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Home My WebLink AboutPermit Building 2007-9-28 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1297 S 41ST ST ASSESSOR'S PARCEL NO,: 1802064111700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01467 ISSUED: 09/28/2007 APPLIED: 09/27/2007 EXPIRES: 03/28/2008 VALUE: $ 222,978.00 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Filbert Meadows lot 46 SAME AS COM2006-01612 517 Collier Dr Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMA nON I Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 # of Stories: 1 Height of Structure: 24.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 S'_,~~~kled Building: n/a tf..'r\~t. ~~ENT INFORMA nON, O\\ct"" ~\ S~f1..\.\. \~\S ~t: t,\> ~O\\ .. Frontyard ~~~t.~\S\ 0 \)~~t.~!~t>O~ Overlay Dist: Side 1 Setba'cR\\~Q~\1.t:t.t> O~ \S ,00 # Street Trees Rqd: Side 2 Setbadtt:' "1\~t.~C ~ Vt.~\O .'00 Paved Drive Rqd: Rearyard Set~~; "\?>~ t>~ 20.00 % of Lot Coverage: Solar Setback*~' 20,00 I PUBLIC IMPROVE~ION' Oregon law requires you.~,~ folloW rules ~,nW~bf, th~ Oregon u~ 'rth Fully Improved Notification center: 'ThcfSiroles are se~~o 1- Curbside 5' Yes I OAR 952-OcRQ9QIt;Oclbr_i~ 95 I storm Sewer n btaln copies of the ru e 0090. You may 0 . the telephone calling the center. (NO~ility Notification number for the Orego~ QQ~ 2344\ Center Is 1-80~- ',. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB Street Improvements: Storm Sewer Available: Special Instruction: Notes: Stormwater to weep hole in curb. BUILDING INFORMA nON I 3 Pal!e 1 of 4 Phone Number: 541-686-9458 Expiration Date 09/16/2008 03/30/2008 06/27/2009 03/1212008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,727 2,001 625 REQUIRED PARKING 4 Yes 39.00 Total: Handicapped: Compact: 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garal!e Dwellinl!s Garal!e Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Overwidth Application Fee Plan Review Major - Planning Plan Review Same As Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan Willamalane Single Family I Valuation Description I $ Per Sq Ft or multiplier $103.00 $27,00 Square Footage or Bid Amount 2,001.00 625,00 Total Value of Project ~ Amount Paid $40,00 $182,35 $105.36 $135.37 $280,00 $35,00 $1,063,18 $85,00 $7.00 $10,00 $131.30 $17.00 $14,00 $5,00 $10,00 $40.00 $205,00 $220,00 $117.00 $84.00 $571.31 $751.33 $10,00 $961.52 $91.61 $95,67 $76,51 $862,25 $195,48 $85.00 $16,00 $55,00 $14.00 $2,303,00 Date Paid 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9128/07 9/28/07 9/28/07 9128/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 9/28/07 Pal!e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01467 ISSUED: 09/28/2007 APPLIED: 09/27/2007 EXPIRES: 03128/2008 VALUE: $ 222,978.00 Value Date Calculated $206,103,00 $16,875,00 $222,978,00 09/27/2007 09127/2007 Receipt Number 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 1200700000000001246 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-,01467 ISSUED: 09/28/2007 APPLIED: 09127/2007 EXPIRES: 03/28/2008 VALUE: $ 222,978.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,875,24 I Plan Reviews I Initial Review Planninl! Review 09/27/2007 09/27/2007 09/27/2007 09/27/2007 APP APP LLH TAJ "express process" Filbert Meadows considered front for determination of setbacks, Plant street trees as shown on street tree plan attached to permit: specie! as shown, 2" caliper, leave name tag on until approved, Stormwater to weep hole in curb, Public Works Review Structural Review 09/2712007 09/27/2007 09/27/2007 09/27/2007 APP APP BRC DLM 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 work day. UeouiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed, Sidewalk - Curbside: After forms are erected but prior to placement of concrete, Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover, Ceiling Insulation: Prior to cover. