The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-2-15 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: COM2008-00024 ISSUED: 02/15/2008 APPLIED: 01107/2008 EXPIRES: 08/15/2008 VALUE: $ 329,126.00 SITE ADDRESS: 753 PLEASANT ST 755 ASSESSOR'S PARCEL NO.: 1703264202100 PROJECT DESCRIPTION: Duplex SPRINGFIETYPE OF WORK: Duplex TYPE OF USE: New Residential Owner: RECINOS SAMUEL E & GISELE Address: 655 GOODPASTURE ISLAND RD # 16 EUGENE OR 97401 Contractor License Expiration Date ILO CONSTRUCTION 82355 05/01/2008 NORTHWEST ELECTRICAL CONSTRUCTI 155877 06/1312009 DICK BAILEY PLUMBING CO 107255 06/29/2008 BUILDING INlmfr~egon law requires you.~o ~pted by the Oregon Utility # f St . N.otification Center. Th~se r~~re .set forth o. OrHUfOAR 952-001-00M' ~ rou ~eg~-o01. HeIght of.aWt5!'V6u may,~Qj rf opi l~.lfd88'bV Type of Hea8alllng the ~htU. tNote: ~lel~HBfUY' Water TYPfiumber for th~~n UtififY~dlifM_: Range Type: Center W6fJaOO-332i2~.arage/Carport Energy Path: Path 1 Sq Ft 6ther: Sprinkled Building' n/a Occupant Load: Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 2 R-3 U VB 18.00 14.60 14.60 26.60 0.00 Phone Number: 541-206-3288 I CONTRACTOR INFORMATION' Phone 541-521-0114 541-466-3201 541-344-6996 6,534 1,228 1,754 572 6 I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: 4 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 4 Yes 27.20 I PUBLIC IMPROVEMENTS I Sidewalk Type: NOTICE: Dp\'6Jt~ is/.];).... THIS PERMIT SHALL t^~Wtt It fH!'WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 4 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 Gara2e Dwellin2s Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less ~Mech Iss 2+ Appliances~ + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Sidewalk Repair Permit Storm Drainage Impervious Area Storm Sewer Each Addtll00' Vent Fan Total Amount Paid I Valuation Descriotion I $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 2,982.00 572.00 Total Value of Project ~ Amount Paid Date Paid $940.06 $5.50 $6.60 $2.75 $55.00 $40.00 $252.52 $303.03 $137.06 $674.00 $70.00 $1,446.24 $85.00 $14.00 $20.00 $140.00 $116.00 $117.00 $42.00 $81.62 $107.33 $58.83 $15.00 $987.63 $16.00 $56.00 1/7/08 2/14/08 2/14/08 2/14/08 2/14/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 $5,789.17 I Plan Reviews I Pa2e 2 of 4 CITY OF SPRING~lJ!.;LD . Building/Combination Permit PERMIT NO: cOM2008-00024 ISSUED: 02/1512008 APPLIED: 01/07/2008 EXPIRES: 08/15/2008 VALUE: $ 329,126.00 Value Date Calculated $313,110.00 $16,016.00 $329,126.00 01/07/2008 01/07/2008 Receipt Number 1200800000000000013 2200800000000000206 2200800000000000206 2200800000000000206 2200800000000000206 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 1200800000000000137 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00024 ISSUED: 02/15/2008 APPLIED: 0110712008 EXPIRES: 08/15/2008 VALUE: $ 329,126.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 01/08/2008 01/14/2008 APP LLH Willamalane sdc and fire fee not applicable. Previous structure was also a duplex which was demolished in October 2007. See job number C7-01545. Public Works Review 01/15/2008 01/18/2008 APP LKW Replacement structure /total of 4 new fixtures added. Plannin2 Review 01/14/2008 01/24/2008 APP T AJ A total of 4 street trees are required: 1 on Pleasant Street and 3 on 8th to be located outside the vision clearance triangle. Existing street trees (if any) may count towards required trees. Structural Review 01/14/2008 02/13/2008 APP DLM See documents for Plan review comments 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 , Site Inspection: To be made after excavation but prior to setting forms. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: 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. 