HomeMy WebLinkAboutPermit Building 2007-2-22
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726'3769 Inspection Line
.
. CITY OF ~rK1j~\.J-l'IELD .
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 02/22/2007
APPLIED: 01112/2007
EXPIRES: 08/22/2007
VALUE: $ 433,906.00
SITE ADDRESS: 6096 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343302800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 12, Mountaingate West
Contractor License Expiration Date
BRUCE WIECHERT CUSTOM HOMES INC 101717 09/16/2008
L & E ELECTRIC INC 105475 03/30/2008
COMFORT FLOW 460 U'fl:lS yOI.l106/27/2007
STEVE R JOHNSON .,-rCMTION:Ufegon 1l6~~~~.onnn Ut.'O:Y12l2008
I ,BUI"fDING"NFbh'~idNr~I\eS are set t~~\
N tiflCatlSlI v.,f,[! hrOUgh OAR 952- ,
inOO,l{\0.~~!Orl~~-001~~ copies of tile nl1';;~~e:
009H.Cl~!iQ(IS1J'. ~ntN:Lt... t~ttM!!l9,ePt~ji!t 1st Floor:
't)ill!e,o"J.I.l\t'.lOter'For~e . ir.Ga.,tifi(Sij.iMnd Floor:
(,,~'lo!, .'IV "rN" on In... ,"i'U
-~ao'er'f~~;~Ofeo ~~CJ'i5.4). Sq Ft Basement:
nlin'nge i':fflt'.:ar is 1-800-3 '1:ra-s Sq Ft Garage/Carport
Energy'1'ath: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
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:
Subdivision Nol Accepled
Street Improvements:
Storm Sewer Available:
Special Instruction:
I
R-3
U
VB
24.00
10.00
25.00
84.00
55.00
Residential
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION.
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
1,589
1,719
4
919
899
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
OverNfliiiltE: Hilbid(i: THE WtJWlt: 2
# Str~~,ef.KItII~ SHALL EXPIKt 3 Illl'Xlicapped:
Paved ~r~~to UNDER THIS \'f.RMIT IScl.'fupact:
% of A ~\I~'r!agl"n OR IS ABA~OO~ED FOR
COMMENlJtU
I,Jf; ..:~? ~^V pl=Rlnn.
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fully Improved
Yes
Curbside 5'
To Storm Sewer
DOWDspoutslDrains:
Notes: For this parcel in Mt Gate West, it is the recommendation to the Building Division, by the City Engineer: "that final
occupancy should not be given until the subdivision is accepted by City Council". Storm H20 to designated
lateral.JLP 2116/07
Pa2e 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descnotion
Tvpe of Construction
A.C. - Residen
Dwellines
Dwellines
Garaee
PatiolPorch
AC - Residential
V Wood Frame
V Wood Bonus Rm
Garaee
Use Bid Amount
Fee Description
Curbcut - Additional Driveway
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fireplace (Listed)
Fixture
Furnace - up to 100,000 btu
Gas Ou tlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtl100'
.
. Lll t OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 02/22/2007
APPLIED: 01/12/2007
EXPIRES: 08/22/2007
VALUE: $ 433,906.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$89.00
$27.00
$1.00
Square Footage
or Bid Amount
3,817.00
3,308.00
509.00
919.00
7,800.00
Value
Date Calculated
$15,268.00
$340,724.00
$45,301.00
$24,813.00
$7,800.00
$433,906.00
01/12/2007
01/18/2007
01/12/2007
01/1212007
01/18/2007
Total Value of Project
L.Fpp< PlIilU
Amount Paid
$40.00
$1,058.46
$10.00
$239.52
$136.16
$191.61
$306.00
$31.00
$1,651.15
$80.00
$6.00
$9.00
$30.00
$42.00
$12.00
$4.00
$198.00
$-30.00
$106.00
$133.00
$850.99
$1,119.14
$10.00
$961.52
$91.61
$219.28
$63.19
$836.32
$189.58
$80.00
$1,590.15
$28.00
Date Paid
Receipt Number
1200700000000000033
1200700000000000033
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1/12/07
1/12/07
2/22/07
2/22/07
2/22/07
2/22107
2/22/07
2/22107
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22107
2/22/07
2/22107
2/22/07
2/22107
2/22/07
2/22107
2/22107
2/22/07
2/22107
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
Paee 2 of 5
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 02/22/2007
APPLIED: 01112/2007
EXPIRES: 08/22/2007
VALUE: $ 433,906.00
.
