HomeMy WebLinkAboutPermit Building 2003-8-20
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CITY OF SPRINGFIIELD .
Building/Combination Permit
PERMIT NO:COM2003-00647
ISSUED: 08/20/2003
APPLIED: 07/22/2003
EXPIRES: 02/20/2004
VALUE: $ 169,604.20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 696 Aspen St
ASSESSOR'S PARCEL NO.: 1703342300300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: RUHOFF CHAD
Address: 3993 MIRROR POND WAY EUGENE OR 97408
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical ,
Plumbing
Contractor License Expiration Date Phone
RUHOFF HOMEBUlLDERS INC 130797 07/13/2004 541-334-6550
BINNS ELECTRIC CO 73762 06/06/2005 541-687-1362
ROLFS 741-0002
EUGENE PLUMBING CO 44012 01/09/2004 541-484-7440
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I BUILDING INFORMATION.
~t WORK .
N {d~ries: II t~P\Rt \f \S~Mize:
I CfJ.~ i~lt~lr~M~~~H 1\-\\5 p\i8\ 1 O~ Ft 1st Floor:
~~~~f\~'Wt~N~9.l:c~t1\\~_ED r Sq Ft 2nd Floor:
i\Watert.~~D OR \5 Electric Sq Ft Basement:
C~~~~?t \Y8lfN PER\OD. Electric Sq Ft Garage/Carport
~ii"r1y Path: Path 1 Sq Ft Other:
Impervious Surface Area:
1,313
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
3
528
1,600
SETBACKS
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees.Rqd: Handicapped:
Paved Drive Rqd: :X~~es \}OU tc,ompact:
% of Lot Covera~~bregon laW rll~~~~on Utmw
{>..1iE~~~\~dopte~ b\}_::'~IIArS are se~ to~
I PUBLIC ~ijf~~YJ!m:NTSl1 ~ ~h~~Ugn OA~ ~~~~Os- \
] Po 9~:i'-VV': . . nie~ot tne ne
AC M tin OA a\/ obtaIn SRielY k ~~pspno S b k 5'
a 0 '(au m ] ~~ote. \8 . '~ation et ac
. Yes 009'1i a tne center'~n 't'll~P'Q}lNm}\iIiiS: To Storm Sewer
NO OCCUPANCY UNTIL ALLce\l}R%~~QN8 ijF€iQA _-'1fl(t~.Mffi MET, INCLUDING
DRIVEWAY PAVING. As perIDJd~pJ;!ft\~~Jf,~2 '-O~~0168, requires storm drainage to be
hard piped to private storm line that outlalis to City public storm line in Aspen Street. No sheet
flow allowed as per Springfield Development Code. Intrusion of footings, eaves or any other
portion of the proposed structure into easement areas is prohibited.
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
46.00
10.00
60.00
10.00
15.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00647
ISSUED: 08/20/2003
APPLIED: 07/22/2003
EXPIRES: 02/20/2004
VALUE: $ 169,604.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garae:e
Garaee
Tvpe of Construction
V Wood Frame
Garae:e
Garaee
$ Per Sq Ft
or multiplier
$90.60
$23.80
$23.80
Square Footage
or Bid Amount
1,313.00
528.00
1,600.00
Value
Date Calculated
Description
Total Value of Project
$118,957.80
$12,566.40
$38,080.00
$169,604.20
07/24/2003
07/24/2003
07/24/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $409.92 7/22/03 1200200000000001801
-Mechanical Issuance Fee- $10.00 8/20/03 1200200000000001991
+ 10% Administrative Fee $135.82 8/20/03 1200200000000001991
+ 7% State Surcharge $95.07 8/20/03 1200200000000001991
2 Baths One or Two Family $254.00 8/20/03 1200200000000001991
Add, Alter, Extend Circ Ea Add $9.00 8/20/03 1200200000000001991
Addressing Assignment $8.00 8/20/03 1200200000000001991
Building Permit $793.15 8/20/03 1200200000000001991
Dryer Vent $6.00 8/20/03 1200200000000001991
Exhaust Hoods $9.00 8/20/03 1200200000000001991
Furnace - up to 100,000 btu $12.00 8/20/03 1200200000000001991
Minimum/Adjustment Mechanical $6.00 8/20/03 1200200000000001991
Perm Serv/Fdr 200 amps or less $63.00 8/20/03 1200200000000001991
Plan Review - Planning $59.00 8/20/03 1200200000000001991
Plan Review Residential $105.63 8/20/03 1200200000000001991
Residence Wiring 1000 Sq Ft $106.00 8/20/03 1200200000000001991
Residence Wiring Ea Addtl 500 $38.00 8/20/03 1200200000000001991
Sanitary Sewer - Improvement $326.99 8/20/03 1200200000000001991
Sanitary Sewer - Reimbursement $430.16 8/20/03 1200200000000001991
SDC MWMC Administration $10.00 8/20/03 1200200000000001991
SDC MWMC Improvement $34.83 8/20/03 1200200000000001991
SDC MWMC Reimbursement $332.86 8/20/03 1200200000000001991
SDC Sanitary/Storm Admin $162.85 8/20/03 1200200000000001991
SDC Transpo Admin $48.79 8/20/03' 1200200000000001991
SDC Transpo Improvement $727.42 8/20/03 1200200000000001991
SDC. Transpo Reimbursement $164.89 8/20/03 1200200000000001991
Storm Drainage Impervious Area $2,209.51 8/20/03 1200200000000001991
Temp Power 200 amps or less $50.00 8/20/03 1200200000000001991
Vent Fan $12.00 8/20/03 1200200000000001991
Willamalane Single Family $1,000.00 8/20/03 1200200000000001991
Total Amount Paid $7,629.89
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00647
ISSUED: 08/20/2003
APPLIED: 07/22/2003
EXPIRES: 02/20/2004
VALUE: $ 169,604.20
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
I Plan Reviews I
07/24/2003 APP
08/13/2003 APP
07/31/2003 APP
LLH
TAJ
VRJ
07/23/2003
07/24/2003
07/24/2003
Public Works Review
08/11/2003
08/11/2003 APP
VRJ
Structural Review
07/2412003