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing, Water Line: Prior to filling trench and including required testing, Sanitary Sewer Line: Prior to filling trench and including required testing, Storm Sewer Line: Prior to filling trench. Underfloor Mechanical. Prior to insulation or decking and including required testing. Pal!e 3 of 4 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2007-01467 ISSUED: 09/28/2007 APPLIED: 09/27/2007 EXPIRES: 03/28/2008 VALUE: $ 222,978.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance, Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing, Presure test done at this point. Rough Mechanical: Prior to Cover Temporary Electric: Approval required prior to Utility Company energizing pole, Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete, Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, Final Plumbing: When all plumbing work is complete, Final Building: After all required inspections have been requested and approved and the building is complete, 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 readable from the ::;:::'dt::E:t::~r;;;7the p,up..ty, aud tbe app,"v~;:~ w;ema;u uu tbe site at alt Owner or Contractors Signaturl Date Pal!e 4 of 4 l~, - ,!.> CITY OF SPRINGFIELD SYSTE~S DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: L C0M2007-0 1467 -stormwatq not applied- r' NAME OR COMP ANY: ~Wiechert Custom Homes LOCATION: . 1297 South 41st Street TAX LOT NUMBER: 18-02-06-41 11700 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE I . 0.00 $0.346 = I $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. I x I DISCOUNT RATE I 0.00 I $0.346 I I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC' $0.00 '. DISCOUNT $0.00 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 28 COST PER DFU $26.83 B. IMPROVEMENT COST: NUMBER OF DFU's x. I COST PER DFU 28 I $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,322.65 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I . B. IMPROVEMENT COST: ADT TRIP RATE x 9.57 I NUMBER OF UNITS x I 1 COST PER TRIP 20.43 x I NEW TRIP FACTOR / 1.00 I NUMBER OF UNlTS , I x I I =, COST PER TRIP $90.10 . x I NEW TRIP FACTOR I 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC $1,057.73 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x I I ICOST PER FEU I $91.61 B. IMPROVEMENT COST: INUMBER OF FEU's x I 1 ICOST PER FEU I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC . SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $3,443.51 I 5% TOTAL SANITARY ADMINISTRATION FEE:. TOTAL TRANSPORTATION ADMlNISTRATION FEE: o $0.00 $751.33 $571.31 $195.48 $862.25 $91.61 r:n ~ Q o u ~ ~ E-< r:n ...... o ~ 1070 I /1091 1092 !. 'i 1093 1094 1054 Billy Curtiss 9/27/2007 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNUS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL 1 SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 \CLOTIlESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER 1 ETC. 1 0 3 = 3 ISHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EOD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4 .40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 =, $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT = $961.52 1055 $0.00 1054 $10.00 1056 = , $1,063.13 - -~~ '= , $4,708.91 1= CHARGE I $235.45 167.14 1079 $68.31 1078 TOTAL.SnC CHARGES =1 $4,944.36 - - - - -, ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET '. JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNlTS 1. STORM DRAINAGE . DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 3657.00 I $0.346 = $1,265.40 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I I 0.00 I $0.346 L 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,265.40 $1,265.40 C0M2007-01467 -stormwater applied- Wiechert Custom Homes 1297 South 4 I st Street I 8-02~06-4 I I 1700 Single Family Residence 1 . BUILDING SIZE (SF; o LOT SIZE (SF): o DISCOUNT $0.00 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 28 B. IMPROVEMENT COST: NUMBER OF DFU's 28 COST PER DFU $26.83 $751.33 x I COST PER DFU . ./ $20.40 = , $571.31 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,322.65. 