Status.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family.
$50.00
$18.00
$2,303.00
2/22/07
2/22/07
2/22107
Total Amonnt Paid
$12,664.68
I Plan Reviews I
Initial Review
Plannine Review
01116/2007
01118/2007
LLH
TAJ
01/18/2007
02/20/2007
APP
APP
Public Works Review
01118/2007
JLP
01119/2007
WI
Pnhlic Works Review
02/16/2007
JLP
02/16/2007
APP
Strnctnral Review
01124/2007
LLH
01118/2007
APP
1200700000000000190
1200700000000000190
1200700000000000190
Place orange constuction fencing
alung the honndary of the
Conservation Easement. Keep all
construction activity out of this area.
Choose street trees from the list of
Native Trees in Hillside
Development on page 6-4 of the
street tree handout;
Waiting in order PW rcvd for
rvw.JLP
For this parcel in Mt Gate West, it is
the recommendation to the Building
Division, by the City Engineer: "thaI
final occupancy shonld not he given
nntil the suhdivision is accepted hy
City Council". Overwidth driveway
approved hy transportation. Storm
H20 to designated lateral.JLP
2/16/07
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
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.
I Rpnn;rp..l 'n.~"",,ti,o,'. .
-~.Ilrlll'"
Ufer Electrical Ground: Install gronnd 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.
Paee 3 of5
.
'--
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00060
ISSUED: 02/22/2007
APPLIED: 01112/2007
EXPIRES: 08/22/2007
VALUE: $ 433,906.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insnlation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections bave been requested and approved and tbe building is complete.
Perimeter Foundation Drains: After gravel aud filter c10tb is installed but prior to backfill.
Underfloor Plumbing: Prior to insulatiou or deckiug.
Rougb Plumbing: Prior to cover and including required testing.
Sbower Pan. Prior to covering and including required testiug.
Water Liue: Prior to filling trencb and including required testing.
Sanitary Sewer Line: Prior to filling trencb and including required testiug.
Storm Sewer Line: Prior to filliug treucb.
Fiual Plumbiug: Wbeu all plumbing work is complete.
Underfloor Mecbanical. Prior to insulation or decking aud including required testing.
Underfloor Gas: After Iiue is installed and required testing and capped if not attacbed to an appliance.
Rougb Gas: After line is installed and required testing and capped if not attacbed to an appliance.
Gas Service: After line is installed aud line bas been connected to a minimum of one appliauce including required
testing. Presure test done at tbis point.
Rougb Mecbauical: Prior to Cover
Final Gas: Wben all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company euergiziug pole.
Erosiou/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 4 ofS
_~It.!N.,. ~.<I!!'. ~.......9, iii.. '..
Wi:... ,
I=,^' . 't '!
._.,~: '
~. ~.. , ,
" " ,,_~,~..,~ "t
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: COM2007-00060
ISSUED: 02/22/2007
APPLIED: 01/12/2007
EXPIRES: 08/22/2007
VALUE: $ 433,906.00
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
the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that ouly 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 remaiu on the site at all
times durf 7;on. l
'-' .I;.- , ,
Owner or Contractors Signature
Paee 5 of5
2-/7..-//07-
Date /
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~~. ..?'..... . '..
