HomeMy WebLinkAboutPermit Building 2002-5-3
,
New printed _mit copy for file - Plu.,ing ..
contractor change to Home Comfort. ~e original
permit for validated original. Change made 5/23/02
,
~
225 Fifth Street
Springfield, OR 97477
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Page 1 of 4
I Job# 02-00309-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00309-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5991 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 20 Block: Addition:
Owner:
Address:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Hayden Enterprises
2622 SW Glacier Place #110
Phone Number: 541-923-6607
City/State/Zip:
Redmond, OR 97756
Value: $113,772
Scope Of Work: Single Family Residence
Brookfield
SFR same as 02-00300-01
PLACE PROPERTY CORNER PINS AND EASEMENT PINS ON LOTS #20 THRU #30.
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Hayden Enterprises 92208 7/29/2003 541-923-6607
2622 SW Glacier Place #110, Redmond,
OR 97756
Christenson Electric Inc 458
111 SW Columbia St Ste 480, Portland,
OR 97201-5886
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Plumbing Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Electrical Contr
New
5/1/2003
503-241-4812
6/25/2003
541-345-2838
6/25/2003
541-345-2838
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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Required Inspections
I Buildin~ I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to fioor insulation or decking.
-Prior to decking.
- 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.
,-
.
.
Electrical Service
Final Electrical
I Job# 02-00309-01 I
Required Inspections
I Electrical I
- Must be approved to obtain permanent power.
-When all electrical work is complete,
I Plumbin~
- Prior to insulation or decking,
- Prior to cover or placement of concrete,
- Prior to cover.
- Prior to filling trench,
-Prior to filling trench,
-Prior to filling trench,
-When all piumbing work is complete.
I Mechanical
-Prior to insulation or decking,
- Prior to cover.
-When all mechanical work is complete,
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of4
o
8
To Storm Sewer
4
00/00/0000 00:00:00 '
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 0
3:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Land Use: Single Family Dwelling
Pave Driveway? 0
Flood Plain FEMA: 1166 of 2975
.
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1420 Accessory:400
Fee
Same As Plan Review
Additional Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Job# 02-00309-01 I
.
Accessory Structure
# Of Stories: 1 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Paid On Receipt#
Plan Check
05/03/2002 8839
05/03/2002 8839
Building
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
Electrical
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
Plumbin~
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
Mechanical
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
Svstem Development
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
05/03/2002 8839
Value/Quantity
Page 3 of 4
1
297
113,772
1
2
1
1
1
4
1
2,326
1
1
1
1
1
24
24
Fee Amount
$100,00
$297,25
$397.25
$611,15
$42.78
$48,89
$702.82
$106.00
$38,00
$10.08
$11,52
$165.60
$306,00
$21.42
$24.48
$351.90
$9,00
$4,08
$12,00
$24.00
$6.00
$10,00
$3,57
$68.65
$634,89
$34,83
$10,00
$136,51
$332,86
$659,76
$155.13
$512.88
$389,76
$2,866.62
.
.
Job# 02-00309-01
.
Page 4 of4
Value/Quantity Fee Amount
,,"
Fee
Paid On Receipt#
Willamalane SDC
05/03/2002 8839
1 $1,000.00
$1,000.00
S.F, Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Planning
05/03/2002 8839
$55,00
$55.00
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
05/03/2002 8839
1
$8.00
$8.00
$5,615.84
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Sam Gollah
04/04/2002
04/16/2002
04/12/2002
04/16/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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, Buiiding 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 set of plans will remain on the site at all times during construction,
Signature
Date
Location Of Proposed Site: 5991 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 20 Block:
. nr I t:1'-I"UI\!:l'r:e>(.! : I ,~ I . ,..,
Own@r;'rulesad l'fayaen.l'fomeslf\;l" l"'... '
I\! 1'1" OPlt:d by Ihl> Dreg u.
