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Home My WebLink AboutPermit Building 2006-10-20 -WiE~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED' 10/20/2006 APPLIED' 08/15/2006 EXPIRES 06/21/2008 VALUE $ 203,649.00 225 F,fth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line SITE ADDRESS 6876 Ivy St ASSESSOR'S PARCEL NO 1802031400400 Springfield TYPE OF WORK SlOgle F dmlly ReSIdence TYPE OF USE PROJECT DESCRIPTION Single FamIly ResIdence, Lot 26 - South H,lls North New ResIdentIal Owner WALTER L BELL Address 6042 PEBBLE COURT SPRINGFIELD OR 97478 Phone Number 541-988-3309 I CONTRACTOR INFORMATION I Contractor Type General Electncal Mechamcal Plumbing Contractor WALT BELL BUILDERS ELECTRIC INC ':'JTENnON: ~ 6 12/10/2011 COMFORT FLOW Noliti':t':"ea &dot! on law ~v.uI2, 009 ROUNDS PLUMBING In OAll ~Of' Cente1-.4 th~~~n,w~,t&)08 I BUILD'Mtf.~A. , rOiJii;;~Aa:.eseif~-;r" -""llI7lliiC8n ..1, I Pies Of'V1 952-00,. # o~ for the:: (Note: the t~(lJU/~ HeIght of ~18 ,~on ~Not~~9lIlest Floor Type of Heat For1;ti~).'~Q~d FloOl Water Type Gas Sq Ft Bdsement Range Type Gas Sq Ft Gdrdge/Carport Energy Path Path I Sq Ft Othel Spnnkled Building nla Occupant Load License ExpiratIOn Date Phone 541-988-3309 541-485-0922 541-726-0100 541-726-5448 # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIon Type # of Bed I ooms I R-3 U VN 6,534 994 861 484 4 I DEVELOPMENT INFORMATION I REQUIRED PARKING Totdl 2 HandIcapped Compact Frontyard Setback SIde I Setbdck S,de 2 Setback Rearya. d Setback Solar Setbacks 1800 500 500 1800 2875 Overlay DJst HillsIde # Street Trees Rqd 2 N8iF.ltf!,ve Rqd Yes THYs 'Ptk'A Covel age 35 40 AUT~nrJ,?~/T SHAl.I ~": i1- rpff/#W(fJt!W;f!tfwHi~';;; C I,. THE Wo LW\ff", fJU b'ill1Jit,f:~f~' PEliMIT ~ 'ill( Fully Imploved 'AY PERIOD. ANDo~erOR fr.t&~e Yes DownspoutslDralns CurbSIde 5' To Storm Sewer Street Imp. ovements Storm Sewer Available SpecJallnstructlOn Notes Storm dralndge to eXIsting lateral storm dram Paee I of 4 -wrr -. Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescriptIOn Tvpe of ConstructIOn A C - ReSlden Dwelhnes Garae:e AC - ReSldenlIal V Wood Frame Gdl dee Fee DescriptIOn Plan Review ReSldenlIal -Mechamcal Issuance Fee- + 10% AdmmlStratlve Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressmg ASSIgnment Apphance Vent BOIler/Comp Up To 100,000 btu BUlldmg Perm.t Curbcut PermIt Dryer Vent Exbaust Hoods FIre SF Fee - ReSldenlIal Furnace - up to 100,000 btu Gas Outlets 1-4 Plan RevIew Major - Planmng PW DISc - 2nd PermIt Samtary Sewer - Improvement Sanitary Se\\-cr - Reimbursement SDC MWMC AdmmlStratlOn SDC MWMC Improvement SDC MWMC ReImbursement SDC SanItary/Storm Admm SDC Trdnspo Admm SDC Trdnspo Improvement SDC Trdnspo ReImbursement SIdewalk PermIt Storm Dramage ImpervIOus Area Storm Sewer Each Addtll 00' Temp Power 200 amps or less Vent Fan WIIlamaldne Smgle FamIly Wood Stove/Insert CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-0]050 ISSUED' 10/20/2006 APPLIED 08/]5/2006 EXPIRES 06/21/2008 VALUE $ 203,64900 I ValuatIon DescrmtIon J $ Per Sq Ft or mullIpher $400 $99 00 $26 00 Squdre Footage nr BId Amount 1,855 00 1,855 00 484 00 Value Ddte Calculated $7,42000 $183,645 00 $12,584 00 $203,649 00 08/15/2006 08/15/2006 08/15/2006 Total Value of Project F",,<. Pli.