Wi. .,'
"!1m. ,. ..o:c
,., '",.. ......... -
.... of Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
Payments:
Type of Payment
CreditCard
Check
cReceintl
RECEIPT #:
1200700000000000190
Date: 02/22/2007
Description
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Fixture
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Temp Power 200 amps or less
Fireplace (Listed)
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 Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BRUCE WIECHERT
BWCH INC
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
djb
djb
15616
05519B In Person
In Person
Payment Total:
Page I of2
8:52:30AM
Amount Due
1,651.15
31.00
2,303.00
. 306.00
42.00
28.00
12.00
18.00
9.00
6.00
4.00
10.00
50.00
30.00
80.00
80.00
(30.00)
1,590.15
1,119.14
850.99
189.58
836.32
91.61
961.52
10.00
219.28
63.19
198.00
106.00
133.00
136.16
191.61
239.52
$11,566.ZZ
Amount Paid
$8,000.00
$3,566.22
$11 ,566.22
2/22/2007
ZON . W'fl.
INITIALS l~ '0-'
DATE vvvilol
SOURCE
225 fIFTH STREET. SPRINGfiELD. OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COtAA Z-cD -, _ 0 00 b 0
J;JS;,:~;~~:."i;';~~'~F~tlt1:'lY',;8'$'i]~,r:r1~~y,1~:;t.,:::-t~j!tt~'j~~,'N,'i~':~:'':';;!:';~t{;~_'r::?;~-'*'1i;:O~''.;(.;::''{'l'\f:-j::t:,;":
B. ~.Services '''r;F eeders'.:::;InstallationiAlterationsorRelocaiioh:~,0
'~i!ilf;'M;;p;,;;;":tR,';;~~1:::i~'ki"::;;~;;3ttk.2~k~7;:":fl:;:~~~"\,l;:".6;,}fr:~'.S>:*'i_i! ;'-:!fJ;c::;-";;;,,jjA~ii:."iti.,.';';'iid;t~t
Electrical Contractor l. r. E \::.. \a..c\n c. 200 Amps or less $ 63.00
1'1 "\ \ f'L l}fI t::!i01U1" JO.!:~ps:to.4QMmlW iVU 'v $ 75.00
Address - \ '" ra -) 3 -.-'l6Y\.Q. "> / ~':i'P" lUfes adMtJt~~'to'o'OiPAlft~!?n Ut,~:t $125.00
. . - . "''m~'" ."~!l are set for
C (1 .A _ \I~tifi.c",tj.,onCer601.A'mI',.to'100U' I1S952-001 $163.00
City )D ~ \ <.1 Phone 5~ I,;; rllh;(~2-001aW?>!torR\b~ ,~~ rules b $375.00
. . \ 0090. You maYRlo'ctn\leOt~iYs ott7e hone $ 50.00
L1 \ 1 L\ <:: calling the ce~~r~_~~~~~~~~~~fki'~tlnl1~'~'1I']"" ,0~"1'^v"!;",,"'~:~"~"
Supervisor License Number - ~l1umber (Of me"_UJE~pol'al"Y ser.vlceroj-_~Feeders~J,t."i~.sk.B~::,.j~r: t..~' 'Kj?\t(f! ~. ""~~
Center is''1 :8'O"d:332=2344): "y,"'''.'~':''-'= "',~ ,,,,,*~, ",1' : ,.'"--,, , ~L'"
I b / \ / 0 ,. Installation, Alteration or Relocation
\ 054,5
3 / ?oJ d8
200 Amps or less $ 50.00
20 I Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
r~ 0fI C E : O.~~~~j~2.0 ;;,~P'~L~O;,;~;~~_,-.:~J.~~._:~<~;;~" ':~...~:.':"~'~.'-'.~~~;~ {\~."'i;1i.':"_:;f:.;"'0i:!jft:.:;;.t.'1.;'S..':?. '>,.~L"'.':.
