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Home My WebLink AboutPermit Building 2008-9-16 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-01402 ISSUED: 09/16/2008 APPLIED: 09/15/2008 EXPIRES: 03/16/2009 VALUE: $ 238,032.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1262 S 40TH PL ASSESSOR'S PARCEL NO.: 1802064114700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New single family dwelling Filbert Meadows Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 1 CONTRACTOR INFO~MA TlON I Contractor Type General Electrical. Mechanical Plumbing , Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 Expiration Date 09/16/2008 03/30/20 I 0 06/27/2009 03/1212010 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: Forced Air Gas. Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: No Lot Size: . Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,306 2,000 644 I. DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: 2 Paved Drive Rqd: Yes % of Lot Coverage: 36.18 f~!!E:NTlON' ,,__ !~ -.. JUles -:jV/11aw NOTICE 1 PUBLIC IMPROVEME;I'I'I1S'tation cadoPled by IhreqUires y :. ~"f1 en~e n. e Ore OU 10 Street ImTi'i93emel1\.5.:IT S II. I d 0090 \/952SiOq\ ko]''ype:l rUles agon Utilit'c b'd 5' r en/VI HALL E Plu v mprove '. rou'Ui / lI1rou re Set ~ .. ur 51 e Storm sM~rhf,[y~.i!~e/j:UNDER X IRE IF THE\lNORK 11 Calling IhfP~ijiiut~J1Ji[.ps9AR 95Slisf'and Gutter Special G,5t:~IMt~UtED OR THIS PERMIT IS NOT umber for the gr. (Note: th~' the rUles b - ANsY 180 nAY DC::D~~DABANDONED FOR Center is ;:agoon Utility ~eo'tephone y Notes: torm \veep" to-<lur", . 0-332-2344)./ilCation Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.00 7.00 6.00 33.00 9.00 Total: Handicapped: Compact: 2 Page 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriPtion Tyoe of.Constl"uction A.C. - Residen Dwellings Garage AC - Residential V Wood Frame Garage Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Appliance Vent Boiler/Comp Up To 100,000 btn Building Permit Cnrbcut Permit Dryer Vent. Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - np to 100,000 btn Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbnrsement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbnrsement SDC Transportation Admin Sidewalk Permit Temp Power 200 amps or less Vent Fan Willamalane Single Family CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01402 ISSUED: 09/16/2008 APPLIED: 09/15/2008 EXPIRES: 03/16/2009 VALUE: $ 238,032.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Sqnare Footage or Bid Amount 2,000.00 2,000.00 644.00 Value DateCalcnlated $10,000.00 $210,000.00 $18,032.00 $238,032.00 09/15/2008 09/1512008 09/1512008 Total Value of Project ~ Amount Paid $42.00 $196.00 $219.34 $110.74 $289.00 $37.00 $10.00 $16.00 $15.00 $1,157.83 $88.00 $8.00 $11.00 $\32.20 $18.00 $15.00 $6.00 .$211.00 $752.59 $121.00 $88.00 $546.95 $719.29 $10.00 $1,009.17 $97.90 $93.32 $888.98 $201.54 $80.37 $88.00 $57.00 $16.00 $2,513.00 Date Paid Receipt Number 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08' 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 9/16/08 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000969 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 1200800000000000970 Page 2 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01402 ISSUED: 09/16/2008 APPLIED: 09/15/2008 EXPIRES: 03/16/2009 VALUE: $ 238,032.