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Home My WebLink AboutPermit Building 2008-9-10 CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-01367 ISSUED: 09/10/2008 APPLIED: 09/09/2008 EXPIRES: 03/10/2009 VALUE: $ 131,740,00 Status Issued SITE ADDRESS: 5734 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033209900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Resideutial 18.00 Overlay Dist:.. . 5.00 # Street Trees Rqd: 2 10.00 Paved Drive Rq~: Yes 24.00 % of Lot Coverage: 31.27 8.'>'5 II , . . ."n'R~ I PUBLIC IMr,R.OVEMEN~S b.?\?-"- W ;~ \S ~O\ \W l\. U\\ ~nr'~- \\\'2sy~~~~ nail. Fullv Improved',\\-I\S ?f,l'\w' \l~\)f,?- \ t\\\)mretj 1''>11'''' Yes 1\\l\\\0\\\1f,\)\) 0\\ \S I\'OPI'Downspouts/Drains: COtJ\~f,~~fl\'{ pf,\\\O\), . I\~'{ "\ 8() PROJECT DESCRIPTION: New single family dwelling Same as 5769 Pumice PI. (COM2008-1317) Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type License Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: BUILDING INFORMA nON I "oll \0 1 # of Stories:,o.ll\\es ~ \)\111\'1 1 \,::l.'~1 \ v ",('\0\ I \n R-3 n'teJgh\,~r.(11[tfctulf set \01 .16.00. lJ~,,'_' ~,I'\, :T~pe:ofHeatileS lJ.:'l,flrlii'a~\ Gas :1:"''''\', 0'1,) ~s"" O~~.~ ~~, VB" <\...,,~ lJ. W~ler 'DW\\\ ,'"'e lilIeS Gas , 'J l' ceG\.v T \".)v~ ~ \.\' e 1':'~:';G3.\\O'~_()()il{~lJg~ 0tJt'6'\lle~:e \ele?\\~~Ol\ \'102 p-\'. 95 ~ lJ\e'. .' ~o\\\\C II' Ug() '101llll \,ljIlft"le 1lil1lW,'/..'"44). No n() . ~ ,\"I,e ",e<\ ^",?:Z3 ~~~li~id}fNlR~T'i~FORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm to weep hole in cu rb I Valuation Descriotion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount TYDe of Construction Paee 1 of 4 Expiration Date Phone Lot Size: Sq Ft 1st Floor: 1,148 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Occupant Load: REQUIRED PARKING 2 Total: Handicapped: Compact: Curbside 7' Cnrb and Gutter Value Date Calculated Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellines Garaee V Wood Frame Garaee Fee DescriDtion -Mech Iss 2+ Appliances- + 100/0 Administrative Fee + 12% State Snrcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance Vent. Building Permit Curbcut I'ermit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fnrnace - up to 100,000 btn Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Se\\'cr - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Transpo Reimbnrsement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Planning Review Public, Works Review Strnctural Review 09/09/2008 09/09/2008 09/09/2008' $105.00 $28.00 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-01367 ISSUED: 09/10/2008 APPLIED: 09/09/2008 EXPIRES: 03/10/2009 VALUE: $ 131,740,00 1,148.00 400.00 $120,540.00 $11,200.00 $131,740.00 09/09/2008 09/09/2008 Total Value of Project ~Plf'~, P'.lli.-l . 111~ Amonnt Paid $42.00 $143.93 .$163.43 $87.45 $289.00 $37.00 $8.00 $761.93 $88.00 $8.00 $11.00 $77.40 $15.00 . $6.00 $211.00 $227.00 $121.00 $44.00 $483.84 $636.30 $10.00 $1,009.17 $97.90 $141.85. $201.54 $15.62 $88.00 $710.73 $17.00 $57.00 $24.00 $2,513.00 $8,347.09 I Plan Reviews I 09/09/2008 09/09/2008 09/09/2008 Date Paid Receipt Nnmber 9/10/08 9/10/08 9/10/08 9/1 0/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10108 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 9/1 0/08 9) I 0/08 9/10/08 9/10/08 9/10/08. 9/10/08 9/10/08 9/10/08 9/10/08 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 . 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 2200800000000001373 APP "APP APP DDK LKW CJC Storm to weep hole in curb Same-as permit. Approved as noted on the drawings Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination .Permit Status Issued PERMIT NO: COM2008-01367 ISSUED: 09/10/2008 APPLIED: 09109/2008 EXPIRES: 03/10/2009 VALUE: $ 131,740,00 225 Fifth Street, Springfield, OR 541~726:3753 Phone 541-726-3676 Fax 541;726-3769 Inspection Line " 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 requ~sted aftet. 