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. Pa2e 3 of 4 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: cOM2008-00024 ISSUED: 02/15/2008 APPLIED: 01/07/2008 EXPIRES: 08/15/2008 VALUE: $ 329,126.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover 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. p~~~ a-4 "Z.--/~--~" Owner or Contractors Signature Date Pa2e 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMENT TYPE NEW DWELLING UNITS I STORM DRAINAGE Com2008-00024/Duplex Samuel & Glsele Racmo's 753 & 755 Pleasant 1703264202100 Smgle Family Residence o BUILDING SIZE (SF~ 3554 LOT SIZE (SF) DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE I 2854 25 I $0 346 I = I $987 63 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S F x COST PER S F x DISCOUNT RATE o 00 $0 346 50% ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 4 B IMPROVEMENT COST NUMBER OF DFU's x 4 COST PER DFU $26 83 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC DISCOUNT $000 $987.63 6534 $987.63 C/) u..:l Q o u ~ u..:l f-< C/) (3 ~ 1070 =1 $188.95 3 TRANSPORTATION A REIMBURSEMENT COST ADT TRIP RATE x 957 B IMPROVEMENT COST ADT TRIP RATE I x 957 ., I . NUMBER OF UNITS I x o I I NUMBER OF UNITS x ,/:,= 0", u ITEM 3 TOTAL - TRANSPORT A nON SDC COST PER TRIP 2043 x NEW TRIP FACTOR 100 = 1 COST PER TRIP $9010 $0.00 x INEWTRIPFACTOR I 100 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x o B IMPROVEMENT COST NUMBER OF FEU's x o COST PER FEU $9535 ICOST PER FEU I $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWERSDC = 1 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE I $1,17658 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 1/17/2008 PREPARED BY DATE $107.33 $81.62 $0.00 $0.00 1091 11092 ~ : -!: 1093 I -' W94 $0.00 $1,176.58 CHARGE $58 83 = = $0.00 I 1054 $0.00 1055 $0.00 1054 $0.00 1056 I 5883 $000 1079 1078 TOTAL SDC CHARGES ... ~--,- ..- ..-- =, $1,235.41 .J DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 2 3 = 0 DRINKING FOUNT AlN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 2 2 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG 1 WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM SINK 1 DISHWASHER 1 ETC 2 0 3 = 6 SHOWER, SINGLE STALL 2 2 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 2 2 3 = 0 SINK COMMERCIAL BAR 0 0 2 = 0 SINK' WASH BASIN/DOUBLE LA V ATORY 0 2 2 = -4 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 6 4 1 = 2 IURINAL, STALL 1 WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 6 6 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 ... ----' ~. ....._~ - ~ TOTAL DRAINAGE FIXTURE UNITS -.. -~ -...- - ~- - 4 *EDU (EqUIvalent DwellIng Umt) IS a discharge eqUIvalent to a smgle family dwellIng urut (20 DRYs) set at 167 gallons per day MWMC CREDIT CALCULATION TA:Jj.Lt.E:~BASED:ON'COUNJ'YASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $4 80 $463 $440 $4 07 $367 $322 $273 $225 $1 80 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 - ISLAND ELGIBLE FOR ANNEXATION CREDIT] (Enter I 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 1 1000 CREDIT RATE $0 00 x $5 29 =1 $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 1 1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = 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 I IMPERVIOUS SF x I COST PER S F CHARGE I 285425 I $0346 = $987 63 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S F I x I COST PER S F x DISCOUNT RATE I o 00 I I $0 346 50% ITEM 1 TOTAL - STORM DRAINAGE SDC $987.63 I Com2008-00024/Duplex Samuel & Glsele Racmo's 753 & 755 Pleasant 1703264202100 Smgle Farruly ReSidence o BUILDING SIZE (SF: 3554 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's I x I 4 B IMPROVEMENT COST I NUMBER OF DFU's I x COST PER DFU I 4 ~OW ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26 83 =1 $188.95 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 B IMPROVEMENT COST I ADT TRIP RATE x I 957 NUMBER OF UNITS I x I