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Home My WebLink AboutPermit Building 2001-04-04SPEINGFIELD Job# 00-01128-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 5 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 541 Walnut Pl Spr AssessorsMap#: 17033423 Lot:6 Block: Addition Job Number: 00-01 128-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04000 Su bdivision : Rivertrails crTY oF SPRINGFIELD, OREGOI' Owner: Don Davis Address: PO Box 783 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541 -736-5050 Springfield, OR97477 Value: $351,529 Contractor Type GeneralContr Electrical Contr Landscape Mechanical Contr Plumbing Contr Contractor - ROW Contractor V E Builders 187 E Rosewood, Eugene, OR 97404 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Star Landscape 93066 River Rd, Junction City, OR 97448 Deans Heating PO Box 462, Cottage Grove, OR97424 Doug Haxby Plumbing Company 33496 Mount Tom Dr, Harrisburg, OR 97446-793 Adt Security Services lnc 4660 Main St, Springfield, OR 97478 133733 2t17t2000 541-767-0626 140768 3t1t2002 541-995-472s 541-736-4973 Registration # 116315 Expiration Date 711912000 Phone 541-543-3340 541-688-4444 541 -998-2039 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Gode: LDR Bedrooms: 3 Range: Electric NOTICE: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas F To request an inspection call the 24 hour recording a1726-3769. 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 working day. Required lnspections -lnstallground.o"tffipectioninconjuctionwithfootingand/orfoundationi -After trenches are excavated. Verify Ground Rod Footing Job# 00-01128-01 Page 2 of 5 Required lnspections Building -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Steel location, bond beams grouting or verticals in accordance with UBC 2415. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover - Prior to taping. -See Plan Review and/or lnspectors Notes. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete Plu -Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -After device is installed but before backfilling trench. -When all plumbing work is complete. Mechanical -Prior to insulation or decking -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When allgas work is complete. -When all mechanicalwork is complete. Public Works -After forms are ereceted but prior to placement of concrete -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete I Foundation Post and Beam Floor lnsulation Ceiling lnsulation Masonry Shear Wall Nailing Framing Walllnsulation Drywall Special Hold Downs lnstalled FinalBuilding Temporary Power Rough Electrical Electrical Service Low Voltage Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut Sidewalk SW-Curbside CC-Standard I 00/00/0000 00:00 AM Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 3 of 5 Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00 AM Job# 00-01128-01 Street lmprovement: Fully lmproved Curb Cut?f tmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f SpecialReq.: Security Required: Bond Begin DateTime Special Instructions: Other Utilities: Project Supervisor: Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? ! Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees Land Use: Single Family Dwelling Pave Driveway? 2 Glenwood Area? Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq. Main:'1776 AccessoryS83 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code:New SF - detached Total2359 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check ResidentialPlan Check Additional Plan Check Hourly Plan Review Hourly Plan Review Tota! Plan Gheck 0711912000 0811112000 09/19/2000 11t0212000 2623 2893 3250 3688 1 ,063 o 1 1 63 $37s.05 $8.78 $40.00 $40.00 $463.83 Building Permit Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Total Building Building 0811112000 11t02t2000 11t02t2000 08t11t2000 11t02t2000 08t1112000 1110212000 169,748 181,781 $590.50 $617.50 $-590.50 $41.34 $1.89 $17.72 $.81 $679.26 2893 3688 3688 2893 36BB 2893 36BB 1 3: Job# 