7:00,a,m. will be made the following " work day; " Rpnllir~rlln'i'1fP~ i " Erosion/Grading Inspection: Prior to gronnd distnrbance and after erosion measures are installed. ,> Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete. I I; , Cnrbcnt - Standard: After forms are erected bnt prior to placement of concrete. '.. . I U'fer Electrical Ground: Install gronnd rod at footing and call for inspection in conjunction with footing and/or fou "dation "inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior- to concrete pla:cemeRt. I' Post and Beam: Prior to noor insulation or decking.. Floor Insulation: Prior to deCking" Shear Wall Nailing: Before covering sheathing with finish m~terials. Framing Inspection: Prior to cover and after all rough in ins~ections have been approved. Wall Insulation: Prior to cover. Ceiling Insnlation: Prior to cover.. Drywall: Prior to taping. , I' . , Final Building: After all required inspections have been requ~sted and approved and .the building is complete. Hold Downs Installed: Specialluspection performed prior 10lplacement of concrete. Provide report to City Buildiug luspector. Underfloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. II Rough Plnmbing: Prior to cover and including reqnired testing. . . l Water Line: Prior to filling trench and including required te~ting. Sanitary Sewer Line: Prior to filling trench and including re4uired testing. " Storm Sewer Line: Prior to tilling trench. Final Plnmbing: When all plnmbing work is complete.' Underfloor MechanicaL Prior to insulation or decking and including required testing. . ' Underfloor Gas: After line is installed and reqnired testing a~d capped ifnot attached to an appliance. . . . I Rough Gas: After liue is installed and required testing and capped if not attached to an appliance. . . I, Ii Paee 3 of 4 -~~D':~'~.........;""li. ItIr ~ . ~.. '. '" . . .',~.'n.... ,', .b """'0_ 'i,' ~ ...,~r "~,I CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-01367 ISSUED: 09/1012008 APPLIED: 09/09/2008 EXPIRES: 03/1012009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rongh Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energizing service. Final Electric: When all electrical work \s 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 a.ny, 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 th'e work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Bnilding 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 ensnre that all reqnired inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the fronfof the property, and the approved set of plans will remain on the site at all times during construction. - L~;~ Ow~er or Co:t~actors SignatuC" ------ 9-/0-0,,- Date Paee 4 of 4 ".' r' ./0. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: . LQCAii9.N..:_:___ ._------ TAX LOT NUMBER: DEVELOPMENT TYPE: . NEW DWELLING UNITS 1 I~ 10 -0 IU 10: 4792 ~ -=16 ~ COM2008-01367 Hayden Homcs 5734 Mineral 1802033209900 Single Family Residence. I . BUILDING SIZE (SF: I. STORM DRAINAGE 1548 LOT SIZE (SF): DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1992.25 I $0.357 I ='1 $710.73 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.357 I I 50% . I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC '$710.73 2.' SANITARY SEWER - CITY $710.73 11070 . ! I I 1091 I I 1092 J DISCOUNT $0.00 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 23 I $27.67 ~, $636.30 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU 1 23 I 1 $21.04 ~ .1 $483.84 3. TRANSPORTATION ITEM 2 TOTAL' CITY SANITARY SEWERSDC ~, $1,120.14 A. REIMBURSEMENT COST: I ADTTRIP RATE I x 1 9.57 1 B. IMPROVEMENT COST: I ADTTRIPRATE'I I 9.57 I I NUMBER OF UNITS I x I 1 I 1 I x I NUMBER OF UNITS I x I I 0 I I = , ITEM 3 TOTAL- TRANSPORTATION SDC COST PER TRJP 21.06 x INEWTRJPFACTORI I 1.00 I $201.54 COST PER TRJP $92.89 . $201.54 x INEW TRIP FACTORI i 1.00 I $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x i I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $97.90 ICOST PER FEU 1 $1,009.17 = $97.90 $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 MWMC ADMINISTRATIVE FEE $10.00 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 1= I $3,149.48 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,117.07 I $3,149.48 I CHARGE $157.47 I 1093 1094 ,I 11054 1055 1054 1056 " I I 141.85 1079 I $15.62--.J 1078 ~'.. $3,306,95_ J Kaye Wilson PREPARED BY 9/9/2008 DATE TOTAL SDC CHARGES " .,- .... DRAINAGE FIXTURF,: UNIT (DFU) CALCULATION TABLE n_._O_.___.__n____.._u_ NU~ER'OF NEW FlXTURESxUNIT EQUIVAJ,-E!,IT'= DRAJNAGEFlXTURE UNlTS.--...-.:.:.-....:.:=======.:... . (NOTE: FOR REMODELS. CALCULATEONLiTIiE NET ADDlTIONALFlXTIJRES) ~. '~.' - NO. OF FIXTURES DRAINAGE FIXTURE UNITS 6 o o o o o 3 o o o 3 o o 3 o o 2 o o 6 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellinA unit (20 DFU's) set at 167 gallons per day ~ , 0 23 :1 2 I 2 I 2005 I I $0.00 IS LAND ELGlBLE .FOR ANNEXATION CREDIT? (Entcr I for Y cs, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? . (Entcr l.for Ycs, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 CREDIT RATE $0.00 x $0.00 CRED'IT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE /1000 CREDIT RATE '$0.00 x $0.00 TOTAL MWMC CREDIT MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 ]994 1995 1996 .1997 1998 1999 2000 2001 i!!:i:i!iiffii~,!~': 'Fi'i';,i i':i:~:;:~R:~ I I I I I o = $0.00 I I .:0.. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-01367 NAME OR COMPANY: Havden Homes .._.. __.-'~QC_(\"['--Q!-!:_. _. .._ _ . __ 5734 Mineral .... .TAX LOT NUMBER: . 1802033209900 DEVELOPMENT TYPE: Sin~le Familv Residence NEW DWELLING UNITS I BUILDING SIZE (~F: 1548 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1992.25 I $0.357 I =' I $710.73 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 DISCOUN'f RATE I I I 0.00 I I $0.357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $710.73 ~ 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 23 I DISCOUNT $0.00 COST PER DFU $27.67 B. IMPROVEMENT COST: . I NUMBER OF DFU's I x I 23 I COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,120,14 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRJP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INlOW TRIP FACTORI I 9.57 I I I I 21.06 I 1.00 I B. IMPROVEMENT COST: " I ADTTRJPRATE I x I NUMBER IOF UNITS I x I COST PER TRJP x INEWTRJP FACTORI 9.57 I I $92.89 I 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $1,090.52 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER ~F FEU's 1 x ICOST PER FEU I I $97.90 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I I I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~I $1,117.07 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $4,038.46 5. ADMINISTRATIVE FEE: .l~._ 4792 $710.73 $636.30 I 1091 I $483.84 I 1092 --.J I $201.54 1093 $888.98 I 1094 I = $97.90 = $1,009.17 . $0.00 $10.00 1056 I SUBTOTAL x ADM. FEE RATE 1= I $4.038.46 5% I TOTAL SANITARY ADMINISTRATION FEE:. TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $201.92 Kaye Wilson PREPARED BY 9/9/2008 TOTAL SDC CHARGES DATE 126.55 11079 $75.37 11078 -, =, $4,240,38 r-- 1m "-1 ICl \..J' I.U l~ 1"-1 ,I- 113 i:;2 11070 1054 II DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE -------.--;--.-.-~~,.~--_=-.~.:.-,=--.