HomeMy WebLinkAboutPermit Building 2007-11-7
Status
Issued
CITY OF SPRINGFIELD'
./'-v
Building/Combination Permit
PERMIT NO: COM2007-01638
ISSUED: 11/07/2007
APPLIED: 11/05/2007
EXPIRES: 05/07/2008
VALUE: $ 140,165.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5792 OBSIDIAN AVE SPRINGFIE TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: JASPER MDWS 5 ADD P
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Jasper Meadows lot 211
Residential
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-741-2572
Phone Number: 541-228-6935
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
. 92208
67362
39237
142776
. Expiration Date
07/29/2009
06/19/2011
03/25/2010 .
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
BUILDING INFORMATION'
# of Units: 1 # of Stories: 1 Lot Size:
Primary Occupancy Group: R-3 Height of Structure: 16.00 'Sq Ft Ist Floor: 1,235
Secondary Occupancy Group: U . Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Primary Construction Type VB Water Type: Gas Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport 480
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: nla . Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
18.00
10.00
39.50
10.00
Over~ay Dist:
# Street Trees Rqd:
Paved Drive"Rqd:
% of Lot Coverage:
4
Yes
24.20
Total:
Handicapped:
Compact:
2
. .
Subdivision Not A~ION: Oregon law Lflqf.lJeIQIIMNWVEMENTS I
S I J.Q{l.ow rules adopted by th VI tI\:jUII ULII"1
treet mprove,t:folification Center.Fih~tI~are set forth Sidewalk Type: Curbside T
Storm Sewer A"RiGMi:952-001-0010through ~fl952-OO1. Downspouts/Drains: Curb and Gutter
Special InstructOOOO. You may obtain copies of the rules by . NOTICE"
calling the center. (Note: the telephone · .
Notes: No fina~JGy ~~WfJ!t\ThIt'~V~P~to Public Wor.1.H~~~ ~J R~~kktEx.PJRE IF THE WORK
Centeris 1-800-332-2344,. AUfI'1Ut1I~tU U1'JU1:tirA'(~ PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.\:
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01638
ISSUED: 11/07/2007
APPLIED: 11/05/2007
EXPIRES: 05/07/2008
VALUE: $ 140,165.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin!!:s
Garaee
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,235.00
480.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$127,205.00
$12,960.00
$140,165.00
11/05/2007
11/05/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $500.25 11/5/07 2200700000000001675
-Mech Iss 2+ Appliances- $40.00 11/7/07 1200700000000001377
+ 10% Administrative Fee $142.94 11/7/07 1200700000000001377
+ 5% Technology Fee $85.93 11/7/07 1200700000000001377
+ 8% State Surcharge $107.49 11/7/07 1200700000000001377
2 Baths One or Two Family $280.00 11/7/07 1200700000000001377
Addressing Assignment $35.00 11/7/07 1200700000000001377
Appliance Vent $7.00 11/7/07 1200700000000001377
Building Permit $769.62 11/7/07 1200700000000001377
Curbcut Permit $85.00 11/7/07 1200700000000001377
Dryer Vent $7.00 11/7/07 1200700000000001377
Exhaust Hoods $10.00 11/7/07 1200700000000001377
Fire SF Fee - Residential $85.75 11/7/07 1200700000000001377
Furnace - up to 100,000 btu $14.00 11/7/07 1200700000000001377
Gas Outlets 1-4 $5.00 11/7/07 1200700000000001377
Plan Review Major - Planning $205.00 11/7/07 1200700000000001377
Residence Wiring 1000 Sq Ft $117.00 11/7/07 1200700000000001377
Residence Wiring Ea Addtl 500 $42.00 11/7/07 1200700000000001377
Sanitary Sewer - Improvement $469.29 11/7/07 1200700000000001377
Sanitary Sewer - Reimbursement $617.17 11/7/07 1200700000000001377
SDC MWMC Administration $10.00 11/7/07 1200700000000001377
SDC MWMC Improvement $990.39 11/7/07 1200700000000001377
SDC MWMC Reimbursement $95.35 11/7/07 1200700000000001377
SDC Sanitary/Storm Admin $125.77 11/7/07 1200700000000001377
SDC Transpo Admin $73.01 11/7/07 1200700000000001377
SDC Transpo Improvement $862.25 11/7/07 1200700000000001377
SDC Transpo Reimbursement $195.48 11/7/07 1200700000000001377
Sidewalk Permit $85.00 11/7/07 1200700000000001377
Storm Drainage Impervious Area $735.64 11/7/07 1200700000000001377
Storm Sewer Each Addtll00' $16.00 11/7/07 1200700000000001377
Temp Power 200 amps or less $55.00 11/7/07 1200700000000001377
Vent Fan $21.00 11/7/07 1200700000000001377
Willamalane Single Family $2,303.00 11/7/07 1200700000000001377
Total Amount Paid $9,193.33
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01638
ISSUED: 11/07/2007
APPLIED: 11/05/2007
EXPIRES: 05/07/2008
VALUE: $ 140,165.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
Public Works Review
11/05/2007
11/05/2007
I Plan Reviews I
11/05/2007 APP
11/05/2007 APP
TAJ
LKW
No final occupancy approval shall
be granted prior to Public Works
approval for pump station
Approved as noted on the plans.