00-01128-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less Limited Energy - Residential State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Total Electrical Electrical 08111t2000 0811112000 08111t2000 10t19t2000 08111t2000 1011912000 0811112000 1011912000 2893 2893 2893 3531 2893 3531 2893 3531 1 4 1 1 $85.00 $60.00 $40.00 $20.00 $12.95 $1.40 $5.55 $.60 $225.s0 Plumbing Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing 0811112000 04t04t2001 0811112000 08111t2000 04t04t2001 0410412001 0811112000 0410412001 $.oo $5.00 $192.50 $13.48 $1.05 $10.00 $5.78 $.45 $228.26 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 08t11t2000 0811112000 0811112000 0811112000 0811112000 0811112000 0811112000 0B/1 1/2000 08t11t2000 08t11t2000 2893 2893 2893 2893 2893 2893 2893 2893 2893 2893 $4.50 1 4 1 1 $2.00 $.00 $.e6 $6.00 $12.00 $4.50 $3.00 $10.00 $2.24 $4s.20 Public Works New Sidewalk New Curbcut Total Public Works 0811112000 0B/1 1/2000 2893 2893 45 1 $60.00 $60.00 $120.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 0B/1 1/2000 0811112000 0B/11/2000 08111t2000 08t11t2000 0B/1 1/2000 0811112000 08t11t2000 2893 2893 2893 2893 2893 2893 2893 2893 2,964 $711.36 $1,246.50 $507.82 $242.76 $22.05 $10.00 $136.15 $-17.55 $2,859.09 25 1 1 1 1 31 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 1 $1,000.00 $1,000.00 Grand Total 08t11t2000 2893 $5,621.14 2893 4842 2893 2893 4842 4842 2893 4842 1 1 1 1 Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Don Moore Don Moore Job# 00-01128-01 Date Completed 07121t2000 08/03/2000 08/09/2000 09/1 B/2000 Page 5 of 5 Comment General Contractors CCB to be verified prior to issuance. On7l21l00 CCB showed registration as being expired. See File Verify large beam sizes with documentation; Brace wall panels needed at sun porch or engineering. Revised sun porch to eliminate engr. Revised to truss roof. Structural-Res Don Moore 1110212000 Expanding bonus room by +216 s.f. 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 701.055 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. Signature Date SPRINGFIELD Job# 00-01128-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of5 TRANS*:01-0003fie& DAIE:NI]V :? IOfifi Al'lT RECD:Z $ 49"ilC CHANEE:$ 6.&4rr^ouTrR ' n.ciLnrJl lLLl\ ' UUI- 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 541 Walnut Pl Spr AssessorsMap#: 17033423 Lot:6 Block: Addition: Job Number: 00-0'l 128-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04000 Subdivision : Rivertrails crTY oF SPRiNGF7ELD, OREGOTV Owner: Don Davis Address: PO Box 783 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-736-5050 Springfield, OR97477 Value: $184,685 Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Contractor - ROW Contractor V E Builders 187 E Rosewood, Eugene, OR 97404 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Deans Heating PO Box 462, Cottage Grove, OR97424 Doug Haxby Plumbing Company 33496 Mount Tom Dr, Harrisburg, OR 97446-793 Adt Security Services lnc 4660 Main St, Springfield, OR 97478 140768 3t1t2002 541-995-4725 541-736-4973 Registration # 116315 Expiration Date 711912000 Phone 541-543-3340 541-688-4444 541-767-06261 33733 211712000 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1776 To request an inspection callthe 24hour recording at726-3769. 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 working day. Required lnspections I footing and/or foundation iVerify Ground Rod Footing Foundation Post and Beam Building -lnstall ground rod at footing, and callfor inspection in conjuction with -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. Floor lnsulation Geillng Insulation Masonry Shear Wall Nailing Framing Wall lnsulation Drywal! Special Hold Downs lnstalled Final Building Temporary Power Rough Electrical Electrical Service Low Voltage Fina! Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas Final Mechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utitities: Project Supervisor: Job# 00-01128-01 Page 2 of 5 Required lnspections Buildi -Prior to decking. - Prior to cover. -Steel location, bond beams grouting or verticals in accordance with UBC 2415. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -See Plan Review and/or lnspectors Notes. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. -Priortoin.utrtioffi - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. -Prior to filling trench, -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Curb and Gutter 6 00/00/0000 00:00 AM00/00/0000 00:00 AM Types Of Warning Devices Reqd. tr Zoning: LDR FloodPtain? [ Wetlands? Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fil!: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Job# 00-01128-01 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? Y1 2:3: Additional Requirements: tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq Main: 1776 AccessoryS83 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Tota!2359 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Additional Plan Check Hourly Plan Review Hourly Plan Review Total Plan Check 0711912000 08t11t2000 09/19/2000 11t02t2000 2623 2893 3250 36BB 163 ,063 o 1 1 $375.05 $8.78 $40.00 $40.00 $463.83 Building Permit Building Permit Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Building Administrative Fee Total Building Building 2893 3688 3866 3688 2893 36BB 3866 2893 36BB 3866 08t11t2000 1110212000 11t27t2000 11t02t2000 0B/1 1/2000 11t02t2000 11t27t2000 08t11t2000 1110212000 11t2712000 169,748 181 ,78'l 2,904 -169,748 $s90.50 $617.50 $38.50 $-590.50 $41.34 $1.89 $2.70 $17.72 $.81 $1 .16 $721.62 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less Limited Energy - Residential State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 0811112000 0811112000 08t11t2000 10t19t2000 08t11t2000 10/19/2000 08t11t2000 10t19t2000 2893 2893 2893 3531 2893 3531 2893 3531 $85.00 $60.00 $40.00 $20.00 $12.95 $1.40 $5.5s $.60 $225.s0 1 4 1 1 Plumb Minimum Plumbing Permit Fee 08t11t2000 2893 $.00 Job# 00-01128-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 0811112000 0811112000 0811112000 2893 2893 2893 1 $1s2.50 $13.48 $5.78 $211.76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 08111t2000 0811112000 08t1112000 0811112000 08t11t2000 0811112000 08t11t2000 0B/11/2000 0811112000 08t11t2000 2893 2893 2893 2893 2893 2893 2893 2893 2893 2893 1 1 $4.50 $2.00 $.00 $.e6 $6.00 $12.00 $4.50 $3.00 $10.00 $2.24 $45.20 1 4 1 1 Public Works New Sidewalk New Curbcut Total Public Works 0811112000 0B/11/2000 2893 2893 45 1 $60.00 $60.00 $120.00 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 0811112000 08t11t2000 08111t2000 08t11t2000 0811112000 08t11t2000 08t11t2000 0811112000 2893 2893 2893 2893 2893 2893 2893 2893 2,964 25 1 1 1 1 31 $711.36 $1,246.50 $507.82 $242,76 $22.05 $10.00 $136.15 $-17.55 $2,859.09 S.F. Residence - Willamalane TotalWillamalane SDG Willamalane SDC 08t11t2000 2893 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Structural-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Don Moore Don Moore Don Moore Date Completed 07t21t2000 0B/03/2000 0B/09/2000 09/18/2000 11t02t2000 $5,647.00 Gomment General Contractors CCB to be verified prior to issuance. On7l21l00 CCB showed registration as being expired. See File Verify large beam sizes with documentation; Brace wall panels needed at sun porch or engineering. Revised sun porch to eliminate engr. Revised to truss roof. Expanding bonus room by +216 s.f. Job# 00-01128-01 Page 5 of 5 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 701.055 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 app set of pl ans will remain on the site at alltimes during construction. 