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Home My WebLink AboutPermit Building 2000-07-19Job# 00-00814-01 INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Page '1 of 4 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 364 00028th St Spr AssessorsMap#: 17033614 Lot: Block: Addition Job Number: 00-00814-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 22200 Subdivision: ctTY oF SPRTNGF7ELD, OREGON Owner: John Hyland Construction lnc Address: Po Box 7867 Scope Of Work: Office Contractor Type GeneralContr Contractor John Hyland Number: 1 7695 n # Expiration Date 7t11t2000 Phone 541-726-8081 541-747-2724 541-688-1444 541-726-8081 Eugene, OR 97401-0033 Value: $26,962 ElectricalContr Po Box 7867, Burrell Bros. 40159 Booth 97478 Plumbing Contr Twin Rivers Plumbing I Po Box 40397, Eugene, OR 97404-0064 Office Use - Quad Area: # Of Units: Constr. Type: Water Heater: 2INW To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections working day. # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: ns requested before 7:00 Framing Drywall SUB - Insulation/Vapor Barrier SUB - Final Final Fire FinalBuilding Rough Electrical Electrical Service 7:00 a.m. will be made the following Required !nspections Buitding I -Prior to cover. - Prior to taping. -To be called for at the same time as the SUB framing inspection -When all Fire Department requirements have been met. -when all required inspections have been approved and the building is complete. Electrical -Prior to cover. -Must be approved to obtain permanent power OR Land Use: Zoning Code: Range: Final Electrical Rough Plumbing Water Line Storm Sewer Line Backflow Device Final Plumbing Rough Mechanical Final Mechanical Rough Grading Final Paving Zoning:HI FloodPlain? [ Wetlands? [ Journal numbers 1: 2: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Job# 00-00814-01 Required Inspections Electrical -When all electricalwork is complete. Plumbing I -Prior to cover. -Prior to filling trench. - Prior to filling trench. -After device is installed but before backfilling trench. -When all plumbing work is complete. Mechanica! - Prior to cover. -When all mechanicalwork is complete. Permits w/o Srchg I -After gravel is in place but prior to placing concete. -After paving is complete. Overlay District: # of Street Trees: Land Use: Other Gen Const Svcs. Pave Driveway? E Page2 ol4 3: Additional Requirements Gtenwood Area? [ Required Attachments: Source Locn: Materia!: Flood PIain FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Gode:Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 05126t2000 1913lndustrial Plan Review Total Plan Check 18,000 $83.53 $83.53 Buildins Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0712012000 07120t2000 0712012000 2639 2639 2639 18,000 $128.s0 $9.00 $3.86 $141.36 Electrical 2Permanent: 200 Amps or Less 06/19/2000 2221 $100.00 Job# 00-00814-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 07t20t2000 07t20t2000 06/19/2000 0712012000 06/1 9/2000 0712012004 2639 2639 2221 2639 2221 2639 2 13 $100.00 $26.00 $7.00 $8.82 $3.00 $3.78 $248.60 PIum Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Water Service Footage Storm Sewer Footage Backflow Prevention Device Plumbing Administrative Fee Total Plumbing 0712012000 07t20t2000 07t20t2000 07t20t2000 0712012000 0712012000 07t20t2000 2639 2639 2639 2639 2639 2639 2639 4 $.00 $40.00 $e.10 $25.00 $55.00 $10.00 $3.90 $143.00 5o 181 1 Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 0712012000 07t20t2000 07t20t2000 0712012000 0712012000 2639 2639 2639 2639 2639 $15.00 $.4s $.oo $10.00 $1.05 $26.50 Public Works 07t20t2000 2639 1Encroachment Permit Total Public Works $80.00 $80.00 System Development Sanitary Sewer SDC Administrative Fee Total System Development 0712012000 07t20t2000 2639 2639 2 $96.54 $4.83 $101.37 Paving Total Permits w/o Srchg Permits w/o Srchg 07t20t2000 2639 8,962 $74.50 $74.s0 Grand Total Plan Check Type lnitial Review-C/l/P Engineering-C/liP Structural-C/l/P Fire Marshal-C/l/P Checked By Lisa Hopper Steve Templin Lorne Pleger AlGerard Date Completed 