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amonnt Paid $9,865.22 Plan Reviews I Planning Review 09/15/2008 09/15/2008 APP DDK Roof on North side needs to be clipped back 3 ft. to meet solar requirements. Require street trees as shown on street tree plan attached to permit: species as shown, 2' caliper, leave name tag on nJltil approval. Storm drains to weep hole in curb Approved as noted on plans Pnblic Works Review Structural Review 09/15/2008 09/15/2008 09/15/2008 09/1512008 APP APP LKW CJC 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. UeollireCUnsnections' Site Inspection: To be inade after excavatio~ bnt prior to setting forms. Erosion/Grading Inspection: Prior to g~ound disturbance and after erosion measures are installe~. Ufer Electrical Ground: Install gronnd rod at footing and call for inspection in conjnnction 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 Iloor insnlation or decking. Floor Insnlation: 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 Insnlation: Prior to cover. Ceiling Insulation: Prior to cover. Final Bnilding: After all required inspections have been reqnested and approved and the bnilding is complete. Perimeter Fonndation Drains: After gravel and filter cloth is installed bnt prior to backfill. UnderIloor Plumbing: Prior to insnlalion or decking. Underfloor Drain: Prior to cover or placement of concrete. Rongh Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and inclnding reqnired testing. Page 3 of 4 Status Issued CITY VI' ~r tOj~\jl<1ELD Building/Combination Permit PERMIT NO: COM2008-0I402 ISSUED: 09/1612008 APPLIED: 09/15/2008 EXPIRES: 03/16/2009 VALUE: $ 238,032.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to filling trench and including reqnired testing. Sanitary Sewer Line: Prior to filling trench and inclnding reqnired testing. .Storm Sewer Line: Prior to Iilling trench. Final Plnmbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Rongh Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance inclnding required testing. Presnre test done at this point. Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval reqnired prior to Utility Company energizing pole. Rongh Electric: Prior to Cover. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Ir:tspection: Prior to ground disturbance and after ero~ion measures are installed. .... " '~.;.- Sidewalk - Cnrbside: After forms are erected but priorto placement of concrete. Cnrbcnt - Standard: After forms are erected bnt prior to placement of concrete. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther 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 strncture withont 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 ensure that all required inspections are requested at the pr,oper time, that each address is readable from the street, that the permit card is located at the fro of the property, and the approved set of plans will remain on the site at all "mm'7zr/~ . I {,/oJ Da' /~ Page 4 of4 225 Fifth Strcct Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1402 Payments: Type of Payment CreditCa,d cReceioll RECEIPT #: Description Plan Review Residential Paid By BRUCE WIECHERT CUSTOM HOMES ~~1~~~;~.!'." .':.... ~... ~ ' - _...~~..,.," .. .-.--_: -- ..' . City of Springfield Official Rcccipt Developmcnt Services Department Public Works Department 1200800000000000969 Date: 09/16/2008 8:39:35AM Item Total: Check Number Authorization Received By Batch Number Number How Received njm 045 J 90 In Person Amount Due 752.59 $752.59 Amount Paid $752.59 Payment Total: $752.59 Page I of,l 9/1612008 '- 'JOuRNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAJNAGE CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET - C0M2008-01402 Bruce Wiechert Hoines 1262 S, 40th o Single Family Residence 1 BUJLDlNG SIZE (SF: LOT SIZE (SF): 6970 ..r-- If/) ~ 10 10 u Ip:: I~ ,[-0 f/) ~ o ~ 2644 DffiECT RUNOFF TO CITY STORM SYSTEM .1 IMPERVIOUS S.F. x 1 COST PER S.F.' CHARGE 1 0.00 I $0.357 1 = 1 $0,00 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 1 I 1 0.00 I 1 $0.357 I 1 50% 1 '" I DISCOUNT $0.00 $0.00 11070 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - c:JTY A REIMBURSEMENT COST: 1 NUMBER OF DFU's I. x 1 26 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 26 1 .