4'zq- oo Signature Date SPRINGFIELD Job# 00-01128-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of5 Job Number: 00-01 128-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 04000 Subd ivision : Rivertrails IRANS*:01*0001&SE IAIE:N0U 0? i0ilil Al{T HE[D:2 $ fi? .7S IHANEE: CASHiEH:0Bj 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 541 Walnut Pl Spr AssessorsMap#: 17033423 Lot:6 Block: Addition clTY oF SPRINGFIELD, OREGOTV Owner: Don Davis Address: PO Box 783 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-736-5050 Springfield, OR97477 Value: $1Bl ,781 Contractor Type GeneralContr ElectricalContr Mechanical Contr Plumbing Contr Contractor - ROW Contractor V E Builders 187 E Rosewood, Eugene, OR 97404 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Deans Heating PO Box 462, Cottage Grove, OR97424 Doug Haxby Plumbing Company 33496 Mount Tom Dr, Harrisburg, OR 97446-793 Adt Security Services lnc 4660 Main St, Springfield, OR 97478 Registration # 116315 Expiration Date 711912000 Phone 541-543-3340 541-6884444 541-767-0626 541-995-4725 541-736-4973 1 33733 140768 2t17t2000 311t2002 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1776 To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Verify Ground Rod Footing Foundation Post and Beam Buildin -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. Floor lnsulation Ceiling lnsulation Masonry Shear Wall Nailing Framing Walllnsulation Drywall Special Hold Downs lnstalled FinalBuilding Temporary Power Rough Electrical Electrica! Service Low Voltage Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside GC-Standard Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00 AM Job# 00-01 128-01 Page 2 of 5 Required Inspections -Priortoo".ting.@ -Prior to cover. -steel location, bond beams grouting or verticals in accordance with u3c 241s. -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -See Plan Review and/or lnspectors Notes. -when all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole. -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plu -Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. -Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to insulation or decking -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete I Types Of Warning Devices Reqd. Street lmprovement: Fully lmproved Curb Cut?f lmprovementAgr.?! San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Zoning: LDR FloodPtain? ! Wetlands? [ Journal numbers 1: 2: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Job# 00-01128-01 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? n1 3: Additional Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 1776 Accessory583 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Total2359 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Additional Plan Check Hourly Plan Review Hourly Plan Review Total PIan Check 0711912000 0B/1 1/2000 09/1 9/2000 11t02t2000 2623 2893 3250 36BB 63,061 3I 1 1 $375.05 $8.78 $40.00 $40.00 $463.83 Building Permit Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Tota! Building Building 0811112000 1110212000 1110212000 0B/1 1/2000 1110212000 08t11t2000 1110212000 2893 3688 3688 2893 3688 2893 3688 169,748 181,781 -169,748 $590.s0 $617.50 $-590.50 $41.34 $1.89 $17.72 $.81 $679.26 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less Limited Energy - Residential State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 0B/11/2000 08111t2000 08t11t2000 1 0/1 9/2000 0811112000 1 0/1 9/2000 08t11t2000 10t19t2000 2893 2893 2893 3531 2893 3531 2893 3531 1 4 1 1 $85.00 $60.00 $40.00 $20.00 $12.95 $1.40 $5.55 $.60 $225.50 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing 0811112000 o&t11t2000 0811112000 1 $.oo $192.50 $13.48 2893 2893 2893 Job# 00-01128-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin Plumbing Administrative Fee Total Plumbing 0811112000 2893 $5.78 $211.76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 0811112000 08t11t2000 08t11t2000 0811112000 08t11t2000 08t11t2000 0B/1 1/2000 08t11t2000 0811112000 08t11t2000 2893 2893 2893 2893 2893 2893 2893 2893 2893 2893 1 1 $4.50 $2.00 $.00 $.e6 $6.00 $12.00 $4.s0 $3.00 $10.00 $2.24 $45.20 1 4 1 1 Public Works New Sidewalk New Curbcut Tota! Public Works 08t11t2000 08t11t2000 2893 2893 45 1 $60.00 $60.00 $120.00 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 08t11t2000 08t11t2000 0811112000 0811112000 0811112000 08t11t2000 0811112000 08t11t2000 2893 2893 2893 2893 2893 2893 2893 2893 2,964 25 1 1 1 1 31 $71 1.36 $1,246.50 $507.82 $242.76 $22.05 $10.00 $1 36.1 5 $-17.s5 $2,859.09 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0B/1 1/2000 2893 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Don Moore Don Moore Date Completed 07t2112000 0B/03/2000 0B/09/2000 09/1 B/2000 11t02t2000 $5,604.64 Comment General Contractors CCB to be verified prior to issuance. On7l21l00 CCB showed registration as being expired. See File Verify large beam sizes with documentation; Brace wall panels needed at sun porch or engineering. Revised sun porch to eliminate engr. Revised to truss roof. Expanding bonus room by +216 s.f. Structural-Res Structural-Res Steve Templin AW Don Moore Job# 00-01128-01 Page 5 of 5 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 701.055 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 du ring construction. t'Z-n {//- za-oCI Signature Date OF SPFINGFIELD OREGO'V l.,),,"l,-'l SPIITllGFIELt, BACKruOT PREVENIION DBVICE PEBTIIT APPECATIONCIrI OF SPRINGTIELD BUII,DING SATEf,Y DTVTSION 225 E:FTTI STREET SPRINGFTET) OR 97477 JOB L,)CATf,)N: 3 OIINER: ADDRESS: CTTI: OFFICE: TNSPECIrON TJNE: 726-3759 726-3769 TAX LOT *:o 7@6 STATE: FOR OFTICE USE I ZIPI q I qqs q zltt ?Z (4r EXPIRES: )- -zs'o> a3 .-e 7^ 6t PHONE *: STATE: BACKTLOg 1.05PIRIIIT IS 515.00 + $-?5 (srAr, 'TTR'EARGE) + g.45 (ADurN. EEE) = rlt# ?HoNE *r (3J Cot.lIRitCT0F. ADDRESS: CTTY:a CONSTRUCTION COITTRACTORS REGISI?ATION *: BY SIGNING IIUS PEBHIT/APPLICATIO}I, I AGREE TO CAT.L FOR AII INSPECTION ONCE THEBACKFLoS PREVEMT0N purrrcs-d-d-ssEt't rNCrALt"6-1fr rs vrsrBLE FoR rxspgcrr,Nl]frftil:',' r also srArE tnai el.r, rNFoRr{Aiiou rilr rurs puR}rrrTappr.rcnrrory rs DATE DATE Otr'ATpLfCATION: O RECE-PI *: t/st? TOTAL AHO'JM COLLECTBD: Z 8 -o/D = *j--l trJ 7lT)D ;'f --l :7rry m iii L J .. +:EE f)" ;.: xF ICl(f,tr)+\t:n J:r Ct+. r.,l(fr-)H. @ H s,' {J1(} ISSUED BY: rfD ct:l- (:) t:t .ts tr-lm /o/o / 5C) bE, JOB *: DO * O,t/ C'TY OF OREGON\IF tZD(, e,*(v- '(16-\tz1 The tol zoning approval 225 ?TYTB STREET SPRINGFIELD OREGON 97 477 Date PERITIT APPIJCATION Nuuber c0;-0 lteg COI{PIJTE TEE SCEEDUI.E BELOS Nev Residential-Sing1e or Hulti-FamilY Per dvelling unit' Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home. or Modular 'Dvelling Service or Feeder $ 40.00 B. Services or Ins ta1Iat ion s or Relocatio 200 amps or $ so.oo Zoning LoG o/l"l -60 Signature 3. l5' GFIELO to amps 0n1y 0f,TE:0[T tg 1000 Al'1T RE[D:? $ T2.OCI. CHANEE: [ffSHIER:05? ol INSPEGTION REQIIEST: OPPICE: 726'3759 1. IOCATION OF I.EGAL 726-37 6$t[rortzeo A Sum J1 JOB DESC&IPTION $ ccuz ''/- )Vs Permits are non -transferable and exPire if vork is vithin 180 daYs of issuance is suspended for 180 days. 2.ONLY c Ua Electrical Cont Address 150I Pear 1 484a, s .00 .00 00 IT 7 201 amPs to 401 amps t 601 ampsr 10000ve Ci ty Eugene, OR Phone supervisor License Number W /dirJte Expi ra t ion Dare 10102 Cons tr Contr. Number 26209CLB Bxpiration Date 10/01 /00 Signa of Supervi sing Electrician Ovners Name Ci ty Phone C. TemporarY Services o locationIns taIIat ion, Alterat on 200 amps''or less to 400 to 600 or Nev, A1 te o Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit - $ 3s.00 $ 2.00 E.Hiscellaneous (Service/feeder not included) s 40.00 amps - S 55.00 ambs - S 8o.oo-i6ooA'ts see rrgrr "ffi ;.. Reconnec t ,) OIINER INSTALI.ATION The installation is being made on piop"tty I ovn vhich is not intended for sale, Iease or rent' Omers Signature: -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res / Limited EnergY/Comm IIJBTOTAL OF ABOVE QD st"t" surcharge TZ edmlnistrative Fee TOTAL ffi s 40.00 s 40.00 $ 20;00 $ 36.00 -Z- O)5 DATE:o RBCEIVED $ 8s.00 $ 15.00 rttQt, D. )nt 41 4trt 1, 0ver Address 5,1 I ,#*lr,sz" l,.f /2)<.q -b Job# 00-01128-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPRINGFIELD TRANS*: 01-000lE-ej DAIE:AUE 11 IOOO ftl'lT RECD:2 $ 509?.89 CHAI.