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Home My WebLink AboutPermit Building 2007-12-4 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01666 ISSUED: 11/30/2007 APPLIED: 11/09/2007 EXPIRES: 05/30/2008 VALUE: $ 300,659.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6133 Graystone Lp ASSESSOR'S PARCEL NO.: 1802032204800 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single Family Residence TYPE OF USE: New Residential Overlay Dist: Hillside !al: # Street Trees Rqd: 4 ~ dicapped: Paved Drive Rqd: f'lJlf.~~ ~ pact: % of Lot Coverage: ~~~~~~ \~~ - ..' if-ft... """'l.. ~~~\..~":\ ~\\\<b ~\\~t) T I PUBLIC IlVVt~o.~~~\);;:' ~ ~1Q\\~ \ ~":~(\y{~~~~~~ \ \-(y...'v I"'~~ ~1 . walk Type' Fully Improved ~\.l \ ~t:~'v ~ V'" . Yes C()~ ,\ro~ ~~ DownspoutslDrains: ~~i Owner: RIVER V ALLEY BUILDERS INC Address: PO BOX 832 SWEET HOME OR 97386 I CONTRACTOR INFORMATION' Contractor License RIVER V ALLEY BUILDERS INC 134566 G & E ELECTRIC INC 54468 MIDWAY MECHANICAL INC oU\O 154166 ADH PLUMBING IN5.;!"_f~~:e.}1 U~~,,, 175077 0*- Ote~ ffi1fJ ~lION "'~ ~ ,,6.09 ~o~O tu\eS # of Units: 0\$111 ($\, ee~et-:\a\~ ~ <o'~\,:ee ~O~e 2 Primary Occupancy Grou~o\\\\ce\~~"\~te.\" ~e. ~~~~tJdilOt\ 31.00 Secondary Occupancy Gro'\Wo~ '(nultit\,,'I ~et-!t~ ~~\\. Forced Air Gas Primary Construction Type \)090. '"Y'l\e ee O,e ~~ Gas Secondary Construction Type: ~~ \0' ~e \I "\ ge Type: Gas # of Bedrooms: ~'- ~e,,\8t Energy Path: Path 1 Sprinkled Building: n/a Contractor Type General Electrical Mechanical Plumbing I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.50 15.00 15.00 35.60 35.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-726-0330 Expiration Date 04/1512011 09/15/2009 0113012009 04/03/2009 Phone 541-760-7881 541-967-7045 541-928-2423 541-967-7686 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 12,108 1,962 544 837 522 REQUIRED PARKING 2 Setback 7' Curb and Gutter Notes: For this parcel in Mt. Gate West, it is the recommendation to the Building Division,by the City Engineer:"that no connections sball be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Pal!:e 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvne of Construction AC - Residential Deck V Wood Frame Gara{!e A.C. - Residen Deck/Balconv Dwellinl!:s Gara{!e Fee Description Plan Review Residential ~Mechanicallssuance Fee~ . + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exbaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Overwidth Application Fee Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tr3nspo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtll00' Temp Power 200 amps or less CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2007-01666 ISSUED: 11/30/2007 APPLIED: 11/09/2007 EXPIRES: 05/3012008 VALUE: $ 300,659.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 $19.00 $103.00 $27.00 Square Footage or Bid Amount 2,506.00 522.00 2,506.00 837.00 Value Date Calculated $10,024.00 $9,918.00 $258,118.00 $22,599.00 $300,659.00 11/13/2007 11/13/2007 11/13/2007 11109/2007 Total Value of Project ~ Amount Paid $984.27 $20.00 $214.47 $118.32 $156.11 $337.00 $35.00 $7.00 $14.00 $1,342.42 $85.00 $7.00 $10.00 $193.25 $17.00 $14.00 $5.00 $2.00 $40.00 $205.00 $775.35 $1,019.67 $10.00 $990.39 $95.35 $207.84 $66.11 $862.25 $195.48 $85.00 $1,530.42 $32.00 $110.00 Date Paid Receipt Number 11/9/07 11130/07 11130/07 11/30/07 11/30/07 11/30/07 11130/07 11130107 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11130/07 11/30/07 11/30/07 11130/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11/30/07 11130/07 11/30/07 Pal!:e 2 of5 1200700000000001387 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 