AailresS':?n Cenl,RO/Box 883 on IlIlt\'
.nl!AR 952-001_0".1n':;;:'"~.~~/~s ~~e set la,
(Scope/Of, Work: "Srnole FamilY_Residence I '
. ....... 'lIay Uuram CO['l' - ~-...., -
cal/ing the centBrOokfiela9S of the rules by
numberf h -'. (-<UII1: thatpl"'n"'~--
or t e CSF.<~JI~'!m~le~.,9.?j,9.o.~90-01
Center is P.~B~;]j'~9~) 11-",0RNER PINS AND EASEMENT PINS ON LOTS #20 THRU #30.
Contractor Type Contractor' Registration # Expiration Date Phone
General Contr Hayden Homes 92208 7/29/2003 541-501-4332
PO Box 883, Springfield, OR 97478
ElectriJ}l~: Christenson Electric Inc
THIS PERMIT1Shl~ elIRMi6iarsTa~IMmRortland,
AUTHORIZEO~9rn>Tf!mllll'ERMIT IS NOT
Mechah1-GM&1:!nI\CED-lafM3;.lililflj~illM~~ir Conditioning 184164
ANY 180 DAYR?Bi1lllnl4205, Eugene, OR 97402
~
225 Fifth Street
Springfield, OR 97477
Plumbing Contr
.
I Job# 02-00309-01
.
Page 1 of 4
TRAi'l~il; 0l-OGQSli39
OI1"c . I"I~\V 0-' ':0".'
I, L. ,II ... I. ~,_
:\i'iT k~i.;D
CHf1;,:S' .
CASHk'~ ():~':
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00309-01
Office: 726-3759
Inspection Line: 726-3769
Addition:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Phone Number:
541-501-4332
City/State/Zip:
Springfield, OR 97478
Value: $113,772
New
458
5/1/2003
503-241-4812
6/25/2003
541-345-2838
Brenda Marlene Currier 103570
648 W Oregon Ave, Creswell, OR 97426
12/15/2002
541-895-3758
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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Required Inspections
I Buildin~ I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated,
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
-Prior to decking,
- 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.
-Must be approved to obtain permanent power.
p
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Li ne
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
.
I Job# 02-00309-01
Required Inspections
I Electrical
-When all electrical work is complete.
I Plumbing
-Prior to insulation or decking,
- Prior to cover or placement of concrete,
- Prior to cover.
- Prior to filling trench.
-Prior to fiiUng trench.
- Prior to filling trench.
-When all plumbing work is complete,
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
.
Page 2 of 4
Sidewalk Type:
Additional ROW? 0
Size Of Line (in): 8
Downspouts/Drains: To Storm Sewer
Enchroachment Permit:
San Sewer Tee (in): 4
Bond End DateTime: 00/00/0000 00:00:00'
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.? 0
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Planner: Sam Gollah
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1420 Accessory:400
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 0
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: 1166 of 2975
Accessory Structure
# Of Stories: 1 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - delached
Total:1820
-
~ . .