08/14/2003
APP TCM
NO OCCUPANCY UNTIL ALL
CONDITIONS OF PARTITION
ARE MET, INCLUDING
DRIVEWAY PAVING (see Don
Branch or Kitti Gale). Sanitary and
Storm sewer not shown on site plan.
As per Land Use Decision
#2002-06-0168, requires storm
drainage to be hard piped to private
storm line that outfalls to City
public storm line in Aspen Street.
No sheet flow allowed as per
Springfield Development Code.
Sanitary sewer to Aspen Street. If
applicant has NOT applied for an
encroachment permit, please do so
prior to any work in ROW or PUE.
SDC impervious surface includes
paving for 8 feet for driveway and
all other pavement. Curbcut permit
included on bp for 672 Aspen Street.
Intrusion of footings, eaves, or any
ohter portion of the proposed
structure into easement areas in
prohibited.
SDC's revised for a 20 ft, not 24 ft
driveway. Applicant SDC's changed
for a 4 ft driveway for partition
shared access.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work
day.
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00647
ISSUED: 08/20/2003
APPLIED: 07/22/2003
EXPIRES: 02/20/2004
VALUE: $ 169,604.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Undertloor Plumbing: Prior to insulation or decking.
13 Undertloor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
15 .Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 Undertloor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Mechanical: Prior to Cover
21 Final Mechanical: When all mechanical work is complete.
22 Rough Electric: Prior to Cover
23 Electric Service: Approval required prior to utility company energizing service.
24 Final Electric: When all electrical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
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 701.005 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 re~dable 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.
-~
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Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-0064 7
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
COM2003-00647
Payments:
Type of Payment
Check
Receipt #: 1200200000000001991
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Perm ServlFdr 200 amps or less
Plan Review Residential
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RUHOFF HOMEBUILDERS
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department '
Public Works Department
'Date: 08/20/2003
2:28:31PM .-
Amount Paid
8.00
1,000.00
106.00
38.00
50.00
63.00
105.63
430.16
326.99
164.89
727.42
332.86
34.83
10.00
48.79
2,209.51
162.85
59.00
793.15
254.00
12.00
12.00
9.00
6.00
10.00
6.00
9.00
95.07
135.82
$7,219.97
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$7,219.97
$7,219.97
..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEt1f""ORKSHEET
I JOURNAL OR JOB NUMBER: Com2003-00647
NAME OR COMPANY: Chad Ruhoff
LOCATION: 696 Aspen
TAX LOT NUMBER: 17033423 tl 300
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3454
LOT SIZE (SF):
o
r:/)
f.I.1
Q
o
U
~
f.I.1
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1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
1 7619.00 I $0.290 = $2,209.51
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F" x 1 COST PER S.F. x 1 DISCOUNT RATE I DISCOUNT
I 0.00 I $0.290 I 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $2,209.51 I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x COST PER DFU
19 $22.64
B. IMPROVEMENT COST:
NUMBER OF DFU's x
19
$2,209.51
11070
$430.16
1091
COST PER DFU
$17.21
$326.99
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE x I NUMBER OF UNITS x
I 9.57 , 1
B. IMPROVEMENT COST:
I ADT TRIP RATE x NUMBER10F UNITS I x
1 9.57
ITEM 3 TOTAL - TRANSPORTATION SDC = I
$757.15
COST PER TRIP
$17.23
I x NEW TRIP FACTORI
, 1.00
$164.89
1093
COST PER TRIP
$76.01
$892.31
x INEW TRIP FACTOR
, 1.00
$727.42
1094
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $332.86 = I $332.86 1054
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $34.83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $377.69
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $4,236.66
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE .1 CHARGE
$4,236.66 I 5% , $211.83
TOTAL SANITARY ADMINISTRATION FEE: 162.85 1079
I
TOTAL TRANSPORTATION ADMINISTRATION FEE: $48.98 1078
I
Virginia Jurasevich 8/11/2003 TOTAL SDC CHARGES =, $4,448.49
PREPARED BY DATE
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAlNAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK . .. 1 0 3 = 3
ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER I ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 .,2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL ':, .0 0 5 = 0
ITOILET, PUBLIC INSTALLATION .'0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 '" 3 = ... 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S .,
20 - 0
. . "....