1200700000000001451 December 4, 2007 225 FIFTH STREET SPRINGFIELD, OR 97477 . (547) 726-3753 FAX (547) 726-3689 www.ci.spritigfield.or.us River Valley Builders PO Box 8.32 Sweet Home, Oregon 97386 On November 30, 2007, our office issued permits to you for a single family residence to be constructed at 6133 Graystone Loop, Springfield, Oregon. While calculating the fees for that permit, the plan reviewer neglected to include the correct Mechanical Issuance Fee of $40.00, charging you an issuance fee for only one appliance, leaving a balance due of $20.00 for this project. I am enclosing a copy of the permit that was issued and'a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment . by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1 :00 p.m. - 3:00 p.m. Monday through Friday. I sincerely. apologize for any inconvenience this may cause you. If you have any questions please feel free to contact me at 541-726-3790. Sin<;erely, Lisa Hopper Community Services Building Safety cc: Don Moore Encl CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01666 ISSUED: 11/30/2007 APPLIED: 11/09/2007 EXPIRES: 05/30/2008 VALUE: $ 300,659.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan WiIlamalane Single Family Wood Stove/Insert $21.00 $2,303.00 $33.00 11/30/07 11/30/07 11/30/07 Total Amount Paid $12,143.70 Plan Reviews I Initial Review 11113/2007 11/13/2007 APP LLH Public Works Review 11/13/2007 11/19/2007 APP LKW Planninl!: Review 11/28/2007 APP TAJ 11/13/2007 Structural Review 11/13/2007 APP DLM 11129/2007 1200700000000001451 1200700000000001451 1200700000000001451 Pending approval of overwidth driveway from transportation Lot is nearly at maximum coverage with 4195 sf of impervious on a 12,108 sflot == 34.6 % coverage. Maximum is 35%. Choose street trees from the list of Native Trees for Hillside Development in the street tree handout. Talked to engineer about apparent discrepancies in foundation anchors: he advised that engineering tables must be adhered to. I added notes to drawings to accommodate the engineering. See Documents for additional Plan review comments 11/29/07dlm 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. ~eouiredJnsnections 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 - Overwidth: 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 and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Pal!:e 3 of 5 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2007-01666 ISSUED: 11/30/2007 APPLIED: 11/09/2007 EXPIRES: 05/30/2008 VALUE: $ 300,659.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rougb Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trencb and including required testing. Storm Sewer Line: Prior to filling trench. 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. Rougb Gas: After line is installed and required testing and capped if not attached to an appliance. G~s 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. Wood Burning Insert: After installation. 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. Pa2e 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01666 ISSUED: 11/30/2007 APPLIED: 11/09/2007 EXPIRES: 05/30/2008 VALUE: $ 300,659.00 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 tbe 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 req ired inspections are requested at the proper time, that each address is readable from the street, that the per it card i ocate t tbe front of the property, and the approved set of plans will remain on the site at all times during ruction. {7 "'--"" Owner or Contractors Signature Pal!:e 5 of5 //-7d- tJ 7 / Date CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM . IMPERVIOUS S.F. x I COST PER S.F. CHARGE 4422.92 I $0.346 = I $1,530.42 , 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 1..1 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,530.42 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 38 I B. IMPROVEMENT COST: I NUMBER OF DFU's x I 38 Com2007-0 1666 River Valley Builders 6133 Graystone Loop 1802082204800 Single Family Residence 1 BUILDING SIZE (SF 3344 COST PER DFU $26.83 COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I x 9.57 I B. IMPROVEMENT COST: ADT TRIP RATE I x 9.57 I I NUMBER OF UNITS x I 1 I NUMBER OF UNITS x I 1 ITEM 3 TOTAL - TRANSPORTATION SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x 1 I B. IMPROVEMENT COST: INUMBER OF FEU's x I 1 ICOST PER FEU I $95.35 I COST PER FEU I $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATNE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $5,478.91 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 11/19/2007 DATE . 1- m ~ ~ o u ~ ~ ,f-< . m f-< o ~ LOT SIZE (SF): 12108 DISCOUNT $0.00 $1,530.42 1070 $1,019.67 1091 $775.35 I 1092 = , $1,795.02 COST PER TRIP I x INEW TRIP FACTOR 20.43 I I 1.00 = '1 COST PER TRIP I x NEW TRIP FACTOR $90.10 I 1.00 $1,057.73 ,. . $195.48 1093 $862.25 1094 = , . $95.35 1054 = $990.39 1055 = $0.00 1054 $10.00 /1056 $1,095.74 , $5,478.91 . I CHARGE $273.95 207.84 1079 $66.11 1078 TOTAL SDC CHARGES =1 $5,752.86 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS IBATIITUB 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 5 0 1 = 5 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 .TOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 38 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$l ,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 ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 ]979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =1 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = Willamalane Park & Recreation District Job. No. Q.,fJ-ILD (p La SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: <Rl(?er lh11~ "PJ\ct IS ADDRESS: 1>O&t ~ B'L LOCATION OF PROPOSED BUILDING SITE: Street Address: 10133 Gr-Al.{S tbne Lp PHONE: f)'d.fo.D33D STATE:()/LZIP: ~r4~ Plat Name: tu.b("'\PrU- Tax.Lot Number: J~1YlD3~g::O 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinqle-Familv Detached NO. OF UNITS 1 X $2,303 per unit = $ ~303.CJ:.:) B. Sinqle-Familv Attached NO. OF UNITS X $2,426 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,032 per unit = $ D. Sinqle Room Occuoanc'( NO. OF UNITS X $1151.50 per unit = $ $ 9~.c.O 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&::B.CD \ \ I &J I fLctJ- Da~ \ \~\~~ Development Servic&~~rtment City of Springfield DEVELOPMENT TYPE DEFINITIONS Single FamUYi Prtaf;h~C\ pwelling Unit . A building ora porti'on of tbuilding 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. This definition includes manu.f~tur€d!~9using. _., ',..... . , .. ,'" .f...... > ".~l. tv "-;I \ ~ (~'J .,)/;.,J ''.Jc.t i v")" . -,t';.~ ~ I . ~ ..... ..} ~ ..1,., J, t I'''''~--JI.J!! Singl~$llT9Y ~lta~hed~;}:-.el.Iing Unit . no, ,.:)~"'.. ,.. ,~f!' A po~'of'a omldmg e01'lSlstmg of one or more rooms mclu~Ml'g s:l~plJ;fg;~omrtg, and plumbing facilities arranged and designed as permanent living quarters for one family or household; and which is attached to one or more dwelling units by one or more common vertic~l ~alls. This de~nition,also inclu(~e. s,\b.ut is/not liwit,et~ ~?~~.?Upl~x;;:'z~ro. lot lin.e dwellmg, "townhouse " and' row house1.Wlth'lli~~Pti<D?r o,'f'.Guplexgs.,Lt&ttached Smgle F~~~~~~IJi~ Un._ it~ ~icrl1y are separately own~. . _.' . .,); . .)