\U Amount PaId $58737 $10 00 $15016 $85 63 $11077 $306 00 $3100 $600 $1200 $903 65 $80 00 $600 $900 $11695 $1200 $400 $198 00 $-30 00 $672 88 $884 90 $1000 $961 52 $9161 $16127 $66 88 $83632 $18958 $80 00 $91623 $28 00 $50 00 $1800 $1,00000 $30 00 Date PaId ReceIpt Number 8/15/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 1200600000000001261 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 Paee 2 of 4 _.,-~ d'i "'-WlLd , i-A'L ,1 , :; ~, " ~ ., Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-0]050 ISSUED. ]0/20/2006 APPLIED' 08/]5/2006 EXPIRES: 06/21/2008 VALUE: $ 203,64900 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectlOn Lme + 10% Admmlstrahve Fee + 5% Technology Fee + 8% State Surcharge ResIdence WIrIng 1000 Sq Ft ResIdence WIrIng Ea Addtl 500 Temp Occy I & 2 FamIly $1630 $815 $\3 04 $10600 $57 00 $100 00 10/24/06 10/24/06 10/24/06 10/24/06 10/24/06 12121/07 2200600000000001488 2200600000000001488 2200600000000001488 2200600000000001488 2200600000000001488 2200700000000001894 Total Amount Paid $8,896 21 I Plan ReViews I I Dlhal ReVIew 08/17/2006 08/17/2006 APP LLH PublIc Works ReVIew 08/17/2006 08/29/2006 APP JLP Storm dramage to eXlstmg lateral storm dram PlanmDe ReView 08/17/2006 09/13/2006 APP TAJ Survey required because of OlIOlmum side setbacks Structural ReVIew 08/17/2006 10/17/2006 APP RWC All Plan revIew comments are on th, drawmgs To Request an mspechon call the 24 hour recordmg at 726-3769. All mspections requested before 7'00 a.m. will be made the same workmg day, mspectlOns requested alter 7'00 a.m. will be made the followmg work day. IRp~ EroslOn/Gradmg InspectIOn Prior to ground disturbance and after erosIOn measures are IDstdlled SIdewalk - CUI bSlde After forms are erected but pnor to pl.cement 01 concrete Curbcut - Standdrd After forms are erected bul pnor to placement of concrete Rough Electnc Pnor to Cover Electnc Service Approval) eqUlred pnor to utility compdny energl.llDg service Fmdl Electnc When all electncal work IS complete Footmg After trenches are excavdted FoundatIOn After forms are erected but prior to concrete pldcement Post and Beam Pnor to noor ,"sulahon or deckmg Floor InsulatIOn Pnor to deckmg Shear Wall NaIlIng Befol e covenng sheath 109 wIth finIsh matenals FrdOlmg InspectIon Prior to co'\cr and after all rough In inspectIOns hdve been approved WdlllllsulatlOn Pnor to covel CeIlIng InsulatIOn Pnor to cover Paee 3 of 4 -~~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED. EXPIRES' VALUE' COM2006-01050 10/20/2006 08/15/2006 06/21/2008 $ 203,649 00 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 ]nspectlOn Lme Fmal BUlldmg After all reqUIred mspeclIons have heen lequested and approved and the hUlldmg IS complete Underfloor Plumbmg Pnor to msulatlOn or deckmg Underfloor Dram Pllor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Shower Pan Pnor to covenng and mcludmg reqUIred testmg Water Lme Pnor to filhng trench and mcludmg requIred testmg Samtary Sewer Lme Pnor to filhng trench and mcludmg requIred testmg Storm Sewer Lme Pnor to filhng trench Fmal Plumbmg Wheu all plumbmg work IS complete Underfloor MechamcaJ Pnor to msulatlOn or deckmg and mcludmg reqUired testmg Rough Mechdmcal Pnur to Cover Fmal Mechamcal When all mechdulcal WOI k IS complete Rough Electnc P, lOr to Cover Electnc ServIce Approval reqUIred pnor to ullhty compauy energlZlug servIce Fmdl Electllc Wheu all electllcal WOI k IS complete Temporary Electnc Approval requIred pnor to UlIhty Company energIZIng pole By sIgnature, I state and dgree, that I have carefully exammed the completed apphcalIon and do hereby certIfy thdt all mformatlOn hereon IS true and