$0.00 COST PER DFU $27.67 $719.29 1091 COST PER DFU $21.04 I 11092 I $546,95 = , $1,266.25 . 3 TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC A REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x 1 COST PER TRIP x INEWTRIP FACTORI I 957 I I 1 I 21.06 I 1.00 I $20L54 11093 B. IMPROVEMENT COST: I I ADTTRJPRATE I x I NUMBER OF UNITS I x 1 COST PER TRIP 1 x INEW TRIP FACTORI I 957 I 1 1 1 $92.89 I' I 1.00 1 $888.98 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $1,090.52 1 I 4. SANlTARV SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 1 .1 $97.90 = $97.90 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU. I I 1 I $1.009.17 = $1.009,17 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 :11054 MWMC ADMlNISTRATIVE FEE $10.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $1,117.07 1 I - I SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I $3.473.84 I ---.-.---- _u ! 5. ADMINlSTRATlVF. FEE: I SUBTOTAL x 1 ADM. FEE RATE 1= CHARGE I I $3.473.84 I 5% 1 $173,69 TOTAL SANITARY ADMINISTRATION FEE: 93.32 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $80.3 7 11078 Kaye Wilson 9/15/2008 TOTAL SDC CHARGES =1 $3,647.53 II PREPARED BY DATE I - ~---. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NlThffiER OF NEW FIXTIJRES ;It UNIT EQUN ALENT "" DRAINAGE FIX1lJR.E UNITS (NOTE: FOR REM:DOELS. CALCULATE ONLY THE NET ADOmONAL FIX1lJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUNALENT UNITS IBATHTUB "---" 2 0 3 = 6 1 DRINKING FOUNTAIN 0 0 1 = 0 1 FLOOR DRAIN 0 0 3 = 0 1 INTERCEPTORS FOR GREASE / OIL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH I ETC 0 0 6 = 0 1 LAUNDRY TIJB 0 0 2 = 0 ICLOTIlESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6e = 0 IMOBILE HOME PARK TRAP (l.PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlGI WATER STATION iETC 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER / ETC 1 0 3 = 3 ISHOWER SINGLE STALL 1 0 2 = 2 1 SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCi~LiRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLELAVATORY 1 0 2 = 2 ISINK: SINGLE LAV ATORYIRESIDENTIAL BAR 1 0 1 = 1 IURlNAL, STALL / WALL 0 0 5 = .0 ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0 ITOILET. PRlVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 I .EDU (Equivalent DweIlin~ Unit) is a discharne eQuivalent to a single family dwellin~ unit (20 DFU's) set at 167 ~Ions per day I, MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I I I I I I I I ,: I I I I I I I I I I I I I YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 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 1 IS LAND ELGffiLE FOR ANNEXATION CREDIT? (Enler 1 fo, Yes, 2 fo, No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Enler 1 for Yes, 2 fa, No) BASE YEAR 2 2 2006 CREDIT FOR LAND (IF APPLICABLE) VALUE/WOO CREDIT RATE $0.00 x $0:00 I I I I = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/WOO CREDIT RATE $0.00 x $0.00 o TOT Ai. MWMC CREDIT = $0.00 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET -' JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM J)RAINAGE r--' IfZ 10 18 Ie.:: IW .E-< en 6 gj C0M2008-01402 Bruce Wiechert Homes 1262 S. 40th . o Single Family Residence 1 BUILDING SIZE (SF; 2644 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x 1 COST PER S.F, I 1 CHARGE 1 364L50 .1 $0.357 = 1 $1,299.10 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER SF I x 1 DISCOUNT RATE I 1 I 0.00 I 1 $0.357 1 50% I = 1 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBEROF DFU's I x I 26 I COST PER DFU I $27,67 . I B. IMPROVEMENT COST: , I NUMBER OF DFU's I x COST PER DFU 26 I $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 1 TRANSPORTATION A REIMBURSEMENT COST: I ADTTRlP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRlP RATE I x I 9,57 