TH IS PE RMlt sM~~1t~iffflit~'l\':!~aE~WORR'2'Ms1;%~\l]i~:;{~17il;f$r~~g;~~~;ijt
AUTH OR IZED 1'i1f\\OO~ry.:tip]l lJEI!:M4i1sJ&imYi1 Panel
r.QMMENCE~~q~A~ANDONEDFOR
ANY 180 DAy1l9~tYtional Circuit. or with
ServIce or Feeder PermIt
.~. . .'_ _ . " -0';'..:, :~. .,-,' :_;#,,,..,.,',,:-:i\'<-<:;
1. . : LOCA,TION OF INST..4LL:ATION:t::..r/Jir~::;:
. i."," .:.-tc,_:.." .~ 1\.~."__,,~;~i-. _,';:"'.::...,- .;,.;,~",,__ ,:,<-"~',,-',j ,'. ':,~" '_'.;;;<'2:~:J::~4J.\'\.\~
/'-'09b G-12../y:> TvN~- LI
f
LEGAL DESCRIPTION:
\7023f(71
JOB DESCRIPTION:
~CC
02-(00
WI rt..e.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended ror 180 days. .
2. ~~~~Etg:~~~~~il~:!:r~:tI8~~~~
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician C
PuG ~()W~
Owne;s Name 'E. cJ C (-t
Address 3c:>?J' .5~ V/~ L~./
Phone 606 ._\CJ ,1;::)
City tJ,I.J; (yr.re-
OWNER INST ALLA nON
The installation is being made on property I own which
is no( intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date
~?C'<;' ;-',-,'- ,<,- ->-"""-""';':' :..,.....>.'::.- :,' """E', ~,_;"':".:"_,_,.,..,c,,,~-,,_ ,OJ" -"'\1;.:;;::~:,{r}:~:'}';::;i":>:::~22~.:tj;'?:
.3. "{'. O,'1l1PLETEFE.E$C..1I DULEBE. LO_J1'._"'.'-1,:S---.~J;:".,_;;:,:.",~,-.",.
_~'~"....~~; . ',.'.','_ ,.....,_.,,.;,,;/.~='-,_,,.<.:_,'... ,......~,.'..,~v~; :k".~_,.' ;"'~, ,......,...",; ,.4' .~.y;J:~'....,..___,_ - ,,,,,,,-,,,,'-".,..<'"
<,:.,',;,~:':: ::~~'~~{::'\;';;;~-"i::r;;>:l'1, :; ~i:!~ :;." ,,\,,:,~,'.;';:,g;"r/"'X"''f~~~,':?,'<<'i~/'-, ~,::-''':''''~;-''''-,'t~t\''::;''','~~::;J-~.t
A. ;New Residential-'- Single ofMulti:F,uniif per dweliilig'uliil:;: -li'
;.C:.i),;i,J\<~, ,.',;.{.,"'4;";;.),;';'-, ;;,.~~:.....,',;, .. ..,j, ~"" ; ;,., ' . ..' 1"'" ,:>, ~",,", .'. :'..... ":"'.' .", ";',c_". :'., "~;..,,, ~,\~ ~-' ,.;,....,;, -,,-'~,.)-<\
" ,'~;''I;'!:;~
Service Included
\000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
7
$106.00
jO~
(J]
$ 19.00
$50.00
$ 43.00
$ 3.00
",~<.: '''-;'''''~L're':%''';;;,''Q'_:'\~'''';,:, >5"-";~P""/."::;"1i;:'>:.":,' :?~::~"j,! .,':~-",,,,, .:,:","',,'J"""/:,;-: ":i-; >": '::.,.>:~~"
E. .Mi~~llan~ous(Sei;~ic~lfee'de~:ilO'i \hClu:dec:if:':Each li1st:illatio~f
t<:.i!_",~,,,~;':.,L~';. :::"..,~}.~ i'.:."!, ~~"~;;,,, ",'<,., '~':;':',~ e'... .,;:.. V';:".'U ..~,~]',,: ";,~< "'~j)U;;''-,i-,./~~{''''';'';-,^~, ."',> ~<>i;;,:\,';,,;,,-:!~,,~",";:";
,
,
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. vs6i3ToiAi'OlfABOVE1it{~'\f.(~!;;:.i::i:.i~~1~1!:;;:: t. '3 .,
i, _ "~ ;',::.-,>,,).'.;;;':1 <;;.::':,,;i,,:~':p.::";;'j <.:'.t\."'" <:';~,'G ; ',#-",b'.'",-"..:L' :'/c. '~.~ ~!;l:'-":rl-:~.ii." .,:
8% State Surcharge I y' ~
10% Administrative Fee l ,)'0
5% Technology Fee (I 7 r
Z'"3 97
TOTAL
Shared Drive(T:)/Building FOlms/Electrical Pennit Application 8-06.doc
8P~ ZON i AlL,.