o I I COST PER TRIP 2043 x NEW TRIP FACTOR 100 I NUMBER OF UNITS x 1- - 0~-4- LOT SIZE (SF) DISCOUNT $000 COST PER TRIP $90 10 $0.00 x I NEW TRIP FACTORI I 100 I ITEM 3 TOTAL - TRANSPORTATION SDC =1 = 1 $0.00 = I $1,176.58 .1 1= CHARGE I $5883 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x o ICOST PER FEU I $95 35 B IMPROVEMENT COST INUMBER OF FEU's x I 0 ICOST PER FEU I $990.39 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 I SUBTOTAL x I ADM FEE RATE I $1,17658 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE- Kaye Wilson 1/17/2008 PREPARED BY DATE TOTAL SDC CHARGES 6534 $987.63 $107.33 $81.62 $0.00 $0.00 = $0.00 = $0.00 $0.00 $0.00 5883 $000 = I $1,235.41 r:/'J iJ.1 Q o U 0:::: iJ.1 f-< r:/'J >-< o ~ 1070 I 1091 1092 1093 1- 1094 I 1054 1055 1054 1056 11079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 2 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 2 2 3 = 0 CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 2 0 3 = 6 ISHOWER, SINGLE STALL 2 2 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 2 2 3 = 0 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 2 2 = -4 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 6 4 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 6 6 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 4 *EDU (EqUIvalent Dwellmg Urnt) IS a dIscharge eqUIvalent to a smgle famdy dwellmg IllIlt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASEUON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE - IS. LAND ELGIBLE BOR ANNEXATION CREDIT? 2 BEFORE 1979 $529 (Enter 1 for Yes, 2 for No) 1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? 2 1980 $519 (Enter 1 for Yes, 2 for No) 1981 $512 BASE YEAR 1979 1982 $4 98 1983 $480 CREDIT FOR LAND (IF APPLICABLE) 1984 $463 VALUE /1000 CREDIT RATE 1985 $440 $000 x $529 =1 $000 1986 $407 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $322 VALUE / 1000 CREDIT RATE 1989 $273 $000 x $529 = I 0 1990 $225 1991 $180 1992 $159 TOTAL MWMC CREDIT = $000 1993 $145 1994 $125 1995 $109 1996 $0.92 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 SPRINGFll!!;l,.D @t,.~"\.~""," ZON L-~ J~_ INITIALS ~< I" ,,\ DATE ,~ _'1"1 -1, ~ SOURCE '"" .r: ~ " ~ r; .J . , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 · FAX. (541)726-3689 ELEcl KlCAL P~IT 3rRWCpTION City Job Number u..r"J... Lfl J t.Ft New Alteration or Extension Per Panel One CIrCUIt Each Additional Circuit or With (\ 1'\........... D L::r\ r\O c: Service or Feeder Permit OwnersName ~'(' \'~~ \ \ .J Address r6~~ r, ') ~~ -~ e-. E. Miscellaneous (Service/feeder not included) -Each Installation City & "~{$L - Phone '2r1o- 'Ai '6~ OWNER ~NS~~LA nON ' ' ~~?;:-~sfb$\en~dnt- 3. LEGAL DESCRIPTION - tlD~!.\dt~. ~ ~cv Je~~ION er(fJ\{_^- P"mit, ":\:n-2:.~I' and "pi.. if wn;k b not started Within 180 days of issuance or ifw~iS Suspended for 180 days. :- \. CONTRACTOR INSTALlATION ONLY E\ctncal Contractor ,f Ad~SS / C.ty \ Ih... . \ / Super"'n' L~" ~~"b" ExpiratIon Date \< /\ Constr Contr Numbe ExplratlO~ Date I Slgna~re of SupervISIng Ele tnclan / I '. The installatIOn IS bemg made on property I own which. IS not mtended for sale, lease or t~t, Owners Signature Inspection Request: 726-3769 ~ , !, : - -: .4'::":, "li;;;., .. l~ ;:;;~^O.~_"-_<<<" ~ ~ ,< Date COMPLETE FEE SCHEDULE BELOW 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 Dwellmg Service or Feeder $11 7 00 $ 21 00 $55 00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 c. T~m~orary Services or Feeders InstaUat~~n, Alteration or Relocation \. 200 Amp~ or less 20 1 Amp~' to 400 Amps 40 I Ariips to 600 Amps Over"606 Amps or 1000 Volts see "B" above D. Branch Circuits ~~PJ $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 Pump or lITIgatIOn $ 55 00 Sign/OutlIne LIghtmg $ 55 00 Limited Energy/ResldentIal $ 28 00 .., Limitet!'E;erg;/C~~merclal $ 50 00 :~ Mini~U~,El~ct~i~ ;e~mit Inspection Fee is $50.00 + Surc~rges "../" I 4. ''SfJ1JTOTA.L OF ABOVE O~ y..; rZ....