3 TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x 9.57 I x INEW TRIP FACTOR I 1.00 COST PER TRIP 20.43 $195.48 B. IMPROVEMENT COST: I ADT TRIP RATE. x I NUMBER OF UNlTS x I COST PER TRIP I 9.57 I I I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,057.73 x INEW TRIP FACTOR I 1.00 $862,25 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x I ICOST PER FEU I $91.61 = $91.61 B. IMPROVEMENT COST: INUMBER OF FEU's' x COST PER FEU I 1 $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: . SUBTOTAL x I ADM. FEE RATE $4,708.91 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Billy Curtiss 91-z.1!tl"". DATE PREPARED BY VJ ~ ~ o u ~ .~ E-< (/) f-< o ~ 1070 1091 1092. 1093 1094 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATIITUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG 1 WATER STATION I ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL I WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I ,000 ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 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 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = Date ZON t~OC INITIALS N tV\. DA TE \ 0 .. G I - C " SOURCE rYI-r<~:J ~~ ~ {j~rO""l 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTlUCAL PEJWl.IT APfLICATION City Job Number t~r! · \~lj)f) 1. LOC4TIONOFJNSTALLATION: \fLct1 s. L\\$t-$f LEq~ DESCRIPTIO~: A. New Residential- Single or J\'Iulti-Family per dwelling unit. \ro7rirA\ \ 11(V ServiceIncluded . 1aJ aJ JO~ESC]!PTIO(N:) I ~~tk;>;\ '1000 sq. ft. or less l ~ 1 \ 1 ~ 1 ~n '--( Ih I\A '~ 1\ f\. pm lac~ additional 500 sq. ft. or 4 ~- C J t2A cV "- u ~u. \ \u.JIl { I(J--J LA I \ portIon thereof $ jd'oo CT1. Per~its a;e on-transfer~ble and exp\re ~fwork is ' Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder C. Temporary Services llf~~\<. r r-:"nf>:':C'. LL t~?\RE \r S ~O\ . Pt~~~l~1t~~~~~6P&Np~~fetion ( .~('\~\\I~~ ~(ffiS\~ ~WuO~t.D " :~:. ~ ~~! DAewt\\~t9.0 Amps f\~d \ ba~!f\~lnps to 600 Amps 2. CONTRACTOR INSTALLATION ONLF Electrical Contractor l r. E E ~ CW\ C. Address C{ d., B 5 3 j6V\IJ- ~ !\(.fe; ~Qd. City S() c; \ ci Phone 5~ \ - Y \ ~g , Supervisor License Number Y \ l Lt - ..s \b/\ I 01 . \oSyis 3 I ?o/ as Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~U OY--~u((\ U'L~~ OwnersName ~~1ilithod Address ~()~ ~ 1f .,tOt . 1 City l'\X\QIl9-- ~hO~ Jo I< l[lCl4-W OWNER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. CO~IPLETE FEE SCHEDlILE BELO\V $50.00 ........,' . ...,..,-, . 'C_,.: .,_' .-, B. Services or Feeders ....Jnstallation, Alterations or Relocation: 200 Amps or less. 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 56.00 $~9.00 $100.00 D~ciJ Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel $ 43.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 3.00 ATT;NTlON:Oregonlaw requires you.~o E. fd'~~\\ti~b1~l1HOr~lhttim)f-Each Installa tion Notification Center, Those rules are set forth Rw~N!l6rg~0010through OAR 952-op!~.00 mg~u~rn~~ain copies aT me rUle~~.oo Jial\1rSnthe.~!"}ter. (Npte: the lelephon\ LinJffioeffbf-l'riE:f~ Utility Notiflcetiili5.00 Limited E~mE*QBl1Wrt)0H332-2344). $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + SurcRa8!s ~) 4. SlJBTOTAL OF .ABOVE ~ ulJ? {J,V 8% State Surcharge 2.0 :40 10% Administrative Fee x~ .icCf. 5% Technology Fee _ I.W'> TOTAL ~\ .'D~ Shared Drive(T:)IBuilding FonnslE!ectrical Pennit Application 8-06.doc Willamalane Park & Recreation District Job, No. ~. 4-t11 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: d~u.rt_UJl.O~ PHONE:\O~lPq4~ ADDRESS:~:' r ~STATQkIP: Cll'tiP LOCATION OF PROPOSED ILDING SITE: Street Address: \tL4'l ~. ~\Sb ..~ Plat Name:\tl~ ~Lot Number: . 1, DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type'definitions are on the back. ) A. Sinale-Familv Detached. NO. OF UNITS X $2,303 per unit = $ ?}')3,uJ B. Sinale-Familv Attached NO. OF UNITS X $2,426 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,032 per unit = $ D. Sinale Room Occupancy NO, OF UNITS X $1,016 per unit = $ E. Accessorv Dwellino Unit NO. OF UNITS .x $1,151.50 per unit = $ $ ? ~n{)"2> pD ff ft1:J:f8pU $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED \i (if ~De reduced for ere.dill ~c) L-j\~.