correct, and] further cerllfy that any and all work performed shall be done m accordance WIth the Ordmdnces of the CIty of Spnngfield and the Laws of the State of Oregon pel tammg to the work descllbed herem. dnd that NO OCCUPANCY WIll be made of any slI UCtUl e WIthout pel mISSIon of the Commumty ServIces D,VISIOU, BUlldmg Safety I further cel lily that only contractors and employees who are m comphance WIth ORS 701 005 wII] be used on thIS project ] further agree to ensure thdt all reqUIred mspectlOns are requested at the proper tIme, that each addre.. IS readable from the street. that the permIt card IS located at the front of the propel ty, and the approved set of plans wIll remam on the sIte dt all tImes dunng constructIOn ~A4f}/L ~ 0 f.Q. B.I-cn Owner or Contractors Signature Date Pa2e 4 of 4 225.Flfth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 I 050 Payments Type of Payment Check cRecemtl RECEIPT #. DescriptIOn Temp Occy 1 & 2 FamIly PaId By W ALTER BELL apRtN(lF1~ '" CIty of Spnngfield Official ReceIpt Development ServIces Department PublIc Works Department 2200700000000001894 Date' 12/21/2007 I 07 21PM Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received Amount Due 10000 $10000 Amount Paid dJb 4950 In Per~on Payment Total $10000 $10000 Page 1 of 1 12/21/2007 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 10/20/2006 APPLIED: 08/15/2006 EXPIRES: 04/20/2007 VALUE: $ 203,649.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6876 Ivy St ASSESSOR'S PARCEL NO.: 1802031400400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE': New PROJECT DESCRIPTION: Single Family Residence, Lot 26 - South Hills North Residential Owner: WALTER L BELL Address: 6042 PEBBLE COURT SPRINGFIELD OR 97478 Pbone Number: 541-988-3309 I CONTRACTOJ~FORMATlON I ,,'i:.. '\I'l ~\\J'\ Contractor \\ '\ :\ \s " License W AL T BELL 'l,,\~'i:.. ~~\ \J~ . BUILDERS E~~, TR~JN~ ~'i:..'i) \ '\~~~.f~;M~ \R>~~'i)~ uv .Ul'."".W",..!l'!!~ '\"\~~\J~\l.~~'i) \)~'i:..~\lIibILl}.;'1G INFORMA TlON I ' ';; ....00 ~~,\'\ :\ ~~ ~'i:..~,,~" o"e ~ 0 'o~ # of Units: c,\J~ \ '(,i() "1 # of Stories: ',l.-tl ,e~,'2~0,e~~~~'e~ ,., Primary Occupancy Group: ...'"~ R-3 Heigbt of Structure O~ \ ,'($24.00,'1> r_Sq<:Ft lst1iloor: .1"" r.." .....~I" ."v t\,.,~ .\,\'V Secondary Occupancy Group: U Type of Heat: . ,\<Fo....Ci\ ^if.Gas:)r "9,Ft 2ndlFloor: ......'\v ~IO..J ~.... ",,\' \'(\ \("ll' .<'\ Primary Construction Type VN Water Type:)'-' ...O~ -<,'(\0 .(,GasL 0' S9\..K.t'B~~einent: \\' 'l).u , ,'(\, .". h"" ~-<> Secondary Construction Type: Range\JYpe:aG ~\e' \$' [jas' ",e"q ~(Garage/Carport # of Bedrooms: 4 Eni.l..); Piiti':^ (,e~. ,\)\) .,;,(\Path9.~<,,,S'ii'Fi'Otber: .~,o" \C'O 1"\\.)' ~'\.v \,...\V .\\\'\" n.Or"" Sp"nR,Ie\!,'.BuildJng: ., 0 0~' n/a~ v n!!!ccupant Load: _It,,\: _ o."=' ",,'C>l ^~ ,,0 t"It1;" I DEVELO~~T. INFORMAl<JON: tl\)V . \)v- ~\\'.- \V' ,'- (,'1> '100' e<,\e Overlay Di~(:)~ (, # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date Contractor Type General Electrical Mecbanical Plumbing 4296 460 12110/2007 06/27/2007 Phone 54 I -988-3309 54 1-485-0922 541-726-0100 541-726-5448 994 861 484 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5,00 18,00 28.75 Hillside 2 Yes 35.40 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' To Storm Sewer Notes: Storm drainage to existing lateral storm drain. Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 5% Tecbnology Fee + 8% State Surcharge 3 Batbs One & Two Family Addressing Assignment Appliance Vent BoilerlComp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtll 00' Temp Power 200 amps or less Vent Fan Willamalane Single Family Wood Stove/Insert . ~ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 10/2012006 APPLIED: 08/15/2006 EXPIRES: 04/20/2007 VALUE: $ 203,649.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 1,855.00 1,855.00 484.00 Value Date Calculated $7,420.00 $183,645.00 $12,584.00 $203,649.00 08/15/2006 08/15/2006 08/15/2006 Total Value of Project )?pp< tlWLI Amount Paid $587.37 $10.00 $150.16 $85.63 $110.77 $306.00 $31.00 $6.00 $12.00 $903.65 $80.00 $6.00 $9.00 $116.95 $12.00 $4.00 $198.00 $-30.00 $672.88 $884.90 $10.00 $961.52 $91.61 $161.27 $66,88 $836.32 $189.58 $80.00 $916,23 $28.00 $50.00 $18.00 $1,000.00 $30.00 Date Paid Receipt Number 8/15/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10120/06 10120/06 10120/06 10120/06 10/20/06 10/20/06 10/20/06 10120/06 10/20/06 10120/06 10/20/06 10/20/06 10/20/06 10120/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 1200600000000001261 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 Paee 2 of3 . .ITY OF SPRINl>I'lELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 10/20/2006 APPLIED: 08/15/2006 EXPIRES: 04/20/2007 VALUE: $ 203,649.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,595.72 I Plan Reviews I Initial Review 08/17/2006 08/17/2006 APP LLH Plannine Review 08/17/2006 09/1312006 APP TAJ Survey required because of minimum side setbacks. Public Works Review 08/17/2006 08/29/2006 APP JLP Storm drainage to existing lateral storm drain. Structural Review 08/17/2006 10/17/2006 APP RWC All Plan review comments are on tbe drawings. 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. I IRrfrlll,irf>r1 Tnsoections I ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete, Curbcut - Standard: After forms are erected but prior to placement of concrete. By signature, I state and agree, tbat I have carefully examined tbe completed application and do bereby certify tbat all information hereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance witb tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety. I furtber certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat each address is readable from tbe street, that tbe permit card is located at the front of tbe property, and tbe approved set of plans will remain on tbe site at all times during construction. ~~~~~ /~-2o~~~ Y' Owner or Contractors Signature Date Paee 3 00 BP~.D ZON ~ ~ ' INITIALS 1'1 M , , ~.. DATE l'UI --:).'A,l...a-p , \IV "-. SOURCE~ r~'P+'~ Date \0 -'2..0-00 3. I COMPLETE FEE SCHEDULE BELOW '-.../ CITY OF SPRINGFIELD, OREGON . 225 FIFTH STREET' SPRINGFIELD, OR 97477 , PH:(S41)726-3753 . FAX: (541)726-3689 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 ~ Amps to 600 Amps $125.00 &. ~~!\.'ti'^mps to 1000 Amps $163.00 ~:\Y!- ~ \<O~ver 1000 AmpsNolts $375.00 ~~ \' ~~ ~~onnect Only $ 50.00 ~~ S ~~ &.~ . v ,~v ,,\ Supervisor License Numb ,\>,.\-\- ~ '\~ ~,~~~ c. I Temporary ServIces or Feede% i ,\~'. ~<:-. '. :\...,\ SJ'<-\' &~'- . c-o.v" 0" 0"-!<l" ,~ .\.\ ,\~ c..~ I II' . 'R" ,C>.C$ ~'" n'c:J w ,,\ _ ~":" f~ '" ^ \..., 1'\ nsta atIon, AlteratIon, o.r. elgcatul,u" <;>,':i" '" v . ;~S' ~\..';.~~ \J\~\Jv 200 Amps or less ~o0 \~'\ ;so0~..s-0"'~~~ \, ~\t5!l;00 !:{)fU er' ~,\'(..\Jf~\J f~~ 20IAmpst04<)9\~J!P}:o",0 ,;)cf.-~,~'~:,~~'t,?J(J7f ~r'!:)~~ ~ '\l 40,1 A~s~t,oi9Jl_,'~m p.~ ~ ~O ,,\0'" 'C>.""