TOTAL DRAINAGE FIXTURE UNITS . 19'
..
*EDU (Equivalent Dwelling Unil) is a discharge equivalenllo a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION T ABLR:'BASED ON COUNTY ASSESSED V ALirE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998 ...
1999" ...
2000
CREDIT RA TE/$1 ,000
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2.98
$2.52
. $2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
o
1979
CREDIT FOR LAND (IF' APPLICABLE)
VALUE / 1000 '. CREDIT RATE
$0.00 x $4.92
= I.:
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92 =; ,
o
TOTAL MWMC CREDIT
=
$0.00
;,..
'\
CITY OF ~INGFIELD SYSTEMS DEVELOPMElfl'WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00647
NAME OR COMPANY: Chad Ruhoff
LOCATION: 696 Aspen
TAX LOT NUMBER: 17033423 tl300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 3454
LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
8231.00 $0.290 = $2,386.99
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE DISCOUNT
I 0.00 $0.290 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x I
19
B. IMPROVEMENT COST:
NUMBER OF DFU's x
19
$2,386.99
COST PER DFU
$22.64
.~.
"'~
,
'.
COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER sd~ = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE . x
I 9.57
....
$75l"$
';?j' 'iA.
;~
II'"
if/'
NUMBER OF UN!TS x
I
COST PER t1pFiii
. $17.23 ',::%:~
..
x NEW'TRIP FACTOR
1.00
B. IMPROVEMENT COST:
I ADT,fRIP RATE
I t 9.57
~',
ITEM 31l0TAL - TRANSPORTATION SDC
.~
4. SANITP...RY SEWER - MWMC
~
A. REIMBJJRSEMENT COST:
NUMBijR OF FEU's x ICOST PER FEU
1:, I '$332.86
,
B. IMPROVEMENT COST:
INUMBER (!)f FEU's
,
x NUMBEROF illl'JTS
= I
COST PER. TRIP
$76.0I'l-')
$~,9:2~31
x NEW TRIP FACTOR
1.00
Ii,
~>
t."
~\""
I "'.
x COST PER FEU
$34.83
.f;~
'~""
MWMC CREDIT IF APf~CABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I
SUBTOTAL (A9D ITEMS 1, 2,3, & 4) = ,
5. ADMINIS1lRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $4,414.14 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$220.71
$377.69
$4,414.14
Virginia Jurasevich
7/30/2003
TOTAL SDC CHARGES
PREPARED BY
DATE
o
$2,386.99
$430.16
$326.99
$164.89
$727.42
=
$332.86
=
$34.83
$0.00
$10.00
r/J
~
Cl
o
U
~
~
E-<
r/J
......
Cl
~
1070
1091
1092
1093
1094
1054
1055
1054
1056
J 171.92 11079
I".... $48.79 11078
I
== , $~,634.85 I
'..
-I ... . ..
'.
. *EDU (Equivalent Dwelling Unil) is a discharge equivalent to a single family dwelling unil (20 DFU's) sel al167 gallons per day
'~ 1
..MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR . CREDIT RA TE/$I ,000
.. ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
.",
BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.83 (Enter 1 for Yes, 2 for No)
1981 $4.77 BASE YEAR 1979
1982 $4.64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE / 1000 CREDIT RATE
1985 $4.09 $0.00 x $4,92 = , $0.00
1986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 VALUE /1000 CREDIT RATE
1989 $2.52 $0.00 x $4.92 = I 0
1990 $2.06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $0.00
1993 $1.31
1994 $1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04
..... .