0512612000 0711912000 07t13t2000 06t02t2000 Gomment $898.86 Job# 00-00814-01 Page 4 of4 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 contractors and employees who are in compliance with ORS 701.055 will be used on this requested at the proper time, that I further agree to ensure that all required inspections are address is readable from the street, that the permit card is located at the front of the the approved set of plans will remain on the site at all times during a -zo-aa nature Date ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNALORJOB NUMBER OO-OO8I4.O1 NAME OR COMPANY HYLAND LOCATION 364 28TH STREET TAXLOTNUMBER t7 -03-36-14-22200 DEVELOPMENT TYPE:INTERIOR REMODAL & NEW PAVING USE#1 USE#2 NEW DEVELOPED BUILDING AREA (S.F.): NEW DEVELOPED BUTLDTNG AREA (S.F.): EXIST DEVELOPED BLiTLDING AREA (S.F.): TOTAL DEVELOPED BUTLDTNG AREA (S.F.): 0 TYPE OFUSE: 0 TYPE OF USE: 0 LOT SrZE (S.F.): I, STORM DRAINAGE NEW PAVING AREA, NO NEW BI.]ILDING AREA IMPERVIOUS SQ. FT 0.00 x $0.232 PER SQ. Fr.s0.00 2. SANITARY SEWER-CITY NUMBEROFPFU's (SEE REVERSE SIDE) x $48.27 PER PFU2 $96.s4 3. TRANSPORTATION NO NEW TRANSPORTATION NUMBER OF TRIPS x TRIP RATE X COST PER PM PEAK HOUR TRIP USE#I 0 x x $486.73 USE#2 0 x x $486.73 $0.00 $0.00 TOTAL TRANSPORTATION SDC $0.00 PERTRIP PERTRIP 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: USE # 1 NLIMBER OF FEU's USE # 2 NUMBER OF FEU's B.IMPROVEMENT COST: USE#1 NUMBEROFFEU's USE#2 NUMBEROFFEU's 0 0 0 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x x PERFEU PERFEU PER FEU PER FEU $0.00 s0.00 $0.00 $0.00 $0.00 $0.00 $0.00 x x TOTALMWMC SDC SUBToTAL (ADD ITEMS t, 2, 3, & 4)s96.54 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $4.83 SDC COORDINATOR DATE TOTAL SDC CIIARGESSlrlleTu44,l,b 0712012000 $101.37 PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FTXTURE LNITS FIXTURES UNIT FIXTURT FIXTURE TYPE NEW OLD ALENT UNITS BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC, INTERCEPTORS FOR SANDiAUTO WASH/ETC. LAT]NDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER. 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINI? DISHWASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/IVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 TOTAL PLUMBING FIXTURE UNITS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CRNDITS SEPARA]ELI 2 I 2 3 6 2 6 6 1 J 2 I 2 2 I 6 4 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 YEAR ANNE)(ED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $4.47 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 l99l 1992 1993 1994 l99s 1996 1997 1998 $ 2.18 $ 1.7s $ 1.35 $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1 979 or before 1980 1981 1982 I 983 1984 1985 1986 r987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT OF AFTER ANNEXATION DATE) $0.00 $0.00 s0.00 x x 2 CREDIT TOTAL ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: 36428TH STREET 00-00814-01 HYLAND 17-03-36-14-22200 INTEzuOR REMODAL & NEW PAVING USE#1 USE#2 NEw DEVELOPED BUILDING AREA (S.F.): 0 NEW DEVELOPED BUILDING AREA (S.F,): EXrST DEVELOPED BUTLDING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): 0 0 TYPE OFUSE: TYPE OFUSE: LOTSZE (S.F.): I. STORM DRAINAGE NEW PAVING AREA, NO NEW BIJILDING AREA IMPERVTOUS SQ. m 0.00 x 90.232 PER SQ. Fr,$0.00 2. SANITARY SEWER-CIry NUMBER OF PFU's (SEE REVERSE SIDE) x 548.27 PER PFU2 $96.54 3. TRANSPORTATION NO NEW TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP USE#I USE#2 0 x x0 x TOTAL TRANSPORTATION SDC s0.00 x $486.73 PER TRIP $486.73 PER TRIP s0.00 $0.00 4. SAMTARY SEWER - MWMC A. REIMBURSEMENTCOST: USE # 1 NUMBER OF FEU's USE # 2 NUMBER OF FEU's B.IMPROVEMENT COST: USE#1 NUMBEROFFEU's USE # 2 NUMBER OF FEU's 0 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTALMWMC SDC x x PERFEU PERFEU PER FEU PER FEU $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 x x SUBToTAL (ADD ITEMS t, 2, 3, & 4)$96.54 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $4.83 SDC COORDINATOR DATE TOTAL SDC CHARGES9*roTu4l;4-0712012000 $101.37 0 0 PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNiT EQUTVAIENT = PLUMBING FIXTURE UNIS FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT LTNITS BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC, INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALINDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHEWETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 2 I 2 3 6 2 6 6 I J 2 1 2 2 I 6 4 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 TOTAL PLUMBING FIXTURE UNITS= CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL-\ YEAR ANNE)(ED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 1991 1992 1993 1994 I 995 1996 1997 1998 $2.18 $ 1.75 $ 1.3s $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1979 orbefore 1980 1981 1982 l 983 1984 1985 1986 1987 88 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $0.00 x x $0.00 $0.00 2 CREDIT TOTAL CITY OF SPF"VGFIELTT, @BEGO'I' SP"TNGFIELD zonlng approval lJ.Zoning Date 225 FrFTE STREET Authorrzeci signature SPRINGFIELD, OREGON 97 477 INSPECTION REQIIEST z 726-3769 oFFICE: 726-3759 1. LOCATION OP ON T,EGAL DESCRIPTION/' 7?' r 2 JOB 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. COMRACTOR INSTAII.,ATION ONLY PERT{IT APPLICATION Ci ty Job N,*b", 2A@3/'.O / 3. COHPT,ETE FEE SCEEDTI,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf 'd llome- or Modular Dvelling Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 2 20L amps to 400 amPs - 40L amps to 600 amps _ 601 amps to 1000 amPs- 0ver L000 amps/volts Reconnect 0n1y ,/ZEt.aP D. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4b1 to 6oo amps - $ Bo.oo Over 600 amps or 1bO0 voTts see rrgtt .ffif- Branch Circuits Nev, Alteration or Extension Per Panel 1-a1 -fi) A Sum B Electrical Contractor Address rrrone lQ)-ZJ'Z Y Supervisor License Number Expiration Date -t Constr Contr. Number Expiration Date Signature of Su sing Electrician ers Name Address Ci Phone'G^fugt OVNER INST The installation is being made on property f ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: B",,ur ([ Bos t[t,k. $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 ? C one Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder pei*it- jZ S 2.oo 7Z E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL $40 $40 $20 $36 00 0o oo .,c RBCETVED BY: 5 ci tr S0C[/, I ?n -uq7( -Ot{) RECElru *: CITY OF OFEGO'V __a*r__ SF ,GFIELO 225 FIFTE STREBT SPRINGFIEI,D, OREGON INSPECTION REQUEST: The tollowing proiect as submitteo rras iir( ". : - 'lrir iJ zoning, and does not require specific lano usv approval. Zonino 97 477 ftHT RE[D:: $ ]-10.00 I]Hfti'{EE:- [flEHItFl: ilp1- 100 o') g 4o.oo @s ss.00 $ 80.00 see rrBtr a6ove OFFICE: 726-3759 AuthorizedSignature 1.LOCATION OF INSTALLATION 5 G4 78 f'* s+A I,EGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days. 2. COI.ITRACTOR INSTALTATION ONIY B. Electrical contract".Btx-ef ( [ Bilt:. €l€dtC Address Ci ty Phone Supervisor License Number Expiration Date -0 c- Constr Contr. Number Expiration Date Signature of Supe rvt.s ing Electrician rs Name l.' EI,EGTRICAL PERT{IT APPLICATION Ci ty Job Nunber 3. COHPI,HTE FEE SCMDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular DvelIing Service or Feeder $ 8s.00 $ r.s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less l.L 201 amps to 400 amps _ 401- amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect OnIY - [{- SumC'lD $ s0.00 $ 60.00 s100.00 $130.00 s300.00s 40.00 Temporary Services or Feeders Installation, Slteration or Relocation 200 amps''or less frtt 201 amps to 400 amps _ Over 401 to 600 amps 0ver 600 amps or 1000 voITs Branch Circuits Address Ci ty qnf td pno"e )7 e -ffB I Nev, Alteration or Extension Per Panel one Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit _ S 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation --Sign/0ut1ine Light irg_ Limited Energy/Res Limited Energy/Comm Icn. ct> (,r' -- :\I OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: 5. SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL E $ $ $ s 00 00 00 00 40 40 20 36 oc en>cr-oRECEIVED e, ? D ?n (r cu, <-d fi t\* t l*L s'