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Home My WebLink AboutPermit Building 2000-04-14Job# 00-00479-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 TRAi'iS*:01*000124& DATE:ffPR 14 1000 AHT REID:T $ ??T.49 CHANGE: IASHIER:004 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1164 00033rd St Spr AssessorsMap#: 17023034 Lot: Block: Addition Job Number: 00-00479-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 06201 Subdivision: ctTY oF SPRINGFfiELq OREGON Owner: Dale Jenkenson Address: 1164 33rd Street Scope Of Work: Bedroom two bedroom addition Phone Number: City/State/Zip: Addition 541-726-0837 Springfield, OR 97478 Value: $19,499 Contractor Type GeneralContr ElectricalContr Contractor Dale Jenkenson 1 164 33rd Street, Springfield, OR 97478 Dale Jenkenson 1164 33rd Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-726-0837 541-726-0837 Quad Area: 3RNC # Of Units: Gonstr. Type: (VN)Wood Frame Water Heater: Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 2 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Wall Heat Sq. Footage: 280 To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Buildi nq I Footing Slab Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Rough Electrical Fina! Electrica! -After trenches are excavated. -To be made after all inslab building service equipment, conduit piping, and other equipment iter - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -When all electrical work is complete Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees 2:3: Additional Requirements: tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Job# 00-00479-01 Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? E Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? ! Area (Sq. Main: 280 Accessory: # Of Stories: 1 Height (feet): 12 Current Units:1 Proposed Units: Census Code: Does not apply Total280 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 0312912000 1072 19,499 $91.33 $91.33 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 04t14t2000 0411412000 0411412000 0001 246 0001 246 0001 246 19,499 $140.50 $9.84 $4.22 $154.56 Electrical Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 0411412000 0411412000 0411412000 0001246 0001246 0001246 3 $39.00 $2.73 $1.17 $42.90 System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 04t14t2000 0411412000 0001246 0001 246 308 $71.46 $3.57 $75.03 Grand Total Plan Gheck Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Completed 0410312000 04t12t2000 0410512000 0411212000 $363.82 Page 3 of 3 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 701.055 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 street, that set of Job# 00-00479-01 the permit card is located at the front of the property, and the site at alltimes during construction. ( /.-/ g cI) oaG CITY OF SPR OREGO'U SPFI!NGF!EL1, ELE TRICAL PBRHIT APPLICATION Ci ty Job Nunber O-)aq o COHPT,ETE FEE SCEEDIILE BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost t 1000 sq.ft. or less {-Each additional 500t "q. ft or portion thereof Each Manuf'd Home or Modular DvelIing Sertice or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 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. COI{TRACTOR INSTAILATION OI.iLY ctrical Contractor Add ci Phone Supervisor Li se Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Elect 1an Ovners N, Address \ \bY V"'d 9r' Ci ty =aalc_> Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovne Si DATE: be) 225 FIFTE STREET SPRINGFTELD OREGON 97 INSPECTTON REQTIEST: OFPICE: 726-3759 1 LOCATION OF I.EGAL PTION 69 ?o ,""t" I 3 A a Sum {'o ; B c 200 amps or less 201 amps to 400 amps -401- amps to 600 amPs _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect OnIY SUBTOTAL OF ABOVE 7% state Surcharge 32 Administrative Fee TOTAL Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps _ Over 40L to 600 amps Over 600 amps or 1000-Tofts Nev, Alteration or Extension Per Panel one circuit t $ 35.00 3z "Q' Each Additional Circuit or vith Servic-e ,t a"t- or Feeder Permit e $ 2.00 L\ - Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm s s0.00 s 60.00 $100.00 $130.00 s300.00 s 40.00 0040 55 80 s $ $ s .00 .00 ee rrBrr a6ove D E ?5 40.00 40.00 20.00 36.00 $ s $ $ RBCEIVED ture: a2 OO 17o ATTACHMENT A CITY OF SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAXLOTNUMBER DEVELOPMENT TYPE: I 164 33RD STREET 00-00479-01 JENKINSON t7-02-30-34-06201 ADDITION DWELLINGUNITS:BUILDING SIZE LOT SZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT.308.00 x $0.232 PER SQ. FT $71.46 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PERPFU0 $0.00 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP 0 x 1.01 x M86.73 PER TRIP x x $486.73 PER TRIP $0.00 $0.00 TOTAL TRANSPORTATION SDC $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B.IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $0.00 $0.00 $0.00 $0.00 $0.00 .46SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $3.57 $7s.03,/ DATE ' TOTAL SDC CHARGES PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR CALCULATE ONI,Y THF, NF,T ADDIT]ON FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WAS}VETC. LALINDRY TUB/CLOTHESWASHER/MOP SINK 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 STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL V/ASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD ALENT PLUMBING FIXTURE LINITS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 I 2 J 6 2 6 6 I 3 2 I 2 2 I 6 4 0 0 0 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $ 4.47 $ 4.38 s4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 s2.62 1989 1990 t99t 1992 1993 1994 1995 1996 1997 1998 $2.18 $ 1.75 $ 1.35 $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $0.18 1979 orbefore 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 $0.00CREDIT TOTAL