I Job# 02-00309-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Same As Plan Review 05/03/2002 8839 1 $100.00
Additional Plan Check 05/03/2002 8839 297 $297.25
Total Plan Check $397.25
Buildinq
Building Permit 05/03/2002 8839 113,772 $611.15
State Surcharge For Building Permit 05/03/2002 8839 $42,78
8% Building Administrative Fee 05/03/2002 8839 $48.89
Total Building $702.82
Electrical
Wiring Footage 1,000 Sq Ft or Less 05/03/2002 8839 1 $106.00
Wiring Footage Each Add'l 500 Sq Ft 05/03/2002 8839 2 $38,00
State Surcharge - Electrical 05/03/2002 8839 $10.08
8% Admin Fee - Electrical 05/03/2002 8839 $11.52
Total Electrical $165.60
Plumbing
Three Bathrooms 05/03/2002 8839 1 $306.00
State Surcharge - Plumbing 05/03/2002 8839 $21.42
8% Administrative Fee - Plumbing 05/03/2002 8839 $24.48
Total Plumbing $351.90
Mechanical
Hood and Exhaust 05/03/2002 8839 1 $9.00
8% Administrative Fee - Mechanical 05/03/2002 8839 $4,08
Less than 100,000 BTU 05/03/2002 8839 1 $12.00
Vent Fan to One Duct 05/03/2002 8839 4 $24,00
Dryer Vent 05/03/2002 8839 1 $6,00
Mechanical Issuance 05/03/2002 8839 $10,00
State Surcharge - Mechanical 05/03/2002 8839 $3.57
Total Mechanical $68.65
System Development
Residential - Single Family - Storm 05/03/2002 8839 2,326 $634.89
Residential Improvement MWMC 05/03/2002 8839 1 $34.83
MWMC Administrative Fee 05/03/2002 8839 1 $10,00
SDC Administrative Fee 05/03/2002 8839 $136,51
Residential Sanitary MWMC 05/03/2002 8839 1 $332,86
Residential - Improvement 05/03/2002 8839 1 $659,76
Residential - Reimbursement 05/03/2002 8839 1 $155,13
Sanitary Sewer SDC Reimbursement 05/03/2002 8839 24 $512.88
Sanitary Sewer SDC Improvement 05/03/2002 8839 24 $389.76
Total System Development $2,866.62
Willamalane SDC
S,F. Residence - Willamalane 05/03/2002 8839 1 $1,000,00
Total WiUamalane SDC $1,000.00
Plannin~
Planning Plan Review 05/03/2002 8839 1 $55.00
Total Planning $55.00
Fee
"Ob# 02-00309-01
Paid On Receipt#
Permits w/o Srch~
05/03/2002 8839
.
,.
Page 4 of4
Value/Quantity Fee Amount
Address Assignment
Total Permits w/o Srchg
Grand Total
1 $8.00
$8.00
$5,615.84
Plan Check Type
Checked By ,
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Sam Gollah
04/04/2002
04/16/2002
04/12/2002
04/16/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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 from the street, that the permit card is located at the front of the property, and the
approved set of plans will remain on the site at all times during construction,
~La~ /Lbtf1tMi1. /L. 11_ S/3/0':J-
Sigrlg/Jre / Date
~ ~ " 't, ":
2. CONTRACTOR INSTALLATION oNi. Y B. Services 01' Feeders
Christens.on Ele~t:.ric, Inc. D.B.A. Installation, Alterations 01'
Electrical'Contractor . :.. Philins F,] ~tric Relocation: (',,:, :>.., ,;. ,,'. :":'r':,:" ~',:.: '\' ;': I
Address~;q8"Re~~el Drive ....0~~" 200 amps or less' .- '" '~" '. ".. $'~3 O~: ,'::
, ... ~ /., .. .~. ...~ 201 amps to 40() amps" . '-:-:--$)5:00';
, 1,' '. ,/- .' " ." ..;,c ,," ..> \
Cil)Eu'?""'" ()1l" Phone (~l..1" :'F;Ri'l'::F;121. .. 401 amps t0600 amps 'c, . ~ $125:00 ~,
'.97402'....; /;;H'.... ""':6QI ampst6'1000amps ' . '$16~,00~:
Supervisor Licensc'NUmlJer ?71QC:. , " {....Qver,lOO()al]1ps(volts , ,,_ $~75,00 ",---,-,
I",:' ~. ~'/ ",';,t' :. .~: '" " - ~ .. .. ' -'ReconneCt,Onlf"'. _~' .",,' . . $. 50.00 '."