~ INITIALS .N/vl
. - ,6,5.<.. DATE ..Jb/.;lj}O"'
'IlI1 " SOURCE
?~( /07
( /
3. I COMJ>LETE FEE SCHEDULE BELOW
. \ J
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726--3753 . FAX: (541)726--3689
ELECTRICAL PERMIT APPLICATION
Ul.fX1)({;()
City Job Number
1. I LOCATION OF INSTALLATION:
lQ(}\\o b.mU~
\
LEGAL DESCRlPTION:
l n\:- \'L Ub 6M:t..
\l. )t5,
JOS DESCRIPTION:
perm;?a~n~-tr~?~~~ ~exp\~~~~ is
not started within 180 days of issuance or if work is
Snspended for 180 days.
I CONTRACTOR INSTALLATION O~Y I
/
/
;L
City
Expiration Date
/
. Constr. Con . Number
Sign lure of Supervising Electrician
,
/
OwnersName ~.. ~\f<~.hfMr
Address ~m~ S'G ~ ")
City.fi1)P_f\0- Phone lo9ic'~
~
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
Date
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Inclnded
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:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. I Temporary Services or Feeders
I
m~
Installation, Alteration or Relocation
200 Amps or less \
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "S" above.
D. I Braoch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
$ 3.00
E. I Miscellaneous (Service/feeder not included) -Each Installation I
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
.,_ Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. I SUBTOTAL OF ABOVE I !:JO ~
8% State Surcharge /.-i
.10% Administrative Fee ~-OO-
5% Technology Fee '1~.~
TOTAL
IJjO
(!.)I --
Shared Drive(T:)/BuildingForrnslElectrical Permit Application 8-06.doc
CITY OF aNGFIELD SYSTEMS DEVELOPMEAORKSHEET
JOURNAL OR JOB NUMBER: COM2007-00060
NAME OR COMPANY: Weichert Homes
LOCATION: 6069 Gra~stone Lp
TAX LOT NUMBER: Lot #12 MtGate West/4
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 3128 LOT SIZE (SF):
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
4738.00 I $0.336 I = I $1.590.15 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I !
I 0.00 I $0.336 I I 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $1,590.15 I
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
43 I
B. IMPROVEMENT COST:
i NUMBER OF DFU's I x
I 43 I
COST PER DFU
$26.03
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$1,970.13
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADTTRIP RATE I x
I 9.57 I
I NUMBER OF UNITS I x
I I
COST PER TRIP
$19.81
B. IMPROVEMENT COST:
I ADTTRlPRATE I x I'NUMBER OF UNITS I x I
I 9.57 I I
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
4 SANITARY SEWER - MWMC
COST PER TRIP
$87.39
$1.025.90
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $96152
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
leaST PER FEU
I $9161
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~,
$1,063.13
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
5 ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~ I
I $5.649.31 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
~ I
$5,649.31
-I
CHARGE
$282.47
DISCOUNT
$0.00
x INEW TRIP FACTORI
I 100
x INEW TRIP FACTORI
I 100 I
16000
I[
IgJ
10
o
u
Ie>::
~
E-
'"
a
~
$1,590.15
1070
j
$1,119.14 1091
I
"
,
$850.99 I J 092
I
$189.58
11093
I
11094
I
$836.32
=
$91.61
11054
I
=
$961.52
$0.00
$10.00
11055
1054
1056
Jeff Prociw
2/16/2007
219.28 11079
$63.19 11078
,
=, $5,931. 78
PREPARED BY
DATE
TOTAL SDC CHARGES
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
= 'I
NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALEl'!T = DRAINAGE FIXTURE UNITS
(NOTE' FOR REMODELS. CALCULATE ONLY THE NET ADDffiONAL FIXTIJRES)
NO. OF FlXruRES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 3 0 3 = 9 I
IDRlNKING FOUNTAIN 0 0 1 = 0 I
I FLOOR DRAIN 0 0 3 = 0 I
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0 I
I INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I
ILAUNDRY ruB 1 0 2 = 2
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE C!?A) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
jRECEPTOR FOR REFRIG I WATER STATION I ETe. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 1 0 3 = 3
iSHOWER SINGLE STALL 2 0 2 = 4
iSHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0
!SINK: COMMERCiAuRESIDENTIAL KITCHEN 1 0 3 = 3
!SINK: COMMERCIAL BAR 0 0 2 = 0
iSINK: WASH BASINIDOUBLE LAVATORY 3 0 2 = ,6.