Structural Review
11/05/2007
11/05/2007 APP
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.
l..ReouireCUnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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 andlor
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.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01638
ISSUED: 11/07/2007
APPLIED: 11/0512007
EXPIRES: 05/07/2008
VALUE: $ 140,165.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
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.
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
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.
-Z/]J
Owner or Contractors Sign~e
//-0 7- 0 7
Date
Paee 4 of 4
Willamalane
Park & Recreation District
Job. No.t'tJl#2(rJ.7-t'J/~.s6
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME: ,.J-.!Ayj)t:;;Q >FiNr PHONE: ? 7.'0 - ~q 3'S
: ADD,RESS:.l&f J)e1~CITY~ STATE:<<ZIP: ~~7S""~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: .C; 7'9 2- ~r~ /7) J AJV
- . , .
Plat Name:k2L/ JJ1.?IIl_~ItJ.s Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwellingtype definitions are on the
back. )
A. Sinale-Familv Detached
NO. OF UNITS
/
X $2,303 per unit =
$ 2.~O:S
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 Occuoancv
NO. OF UNiTS
X $1,016 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X$1,151.50perunit= $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.) $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$ 2.~f):J
1{07
DAII'\ "t<OwLSr:s-y {( /
[J8ve'lo'pmerit Services Department I Date
City of Springfield
5
DEVELOPMENT TYPE DEFINITIONS1
;i";. ~ ,~stngl~,f~RJtty'~~lt~'ched Dwelling Unit . . . . . .
'''.J'--'-.~''bl:llldir;.g.J6r%'~h~c:m)of a building consisting of one or more rooms including sleeping,
cooking, and plumbing facilities arranged and designed as permanent living quarters
for one family or household; and not attached 'to any other dwelling ,unit or building.
Tl:1i? ~tgj.ti~rl.i~~~~. manufactured housing, __ .,,' -.:::~ .... ~ '.
_-'~"' . t\) _ _..__.;. '\ \ r,.:t (" ~,._~t ',' I t. ."
. - . \.... \ ,.-,--.
"\ .\"~.._. " - \. \ '-!! "
Si.3~@Ilily Att~~ed Dwellinij. Unit .. \. \ . \ ....... -. ~ . \
A po~& "of a builcirrt~ consisting o~}b~'7~'Il~~r~e roo~h~ip~ePie~Eooking,
: and plumbing facilities arranged and designed as pef~~aQent living qua'rters for one
family or household; .and which is attached to one or more dwelling units by one or
.more common vertical walls,\, TJ1i~ qe~~lti~Q <i~9_~c1ude~, but i~not limited to "duplex",
"zero lot line dwelling", "town M~;'\ar.td\:'toW:lllGlUSft". Wi.fu ~Ff!~\:~xc~1l,tion of duplexes,
Single Family Attached Dwelling Units typically are s?J?,arately Qwned: ,
. . 1~~~~\~,~'t+-\. \\\'~"'.\
. . .. ,,". \~ \\..~
. 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
family or household; and which is attached to two or more dwelling units by one or
mor~..cQ!:QCIlpQ. vertical walls. Typically, the units are in an apartment building or
compl'~~(af,td"are not separately owned. \. .
Single Room Occupancy Dwelling Unit
A portion of a building consisting ot one or more rooms including sleeping facilities with'
a shared or private bath, and shared cooking facilities and shared living/activity area.
This definition al90 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 wrth 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
within, attached to, or detached from the primary single-family dwelling. Accessory
dwelling units shall be charged at one-half the single family detached dwelling unit
SDC rate.
~ r~ ";0 r:-..
L \...) C -~"~
_,...e _'"
\ ~.... ::
r~
\
\ ~
. I
.j i J
........... '"-, . .- -'. -,_ ../ I -
-, ;' 1...'\ (.J ''v,'(') "') Updated 2/20/07
.. -,' ';"~L ~ r_ I ,'. \~.
. 1 From the WPRD Parks and Recreation SDC Resolution No, 06-07-6, October 10; 2006
6
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2007-01638
NAME OR COMPANY: Hayden Homes
LOCATION: 5792 Obsidian
TAX LOT NUMBER: Jasper Meadows 5th Add SL211
DEVELOPMENT TYPE: Single Family Residence
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1777 LOT SIZE (SF): '
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x; I COST PER S.F. CHARGE
I 2-126.00 I $0.346 = I $735.64
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.346 I 50% = I'
ITEM 1 TOTAL - STORM DRAINAGE SDC '$735.64
DISCOUNT
$0.00
7076
r:rJ
P-1
Q
o
u
~
P-1
t-<
r:rJ
.......
o
~
$735.64
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
23
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 23
COST PER DFU
$26.83
COST PER DFU
$20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIPRATE x
9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
$1,086.46
.1 '
NUMBER OF UNITS x I COST PER TRIP
1 I 20.43
NUMBER OF UNITS I x
1 I
ITEM 3 TOTAL - TRANSPORTATION SpC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
1
= ,
ICOST PER FEU
I $95.35
B. IMPROVEMENT COST:
NUMBER 01 F FEU's I x ICOST PER FEU
I $990.39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINlSTRA TIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4), = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$3,975.57 5%
TOTAL SANITARYADMINlSTRATION FEE:.