'J, ::: Expirationi;>ate:"~.10~.d1jO,\ ::,:,:.,... .::.,~" . '-'<,;; " : 'p", ,,' . -'--... . "I
",: '("~:' .' .". . " . :.l;.~' i" ~: ~'.-~-:';"':' ,'j_:' i !:~ :"':)~! ;~{li:: ~-.#j3 ,~E.:,.-r:~~nor~~ ~,efVi.~:~:or'~e~ders .:,'. '. : ,":, , ~ .:. . ".;. "', :
, :, ':" ""Constr!:o.ntr"NlIl]1ber.'. ?F;::fllif'~'~~0i:~'-:'oO.Rt~~'~'f!'sall,~t''W.i;NJ,Sli'VlO,!or RelocatlOn . >. ~.' .' "j
.~~,~: ,,"', ,---":"..;.:;:::.\,<'!tific.~rt~rrG'; r:c;.~j!,..,(l'.oregonUti/lfu' , :-', . .:,' ': ",' '..<", '.i-'
",./ . "";Expiratlon Date 1 ()1OILD?,,~ ""_ __ :-" er.Th.ol!~'~.\l1~9~jll!'g~~r.Te5t . " '.., ,:.....:-.:..J50,()0. ~'
'r .' ....:: .':-".. . ,. L'a9Q..y~~~~>c~~robgh~A~.J?:'ii61l1i0.~amp~, ,'. .'. ~$69.00,:....:;:..
:';":'.' ,: ':; ,,,: S~g~:ltU.[c,Of.,.~upervlSlDg Electr.aff,~r hmay obtain comes'~~6~1' 1~?fO~. ,\~ps,.. ."".' .~. ~l~~.O.O.~:
:,' ,:C'.' ',' '.; ;,..,:',,:-- r:'" gl ecenler.(Note:thB.~erer"5 aamts,or)OOOvoltsse~, ,'_,,'..,...' ..
c::;\ " ~., . ,...,-'.:J>,........ ,,,rllberforlheOregOnUt'I'" lHb~v.rne -._,.....:.~.\.":.'.:' ",,':."1,( ,. .,
,.:-.~,.,..<,! ,..."<,....' ",'::>. (', . IIty Olll/c'''t' ." . ":' '.... " ,'.
.. . '. ,'.. ,. .... '" ~8r:,or .< 1 80033 '" Ion. ',.' >," . .. '
,.J',/c"..'':":'', .'"'' .. 'v - .. 2'23"4~i", ::':.:' ',.... ".:1' "',.
'.' ". .",.,,'..,' ,".. '.. "C':" ,N,atnan',l'hilJ.pS D. Branch Circuits. . . ' "'" . .
~~:.:..{: '~~~y~el;~~~~~;'~~:L~ Ne'~Ait".rati\nor;~~tensionper'p~~el .., .'''': . \
.";:.'" ,: 'Add~eSs"?:if7q .~' . :~. ,i'<g,.g'i;\ One Ci~[t' ,-,\:' $43'.00' ,
.. " ,:,'.t'
:-':':*>;,' >, . ~~.. :_'~.'.:.~';,:".;:t;','........ _,i ,'.- <<l"::',.; . ,.--.. ..:'
/<'_ . ;.,Cit{ :>rt.t:'- . P~orll: ~ cri>'.. 5~ Lc> Each Additional Ci!'Euit or with Se'Yice . ...
, ...'.... . - .., _, ... :.. ',' ,;'.. . ..! or Feeder Permit ' . $ 3.00:
,~ .,." OWNERINSTALLATION,. -, '.': . . ' ,
. .' ....,. The iristallation is being made 0": E. i\'1iscellaneous(Service/feeder not included)
- ..,'.'." propeny'l.o~vri:whi~h isnotintended-':, -Each installation.
.'[01'. sale,: lease or:rent-:, .', ',., -':.'''' : Pump'orimgation. .
v,. SignlOutlineLighting
. '::,' :-"":"'Owners'Sig~at~~e: . '.; :>,," Limited EnergylRes'. '
....,. . ...'. '.' _, ,,' :Liinited Energy/Comm'
,," .
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00Y:< 'J,....'v
- , 225 FIFTH STREET ' ,iQ~~j .