(2-/ Development Services D~ City of Springfield . $ 7 / 2~/ Of Date 5 DEVELOPMENT TYPE DEFINITIONS1 t.... Sih~I~.fil11n~ rf~tached Dwelling Unit A tl~i1aihg Of a'-portion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as, permanent living quarters for.on~ fa~i1~~~r h~usehold; and not attach~d to any other dwelling ,unit or building. Thls.--Ei~Mi.1~~h.)d~~ manufactured houslng.~. . ,~. . r. .. I~ , . "--'1 ., ,1,.J -;; \ 'u (1 I ! ,.. ,I) '..'~ .; '. f'." r ' l} lao - :-' . J. .),j I,.; ,.: ...l.. .j.J ~ I\, , ~~~~,f"~iIY ~tt~'ctfed Dwen!f\S"~p)!. ~ .' ~ . 'It; 'r..: ~~ .(1 A 'pbrtion tf a building.consistin'g.<lf qR~ 0r h10rei,r0gjjl.~1901slI6g 3J~epi~~~,cooking, : and plumbing facilities arranged and>designed as permanE?nt living quarters for one family or household; and which is,a!tached. to one or more dwelling units by one or more common vertical wall.s~~~definitLd~I~\i(lclUfLes, b~ if..n~t limited to "duplex", "zero lot line dwelling", "to~nt'1eM~'e",-and "row"house"(With thei~_c;~ption of duplexes, Single Family Attached Dwelling Units ty~~~t~1~~~~tcl~ q~~:C;.;.J':~ Multi-Family Dwelling Unit A portion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as permanent living quarters for one fami~y O!.r,~y.s7-hold; and which is. attached to ,two or ,more dwelling unit: by one or more..c.eml1JQ'h~ertical walls. TYPically, the units are In an apartment bUIlding or compl~x;.af"td.a.re not separately owned. Single Room Occupancy Dwelling Unit A portion of a building consisting of one or more rooms including sleeping facilities with a shared or private bath, and shared cooking facilities and shared living/activity area. This definition also includes, but is not limited to "assisted living facility," Single room occupancy dwelling units shall be charged at one-half the multi-family dwelling unit SDC rate. Accessory Dwelling Unit A secondary, self-contained dwelling that may be allowed only in conjunction with a detached single-family dwelling. An accessory dwelling unit is subordinate in size, location, and appearance to the primary detached single-family dwelling. An accessory dwelling unit generally has its own outside entrance and always has a separate kitchen, bathroom and sleeping area, An accessory dwelling unit may be located (.With;,~crtta..ChSQ to, or detached from the primary single-family dwelling. Accessory dwe+lH+g.;6ni16 shall be charged at one-half the single family detached dwelling unit SDC raJe. ., #0, .. ,,-'-;... \...... .., .~--.... ~', "l' ). -. . t' '" .. \ . ' , .<' . '. c;, "\ -'~~i"~r 1 :'~Updated,iho;07 .~ " '''-''',,;;_:~, _,,' _,' _^ I _ . '-"-. *.' rl. II. ,';'.. . " 1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006 6 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01467 COM2007-01467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-01467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-01467 CO M2007 -01467 COM2007-01467 COM2007-01467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-0l467 COM2007-01467 COM2007 -01467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-01467 COM2007-01467 COM2007-0l467 COM2007-01467 COM2007-0l467 COM2007 -01467 COM2007-01467 COM2007 -01467 COM2007-01467 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001246 Date: 09/28/2007 Description Plan Review Same As Sidewalk Permit Curb cut Permit Overwidth Application Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mech Iss 2+ Appliances- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02533B In Person Payment Total: Page I of I 8:23:52AM Amount Due 220.00 85.00 85.00 40.00 751.33 571.31 195.48 862.25 91.61 961.52 10.00 95.67 76.51 205.00 1,063.18 35.00 2,303.00 . 280.00 16.00 14.00 14.00 10.00 7.00 5.00 17.00 10.00 40.00 117.00 84.00 55.00 13 1.3 0 105.36 135.37 182.35 $8,875.24 Amount Paid $8,875.24 $8,875.24 9/28/2007