I I NUMBER OF UNITS I x I 1 1 1 I 1 NUMBER OF UNITS 1 x I 1 I 1 1 4 SANITARY SEWER - MWMC ITEM 3 TOTAL - TRANSPORTATION SDC = , A REIMBURSEMENT COST: INUMBER OF FEU's I x 1 1 1 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x I I 1 ICOST PER FEU 1 $97,90 ' .1 1 I COST PER FEU 1 $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $1,299.10 ~ , $1,266.25 COST PER TRIP. 21.06 COST PER TRlP $92,89 $1,090.52 $1,117.07 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5 AJ)MINlSTRA TNF. FEE: $4,772.94 LOT SIZE (SF): DISCOUNT $0,00 x INEWTRlPFACTORI I 1.00 1 x INEW TRIP FACTORI 1 1.00 I SUBTOTAL x I ADM. FEE RATE I~ I $4.772.94 I 5% 1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $238.65 Kaye Wilson PREPARED BY 9/15/2008 DATE 6970 ;i $1,299.10 I 1070 $719,29 $546.95 $201.54 $888.98 = $97.90 l I 1091 I .11092 I 11093 I 11094 I 11054 I :11055 [1054 1056 = . $1,009.17 $0,00 $10.00 TOTAL SDC CHARGES 167.46 $71.19 =, $5,011.59 11079 11078 ~--- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE ( -~..".. l NillvlBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADOmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EQUNALENT UNITS I IBATIITUB 2 0 3 = 6 l IDRINKJNG FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 'I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I IlNfERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I ILAUNDRYTUB 0 0 2 = 0 II iCLOTIlESWASHER / MOP SINK 1 0 3 = 3 I I CLOTIlESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAPJ1 PER TRAILER) 0 0 12 = 0 I 1 RECEPTOR FOR REFRIG / WATER STATION 1 ETe. 0 0 1 = 0 I I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 I 0 .3 = 3 I I SHOWER, SINGLE STALL 1 I 0 2 = 2 I 1 SHOWER, GANG ~ER OF HEADS) 0 I 0 2 = 0 I I SINK: COMMERCWJRESIDENTIAL KITCHEN 1 I 0 3 = 3 II 1 SINK: COMMERCIAL BAR 0 1 0 2 = 0 I 1 SINK: WASH BASIN/DOUBLE LAVATORY 1 I 0 2 = 2 I 1 SINK: SINGLEcLA V A TORY/RESIDENTIAL BAR 1 I 0 1 = 1 I IURlNAL. STALL I WALL 0 I 0 5 = 0 II ITOILET, PUBLIC INSTALLATION 0 I 0 6 = 0 ITOILET. PRNATE INSTALLATION 2 I 0 3 = 6 . i MISCELLANEOUS DFU TYPE NUMBER OF EDD'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 .EDU (Eouivalent Dwellinl?: Unit) is a dischm-I?:e eauivalent to a single family dwellinl?: unit (20 DFU's) set at 1671?:llllons per day - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II YEAR l ANNEXED r- I I I I 1 I 1 i I I I I I I I I: I I I I I I BEFORE 1979 1979 1980 1981 1982 1983 1984 CREDIT RATE/$l,OOO II ASSESSED VALUE ,( $5PlV;:2.,: ~,;l;}i" 1985 1986 1987 1988. 1989 1990 1991 1992 1993 1994" 1995 1996 1997 1998 1999 2000 2001 ". __ -k'''l~ ,j. "-~'-.;r;':-~'~_4',-t!l,'~" ..."'.... _ 'll ~ ..".1 ::; 'J" """',,~@ITY OR., P.:ewT'--D OREGON"- '-. -F;~~J~~~1\."'~ ," ~.~,:_ ~.~,"!~! "}~..l,""': l-,L ~7'", c~'-~:'~!ii?t?\~:' ZON \..O~ INITIALS ~ DATE . '\!~go SOURCE . ~ < . . 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Supervisor License Number . 4l "[ 1-{ - 5 (O/Ol/tO I OSY ('5 3/.3t foe?. .1 Signature of Snpervising Electrician c;DjJJAO~ - . - Owners Name ~Yf ,\UeGY'ter+ t\{)(Y\es Address. 2iT\ 9 ~,t~ J...;J _ . ~ E. Wirciill~~~'~~1[~~dr~~tfliim!~)~E~r~r~!I.!l1i[~~ City C, Y',~ Phone\J \Q'{ lout\:S Pnmpor irrigation. $ 57.00 ~ . Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minj~~m~!.:~:i~.~~~:,~~~~.c~~:7~eei~,~:00 + Snrcharges cxJ. 4. lt~!t!!~q,t~;fJg:~2;~~t_{6BI t\D\o . .12% State Surcharge _ .~ \ .q'2.. j 0% Administrative Fee lL ~ .l.g") 5% Technology Fee _ \ .~ TOTAL _..... Shared Drivc(T:)IBuilding FOrms!Electrical Permit Application 7-1J8.do<: ,. 32:rl.eIL- ELECTRICAL PJiiJ~fI'f\(1J{fy.,CATION City Job Number \. \ '(')-,J\ '\V ~ 1. ~i~~~t6EINSfAT'f'4'fiO~'~~ \._-.~.".. . 'S.