HomeMy WebLinkAboutPermit Miscellaneous 2000-1-7
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TRANS#:01-0000190
DATE:JAN 07 2000
AMT RECD:2 $ 4124.30
CHANGE:
CASHIER: 004
Job:
Address: 518 Nicholas Dr
Owner: Crescent Homes Inc
99-01692-01
Received: 01/06/200
Unit:l BLDG:
FLR:
FEE DETAILS
Fees Value/Quantity Amount Due Amount Paid
Building
:>uDtotaI
,
Building Permit Fees
Building Permit 85,796,00 391,00
Garage/Carport 6,969,00 62,50
SubTotal 453.50 0,00
Aammlstratlve I"ee
,
Building Administrative Fee
Building Administrative Fee 13.61
SubTotal 13,61 0,00
purcnarge
Building Surcharge
State Surcharge For Building Permit 31,75
SubTotal 31,75 0.00
Total for Building 498.86 0,00
Electrical
;:suDtotal
Temporary Service or Feeder
Temporary: 200 Amps or Less 1,00 40,00
SubTotal 40.00 0,00
~ammlstratlVe I"ee
Electric Administrative Fee
Electric Administrative Fee
SubTotal
1,20
1.20
0.00
;:surcnarge
Electric Surcharge
State Surcharge For Electrical Permit
SubTotal
Total for Electrical
2.80
2,80
44.00
0,00
0.00
Mechanical
,:,uDtotal
Vents
Hood and Exhaust
1.00
4,50
Page 1 of 4
Contractor
Elite Electric Inc
Po Box 42162, Eugene, OR 97404-
Custom Plumbing
3248 Kentwood Drive, Eugene, OR
97401
.
Contractor Type
Designer
Plumbing Contr
.
Job# 99-01692-01
Page 1 of2
Phone
541-688-5401
541-485-1146
To request an inspection call the 24 hour recording at 726-3769, 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.
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq, Feet)
I Main: 1232 Accessory280
Fee
Hourly Plan Review
Total Plan Check
Building Permit
Garage/Carport
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Registration #
99768
Expiration Date
6/10/1999
102455
10/4/2000
Accessory Structure
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:l
Census Code: Does not apply
Total:1612
Paid On
Receipt#
Value/Quantity
Plan Check
01/07/2000
190
Building
01/07/2000 190
85,796
6,969
t:.ectrical
01/07/2000
190
Plumbing
01/07/2000 190
Mechanical
01/07/2000 190
Fee Amount
2
$80,00
$80,00
$391.00
$62.50
$31.75
$13,61
$498.86
1
$40,00
$2,80
$1,20
$44,00
1
$.00
$160.00
$11,20
$4.80
$176,00
1
$4,50
$.00
$,50
.
.
Job# 99-01692-01
Page 2 of 2
Fee
Paid On
Receipt#
Value/Quantity
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
01/07/2000 190
3
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1990
Total System Development
System Development
01/07/2000 190
2,382
18
1
1
1
1
S,F, Residence - Willamalane
Total Willamalane SDC
Willamalane SDe
01/07/2000 190
1
Fee Amount
$9.00
$3,00
$10.00
$1,16
$28,16
$552.62
$868.86
$491,60
$242,76
$22,05
$10.00
$109.39
$,00
$2,297.28
$1,000.00
$1,000.00
Grand Total
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 pertainin~ 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 from the street, that the permit card is located at the front of the property, and the
approved se~ plans will remain on the site at all times during construction,
~~.~__ - /- 2-00
Signature Date
$4,124.30
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ATTACHMENT A
~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT ClIARGE WORKSHEET
JOURNAL OR JOB NUMBER 991692
NAME OR COMPANY: CRESENT HOMES INC
LOCATION: 518 NICHOLAS DRIVE
TAX LOT NUMBER 17032212-01900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
1612
LOT SIZE
6031
1. STORM DRAINAGE
IMPERVIOUS SQ, FT.
2382.0
x
$0.232 PER SQ. FT.
$552.62 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48,27 PER PFU
$868.86 I
3, TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486,73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0,00
$491.60 I
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242,76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
.x
$22.05
PER FEU
$22,05 ,
$0.00 I
$10.00 ,
$274.81 I
$2,187.891
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3,&4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$109,39 I
~ (~~oI-~.J:-
SDe eOORDINA T"R
/~p~;';Q
DATE / /
TOTAL SDC CHARGES I $2.297.29 I
~
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBrNG FIXTURE UNITS
(NOTE: FOR REMODEL~, CALCULATE ONLY THE NET ADDITIONAL F1XTlJRFS\
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSfETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
2
2
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR RATE PER $1,000 YEAR I RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2.18
1980 $4,38 1990 $1.75
1981 $4.32 1991 $ 1.35
1982 $4,20 1992 $1.17
1983 $4.03 1993 $1.03
1984 $3.88 1994 $0.86
1985 $3.68 1995 $0.71
1986 $3,38 1996 $0,57
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
X
X
$0.00
$0.00
CREDIT TOTAL $0,00
..
~,~ Willamalane
'"t,"1' Park & Recreation District, Job. No., C\..q \ b C'~
f' SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: G tll""JT (\ ~1c\\-~ '
ADDRESS~.CJ.~ <{CJbCo(, lJ::.U-4>
o
,.,
~
PHONE: Y\L\. -8()\(}
STATE: ~. ZIP: '1..1l..{C)L{
LOCATION OF PROPOSED BUILDING SITE:
5 \ '6 \\) ~W ~ Ll\~~tt.-
Street Address:
Plat Name: \ 1 ():z:..,~m..
Tax Lot Number: D\ q 00
1. DEVEL9.PMENT TYPE (Check appropriate dwelling(s). sec calculations and dwelfing t
ype definItions are on the back.) ,
.
A Slnole-FRmllv DetMhQd
')c Single Family home
NO. OF UNITS \
. ,
Manufactured home not in a park
X $1,000 per unit = '$ \. ClU,) ~
B. Rinole'-FRmilv AttRc::heo
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit c $
D. h1;:tnufacturAo Home PRf'i\
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$
2. SDC CREDIT (If appUcable) SDc-payer must furnish proolol
Willamalane Credit approval. See SDO Credit WoiKsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced lor Credit) $
~;1~ .
D~lopment Services Department
City of Springfleld
I
I
Date
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number fq / &:,92-
OFFICE: 726-3759
1. LOCATIONZO INSTALLATION
~ / ~ ~_ e,;Htf/j,,'rP
- , .-
LEGAL DESCRIPTION
J7t9~ :2.'2.. /2- ~/h ~/9tJ7.7
."
JOB DESCRIPTION
~ P fillf:r.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~~)f JJ,J)44~ iDe, D.
,
Address f () &"t 49?~ '"
City 13i14 97401Phone _2,14-?~/n
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE: /-?-~
RECEr'PT jI: /qe::;>
RECEIVED BY: /0~
'~/ -
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cos t
Sum
1000 sq.ft, or less
. Each add it ional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 85,00
$ 15,00
,$ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00
S 60,00
$100,00
$130.00
$300,00
$ 40,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
J $ 40,00 .40
$ 55,00
$ 80.00
volts ~ee "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2,00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40,00
40,00
20,00
36,00
5_
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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