SPRINGFIELD, OREGON 97~7~c\~~~0<>W~
INSPECTION REQUEST: 726<Fl~' ~ ' 'i
~q- ~ ....
OFFICE: 726-3759 ';i.'<:'. ~p0., .' ;::i . . . . _
~' ," , ..' ,c~o.,~<:,o, ',' ,...' . COMPLETE FEE SCHEDULE BELOW
..LLOCATIONOF~~<ft'b ,. ,:::"-:. . _
5C,:;1" .Or!dJrDt'4iV'" - '~A'. 'New Residcntial-Single or' '-, - ..
/' "0'''' Multi-Family per dwelling unit.
LEGAL DESCRlPTIONQ,>,e c,''ll' Service Included:
I'ii:. 01. ,.,':1. 00 (:;I'OS-o'1
JOB DESCRlPTIO~ NOne . \ <t,ttP 1000 sq,ft, or less
S. l=" ~ "'" & . .. . ft - E. Each additional 500
-. I m" PERMIT SHALL EX ~ll. ft or portion
Permits are non-transferable analJf!H@RIZEO UNDE P1ttliel€ofHE WORK
if work is notstarted within 18~_EN R THIS t:IN\INn:pj'1f\\/~~me or
of issuance or if work is suspe~~~ CEO OR IS ABAN~I!1flr.Rt}'f\IlDg
180 days. .'.': 0 DAY PERIOD, SCI'\'ICe b}lF!,eder
r
$ 50.00
ELECTRlC.RIvIIT APPLICATION
o i .. o-b:lp 4 - ~Fl~NSil ~'Ol'OOQ8839
DATE:MAY 03 2002
- AKTRECD:
CHANGE:
- .. CASHIER: 032
" .
Items Cost
Sum' .
-.L$106.00 Jill'p,oO
::. iJ
~ $ 19.00 .~J6.
'.
..'l
$50.00.
550.00
$25,00
$45,00
".,,'
..~~\.tb
~~
Minimum Elecll'ic Permit Inspection Fee is S45.00 + SUl'ch,"'ges
. <'-~ ,
4. SUBTOTAL OF ABOVE
7% StateSurcharge
8%'Auministrative Fee.
-
lLo~ .luO
TOTAL
.,\o~~..
, CITY OF SPRINGFIELD StEMS DEVELOPMENT CHARGE tRKSHEET
I JOURNAL OR JOB NUMBER: 02-00309-01
NAME OR COMPANY: HAYDEN HOMES
LOCATION: 5991 OBSIDIAN AVE
TAX LOT NUMBER: 18-02-03-00 TL:00507 JASPER MEADOWS LOT #20
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 1820 SF LOT SIZE: 9460 SF
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEtv
I IMPERVIOUSS.F'I"I COSTPERS.F. I
I 2325.60 $0,273 =1 $634.89
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
II IMPERVIOUSS.F'I"I COSTPERS.F, Ixl DISCOUNTRATE I
I 0,00 $0.273 I 50% =1 $0.00
EM 1 TOTAL - STORM DRAINAGE SDC =1 $634.89
2 SANlT A llV <;FWFll - rlTX
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I 'I COST PER DFU
I 24 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
24 $16.24
lITEM 2 TOTAL - CITY SANITARY SEWER SDC
:l...IU N<;P()JiIA TT()N
A. REIMBURSEMENT COST:
I ADT TRIP RATE I ' I NUMBER OF UNITS 1.1 COST PER TRIP I x I NEW TRIP FACTOR I
I 9.57 1 I $16.21 I 1.00 =1
B. IMPROVEMENT COST:
I ADTTRIPRATE 1"INUMBEROFUNITSlxl COST PER TRIP
I 9.57 I I $68.94
lITEM 3 TOTAL - T~SPORTATlON SDC
4 SANITARY <;I'WFll _ MWM~
=1
$512.88
=1
=[
$389.76 I
5902.641
$155.13
II NEW TRIP FACTOR I
xI 1.00 1=1 $659,~6
=1 5814.89
C/l
W
o
o
u
~
~
C/)
,.....