~State Surcharge \s)'",(d) 10% AdmmlstratIve Fee ~. CZ:() :::no[ogy Fe, \s)t~f6 Shared Dnve(T )/BUlldmg Fonns/Electncal PenIDt ApplicatIOn 7.07 doc ZON L02- INITIALS 10 (\/'- DATE 2--l <) --c~'.5 SOURCE {\'I\ _ f ~'Q .1 / 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number G .vY\2 r>r~ - OCXJ24 Date .1- - I '-f -() <? / """0<'~' ~" COMPLETE FEE SCHEDULE BELOW . 1. LOCATION OF INSTALLATION:." d y,,~ ..>,' ~ 7,~.5 I- 7,,5 n~f ~ r LEGAL DESCRIPTION ~. I Dr A.OIP 1'11' . . JOB DESCRIPTION 3. A. New Residential - Si.~gle or Multi-F~';ii; ~~~. d~;ijing unit. > ~~>~>>'~>'>>>n '<, Service Included I '2. $117 00 JJ Z t:V $ 21.00 '-12 cz> 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $55.00 '~";'"m >'",> ,di<!",m,\, 2 "'CONTRACTOR I!,!STALfATION ONLY . , ,N", '''!I*~N" >, '-N Electrical Contractor --1trtk\~ ~hJ(i'A/ (an-st. B. Services oJ;'"feeders -lnstaJlation, Alterations or Relocation: >" p~ > ~no :L 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only /~;r:~I-:-ION: Oregon law ra c .. SupervIsor LIcense Number 3 flflf.Z- Ss adopted by 6Je ~ n Wl~ervices?r ;Feed~~,: : ,. ,; ~'_I,n center. Those rules are set t rth ExprratIon Date 10-/- 2bi' civ~ , 2-?01-001 ~ thro~g"~ltl\t~~r:ration or Relocation - -'11 ,J~ l/Iay uutalO CopJe8200h~1qI J 55" 6,/(19 t:le center. (Note: t~Q,tAlgnh ~ Constr Contr. Number bJ~lL.6r ;nr tht:> Oregon Utili~\7 ~~~IOO Amps / ,-"\ G ::enter IS 1-800-332-1S.i12~0 Amps ExpiratIon Date {"'I / 3 L/ 4r.ut'~ w ~~ \,. - . -- Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits $ 70 00 $ 83 00 $13 8 00 $180 00 $413.00 $ 55 00 \ llct KirK C\ .1P,,, Phone q f t.f 670 S Address CIty B'fO"..A Itl6\rl t'" _ $ 55 00 $ 76.00 $110 00 SiM~:;;i7~ OwnersName fLt.VI1~j W'-i Y\05 Address ~ 1).5 (~~f~ -;e;" IZ. J CIty ~ Phone.)n6 "}Z~ v New Alteration or Extension Per Panel One CIrcuit Each Additional Circuit or with ServIce or Feeder Permit $ 48.00 $ 4.00 ~~ "1 >' ~ , E. Miscellaneous (Service/feeder not included) ":"Ea~h InstaUation "" ~< f Pump or irrigation $ 55 00 SlgnlOutlme Llghtmg $ 55 00 OWNER INSTALLATION ce. LimIted Energy/Resldential $ 28.00 The ~stallation is bemg made on prope~'t'n~~lf SH 'tl ~ ft.'ff:t.t<W0ftltcJaI $ 50 00 IS not mtended for sale, lease or rent T IS ~rl,msIJI~'t~r~~spection Fee is $50.00 + Surcharges AUTHORIZED UN ~,~p~'r" _ c,,,.... '," , COMMENCED OR IS AI~~tM~~!1VE ': . ANY 180 DAY PERIODJ.2% State Surcharge 10% Admmistratlve Fee 5% Technology Fee Owners Signature Inspection Request: 726-3769 TOTAL Shared Dnve(T )/BUlldmg Forms/Electncal Permit ApplicatIon 1-08 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 COM2008-00024 COM2008-00024 COM200S-00024 COM200S-00024 COM200S-00024 COM2008-00024 COM2008-00024 COM2008-00024 COM200S-00024 COM200S-00024 COM200S-00024 COM2008-00024 COM200S-00024 COM200S-00024 COM200S-00024 COM2008-00024 COM200S-00024 COM200S-00024 COM2008-00024 COM200S-00024 COM200S-00024 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000137 Date: 02/15/2008 Description AddreSSing AssIgnment Curbcut Permit Sidewalk Repair Permit Storm Drainage ImpervIous Area SanItary Sewer - Reimbursement SanItary Sewer - Improvement SDC SanItary/Storm Admin Plan Review Minor - Planning BuIlding Permit 3 Baths One & Two FamIly Storm Sewer Each Addtl 100' Vent Fan Exhaust Hoods Dryer Vent -Mech Iss 2+ Apphances- Perm Serv/Fdr 200 amps or less Residence WIrIng 1000 Sq Ft Residence WIrIng Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ILO CONSTRUCTION Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 7213 In Person Payment Total: Page 1 of 1 10:32:24AM Amount Due 7000 S500 1500 9S7 63 10733 Sl62 5883 11600 1,446 24 674 00 1600 5600 2000 1400 4000 14000 11700 4200 13706 303 03 252 52 $4,779.26 Amount Paid $4,77926 $4,779.26 2/15/2008