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 43
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to 8 single f~i1Y dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
II YEAR CREDIT RATE/SI,OOO ~
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
r- BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I t979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for.Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
I 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE I 1000 CREDIT RATE
1985 $4.40 SO.OO x S5.29 ~, SO.OO
1986 $4.07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE I 1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = SO.OO
1993 $1.45
1994 $1.25
t995 $1.09
t996 $0.92
1997 $0.72
1998 $0.48
t999 $0.28
2000 $0.09
2001 $0.05
RECEIPT #.1200700000000000190 ete: 02/22/2007 8:52:30AM
Job/Jburnal Number Description Amount Due
COM2007 -00060 Building Permit 1,651.15
COM2007-00060 Addressing Assignment 31.00
COM2007-00060 Willamalane Single Family 2,303.00
COM2007-00060 3 Baths One & Two Family 306.00
COM2007 -00060 Fixture 42.00
COM2007-00060 Storm Sewer Each Addtl 100' 28.00
COM2007-00060 Furnace - up to 100,000 btu 12.00
COM2007-00060 Vent Fan 18.00
COM2007-00060 Exhaust Hoods 9.00
COM2007-00060 Dryer Vent 6.00
COM2007-00060 Gas Outlets 1-4 4.00
COM2007-00060 -Mechanical Issuance Fee- 10.00
COM2007-00060 Temp Power 200 amps or less 50.00
COM2007-00060 Fireplace (Listed) 30.00
COM2007-00060 Sidewalk Permit 80.00
COM2007-00060 Curbcut Permit 80.00
COM2007-00060 PW Disc - 2nd Permit (30.00)
COM2007-00060 Storm Drainage Impervious Area 1,590.15
COM2007-00060 Sanitary Sewer - Reimbursement 1,119.14
COM2007-00060 Sanitary Sewer - Improvement 850.99
COM2007-00060 SDC Transpo Reimbursement 189.58
COM2007-00060 SDC Transpo Improvement 836.32
COM2007-00060 SDC MWMC Reimbursement 91.61
COM2007-00060 SDC MWMC Improvement 961.52
COM2007-00060 SDC MWMC Administration 10.00
COM2007-00060 SDC Sanitary/Storm Admin 219.28
COM2007-00060 SDC Transpo Admin 63.19
COM2007-00060 Plan Review Major - Planning 198.00
COM2007-00060 Residence Wiring 1000 Sq Ft 106.00
COM2007-00060 Residence Wiring Ea Addtl 500 133.00
COM2007-00060 + 5% Technology Fee 136.16 I,
COM2007-00060 + 8% State Surcharge 191.61
COM2007-00060 + 10% Administrative Fee 239.52
Item Total: $ II ,566.22
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Cred itCard BRUCE WIECHERT djb 05519B In Person $8,000.00
Check BWCH INC djb 15616 In Person $3,566.22
Payment Total: $ II ,566.22
cReceintl
Pa~e 2 of2
2/2212007