~"d$:I<;)O.OO '" 1'l '\ nf> ~,ro ",\l c,o'< . '\.' ,,,, " .;~ OV,ef, O,Ampror 10Q6\Volts see;(fB:~abOv,e..~~" t' I"" ..... " !:l' '!J..... ~- V' '17 Signature 0 Supervising Electrician D. . ~~~nchi!3ir~~lts .\ 0 ?~' [''0 ~n..7: ,- .~,v- ~"J' ~o- 0.<;00' ,,~, f:I''J Ne.w~lterjitlon~or ExtensiOn~Pe"'Panel '" {'\r -{v ;so"';so'" \' One.~rcui!J' . "Qj o~ i'''' E h .....Y' "'''C' \. ." . h ac ~ultI~Dal ,g'CuI!.,.9f'W1t Service or Fe~e'fPerh;h '0 E.I Miscellaneous (Service/reeder not included) -Each Installation I ELECTRICAL PERMIT APPLICATION City Job Number U l' . \C:6() I. I LOCATIONOFINSTALIATION: \9 '6\u> ~\Ju' ~ q:-Af'() LEGAL DESCRIPTION: \ <60203 \~ J~DESCRIPTION: perm~ ~n~~e~~i~ and eXPir~ I w rk is not started within 180 days of issuance or if work is Suspended for 180 days. 2. 'h CONTRACTOR INSTALLATION OFLY I / Address City Expiration Date Owners Name\ k m~e t ~ ~ Address \ d}\Q. -V'.~ \:ti (L City ~ Phone _C\lii?,. ~~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspeclion Request: 726-3769 A. I New Residenlial- 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 $106.00 $ 19.00 $50.00 B. I Services or Feeders - Installation, Alterations or Relocation: J $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylRcsidential . $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTAL OF ABOVE I .....J::1'I:O 8% State Surcharge A~.Oo 10% Administrative Fee ~2:v 5% Technology Fee ,,- C4') -;.. ~ t ,SC> Shared Drive(T:)/Building FonnsIElectrical Pennit Application 8-06.doc TOTAL . . . , b?-. 'Wiil'amalane '<<-';,"'f' P,<1<& R"",.,tloo D~m'" · 'Job. No. ~'.\li.!;S ~. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~ )llif..r \'-O~.V AOo'RESS: .l9tWl..... ~!>llio (\-1- . PHONE: C\.%g. ~ . STATE': ~ZIP:. Q"'\4,."1t7 .LOCATION Of PROPOSED BUILDING SITE: Street A<;ldress: '_ \leD.~' ' ~\.\l"t g-. .'.' Plat Name:D.'Jrt:~' \0('7\~_ Tax Lot Number. \fsD'103\~ ocAP:J. . . . 1~ 'DEVEL0PMENT TYP/; (Ched<'approprlate dwelling(s). SDC calculations and dwemrig t ype defmifions are on the back.} ',' ' , . . , .. .' A. Rin"Ip;-~milv DArn ChAO , ,\_ Single 'Family home ,.NO. OF UN!TS -, . B.RinlJl~FRmilv A.fta('Jiec! Manufactured home not if) a park . r x $1.000 per unit. = .$'I oC() ,oCF . NO..OF l.!NITS X .$924per unit . = .' $ , C. Mulfi-'FamilvAo::utment NO. OF UNITS .x .$692 per unit -' $ . , ~. ManlJfactu~ H';mp. Pilr!t. , NO.OFUNITS . WILLAMALANE SDC $ $ [NY) ,dO" ' '0' X $699 per unit = . . 2. SDC CREDIT (u appficable) SDCilayer must fumlsh proolof WiRamalane Credil approval See sac Credit Worksheet. $ 3~ TOTAL WILLAMALANE NET SDC ASSESSED ' " (If SDC reduced fo,r:Jre ) , , . " ~\WID. ' , LD Development Se~s Department Date City of Springfield . ' $ \Q4r7P 1<...0 I 06 . CITY OF SPIGFIELD SYSTEMS DEVELOPMENT.RKSHEET JOURNAL OR JOB NUMBER: COM2006-01050 NAME OR COMPANY: Walter Ben LOCATION: 68761vv St TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1852 LOT SIZE (SF): UIQRM DR41NAGR DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2730.00 I $0.336 I = I $916.23 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F'I x I COSTPERS.F. I x I DISCOUNTRATE I I I 0.00 I $0.336 I I 50% I ~ I ITEM 1 TOTAL- STORM DRAINAGESDC $916.23 6542 fi" 10 I~ ItLl i- , '" 6 ~ DISCOUNT $0.00 $916.23 1070 II 2 SANITARY SRWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 34 8. IMPROVEMENT COST: I NUMBER OF DFU's I x I 34 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26.03 $884.90 1091 $672.88 1092 = , $1,557.78 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEWTRlPFACTORI I 9.57 I I I I $19.81 I 1.00 $t89.58 1093 8. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP F ACTORI I 9.57 I I I I $87.39 I 1.00 $836.32 , 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,025.90 I 4, SANITARY SEWER - MWMC ~ A. REIMBURSEMENT COST: INUMBER 7F FEU's I x ICOST PER FEU I I $91.61 = $91.61 I 1054 B. IMPROVEMENT COST: I INUMBER 7F FEU's I x ICOST PER FEU I I $96 1.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1 1056 ITEM 4 TOTAL - MWMC SANlT ARV SEWER SDC =1 $1.063.13 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $4,563,04 J 5 ADMINISTRATIVR FRE: I I SUBTOTAL ADM. FEE RATE I~ CHARGE x $4.563.04 5% I $228.15 TOTAL SANITARY ADMINISTRATION FEE: 161.27 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $66.88 11078 .. Jeff Prociw 8/31/2006 TOTAL SDC CHARGES =, $4,791.19 PREPARED BY DATE . . , DRAINAGE FIXTURE UNIT (OFT.!}. CALCULATION TABLE 1 NUMBER OF NEW FlXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATIiTUB 3 0 3 = 9 IDRINKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINfERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MOREJEAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 !lliCEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3 WHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAuREslDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURlNAL. STALL I WALL 0 0 5 = 0 ~TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INST ALLA nON 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 34 -EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinl!:le family dwelling unit (20 DFlJs) set at 161 gallons per day '. MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r YEAR I-----c.:REDlT RATEI$I~ l ANNEXED IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 ASSESSED VALUE I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4,63 VALUE I 1000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 - , $0.00 r 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) 1988 $3.22 VALUE I 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 200. $0.09 2001 $0.05 .il~ 2i5 Fifth Street Springfield, Oregon 97477 .541-726-3759 Phone Job/Journal Number COM2006-01050 COM2006-01050 COM2006-01050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 \ 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-01050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 1 050 COM2006-01050 COM2006-01050 COM2006-01050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 1 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 Payments: Type of Payment Check cReceintl Citw[ Springfield Official Receipt D.pment Services Department Public Works Department RECEIPT #: 2200600000000001474 1:59:22PM Date: 10/20/2006 Description Addressing Assignment WiUamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd 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 SanitarylStorm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Wood Stove/lnsert -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 31.00 1,000.00 50.00 116.95 80.00 80.00 (30.00) 916.23 884.90 672.88 189.58 836.32 91.6\ 961.52 10.00 161.27 66.88 198.00 903.65 306.00 28.00 12.00 12.00 18.00 6.00 9.00 6.00 4.00 30.00 10.00 85.63 110.77 150.16 $8,008.35 Paid By NORTHWEST COMMUNITY CREDIT UNION Item Total: l.:heck Number Authorization Received By Batch Number Number How Received Amount Paid jmp In Person $8.008.35 1357469 Payment Total: $8,008.35 Page I of I 10/20/2006