....;;...:. B::j"S n~ , - -t:"~r.~...1. J...} ._ f ; ~_I!...,.r:'~ _.J J J ' 1 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 more common vertical walls. Typically, the units are in an apartrrteht building or complex, and are not separa~t~)j.~~~.~ 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. Single room occupancy dwelling units shall he charged at one-halfthe'inulti-family dwelling unit SDC rate. '.:)..") ,c"'~:' ('\ . "'-...J Jt.....h.....';. ~""\ ..... {.~-- ,-.......... '", __" I ....( """" \ .< ~.... .K...,->.. ..... . 't\ ,. . ...~. 1''''... , :- t " , ..~ t . , ",..I.~..~ ."-. f\ ~ r, .;- _. . . L'} . . , '- '. . (1{''','lo'\;-\) ....Ail 1../rI "- , / . . r,"'." ~ ; ...,......J......:h.-~.. " J . . . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERAJlI APPLICATION City Job Number eJ J... I [p l.i2 (,p 1. LOCA110N OF INSTALLA110N: 'p-r~o 6.~~kJruL- LEGAL DESCRIPTION: lcgD2.tY3'L'L ()4-~o JOB DESCRIPTION: .~"P~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or 'f work is Suspended for 180 days. 2. City \ Date 3. COMPLETE FEE SCHEDULE BELOW ZON r.n1? INITIAL"S'"1;H DATE rl..r<5,;CJ7 I SOURCE JJ.. 7s'r>fl.../ . A. New Residential- Single or Multi-Family per dwelling unit. 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 $117.00 $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: Over 600 Amps or 1 000 Volts see "B" above. D. Branch Circuits $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $55.00 ~5,~ $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 0," . ....n \r \)tt ~ ~ 0 1/' Q (.as Service or Feeder Permit OwnersName n ~ ~~ ut~ Address ~() Box 8e!2-. E. Miscellaneous (Service/feeder not included) -Each Installation City ~L0~ f-bmo.uho:e\'2L9-Do?i:) $ 48.00 $ 4.00 $ 55.00 $ 55.00 $ 28.00 'i0\\ $ 50.00 ~ spection Fee is $50.00 + Surcharges 5~.,a:J ~.~U 5. C5{) 2.~ lol.~ Inspection Request: 726-3769 ~ov..~ i\~ ~O"{ TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc 225 Fjfth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01666 COM2007-01666 COM2007-01666 COM2007-0 1666 COM2007-0 1666 COM2007-01666 COM2007-01666 COM2007-01666 COM2007-01666 COM2007-0 1666 COM2007-01666 COM2007 -01666 COM2007-01666 COM2007-0 1666 COM2007-01666 COM2007 -01666 COM2007-01666 COM2007-0 1666 COM2007-01666 COM2007-0 1666 COM2007-01666 COM2007-0 1666 COM2007-01666 COM2007-01666 COM2007-01666 COM2007-01666 COM2007-01666 COM2007-01666 CO M2007 -01666 COM2007-01666 CO M2007 -01666 COM2007-01666 COM2007-0 1666 COM2007 -01666 COM2007-01666 LDP2007-00192 LDP2007-00192 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 1200700000000001451 Date: 11/30/2007 Description Addressing Assignment Willama1ane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit Overwidth Application Fee 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 Plan Review Major - Planning Building Permit 3 Baths One & Two Family Storm Sewer Each AddtJ 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (Listed) Wood Stove/Insert Boiler/Comp Up To 100,000 btu -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee LDAP Short Form + 5% Technology Fee Paid By RIVER VALLEY BUILDERS RIVER V ALLEY BUILDERS Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 005379 In Person DJB 13619 In Person Payment Total: Page 1 of2 1:21:21PM Amount Due 35.00 2,303.00 110.00 193.25 85.00 85.00 40.00 1,530.42 1,019.67 775.35 195.48 862.25 95.35 990.39 10.00 207.84 66.11 205.00 1,342.42 337.00 32.00 14.00 21.00 7.00 10.00 7.00 5.00 2.00 17.00 33.00 14.00 20.00 118.32 156.11 214.47 450.00 22.50 $11,631.93 Amount Paid $6,000.00 $5,631.93 $11,631.93 11/30/2007