R7f Je z
--v---J/7, /aa =du-z /,/s f'
#
1,525,970 1,526 ,97 0
7,525,970
V3,5Za = //?, ?frs f F
0z n. L7 4^,.-{ a;'rz a- = /,37.?
%,/,, --4o, ?{z