-:2\t)m~ - 't: . ~old\\ \4;'\00 . ~f;~~~D;\emP Permits a;e non-transferable ~l~ ~xPire jfwork is not started within 180 days of ~nce or if work is . Suspended for 180 days. 2. f~2~~gif~~r~~TI.q:~~i Electrical Contractor 1- t: E S. \.Qc\-n c I Address q dB33 _\o<'\P~ AU('; R6, . City ~ ( d Phone 'l~) - J 5" q '6 Expiration Date Constr. Contr. Number Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Ownery; Signature: Inspection Request: 726-3769 Date 3. Ef.Q~iWfE~~~.t@:~~ii!W~itl~~~~~~~ ~'"'"'!~,Hf'-~~R};'F';~fo'tt~1F?')?~-"~tW&""'?4P,"~~,,"4;tK7S!'7'Wffi~H~'_0;;tili,;r.":~,:;~~gf;4%t1~':\1Q A. l!i~e1"d!~~-""~t.!'!J~I,ngl~Jl.r.(~tnlh71i'l!I)I"YiP"r.,d!!,el!!J1g;I!J1It.~-1 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 \ 4. $l2L00 \2~\ ~ $22.00 ~ $57.00 B.ll.~~~1W:ir&'~.j~1j'~Ir~t~ij!Nt:t~1ffiR'~ii&~r!itffif;~~;~ ~~~~;"""""...--,-..__.-,-..A",;l"kti.."_._,._",,,,,.,-~.,~.,_~,...7);'.~>~.",__""""=",.,,,,;,,,,_,,v,..,,-_,,_.._...;,,,,.w.,_~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps '601 Amps to 1000 Amps Over 1000 AmpsIV oils . Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c. Installation, Alteration or Relocation .200 Amps or less l 201 Amps to 400 Amps 401 Amps to 600 Amps 'Over 600 Amps or 1000 Vo1ls see "B" above. D. $ 57.00 $ 79.00 $114.00 5\~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 b~ Willamalane t'\tj Park & Recreation District. . t:!,3~ /0/'0.2- Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME:_ Muu: '-"/(;'Z/rI::.7L.r ADDRESS:}o? ~ 5k-I/'I/h."W. CITY etA. c.. .LOCATION OF PROPOSED BUILDING SITE: Street Address: /i.. '- ~_> 4'LJf>{) . PHONE: 6()~ 5Z>S-O STATE:d~ZIP: 7?'t'o~ Plat Name: Tax LotNumber: .I~2 C~O// 1'/7o() 1. DEVELOPMENT TYPE (Check appropriatedwelling(s). Dwelling typ~defjnitions.are on the . back.) A. Sinale-Familv Detached . NO.OFUNITS ~ X $2,513 per unit = $ :z.:ny= B. Sinale-Familv.Attached NO. OF UNITS X $2,726 per uriit = $ C. Multi-Familv Apartment NO. OF UNITS X $2,323 per unit = $ D. Siriale Room Occuoancy NO. OF UNITS X.$1,162 perunit = $ E. Accessorv Dwellina Unit NO. OF UNITS , X $1,257 per unit = $ .- $ ~~\~pi) $.;6 WILLAMALANE SDC 2. ..SDC CREDIT (If applicable) SDC payer must furnish proof of Willarnalane Credit approvaL) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~Se~~Lm City of Springfield \. \ . $ ;;}') ~~ g I~JfIi) Date. 5 :a:=" ... . . City of Springfield Official Receipt Dcvelopmcnt Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 54 I -726-3759 Phone Job/Journal Number COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 I . COM2008-0 1402 COM2008-0 1402 I COM2008-01402 , COM2008-01402 COM2008-0 1402 , COM2008-01402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 COM2008-0 1402 Payments: Type of Payment CreditCard cRcceiotl RECEIPT #: 1200800000000000970 Date: 09/16/2008 8:58:24AM Description Addressing As::;ignment Building. Pennit Fire SF Fee - Residential Willamalane Single Family 2 Baths One or Two Family Fnmace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Air Handling Unit Up to 10,000 Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Ontlets 1-4 Fireplace (Listed) c-Mech Iss 2+ Appliances- I Residence Wi,ing 1000 Sq Ft Residence Wi,ing Ea Addtl 500 Temp Power 200 amps or less 'Curbcut Permit Sidewalk Pennit Plan Review Major - Planning Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC T,anspo Reimbu,sement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administ,ation SDC SanitarylStonn Admin SDC Transportation Admin + 5% Technology Fee + 12% State Snrcharge + ) 0% Administrative Fee Am~unt Due 37.00 1,157.83 132'.20 2,513.00 289.00 15.00 15.00 10.00 16.00 16.00 I LOO 8.00 6.00 18.00 42.00 121.00 88.00 57.00 88.00 88.00 21 LOO 719.29 546.95 201.54 888.98 97.90 1,009.17 10.00 93.32 80.37 110.74 219.34 196.00 $9,112.63 Paid By BRUCE WIECHERT HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm 055840 In Person Payment Total: $9,112.63 $9,112.63 Page I of I 9116/2008