-- --NO,rYmER"OF NE~.FIXTVRES.x UNIT ~QU:Y ~ENT - DRAINAGE FIXTIJRE1JNITS"'- . (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EOUlV ALENT IBATHTUB 2. 0 3 IDRINKlNG FOUNTAIN '0 0 1 = IFLOOR DRAIN 0 0 3 = IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3" = I INTERCEPTORS FOR SAND / AUTO WASI.I/ ETe. 0 0 6 .= I LAUNDRY TUB 0 0 2 = ICLOTHESWASHER / MOP SINK 1 0 3 = ICLOTIIESWASHER - 3 OR MORE lEA) '0 0 6. = IMOBILE I.IOME PARK TRAP (1 PER TRAILER) 0 0 12 = IRECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = IRECEPTOR FOR COM. SINK / DISHWASHER / He. 1 0 3 = ISHOWER SINGLE STALL 0 0 2 = ISHOWER GANG (NUMBER OF HEADSl. 0 0 2 = I SINK: COMMERCIAlJRESIDENTIAL KITCHEN 1 0 3 = I SINK: COMMERCIAL BAR a. 0 2 = . I SINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = I SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = IURlNAL. STALL / WALL 0 0 5. = ITOILET. PUBLIC INSTALLATION 0 0 6 = ITOILET. PRIVATE INSTALLATION 2 0 3 . = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS .*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinl2;le familv dwelling unit (20 DFU's) set at 167 ~lons per day ~ - ,- DRAINAGE FIXTURE UNITS 6 o o o o o 3 o o o 3 o o 3 o o 2 o o 6 o 23 . I J\ MWMC CREDIT CALCULATION TABLE:'BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 IS LAND ELGIBLE FOR ANNEXA nON CREDIT? (Enler I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR. CREDIT FOR LAND (IF APPLICABLE) VALUE/lOaO CREDIT RATE $0.00 x $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDIT RATE $0.00 x $0.00 ~ , TOTAL MWMC CREDIT 2 2 2005 ~ , $0.00 o = $0.00 SPRINGFIELD ~ ~ ! R _~*1:_.~?",", I~~~ .-~ t~,*>,yl%~,f~ ~JI ZON ~ c-&., INlTlAl.\' " l).. \.\/00 DATE ,'-J...CfbUl; SOURCE 8J\ \-. V~/" ? , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAx, (541)726.3639 ELECTRICAL PER1VIIT .APPLICATION City Job Number CO,^^z..o~!-O I 3{, 7 Date 1. Bl.fi~lll.ift~~~!~~I~1' S I 3 L( '^^ ;....E-t-A- ( lI" Y . LEGAL DESCRIPTJON: 1802.05>2. 0 <JiC>cJ JOB DESCRIPTION: ;lD""'-5~ WI Jl...f5 3. l~~llt~%\~jl.~~.llillll~t~~iflBi.1 'A' t:fkl'"?.?:".,~r.'R-~'+":..'.\'&.~&.:..'t<I,.."i?hS1i.'r"'~.':t;I-*". ';,!;,""S--l~~fK.,.!?;1T,~"(;~,[~"".._,,!.';'~',t".""'(,;:t,~j1:',J~"",,(~,j.;''''''Z ".');"~".-l'l'tf.J.;if,''''''ll~ . i;,,~w4 .e,lutmtl!i 's;' 1 "re'o",ti'rulti""aT"'~';toMleur" tir"'\..:, ~~~3"~''''''"__o~~.....,.,~:Qj;Pf'''=..~c......",,",",-~~,,,,m.L}]iBi'~l:~,,,~_~:;rWJ~~ Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof I 2. $ 21.00 $117.00 /2/ lit.{ Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or . S' d eLf - '80 d . , ",,"PnPT $55.00 _____'" uspen e OL-,O. - 3.)'s_________-5 'j3\ , 'TTCf\\T! . Oreaon law' t::yUl'... .~. - . . . . . . . ... gon-LJ.l:Ii'Wi""Rjjil)!iiI'.~{iJl~l: ~U!~iKllil'l1j'j~~.1~","I~~~I$'~~"~J~'~:~~'Bllii;f1ilI:il(~:~i?t;:';'.tt,.~.~;~:j~~r~' ".~. llJ'I:tj!fi.,' ,o'.W' '1~'~~~;I!i'.~! 2 are seMO . elililCCS'QrF'. eel em!'iunScaJra"on,f.&\tera . uus,or<Reloe'iiMrr"" ~JeCtriCal ContraclO~ 001f~~iif~:t~~~i~~ ~ft~e9;u~~~~:~:;;~s,~"",~q''''~''_"_XW!CM~~''':~:'':~-';".~"~,,,'~ 009 liiniV-. hhee c cee,nter. (Note:.the te\e~hor~)J Amps to 400 Amps . $ 83.00 Address ,;;2oo-f~~~h~<6(egon Utility Not'ltcat'Ril\ Amps to 600 Amps $138.00 . ." u. 'S'l ~Uu-'),:>,-,"344). . . .-....... -. ..". Cen",r I -u .. ". ,"., . 601Amps.to-lOOO'Amps . $'l80;00" ,F?tm_.v'/ . Pnone -.50/1" 5/"> 177"0 Over roocrl\mj)Sfvo1ls S"4D:Ov . Reconnect Only $ 55 00 , . CIty. 200 AmP.s or less I $ 55.00 ConstLContr.Number /7 ;2.N~~' 20j'A.n;P'~'to~rps $76.00 - THIS PERMIT SHAll EXP1Qfil1~;tWNOf"PS $110.00 Expiration Date ~ '1;,.UTHORE:1111MnER THISd',k~MIIl?.