{EE: CA$HIER:001 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 541 Walnut Pl Spr AssessorsMap#: 17033423 Lot:6 Block: Addition: Job Number: 00-01 128-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 04000 Subd ivision : Rivertrails ctrY oF SPRINGFIELD, OREGON Owner: Don Davis Address: PO Box 783 Scope Of Work: Single Famlly Residence Phone Number: City/State/Zip: New 541 -736-5050 Springfield, OR97477 Value: $169,748 Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Gontractor V E Builders 187 E Rosewood, Eugene, OR 97404 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Deans Heating PO Box 462, Cottage Grove, OR97424 Doug Haxby Plumbing Company 33496 Mount Tom Dr, Harrisburg, OR 97446-793 Registration # 116315 Expiration Date 711912000 Phone 541 -543-3340 541-68B-4444 541-767-0626 541-995-4725 1 33733 140768 211712000 3t1t2002 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1776 To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Verify Ground Rod Footing Foundation Post and Beam FIoor lnsulation Ceiling Insulation Shear Wall Nailing -lnstallground.#pectioninconjuctionwithfootingand/orfoundationi -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. -Prior to decking. - Prior to cover. -Before covering sheathing with finish materials. Framing Wall lnsulation Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside CC-Standard Street lmprovement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Specia! lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00 AM Job# 00-01128-01 Page 2 of 4 Required lnspections Building I -Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. Plumbing I - Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tet -When all gas work is complete. -When all mechanicalwork is complete. I Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete I Types Of Warning Devices Reqd. Zoning:LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood Area? 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA nla Job# 00-01128-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z1 2 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? Area (Sq. Main: 1776 AccessoryS83 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Total2359 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Additional Plan Check Total Plan Check 07t1912000 08t1112000 2623 2893 163,063I $375.05 $8.78 $383.83 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 08t11t2000 08t11t2000 0811112000 2893 2893 2893 169,748 $590.50 $41.34 $17.72 $649.56 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 0811112000 0B/1 1/2000 08t11t2000 0B/1 1/2000 08t1112000 2893 2893 2893 2893 2893 1 4 1 $85.00 $60.00 $40.00 $12.95 $5.55 $203.50 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Tota! Plumbing Plumbing 08t11t2000 0811112000 08t1112000 08t11t2000 2893 2893 2893 2893 $.00 $192.50 $13.48 $5.78 $211.76 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct 08t11t2000 08t11t2000 08t1112000 0811112000 0811112000 0811112000 2893 2893 2893 2893 2893 2893 1 1 1 4 $4.50 $2.00 $.00 $.e6 $6.00 $12.00 Overlay District: # of Street Trees: 1 Job# 00-01128-01 Page 4 of 4 Fee Paid On Receipt#Value/Quantity Fee Amount Mechanica! Gas Fireplace Dryer Vent Jvlechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 08111t2A00 08111t2000 08111t2000 0811112000 2893 2893 2893 2893 $4.50 $3.00 $10.00 $2.24 $4s.20 Public Works New Sidewalk New Curbcut Total Public Works 08t11t2000 0811112000 2893 2893 45 $60.00 $60.00 $120.00 1 m Deve Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 08111t2000 08t11t2000 0811112000 08t11t2000 08111t200a 08111t2000 08t11t2000 08111t2000 $711.36 $1,246.50 $s07.82 $242.76 $22.05 $10.00 $136.15 $-17.55 $2,859.09 2893 2893 2893 2893 2893 2893 2893 2893 2,964 31 25 S.F. Residence - Willamalane Total Willamalane SDG Willamalane SDC 0811112000 2893 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Date Completed 07t21t2000 0B/03/2000 0B/09/2000 $5,472.94 A //-oo Comment 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 701.055 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 of plans will remain the site at alltimes during construction. Signature Date 1 1 t Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: ADDRE