o
~
1070
1091
1092
1093
11094
I
A, REIMBURSEMENT COST:
I NUMBER OF FEU's 1,1 COST PER FEU
I $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I x I COST PER FEU
I I $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
[ ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEE'
SUBTOTAL I I ADM. FEE RATE
X
$2,730. II I I
SteNe- T empUvlt
5%
04/16/2002
TOTAL SDC CHARGES = $2,866.62
SDC COORDINATOR DATE
=1
$332.86
1055
1056
I 11073
=1
=1
=1
=1
I
I
I
I ,
=1$377.69 I 1
=1 $2,730.111 ].
$34.83
$0.00
$367.69
$10:00
=1
$136.51
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x UNIT = FIXTURE
EQUIVALENT UNITS
(2 O)x 3 6
(0 0) x 1 0
(0 O)x 3 0
(0 O)x 3 = 0
(0 O)x 6 = 0
(0 O)x 2 0
(1 0) x 3 3
(0 O)x 6 0
(0 0) x 12 0
(0 0) x I 0
(0 O)x 3 0
(0 O)x 2 0
(0 O)x 2 0
(I O)x 3 3
(0 O)x 2 0
(0 0) x 1 0
(0 O)x 2 0
(3 0) x 1 3
(0 O)x 5 0
(0 O)x 6 0
(3 O)x 3 9
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL 1 SOLIDS / ETC.
INTERCEPTORS FOR SAND / AUTO WASH 1 ETC.
LAUNDRY TUB
CLOTHESW ASHER 1 MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAURESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(0 0) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULA. 10 CKCU. r SEPARATELY
YEAR
ANNEXED
~f; ut\ ocrORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
CREDIT RATE PER $1,000
ASSESSED VALUE
S4.92
S4.83
$4.77
S4.64
S4.47
S4.30
S4.09
$3,78
$3.41
$2.98
$2.52
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE PER $1,000
ASSESSED VALUE
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0,63
$0.41
$0.22
$0.04
VALUE 1 1000 CREDIT RATE
0,000 x $0.00 =1
0.000 x $0,00 =1
TOTAL MWMC CREDIT =1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
$0.00
,
..
.
~f\Ati~'W-I'1 I'.
~I"- (ama ane . '
t'- j Park & Recreation District. Job. No. Cfl:m ~~O 1
(W SYSTEM DEVELOPMENT CHARGE
. . WORKSHEET
NAME:'. _ 0\\ ud.n1\~fJ PHONE: ffi~, 52!2-()
ADDRESS: Q,~ _~ J ~ STATE: ~ ZIP:<l1411
LOCATION OF PROPOSED BUILDING SITE:
Street Address: S'1~(' n6S;D"~N' ~1IIu.-C"
Plat Nam . ~ _ Tax Lot Number: \
1.DEVELP . ENT TYP!" (Check approprlale dwelRng(s). SDC calculatlons and dwemrig l
)'Ile definitlons are on lhe back.)
A ::;lnnIA-Fllrnilv DAtllchAd
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit =$ . \(LO ,cO
B. ,RinnIA-Fllmllv AttllchAQ
NO. OF UNITS
X $924 per unit . -. $
C. Multi-Farnilv Aoartrnent
NO. OF UNITS
X .$692 per unit = $
O. M;mufacturAd Horn/> PArk
NO. OF UNITS
W1LLAMALANE SDC
2. SDC CREDIT (II appUcable) SDC-payer must furnish proof of
WiUamalane Croo1t approval. See SOO Oredit Worksheef. $
3; TOTAL WILLAMALANE NET SDe ASSESSED
(If SOC reduced for Creditl
'\\~~aclC j
Oevelopment Services\l1\lpartment
City of Springfield
5,
bate
'0
,~
"