~s or ] 000 Volts see "B" above. Signal 're of supervjjsingplectriciCPMMENCED OR 18 DAB~~_~~!ltJ~~i~ilIJj~~~{~'~.I{~i.Jiil'~~f~ , . ANY 180 DAY PERIO . .. . ,.. - "" ~ fftl-h" - j..1 . ~ew ~lte~a.tion or, Extension Per Panel. CArl' /lL'., ~~ One CrrcUlt $ 48.00 ~ Each Additional Circuit or with _ J I I J. ~ j' b-../ ., Service or Feeder Pennit $ 4.00 . Owners Name [f,- ill, CodV' C" I E. .tr~~~~j~~~~!€'~t~'11f""'!fftdl'ii~"1ll'ir""~~~~~ Address ~r,2,~"" '~i~~J.r~:l!i.~~,~~mr8J.illY~~~Jj~'~,t~1itu~ci~~~~Ji~~milW~"1lfuik:[~ 'ioYLI S /2e--t '7 c ~~ii~~/R~~~~J~iill!lJil'~W~~1~i~tt!~1Il:~~~i~~lJ_\~\~i~&t1~~"~~ . r~~.' 'r",.b."A~~~Tii<;:';",~~~~,~~it;,:~~~;~ ~~Jllibi~~l~j:qflt~W.~Afii~1E~ll~~ Supervisor License Number' Expiration Date . Installation, Alteration or Relocation 57 City 'f2C~W\(],VO V Pbone Z. 7.$ ;":b'--'i3S-. Pump or inigation $ 55.00 Sign/Outline Lighting $ 55.00 . OWN:ER-lNST ALlATION ... . . Limited.Energy/Residential..... .. '.." m..". ... $'28,00 ... '"The installation is being made onpTopertY Town .which --_.- LlIillted Energy/Co=erclal ~ ;u.uu is not intended for sale, lease or rent. MiDimnm Electric Permit Inspection Fee is $50.00 +Surcbarges 4. ~~.@_~~rmer*~~~~i'~~tf~~~~~1i~'r~~~~~ ? '7 "'7 Ovrners 'Signature: ~i' .",'~ '. ,':"!'~~~~~~llifl!lDu!~~;~rt.;;~~;~~~;:~~:i~~&~~(ijiRli:~tB~ v(.".r '-- . - 12% State Surcharge . - z b b'( I 0% Admini~trative Fee {,7 _.?Jl> 5% Technology Fee " I'" TOTAL Z 8'( '..t .. Shared Drive(T:)lBuiIJing FormslElectrical Permit Application i~O&.d Inspection Request: 726-3769 .,~ ii b~ Willamalan~ . t'\ii Park & Recreation District,!1 . Job. NO....:( tMt~/J S - D / 3~ 7 " NAME: . b;~/(C:fPHONE: 22-Z, - ~?3S . ;, . -I:jYC:::wt#.cITYFVlJ#aYJA STATE:~ZIP: 9'7756 ~//...,. . - LOCATION OF PROPOSED BUILDING SITE: "Street Address: 5'13+ P!;^!I"jtA!-- \;\/AY' Plat Name: Jkf.//ti<. >>f!7fD1JJU: ( T~x Lot Number: .i fJ02-Q'?? 2- 09700 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 r . . ~ . 1. DEVELOPMENT TYPE (Check appropriafe dwelling(s). Dwelling type definifions are on the back.) . A. Sinale-Familv Detached ( NO. OF UNITS X $2,513 per unit = ii $ 25/3 . B. Sinale-Familv Attached NO. OF UNITS ;i X $2,726 per uriit = $ C. Multi"Familv Aoartment NO. OF UNITS . X ~2,323 per unit = . '~ . $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. ~ccessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ CC' $~D\~. . $ s;;r.. WII,.LAMALANE SDC 2_ SDC CREDIT (If applicable) SDC payer must furnish proof of . . Willamalane Credit approval.) . . " . 3_ TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credif) ~t~$~-!:\ City of Springfield '. ... $ ZS/~ q ,10 J;YJ Date. . '5 8l.:~~:D~: Wt."~"w 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008'0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008'0 1367 COM2008.0 I 367 COM2008-0 I 367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 I 367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 COM2008-0 1367 Payments: Type of Payment CreditCard cReccintl City of Springfield Official Receipt Development SerVices Department Public Works Department RECEIPT #: 220080000000000]373 Date: 09/10/2008 2:54:40PM Description Plan Review Major - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer ~ Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Curbcut Permit Sidewalk Petmit Plan Review Same As Building Permit Addressing Assignment . WilIamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech lss 2+ Appliances- Fire SF Fee - Residential Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 211.00 710.73 636.30 483.84 201.54 97.90 1,009.17 10.00 141.85 15.62 88.00 88.00 227.00 761.93 37.00 2,513.00 289.00 17.00 15.00 24.00 8.00 11.00 8.00 6.00 42.00 77.40 57.00 121.00 44.00 87.45 163.43 143.93 $8,347.09 Paid By HA YDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid D18 086568 In Person Payment Total: $8,347.09 $8,347.09 Page I of I 9/I 0/2008