LOCATION OF PROPOSED BUILDING SITE: Street Add STATE:&qfi17ZIP: lations and dwelling t me not in a Plat Name:_ Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctr ype definitions are on the back.) A. Single-Family Detached It Single Family home Manufactured ho No. OF UNITS ( X $1,ooo Per unit = $ B. Single-Family Attached NO. OF UNITS X $924 Per unit = C. Multi-Family Apartment NO. OF UNITS X $692 Per unlt = D. Manufac'tured Home Park X $699 Per unlt E $ $ $NO. OF UNITS WILLA,MALANE SDC $oo 2. SDC CREDff (l( applicable) SDGpayer must lumlsh proof ol Wiltamalane ireoit'approval. See doc crem Woftshoet. $ 3. TOTAL WILLAMALANE NET (lf SDC reduced for Credit) ASSESSED Deve Se D City of Springfield ment $ ( g Date PLUMBING FIXTURE UNIT (PFU) CALCLILATION TABLE NUMBER OF NEw FIXTURES x UNIT EQUMLENT = PLIIMBINC FIXTURE LTNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE FXTURES UNIT NEW OLD EQUIVALENT 30.792 PLUMBING FIXTURE I-INITS BATHTUB DRINKING FOTiNTAIN FLOORDRAIN INTERCEPTORS FOR GREASEiOIL/SOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESWASHERA{OP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINIS DISHWASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLTOYALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: t2 TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEI CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $ l7.ss 42 0 ) I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 2 0 0 0 2 0 2 0 J 0 I I 5 3 0 0 x x CREDIT TOTAL 25 RATE PER $1,OOO ASSESSED VALUE RATE PER $I,OOO ASSESSED VALI.]E YEAR ANNEXED YEAR ANNE)(ED 1990 199 I 1992 t993 r994 1995 1996 t997 1998 t999 $ 1.96 $ l.ss $ 1.36 $ 1.23 $ l.0s $ 0.90 $ 0.7s s 0.s7 $ 0.35 $0.1s 1979 orbefore 1980 198 r 1982 1983 1984 1985 1986 t987 1988 1989 $4.74 $ 4.6s $ 4.s9 $4.46 $ 4.30 $ 4.14 $ 3.93 $ 3.63 $ 3.26 $ 2.85 s 2.40 $ l7.ss $0.00 $0.57 I 0 0 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 54I WALNUT PLACE 00-01128-01 DAVIS t7 -03-34-23-04000 SINGLE FAMILY RESIDENCE DWELLINGUNITS I BUILDING SIZE: 2359 LOT SIZE: 6067 I. STORMDRAINAGE IMPERVIOUS SQ. FT.x $0.240 PER SQ. FT2964.00 $711.36 2. SAMTARY SEWER-CITY NUMBEROF PFU's (SEE REVERSE SIDE) 25 X $49.86 PER PFU $ 1,246.50 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I x 1.01 x $502.79 PERTRIP x X $502.79 PER TRIP $s07.82 $0.00 TOTAL TRANSPORTATION SDC $s07.82 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBEROF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s ($ 17.s5) $10.00 $2s7.26 722.94SUBTOTAL (ADD ITEMS t,2,3,&4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $136. l5 9l,orto Tur.,flbffi $2,859.090810312000 DATE TOTAL SDC CIIARGES C'TY OF OREGO'V q6 225 FIFTE STREET SPRTNGFTELD, OREGON 9747 INSPECTION REQITEST | 726-37 OFFICE: 726-3759 1 doB rmi ts re non-transfe e and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI..ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date -/-c/ Constr Contr. Number o- Expiration Da rc /()-/ - AO Signa of Supervi trician Owne Name Add cit Phone INST The installation is being made on property I ovn vhich is not intended for saIe, lease or rent' 0vners Signature: DATE: SPR FIELO ELECf,RICAL PERI{IT APPLICATION City Job Number FEE SCEEDTILE BELOS ential-Single or -FamiIy per dvelling unit. ce Included:Items Cost ti 1 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder 200 amps"or 1 201 amps to 4 Over 401 to 6 0ver 600 amps l_ E- s 8s.00 $130.00 $300.00 s 40.00 40.00 55.00 80.00 L Sum % 6 B c. / s 1s.00 s 40.00 Services or Feeders Installation, Alterations or ReLocation: 200 amps or less 20L amps to 400 amPs - 40L amps to 600 amPs - 601- amps to 1000 amPs- 0ver 1000 amps/vo1ts Reeonnect OnlY Temporary Services or Feeders Insiallation, Alteration or Relocation s so.oo s 60.00 $100. 00 ses 00 00 amps am $ $ $ s ee ttBx aEove D Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - S 2'00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lightitg- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL or1 LDS 000 volts $ 40.00 s 40.00 s 20.00 s 36.00 5 RECEIVED