TOT AL TRANSPORTATION ADMINISTRATION FEE:
Kaye Wilson
. 11/5/2007
,PREPARED BY
DATE
x INEWTRIPFACTOR'
I 1.00
COST PER TRIP
$90.10
$1,057.73
x I NEW TRIP FACTOR
I 1.00
$617.17
109]
$469.29
1092
$195.48
1093
$862.25
]094
/ =
$1,095.74
$3,975.57
.,
=
$95.35
1054
=
$990.39
$0.00
$10.00
11056
]055
1054
CHARGE
$198.78
TOTAL SDC CHARGES
,
I
125.77 1079
$73.01 1078
I
$4,174.35 I
,~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V ATORY 0 0 2 = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET1 PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit ,\20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 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
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $529
o
=
$0.00
TOTAL MWMC CREDIT
-_, ..."" L..UU' \1 f'\l} 1(; IC
%l..'l F'lFm S11U;F:I' · SP~u.LD. OR97477 . Ml:(541)'JU.3753 . FAX: (541)'tUi..31il1!1
ELE....J..KICAL PERMIT APPLICATION
CityJobNumber ~7"O/h)~
1 FIj;'.\~~~"':".!"':;'" . .." ,. /",:
. .;,J,;j~~,l!l~" , 3.
- SZ9.2 t'Jt5S/~/N J
LEGAL DESCRIPTION:
~1or2;U J~~_H(~J'
JOB DESCRIPTION:
Sr.#es. <4~c_
vL--
OwncrsNamc flA-,~EN' ~G=S
. Address '2 'ibc.r I 5 t,J G./ k.t WL ~L E. If-
City 'M 1MD1A/~ Phone -;::2 ~ -b 7 J r
. ~crmits an: Don-transferable and expire if work is
not started within 180 days of issuance or ihv~rk is
SUSpcaidcd for 180 days.
Electrical Con1rnctor
1M f~l 't~~
Address
~<j(<i<~ HW-f ~~l
City A\ huvv t(
/
Phone 7s:f-ltltl
Supervisor .License Number
f{~""'15
E..t':' ..~:on Date
lfJ -I-toto
Constr. Comr. Number
(p / 5(PL
/.,.1 -:)c.o~
Expiration Dale
Signature of SUpervising ElectrieilUl
- fA--
OWNER. INSTALLATION
The installation is being made On property r own which
is llat intended for sale. lease or renT.
Owners Signature:
In~t' ~~;';on Request: 726-3769'
Date
A.1I.dS!l~r
Scrviec Included
1000 sq. ft. or less
. Each additional SOO sq. ft. or ,
portion. thereof'
. .
_ $117.001J~~
4-2-&aC
/
, "~
2- . S21.oo
Each Manumct'd Home or
Modular Dwelling service or
Feeder
$55.00
''B.
200 Amps or Jess
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1 000 Amps
Over 1000 AmpsIV OilS
Reconnect Only,
$ 70.00
$ 83.00
, $138~OO
$180.00
$413.00
, $ 55.00
lustaUation, Alteration or Relocation
200 Amps or Jess
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
~H1
Over 600 Amps or ) 000 V olls see "B" above.
D. ~!~~'
New Alteration or Extension Per Panel
ttne L;iiCuit
Each Addilional Circuit or with
Service or Feeder Permit
. $ 48.00
$ 4.00
Pump or irrigation $ SS.OO
Sign/Outline Lighting $ 55.00
Limited Energy/ResidentiaI $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Jl:lectric Permit Inspection Fee is $SO.OO + SUrcharges
4. .~." .""'.l..... ,..':~~., , ~ ...., I.L tJ4J
~~II ;r~ ~/~
8% State Surcharge / 7 /1-
10% A~inistrativc Fcc "7:; "lO .
5% Technology Fee . , / n. 7p
TOTAL '. ~ S 2... L
... -. I .
Shared Ori~)JF.lullding FOrms/Electrical Pc:anit Application 7.{T1.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-01638
COM2007-0 1638
COM2007-01638
COM2007-01575
COM2007-01575
COM2007-01575
COM2007-01575
COM2007-01575
COM2007-01575
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001377
Date: 11/07/2007
Description
Plan Review Major - Planning
Building Permit
Sidewalk Permit
Curbcut Permit
Storm Drainage Impervious Area
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
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HA YDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 048152 In Person
Payment Total:
Page 1 of I
11 :39:24AM
Amount Due
205.00
769,62
85,00
85,00
735,64
617,17
469.29
195.48
862,25
95.35
990,39
10,00
125.77
73,01
35,00
2,303,00
85.75
280,00
16,00
14,00
21.00
7.00
10.00
7.00
5,00
40,00
117.00
42,00
55,00
85.93
107.49
142.94
117,00
84,00
55,00
12,80
20.48
25.60
$9,007.96
Amount Paid
$9,007,96
$9,007.96
111712007