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Home My WebLink AboutPermit 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