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225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: (541)726-3689 v'O~\e <<>~
ELECTRICALI'ERMIT APPLICATION . if ~~~e\>.';:>" ·
City Job Number l \ rw' n """3. nt'\I~"1 Date ~ ~,o:<<> (;>.0
lIDWU U~J ~&
1.
o
LE\1D3~13 mm
JOB DESCRIPTION . ,
~n'fm I an~w:~~1ltS
not started within 180 day f issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor '1) t 1) AJ S ~L Ecr-r<. f c:....
Address
WA-LL-', S -*' L
[O&cSU ~
:2-10
City
(peg {-(~bL-
Phone
Supervisor License Number 3 0 c.J. I - ~
l%i/~oo4
Constr. Contr. Number 7 3 7 (;;, 2--
ExpirntionDate ~ 0f- 4'}oo5 ~
Signature of Supervising Electrician
ClaL / k~
Owners Name ~~ UtmfoJiVietS
Address ?AQ.~ mtrrDr'lbNf-
City <;'-~P(\PA' Phone 23\-.\ffi)
-UJJ, .
OWNER INSTALLATION
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
Service I J.C E :
1000 sq. fU~~gJ:RMIT SHALL EXPIRE IF T~f?~nl(
Eac~ addA.kJJcl1/~I~<f[Jt.[jJ~DER THIS PERMl
portion tl@@MMENCED OR IS A-G+ '_ - :tTlkPotiOT
util'JUUNtD FOR
Each MaAN~ctM9iMVoPERIOD
Modular Dwelling Service or '
Feeder
$50.00
B.
200 Amps orIess \ $ 63.00 103.oe>
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to. 100QAmps $163.00
Over lOeftJT1&i~~Nb1l~.ulegul, ;ctV\i (G4Uirt$'35'1~.l@(i)u
Reconn{QII~VMJUleS adopted by me Uregl$l1W<llOity
Notification Center. Those rules are set forth
c.
copies ot the ru es y
Installa~J imlJRRiGif3teItdMat9irlhe tel ephone
200 ArRp~'7}rq~JJorthe. Oregon Utility No~f~tpn
201 Amps to 40b'xgtel IS 1-800-jj~-~J44~ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1 000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
-"
5>
f
E.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
72-
7% State Surcharge
10% Administrative Fee
YOl1
72-(.'}
<gL-{ Z '-,
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-D3.doc
3.
1>"'- ,1>"
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~e'" ~ " ·
ELECTRICAL PERMIT APPLICATION(~0~~0 00 . ~
City Job Number ~?,Q03 .ti1:Al Date ,0..1>-- '1.-0"'"
"Yi
Supervisor License Number .3 D cf / ~
IOrio / / ~OO t/
Constr. Contr. Number I 3 7 6 2-.
~/() 6/ /). tJo ~C,(~
f Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D.
l& J / /7' N Molt ~!te~ation or Exten,ion Per Panel
a-G ,~) /~ THlg!h~Jffi~o~~~JiKf~aHHF T11t VVUtiK$ 43.00
(\ 1,h._tC \ \_~J'IA k. . \~~U~n~tUrw~&-JihlIS PERMIT IS NOT$ 3.00
Owners Name K..'v 1 \Uf\ '\'!Jl.lUU. ~)l ~O
Address ~ \'\\ UJ"t> r ~Of'l'\. A illY
City ~ Phone _~.l.!'s=:ll
1.
\.QC\Lo ~
LEGAL DESCRIPTION - \
\103B~13 tD~cD
JOB DESCRIPTION \BW
~ ~on- ,ferable ant\~~~
not started within 80 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor D lit) AJ..5 EL&T/Z'1e:-
Address ;2. I 0 U/ .4~-L/5 -4 L.
City
E t/ (;. t:EPJ~
Phone
6 ff7-/362-
Expiration Date
Expiration Date
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
\ $106.00 \Dto to
~ $ 19.00 ':J~.d)
$50.00
R
rrt:.N I iUl\l.uregui,.~v\! iI::lLjU\ e::. Y .
2M~W POI~adopted by the Oregon LlitlillltJo
20 o1iflli'~ft'O^~-~. Those rules are sE!t 1~.!()8
4m ~Fr~2Q~~m1 0 through OAR 95fr29.6o
6~e;PVb\Jl~~in copies of the r~r~~~
Overd~O~~Ve1Mer. (Note: tne te'e.~npn~.Qo
ReCfl~~r the Oregon Utility l\ju\l[j~1\?bb
. 1-800-332-'2344).
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
~.oJ
\
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
yqL\ ~
\3.~
\C\ .~Q
2'2lo~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application l-03.doc